Search

Fundamento: la hipertensión arterial es una enfermedad con alta prevalencia a nivel mundial. Entre las alternativas para su tratamiento, la musicoterapia resulta eficaz junto al tratamiento farmacológico.Objetivo: describir la influencia de la musicoterapia en la disminución de cifras tensionales moderadamente altas.Métodos: se realizó un estudio observacional, analítico, de casos y controles, con pacientes (n=100) que acudieron al Cuerpo de guardia del Policlínico Rolando Ricardo Estrada, del municipio de Báguanos (Holguín), en el período 2021-2022, seleccionados mediante un muestreo no probabilístico intencional. Fueron creados dos grupos de 50 pacientes cada uno. El grupo de casos fue expuesto a la musicoterapia, no así el de control.Resultados: en ambos grupos predominaron los pacientes con edades entre 40 y 59 años (41 %), del sexo femenino (55 %) y con diagnóstico previo de hipertensión arterial (58 %). En el momento de acudir al policlínico, en los dos grupos predominó la presión sistólica entre 140 y 159 mmHg (62 %). Luego de haber transcurrido una hora, en la mayoría de los pacientes del grupo de casos las cifras bajaron hasta 120 y 139 mmHg (32 %). En el grupo control se evidenció una leve disminución, pero se mantuvo mayor porcentaje de pacientes con 140 a 159 mmHg (25 %).Conclusión: los pacientes expuestos a la musicoterapia evidenciaron una disminución más marcada de las cifras tensionales moderadamente elevadas, en comparación con los no expuestos.

Objetivo. Describir los tipos de dispositivos de medición de presión arterial comercializados a través de la plataforma Mercado Público entre los años 2018 y 2020. Métodos. Estudio de tipo descriptivo procedente de las transacciones realizadas a través de Mercado Público en el periodo 2018 y 2020, para la adquisición de dispositivos de medición de presión arterial. Para los equipos automáticos, se buscó el estado de validación otorgado por organismos internacionales. Los resultados se presentan en frecuencias absolutas y relativas. Resultados. Entre los años 2018-2020, aumentó la adquisición de dispositivos automáticos de un 15% a un 75%, y se presentó una reducción del 40,9% al 7,5% en equipos mercuriales y de 38,7% al 15,8% en equipos aneroides. De los 772 dispositivos automáticos, el 52,6% contó con validación de precisión. Conclusiones. Considerando que Chile está comprometido con la Iniciativa HEARTS en las Américas, y que la prevención y control de la HTA es fundamental para reducir la mortalidad por enfermedades no trasmisibles, resulta crucial garantizar una medición de presión arterial precisa. El presente documento aporta información relevante respecto de las transacciones realizadas y el perfil de compra de dispositivos de medición de presión arterial a través de la plataforma Mercado Público, observándose una tendencia creciente en la obtención de equipos automáticos validados durante el periodo evaluado.

Objective: Describe the measurements of systolic, diastolic and mean blood pressure in healthy term and late preterm newborns to establish normal values. Methods: Cross-sectional study carried out in the nursery of the Hospital Español, located in Mexico City. A sample of 551 healthy newborns were included in the study. Blood pressure (BP) measurements were taken within the first 48 hours of life with the oscillometric method. After the evaluation of normality, a descriptive analysis of the population and calculation of percentiles (25, 50 and 75) specific for each week of gestation was performed. All analyzes were performed in STATA v14.2. Results: Male newborns had a mean SBP value of 64.6 mmHg at week 35 of gestation, this value increased to 69.8 mmHg at week 40; the systolic blood pressure (SBP) value was 42.6 mmHg at week 35 of gestation, which decreased to 40.8 mmHg at week 40. The mean SBP values in female newborns were 65.5 mmHg at week 35, increasing to 73.5 mmHg at week 40; the diastolic blood pressure (DBP) value at week 35 of gestation was 38 mmHg, increasing to 41.3 mmHg at week 40. Conclusions: The BP values in healthy newborns are modified by the gestational age and sex of the patients. These results can serve as a reference for other physicians located in countries or cities with a similar altitude than the one in Mexico City. [ABSTRACT FROM AUTHOR]

