Hypertension News Archive

Therapeutic Lifestyle Intervention in Church Helpful for BP Control

Therapeutic Lifestyle Intervention in Church Helpful for BP Control

Intervention plus motivational interviewing better than health education alone for black adults.

RAS Inhibitor Therapy May Prolong Survival After Acute Kidney Injury

RAS Inhibitor Therapy May Prolong Survival After Acute Kidney Injury

In a Canadian study of patients who experienced AKI during hospitalization, treatment with an ACEI or ARB within 6 months of discharge was associated with a 15% lower risk for death after 2 years.

Home BP of 130/80 mm Hg ID'd as Threshold for Stage 1 HTN

Home BP of 130/80 mm Hg ID'd as Threshold for Stage 1 HTN

Two US cohorts support use of home BP threshold of 130/80 mm Hg for black, white, Hispanic adults

Angiotensin-Converting Enzyme Inhibitors May Up Lung Cancer Risk

Angiotensin-Converting Enzyme Inhibitors May Up Lung Cancer Risk

Higher risk seen with ACEIs vs angiotensin receptor blockers; risk linked to duration of use

Intensive SBP Tx Cuts Kidney Damage Biomarkers in Incident CKD

Intensive SBP Tx Cuts Kidney Damage Biomarkers in Incident CKD

Incident CKD accompanied by decreases in kidney damage biomarkers in setting of intensive treatment.

Nocturia a Possible Risk Factor for Nocturnal BP Problems

Nocturia a Possible Risk Factor for Nocturnal BP Problems

In a study, nighttime voiding significantly correlated with smaller dips in nocturnal blood pressure.

Application of Blood Pressure Guidelines Ups Treatment

Application of Blood Pressure Guidelines Ups Treatment

Implementing ACC/AHA guideline would direct antihypertensive meds to adults at high CVD risk.

Elevated Blood Pressure Linked to Aortic Valve Disease

Elevated Blood Pressure Linked to Aortic Valve Disease

Increased risk for aortic valve stenosis and aortic regurgitation with increased systolic BP.

Southern Dietary Pattern Mediates Racial Difference in HTN

Southern Dietary Pattern Mediates Racial Difference in HTN

For both men and women, Southern dietary pattern is largest mediating factor for difference in HTN.

AHA: Resistant Hypertension Diagnosis, Tx Guidelines Updated

AHA: Resistant Hypertension Diagnosis, Tx Guidelines Updated

Ruling out Rx non-compliance, white coat syndrome, and interfering medications necessary

Triple Combo Blood Pressure Pill Can Improve BP Control

Triple Combo Blood Pressure Pill Can Improve BP Control

Proportion achieving target BP increased with use of triple combo pill versus usual care at six months.

More Targeted Sodium Reduction Strategies Proposed

More Targeted Sodium Reduction Strategies Proposed

New study suggests sodium intake is associated with cardiovascular disease and stroke only when mean sodium intake exceeds 5 grams per day.

Tool Improves Identification of Undiagnosed Hypertension

Tool Improves Identification of Undiagnosed Hypertension

Use of billing data alone shows that up to 1 in 8 hypertension cases might be undiagnosed

Late-Life Blood Pressure Tied to Higher Number of Brain Infarcts

Late-Life Blood Pressure Tied to Higher Number of Brain Infarcts

Odds of having one or more infarcts also increased with more rapidly declining SBP slope over time.

FDA Recalls Drugs Containing Active Ingredient Valsartan

FDA Recalls Drugs Containing Active Ingredient Valsartan

All lots of non-expired products that contain valsartan supplied by Zhejiang Huahai being recalled.

Blacks Have Elevated Hypertension Risk Through Age 55 Years

Blacks Have Elevated Hypertension Risk Through Age 55 Years

Regardless of BP levels in young adulthood, blacks have increased hypertension risk versus whites

Increase in Pediatric Hypertension Prevalence With New Definitions

Increase in Pediatric Hypertension Prevalence With New Definitions

Incorporation of new pediatric definitions increased prevalence of hypertension in high-risk youth.

