Journal of hypertension
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Journal of hypertension · Jun 2015
4D.04: TIMING OF THE CAROTID PRESSURE WAVE INFLECTION POINT IS COUPLED TO SYSTOLIC MYOCARDIAL MOTION IN OLDER PATIENTS WITH CARDIOVASCULAR RISK FACTORS.
Cardiac motion during systole has been shown to be closely associated with carotid pressure wave inflection point timing in young, healthy volunteers. In these individuals the inflection point occurred following the systolic pressure peak (Murgo Type C). The relationship between myocardial motion and the timing of inflection point in older patients with cardiovascular risk factors where the inflection point precedes peak systolic pressure remains unknown. ⋯ : Peak systolic mitral annular motion timing (representing the commencement of myocardial deceleration in systole) always precedes and remains coupled to carotid pressure wave inflection point timing in older patients with established cardiovascular risk factors. This data suggests that the morphology of the central blood pressure waveform may relate more strongly to local ventricular-vascular interactions, rather than wave reflections.
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Journal of hypertension · May 2015
Multicenter Study Observational StudyRelative systolic blood pressure reduction and clinical outcomes in hyperacute intracerebral hemorrhage: the SAMURAI-ICH observational study.
Blood pressure lowering is often performed as a part of general acute management in acute intracerebral hemorrhage (ICH) patients. The relationship between relative blood pressure reduction and clinical outcomes is not fully known. ⋯ Insufficient relative SBP reduction after standardized antihypertensive therapy in hyperacute ICH was independently associated with poor clinical outcomes. Aggressive antihypertensive treatment may improve clinical outcomes.
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Journal of hypertension · Apr 2015
Accuracy of self-monitored blood pressure for diagnosing hypertension in primary care.
To assess the diagnostic accuracy of recommendations for self-monitoring blood pressure (BP) for diagnosing hypertension in primary care. ⋯ Hypertension can be ruled out in the majority of patients with elevated clinic BP using the average of the first 5 consecutive days of self-monitored BP, supporting lower limits for self-monitoring readings in current guidelines. Performing readings beyond day 5 and including readings taken on the first day had no clinical impact on diagnostic accuracy.