Copyright of Revista ADM is the property of Asociacion Dental Mexicana and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Background: Retinopathy is one of the most common microvascular complications caused by diabetes, which occurs due to changes in blood capillaries. One of the most important factors to determine the progression of retinopathy is measuring HbA1C. This study aimed to investigate the relationship between glycosylated hemoglobin levels, blood pressure (systolic and diastolic), and triglycerides with DRP in the population of diabetic patients. Methods: This descriptive and analytical study was conducted on 80 diabetic patients referred to Hafiz Sabzevar Diabetes Clinic in 1400. Based on fundoscopic examination, patients were divided into three general categories: patients without retinopathy, patients with proliferative diabetic retinopathy, and patients with non-proliferative retinopathy. Patient information was collected through a demographic questionnaire (including age, sex, insulin or oral drug use, and fasting blood sugar level) and a researcher-made checklist (including HbA1C, systolic blood pressure, diastolic blood pressure and triglycerides). Data were analyzed with spss 28. Descriptive statistical tests, ANOVA and Bonferroni's post hoc test were used for analysis. Results: The results of the study showed that there is a significant difference in HbA1C, SBP and DBP levels between the three groups (P = 0.000). Post Hoc (Bonferroni) test was used to accurately determine this significant difference. The data showed that both retinopathy groups (NPDR and PDR) had higher levels of HbA1C and blood pressure (SBP and DBP) compared to the non-retinopathy group and this difference was statistically significant (P = 0.000). However, there was no significant difference between the three groups in terms of triglyceride levels (P = 0.96). Conclusion: High levels of glycosylated hemoglobin, systolic and diastolic blood pressure play an important role in the occurrence of diabetic retinopathy. Therefore, it is recommended to carefully control blood sugar and blood pressure of diabetic patients in order to prevent the occurrence of retinopathy. Resumen: Antecedentes: La retinopatía es una de las complicaciones microvasculares más comunes provocadas por la diabetes, que se presenta por cambios en los capilares sanguíneos. Uno de los factores más importantes para determinar la progresión de la retinopatía es medir la HbA1C. Este estudio tuvo como objetivo investigar la relación entre los niveles de hemoglobina glicosilada, la presión arterial (sistólica y diastólica) y los triglicéridos con la PRM en la población de pacientes diabéticos. Métodos: Este estudio descriptivo y analítico se realizó en 80 pacientes diabéticos remitidos a la Clínica de Diabetes Hafiz Sabzevar en 1400. Con base en el examen de fondo de ojo, los pacientes se dividieron en tres categorías generales: pacientes sin retinopatía, pacientes con retinopatía diabética proliferativa y pacientes con retinopatía diabética no proliferativa. retinopatía proliferativa. La información del paciente se recopiló a través de un cuestionario demográfico (que incluía edad, sexo, uso de insulina o drogas orales y nivel de azúcar en sangre en ayunas) y una lista de verificación elaborada por el investigador (que incluía HbA1C, presión arterial sistólica, presión arterial diastólica y triglicéridos). Los datos se analizaron con spss 28. Para el análisis se utilizaron pruebas estadísticas descriptivas, ANOVA y prueba post hoc de Bonferroni. Resultados: Los resultados del estudio mostraron que existe una diferencia significativa en los niveles de HbA1C, PAS y PAD entre los tres grupos (P = 0,000). Se utilizó la prueba Post Hoc (Bonferroni) para determinar con precisión esta diferencia significativa. Los datos mostraron que ambos grupos con retinopatía (NPDR y PDR) tenían niveles más altos de HbA1C y presión arterial (PAS y PAD) en comparación con el grupo sin retinopatía y esta diferencia fue estadísticamente significativa (P = 0,000). Sin embargo, no hubo diferencia significativa entre los tres grupos en cuanto a los niveles de triglicéridos (P = 0,96). Conclusión: Los niveles elevados de hemoglobina glicosilada, la presión arterial sistólica y diastólica juegan un papel importante en la aparición de la retinopatía diabética. Por lo tanto, se recomienda controlar cuidadosamente el azúcar en la sangre y la presión arterial de los pacientes diabéticos para prevenir la aparición de retinopatía.

Los Movimientos Periódicos de las Piernas durante el Sueño (PLMS), diagnosticados por polisomnografía, se caracterizan por movimientos estereotipados de las piernas que aparecen de forma repetitiva durante la noche. Cada PLMS se asocia a un microdespertar e incrementos de la frecuencia cardiaca, presión arterial y actividad simpática. Objetivos: Analizar asociación entre el índice patológico de PLMS y la PA de 24 horas, en pacientes normotensos. Evaluar la asociación entre índice patológico de PLMS, con alteraciones en la velocidad de onda de pulso y frecuencia cardíaca. Métodos Estudio observacional de casos y controles. Se estudiaron 19 sujetos normotensos mediante Polisomnografía Nocturna y Monitoreo Ambulatorio de la Presión Arterial. Se determinaron las variables: Edad, sexo, peso, índice de masa corporal. La presión arterial y frecuencia cardíaca de 24 hs, diurna y nocturna se evaluaron con monitoreo ambulatorio de presión arterial de 24 h. Se excluyeron pacientes con índice de apneas/hipopneas ≥ 5 e/h. Se describieron las variables y compararon sujetos con y sin PLMS, considerando significativo una p