Binge Drinking Linked to Increased Systolic BP in Men

Binge Drinking Linked to Increased Systolic BP in Men

And relative risk for hypertension up with any drinking among men without hypertension.

Nocturnal Polyuria Linked to Non-Dipping Blood Pressure

Nocturnal Polyuria Linked to Non-Dipping Blood Pressure

More than three-quarters of men with nocturnal polyuria had non-dipping blood pressure compared with less than half of men with other causes of nocturia.

Disparities for Risk of Recurrent Hemorrhagic Stroke Unexplained

Disparities for Risk of Recurrent Hemorrhagic Stroke Unexplained

Higher risk of second hemorrhagic stroke in blacks, Hispanics, not fully explained by hypertension severity.

Folic Acid May Cut Stroke Risk in High-Risk Hypertensive Patients

Folic Acid May Cut Stroke Risk in High-Risk Hypertensive Patients

Findings among patients with low platelet count, high homocysteine levels

Controlling High Blood Pressure Could Prevent Dementia

Controlling High Blood Pressure Could Prevent Dementia

Findings based on use of commonly available antihypertensive meds in older African-Americans

Systolic BP Increases at Rapid Rate Above 120 to 125 mm Hg

Systolic BP Increases at Rapid Rate Above 120 to 125 mm Hg

Trend is consistent whether the threshold blood pressure level is reached earlier or later in life

Ambulatory BP Is a Better Predictor of Mortality

Ambulatory BP Is a Better Predictor of Mortality

New study demonstrates that masked hypertension is associated with greater mortality risks than sustained or white coat hypertension.

No Higher Cancer Risk Seen for Heart Failure Patients

No Higher Cancer Risk Seen for Heart Failure Patients

After a median 20 years of follow-up, heart failure not associated with cancer incidence

No Reduced CVD Risk for SBP 120 mm Hg in Type 2 Diabetes

No Reduced CVD Risk for SBP <120 mm Hg in Type 2 Diabetes

Increased risk of CVD for achieved systolic blood pressure of 120 versus 130 or 140 mm Hg

Adults More Inclined to Take Tea, Pill for Hypertension

Adults More Inclined to Take Tea, Pill for Hypertension

Preferences indicate people would rather take daily pill or tea to prolong life rather than exercise

Metabolic Abnormalities Seen in Testicular Cancer Survivors

Metabolic Abnormalities Seen in Testicular Cancer Survivors

HTN, increased LDL and total cholesterol levels; lower rates of decreased HDL levels, abdominal fat

Ablation Bests Medical Therapy for AFib With Heart Failure

Ablation Bests Medical Therapy for AFib With Heart Failure

Catheter ablation significantly lowers death rate from any cause, hospitalization for worsening CHF

High Heat Cooking Ups Hypertension Risk

High Heat Cooking Ups Hypertension Risk

High frequency of open-flame/high-temp cooking, preference for higher meat doneness tied to HTN

Digoxin May Up Mortality in AFib Patients

Digoxin May Up Mortality in AFib Patients

Mortality risk increased with higher serum digoxin levels; results similar regardless of heart failure

Low-Dose Triple Pill Effectively Lowers Blood Pressure

Low-Dose Triple Pill Effectively Lowers Blood Pressure

Greater chance of achieving blood pressure target level with combo pill strategy versus usual care

Sodium-Blood Pressure Link Minimally Influenced by Other Dietary Factors

Sodium-Blood Pressure Link Minimally Influenced by Other Dietary Factors

Sodium-BP link persisted after controlling for 13 macronutrients, 12 vitamins, 7 minerals

Biomarkers ID CHF Patients Needing Medication Titration

Biomarkers ID CHF Patients Needing Medication Titration

Using biomarkers to titrate CHF meds may better improve mortality vs. generic titration of all patients

Black Atrial Fibrillation Patients Have Increased Risks for Strokes

Black Atrial Fibrillation Patients Have Increased Risks for Strokes

Higher risk of ischemic stroke seen before, after atrial fibrillation diagnosis compared with whites

Gingko Biloba Beneficial After Acute Ischemic Stroke

Gingko Biloba Beneficial After Acute Ischemic Stroke

Gingko biloba plant extract combined with aspirin may help resolve some issues in cognition for acute ischemic stroke patients.

Smoking Just 1 Cigarette Daily Increases Heart Disease, Stroke

Smoking Just 1 Cigarette Daily Increases Heart Disease, Stroke

Men who smoked just one cigarette/day had 46% of excess relative risk of smoking 20/day.

Key Recs of ACC/AHA 2017 Guidelines on Blood Pressure

Key Recs of ACC/AHA 2017 Guidelines on Blood Pressure

The 2017 guideline uses a different classification system for BP than previous guidelines.

Vitamin D3 Can Improve Arterial Stiffness

Vitamin D3 Can Improve Arterial Stiffness

Dose-response effect observed in overweight African-Americans with vitamin D deficiency

Silent Heart Attack Linked to Heart Failure Risk

Silent Heart Attack Linked to Heart Failure Risk

Silent and clinically manifested MI both correlated with future risk of heart failure in adjusted models.

Increasing β-blocker Dose May Lower Death Risk in CHF With Diabetes

Increasing β-blocker Dose May Lower Death Risk in CHF With Diabetes

Effect is larger in chronic heart failure patients with diabetes than CHF patients without diabetes.

Coffee May Lower Heart Failure, Stroke Risk

Coffee May Lower Heart Failure, Stroke Risk

Each additional cup consumed per week tied to a decrease in risk compared with no coffee intake.

New Guidelines Redefine Hypertension

New Guidelines Redefine Hypertension

Updated recommendations lower the blood pressure threshold for a hypertension diagnosis from 140/90 to 130/80 mm Hg.

Hypertension, Diabetes at Hemodialysis Initiation Increasing

Hypertension, Diabetes at Hemodialysis Initiation Increasing

From 1995 to 2015, the prevalence of hypertension and diabetes among patients starting hemodialysis increased from 67.9% to 87.6% and from 43.1% to 59.6%, respectively.

Resistant Hypertension Ups Risks of Cardiovascular Events, ESRD

Resistant Hypertension Ups Risks of Cardiovascular Events, ESRD

Study of U.S. veterans found that patients with resistant hypertension had 23%, 31%, and 144% higher risk of myocardial infarction, stroke, and end-stage renal disease, respectively.

Intensive Blood Pressure Control May Not Benefit CKD Patients

Intensive Blood Pressure Control May Not Benefit CKD Patients

Post hoc analysis of SPRINT finds no significant difference in the incidence of fatal and nonfatal cardiovascular events among patients with moderate-to-advanced chronic kidney disease.

Borderline Pulmonary Hypertension Tied With Reduced Survival

Borderline Pulmonary Hypertension Tied With Reduced Survival

Increase in hazard of death with higher mean pulmonary arterial pressure, with no threshold seen.

Resistance to RAAS Inhibitors Not Easily Improved

Resistance to RAAS Inhibitors Not Easily Improved

Patients who show a poor response to a certain dose and medication also show a poor response to higher doses and other RAAS inhibitors or NSAIDs, meta-analysis shows.

Hypertensive Adolescents Can Have Target Organ Damage

Hypertensive Adolescents Can Have Target Organ Damage

Some adolescents may have organ damage related to blood pressure and are not targeted for therapy.

Generic Antihypertensives' Commercialization Impacts AEs

Generic Antihypertensives' Commercialization Impacts AEs

Adverse events up for generic users of losartan, valsartan, candesartan in month of commercialization

Collaborative Style Ups Hypertension Medication Adherence

Collaborative Style Ups Hypertension Medication Adherence

Patients were 3 times less likely to take their medications if their providers didn't use a more collaborative style, such as asking open-ended questions, and ensuring they understood instructions, the investigators found.