Introduction: Hypertension is the chronic disease of more morbidity worldwide, which represents a health problem due to its multicausality and consequences. Objective: To describe the main sociodemographic and clinical characteristics of patients with hypertension, belonging to a health area of Niquero. Methods: An observational, descriptive and cross-sectional study of 370 patients with hypertension who belonged to the Family Doctor Office No. 4 of Niquero, Granma province, was carried out from June, 2021 to the same month in 2022. The variables age, sex, color of the skin, classification according to tension figures and evolution were studied, as well as patient state and complications. Results: There was a prevalence of the 40-59 (37.6 %) and 60-79 (36.5 %) age groups, female sex (58.4 %), as well as the mixed race color of the skin (55.9 %). The patients with grade II hypertension in phase 1 (44.3 %) and partially compensated (55.9 %) were the majority. Peripheral arterial disease was the main complication (21.1 %). Conclusions: The description of the sociodemographic and clinical characteristics of patients with hypertension constitutes an element to take into account for the appropriate control of those affected in the health areas.

El enfermarse de presión arterial incrementa de manera significativa el riesgo de sufrir cardiopatías, encefalopatías, entre otras, razón fundamental para cuidar la salud realizando actividad física planificada, es así que se desarrolló un experimento de tres meses de duración en la Universidad Diego Portales en el año 2016 en Santiago de Chile, con un universo de la población masculina y femenina de 20 a 60 años, aplicando un programa de fuerza submáxima confeccionado por el autor del experimento de tres veces por semana con una hora de duración, midiendo la presión arterial con un pre test y post test al inicio y al final del proceso de entrenamiento, además midiendo la P.A, antes del entrenamiento e inmediatamente al termino de este. Los resultados obtenidos para las presiones arteriales al término de la intervención revelaron una disminución de las presiones arteriales medias (sistólica y diastólica) de 6 y 5 mmHg respectivamente producto de la adaptabilidad crónica del organismo hacia el ejercicio muscular de fuerza, lo que demuestra que realizar ejercicio de resistencia beneficia en forma significativa la presión arterial a largo plazo.

Objective: To define normal blood pressure at first trimester of pregnancy by performance for pre-eclampsia prediction. Method: A cohort study in singleton pregnancies, according to the competing risks model for pre-eclampsia. Blood pressure was measured according to a standardized method at 11 to 14 weeks' gestation. Results: Among 797 pregnancies included, there were 40 (5.0%, IC95 3.6; 6.4) deliveries with pre-eclampsia. The systolic, diastolic, and mean arterial blood pressures were respectively of 101(9), 68(8) and 79(8) mmHg in pregnant women who did not develop pre-eclampsia, against 109(10), 75(8) and 86(8) in those who did (p < 0.001, t-test). The areas under the curves were 0.707 (0.637; 0.777), 0.728 (0.661; 0.795), and 0.738 (0.673; 0.803). At a 3% of false positive rate, the cut-off points were 119, 83 and 94 mmHg with predictive values of negative of 95.6%. Conclusions: It is feasible to define the normal values for blood pressure in pregnancy on biostatistic and clinical basis. [ABSTRACT FROM AUTHOR]

Introduction: Hypertension is the chronic disease of more morbidity worldwide, which represents a health problem due to its multicausality and consequences. Objective: To describe the main sociodemographic and clinical characteristics of patients with hypertension, belonging to a health area of Niquero. Methods: An observational, descriptive and cross-sectional study of 370 patients with hypertension who belonged to the Family Doctor Office No. 4 of Niquero, Granma province, was carried out from June, 2021 to the same month in 2022. The variables age, sex, color of the skin, classification according to tension figures and evolution were studied, as well as patient state and complications. Results: There was a prevalence of the 40-59 (37.6 %) and 60-79 (36.5 %) age groups, female sex (58.4 %), as well as the mixed race color of the skin (55.9 %). The patients with grade II hypertension in phase 1 (44.3 %) and partially compensated (55.9 %) were the majority. Peripheral arterial disease was the main complication (21.1 %). Conclusions: The description of the sociodemographic and clinical characteristics of patients with hypertension constitutes an element to take into account for the appropriate control of those affected in the health areas. [ABSTRACT FROM AUTHOR]