Lower SBP Goal for Blacks May Prevent Cognitive Decline

Lower SBP Goal for Blacks May Prevent Cognitive Decline

The researchers found that scores on the cognitive tests were linked with the patient's systolic blood pressure.

Rivaroxaban, Warfarin Both Safe for Recurrent Stroke in A-Fib

Rivaroxaban, Warfarin Both Safe for Recurrent Stroke in A-Fib

In mild AF-related acute ischemic stroke, rivaroxaban and warfarin had comparable safety and efficacy.

Intensive BP Control May Reduce Death Risk in CKD Patients

Intensive BP Control May Reduce Death Risk in CKD Patients

Targeting and treating systolic blood pressure to a lower range was associated with a 14% decreased risk of death, meta-analysis shows.

Chronic Kidney Disease Risk Higher With Intensive BP Control

Chronic Kidney Disease Risk Higher With Intensive BP Control

Targeting a systolic blood pressure below 120 mm Hg versus 135 to 139 mm Hg increased the absolute risk of incident CKD by 2.6% over 3 years, but decreased the risk of cardiovascular events or death.

Even Small Weight Gain Increases Heart Failure

Even Small Weight Gain Increases Heart Failure

People who increased their weight by as little as 5% were more likely to have thickening and enlargement of the left ventricle.

Many Older Adults With A-Fib Do Not Receive Anticoagulants

Many Older Adults With A-Fib Do Not Receive Anticoagulants

The researchers found that there was an increase in NOAC use over time, warfarin use did not change, and overall anticoagulant use increased.

Even Slow Weight Gain Ups Hypertension, Diabetes, Cancer Risks

Even Slow Weight Gain Ups Hypertension, Diabetes, Cancer Risks

After 11 pounds gained, the risk of diabetes went up 31%, hypertension 14%, and cardiovascular disease 8%.

High-Risk HFrEF Not Improved With NT-ProBNP-Guided Therapy

High-Risk HFrEF Not Improved With NT-ProBNP-Guided Therapy

There was no significant difference between the groups in secondary end points or the decreases in NT-proBNP levels achieved.

Intensive Blood Pressure-Lowering as Safe as Usual Care

Intensive Blood Pressure-Lowering as Safe as Usual Care

The researchers found patients on intensive blood pressure treatment fared as well as those on standard care.

Metoprolol Increases Uric Acid, Risk of Gout

Metoprolol Increases Uric Acid, Risk of Gout

In a study of African Americans with hypertension-related CKD, metoprolol, but neither ramipril nor amlodipine, increased serum uric acid levels.

New Pediatric Hypertension Guidelines Issued

New Pediatric Hypertension Guidelines Issued

The AAP published updated clinical practice guidelines for the diagnosis and treatment of children with hypertension.

Readmission Factors After Atrial Flutter Ablation ID'd

Readmission Factors After Atrial Flutter Ablation ID'd

The researchers found that the readmission rate was 18.19% among 5552 patients.

Low-Dose Aspirin May Lower Preeclampsia Risk

Low-Dose Aspirin May Lower Preeclampsia Risk

Women at high risk for preeclampsia who took 150 mg of aspirin daily during pregnancy had 62% lower odds of developing the condition.

Marijuana Users More Likely to Die From Hypertension

Marijuana Users More Likely to Die From Hypertension

The researchers found higher estimated cardiovascular risks associated with marijuana use than cigarette smoking.

FDA Clears Betrixaban for VTE Prophylaxis

FDA Clears Betrixaban for VTE Prophylaxis

Fewer VTE events were observed in the betrixaban than enoxaparin arm.

Discontinuing Statin Therapy After Stroke Ups Risk of Recurrence

Discontinuing Statin Therapy After Stroke Ups Risk of Recurrence

Discontinuation of statin therapy between 3 and 6 months after an index ischemic stroke was associated with a higher risk of recurrent stroke within one year after statin discontinuation.

Daily Aspirin Appears Safe for Heart Failure Patients

Daily Aspirin Appears Safe for Heart Failure Patients

Heart failure patients on daily aspirin were not at heightened risk of being hospitalized for, or dying from, heart failure.

"Stable" Survivors at Risk for Recurrent Stroke, Death

"Stable" Survivors at Risk for Recurrent Stroke, Death

Patients remain at substantial long-term risk, particularly for recurrent stroke and admission to an institution.

Increased Left Ventricular Mass Predicts Mortality

Increased Left Ventricular Mass Predicts Mortality

Moderate-severe hypertrophy correlated with a 1.7- and 1.8-fold increased risk of mortality and need for revascularization, respectively.

Long Working Hours Tied to Greater Risk of Atrial Fibrillation

Long Working Hours Tied to Greater Risk of Atrial Fibrillation

For every 1000 people in the study, an extra 5.2 cases of atrial fibrillation occurred among those working long hours during the 10 years of follow-up.

Sudden Death Rates Falling Among Heart Failure Patients

Sudden Death Rates Falling Among Heart Failure Patients

The combined data from the clinical trials showed that sudden death rates have fallen by 44% in heart failure patients.

Rivaroxaban Safe for Stroke Prevention in Cancer Patients With AFib

Rivaroxaban Safe for Stroke Prevention in Cancer Patients With AFib

The researchers found that the estimated one-year cumulative incidence of ischemic stroke was 1.4% and major bleeding was 1.2%.

ICD Use Cuts Sudden Death, Mortality in Cardiomyopathy

ICD Use Cuts Sudden Death, Mortality in Cardiomyopathy

The researchers observed an overall reduction in all-cause mortality, from 28.26% with conventional care to 21.37% with ICD therapy.

Hospitalizations for Heart Failure Decreasing in US

Hospitalizations for Heart Failure Decreasing in US

Between 2002 and 2013, heart failure hospitalizations declined by 30.8% nationwide, and continue to drop.

Cardiology Care Better Than Primary Care for Newly Diagnosed A-Fib

Cardiology Care Better Than Primary Care for Newly Diagnosed A-Fib

The researchers found that cardiology care correlated with significant reductions in stroke and death.

VKA Monotherapy Linked to Reduced MI, Stroke Risk in A-Fib

VKA Monotherapy Linked to Reduced MI, Stroke Risk in A-Fib

The researchers found that the associated risk of MI was increased for ASA and dual therapy relative to the VKA-treated group.

Four Risk Factors Account for Most Heart Failure in A-Fib

Four Risk Factors Account for Most Heart Failure in A-Fib

The researchers found that new-onset AF correlated with increased risk of heart failure in multivariable models.

Early Loop Diuretic Linked With Fewer Deaths in Heart Failure

Early Loop Diuretic Linked With Fewer Deaths in Heart Failure

Earlier treatment remained significantly correlated with lower in-hospital mortality in multivariate analysis.

Intensive Blood Pressure Reduction Benefits CKD Patients

Intensive Blood Pressure Reduction Benefits CKD Patients

CKD patients treated to a target systolic blood pressure of less than 120 mm Hg were 28% less likely to die early.

Several Antihypertensive Meds at Smaller Doses Better for Blood Pressure

Several Antihypertensive Meds at Smaller Doses Better for Blood Pressure

Combining quarter doses of two drugs was as effective as a single standard dose of one blood pressure-lowering medication.

Targeting Systolic BP Below Guidelines Cuts CVD, Mortality Risks

Targeting Systolic BP Below Guidelines Cuts CVD, Mortality Risks

The researchers observed linear associations between mean achieved SBP and risk of cardiovascular disease and mortality.

Snacking on Chocolate May Lower Atrial-Fibrillation Risk

Snacking on Chocolate May Lower Atrial-Fibrillation Risk

Compared with individuals reporting chocolate intake less than once per month, the rate of AF was lower for people consuming chocolate regularly.

Following Low Sodium Recs May Not Lower BP

Following Low Sodium Recs May Not Lower BP

Dietary sodium intake guidelines may be misguided.