Copyright of Revista Académica Internacional de Educación Física is the property of Asociacion Cientifica Internacional de Educacion Fisica and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Journal of Research & Development / Revista de Investigación & Desarrollo is the property of ECORFAN-Mexico S.C. and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Background: Neurophysiological models link dissociation (e.g. feeling detached during or after a traumatic event) to hypoarousal. It is currently assumed that the initial passive reaction to a threat may coincide with a blunted autonomic response, which constitutes the dissociative subtype of post-traumatic stress disorder (PTSD). Objective: Within this systematic review we summarize research which evaluates autonomic nervous system activation (e.g. heart rate, blood pressure) and dissociation in PTSD patients to discern the validity of current neurophysiological models of trauma-related hypoarousal. Method: Of 553 screened articles, 28 studies (N = 1300 subjects) investigating the physiological response to stress provocation or trauma-related interventions were included in the final analysis. Results: No clear trend exists across all measured physiological markers in trauma-related dissociation. Extracted results are inconsistent, in part due to high heterogeneity in experimental methodology. Conclusion: The current review is unable to provide robust evidence that peri- and post-traumatic dissociation are associated with hypoarousal, questioning the validity of distinct psychophysiological profiles in PTSD. There is no consensus on physiological biomarkers of trauma-related dissociation. Peri- and post-traumatic dissociation are physiologically distinct from stress reactions in chronic states. Standardized methodologies may increase the reproducibility and specificity of psychophysiological biomarkers of dissociation. [ABSTRACT FROM AUTHOR]

Background: arterial hypertension is a disease with a high prevalence worldwide. Among the alternatives for its treatment, music therapy is effective together with pharmacological treatment. Objective: to describe the music therapy influence in the reduction of moderately high blood pressure figures. Methods: an observational, analytical, case-control study was carried out with patients (n=100) who attended the Rolando Ricardo Estrada Polyclinic's Emergency Room, in the Báguanos municipality (Holguín), from 2021 to 2022, selected through purposive non-probabilistic sampling. Two groups of 50 patients each were created. The case group was exposed to music therapy, but not the control group. Results: in both groups, patients aged between 40 and 59 years (41%), female (55%) and with a previous diagnosis of arterial hypertension (58%) predominated. At the time of going to the polyclinic, systolic pressure between 140 and 159 mmHg (62%) predominated in both groups. After one hour had elapsed, in most of the patients in the case group the figures dropped to 120 and 139 mmHg (32%). In the control group, a slight decrease was observed, but a higher percentage of patients with 140 to 159 mmHg (25%) remained. Conclusion: patients exposed to music therapy showed a more marked decrease in moderately elevated blood pressure figures, compared to those not exposed. [ABSTRACT FROM AUTHOR]

Copyright of Revista Latinoamericana de Hipertension is the property of Revista Latinoamericana de Hipertension and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Gaceta Médica de Caracas is the property of Academia Nacional de Medicina and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

RESUMEN La hipertensión arterial es el factor de riesgo cardiovascular más prevalente. A pesar del tratamiento farmacológico, un alto porcentaje de pacientes no consiguen un adecuado control. La denervación renal es una intervención mínimamente invasiva para el tratamiento de la hipertensión que implica la interrupción de los nervios simpáticos renales mediante un abordaje con catéter. Los estudios iniciales mostraron resultados prometedores, pero los controvertidos resultados del ensayo SYMPLICITY HTN-3 llevaron al abandono de la técnica. En los últimos 3 años han aparecido los resultados de nuevos ensayos clínicos, con nuevos dispositivos y en diferentes poblaciones, que demuestran definitivamente la eficacia de la denervación renal. En este documento de posicionamiento conjunto de la Sociedad Española de Hipertensión-Liga Española para la Lucha contra la Hipertensión Arterial (SEH-LELHA) y la Asociación de Cardiología Intervencionista de la Sociedad Española de Cardiología (ACI-SEC) se revisa la evidencia disponible sobre la eficacia y la seguridad de la denervación renal en el tratamiento de la hipertensión. A partir de los resultados de los ensayos clínicos, se generan recomendaciones sobre qué pacientes y en qué condiciones podrían ser candidatos a una denervación renal.