LVAD Recovers Cardiac Function for Some Heart Failure Pts

LVAD Recovers Cardiac Function for Some Heart Failure Pts

A total of 16 men had received an LVAD and then had it removed because they had significant recovery of heart function.

Bleeding Risk From Antiplatelets, Anticoagulants Similar for Older Afib Pts

Bleeding Risk From Antiplatelets, Anticoagulants Similar for Older Afib Pts

The risk of major bleeding is similar for older patients with atrial fibrillation taking either antiplatelet or anticoagulant drugs.

Vitamin D and Calcium May Reduce Blood Pressure

Vitamin D and Calcium May Reduce Blood Pressure

As 25(OH)D levels increased, systolic blood pressure decreased significantly, even after accounting for calcium intake.

25 Food Categories Account for Sodium Overload

25 Food Categories Account for Sodium Overload

A majority of sodium consumed was from food obtained at stores; however, sodium density was highest in food obtained at restaurants.

Cardiorespiratory Fitness Mediates BMI-Associated Heart Failure Risk

Cardiorespiratory Fitness Mediates BMI-Associated Heart Failure Risk

Higher mid-life BMI was significantly associated with greater risk of HF hospitalization after adjusting for established HF risk factors.

Stem Cell-Sheet Transplantation Possible for Heart Failure

Stem Cell-Sheet Transplantation Possible for Heart Failure

The majority of the ischemic cardiomyopathy patients showed improvement in pulmonary artery pressure, pulmonary capillary wedge pressure, pulmonary vein resistance, and left ventricular wall stress.

MRI Findings Prognostic for Pulmonary Arterial Hypertension

MRI Findings Prognostic for Pulmonary Arterial Hypertension

MRI measurements reflecting RV structure and stiffness of the proximal pulmonary vasculature are independent predictors of outcome in PAH.

Heart Failure Patients May Benefit From Omega-3 Supplements

Heart Failure Patients May Benefit From Omega-3 Supplements

Overall, patients on omega-3 supplements had an 8% lower risk of total mortality or hospitalization for cardiovascular disease over 4 years.

Creatinine Rise After RAS Blockade May Up Cardiorenal Risks

Creatinine Rise After RAS Blockade May Up Cardiorenal Risks

Study documents higher risks even when creatinine increases are less than 30%, the guideline-recommended threshold for stopping treatment.

Intensive BP Control Does Not Prevent CKD Progression

Intensive BP Control Does Not Prevent CKD Progression

Blood pressure targets below 130/80 and below 140/90 mm Hg are associated with similar renal outcomes among non-diabetics, meta-analysis shows.

Hypertensive Americans Still Consuming Excess Sodium

Hypertensive Americans Still Consuming Excess Sodium

People with high blood pressure consumed an average of 2,900 mg of sodium per day in 1999 and 3350 mg per day in 2012, for an overall average daily sodium intake of 3100 mg.

Poor Medication Adherence Among Resistant Hypertension Patients

Poor Medication Adherence Among Resistant Hypertension Patients

Changes over time in prescription adherence are common and affect treatment estimates considerably.

Dietary Potassium Lowers CVD, CKD Risks, Regardless of Sodium

Dietary Potassium Lowers CVD, CKD Risks, Regardless of Sodium

Numerous population studies demonstrate a relationship between higher dietary K+ and lower blood pressure regardless of sodium intake.

Hospital Readmission Common With Heart Failure

Hospital Readmission Common With Heart Failure

Among the etiologies of readmission, cardiac causes including heart failure and coronary artery disease were most common.

Low Salt Diet Improves Blood Pressure in CKD

Low Salt Diet Improves Blood Pressure in CKD

With dietitian counseling, limiting sodium to 2000 mg per daily is feasible for chronic kidney disease patients.

More Patients Hospitalized for Atrial Fibrillation

More Patients Hospitalized for Atrial Fibrillation

Adjusted rates of hospitalization for AF increased by almost 1% per year between 1999 and 2013.

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