Introduction: high blood pressure in children and adolescents is an important health problem due to its increasing incidence and prevalence. Objective: to describe the useful theoretical elements on arterial hypertension in childhood and adolescence. Methods: at the ¨4 de Abril¨ Polyclinic in Guantánamo, between September and December 2021, a narrative review was carried out through searches in electronic databases (LILACS, PubMed, SciELO, Redalyc and Elsevier), of original articles and systematic reviews that include information related to arterial hypertension in childhood and adolescence. The Boolean operators AND, OR and NOT were used, as well as the advanced search strategy for the selection of articles. The analysis of the most relevant information was carried out and thus the final report was formed, through the use of 25 published articles. Results: aspects were described that support that arterial hypertension in childhood and adolescence is considered a chronic disease, where several risk factors interact, and in which a healthy lifestyle allows the control of the disease. It was reflected that the disease has primary or secondary causes, the different types of arterial hypertension, as well as the criteria of the American and European Guidelines. Conclusions: the useful theoretical aspects about arterial hypertension in childhood and adolescence are described.

Introducción: la hipertensión aterial en niños y adolescentes constituye un problema de salud importante por su incidencia y prevalencia crecientes. Objetivo: describir los elementos teóricos útiles sobre la hipertensión arterial en la niñez y adolescencia. Métodos: en el Policlínico ¨4 de Abril¨ de Guantánamo, entre septiembre y diciembre de 2021, se realizó una revisión narrativa a través de búsquedas en bases de datos electrónicas (LILACS, PubMed, SciELO, Redalyc y Elsevier), de artículos originales y revisiones sistemáticas que incluyeron información relacionada con la hipertensión arterial en la niñez y adolescencia. Se emplearon los operadores booleanos AND, OR y NOT, así como la estrategia de búsqueda avanzada para la selección de los artículos. Se ejecutó el análisis de la información más relevante y así se conformó el informe final, mediante el empleo de 25 artículos publicados. Resultados: se describieron aspectos que sustentan que la hipertensión arterial en la niñez y adolescencia es considerada una enfermedad crónica, donde interactúan varios factores de riesgo, y en el que el estilo de vida saludable permite el control de la enfermedad. Se reflejó que la enfermedad tiene causas primarias o secundarias, los diferentes tipos de hipertensión arterial, así como los criterios de las Guías americana y europea. Conclusiones: se describen los aspectos teóricos útiles sobre la hipertensión arterial en la niñez y adolescencia.

Introducción: La obesidad es entendida como una inflamación crónica asociada a complicaciones en la disfunción del sistema nervioso autónomo relacionada con enfermedades cardiovasculares. Y el ejercicio isométrico, representado por la fuerza de prensión manual, favorece la reducción del riesgo cardiovascular y al desequilibrio autonómico. Objetivo: describir la respuesta aguda de un ejercicio isométrico (EI) comparándolo con el efecto de un ejercicio aeróbico (EA), analizando los parámetros autonómicos de variabilidad de la frecuencia cardiaca (LF/HF), presión arterial diastólica (PAD), sistólica (PAS) y la frecuencia cardiaca (FC) en personas obesos y en sobrepeso. Metodología: 20 participantes fueron distribuidos al azar en 2 grupos; los que realizaron una sesión de ejercicio aeróbico en cicloergómetro durante 15 min a 50 watts (n=10) y los que realizaron una sesión de EI al 30% de la fuerza máxima. Ambos fueron evaluados pre y post intervención, se analizaron las variables mediante la prueba estadística U de Mann-Whitney con un nivel de significancia p

Copyright of Revista de la Facultad de Medicina Humana is the property of Instituto de Investigaciones en Ciencias Biomedicas de la Universidad Ricardo Palma and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Arquivos de Ciências da Saúde da UNIPAR is the property of Associacao Paranaense de Ensino e Cultura and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Enfermería en Cardiologia is the property of Asociacion Espanola de Enfermeria en Cardiologia and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Enfermagem Brasil is the property of Atlantica Editora and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Ginecología y Obstetricia de México is the property of Federacion Mexicana de Ginecologia y Obstetricia and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

En el presente trabajo se comentan los aspectos más relevantes y novedosos de la nueva Guía de la Sociedad Europea de Hipertensión (ESH) 2021. De ellos el más significativo es la inclusión como método de medida de la presión arterial la medida en Farmacia Comunitaria y su comparación frente al resto de métodos existentes (en consulta, MAPA y AMPA). A pesar de la falta de estudios al respecto, posee un enorme potencial y se postula como un método muy adecuado para el cribado de la hipertensión arterial (HTA) y adecuado para el seguimiento y diagnóstico de los pacientes con hipertensión.

El objetivo del estudio fue determinar la asociación de valores de presión arterial (PA) con parámetros de adiposidad y nivel de actividad física (NAF) en escolares y adolescentes en la región de la Araucanía en Chile. Materiales y métodos. Estudio descriptivo, transversal y correlacional que consideró una muestra de 1.125 niños, niñas y adolescentes de 6 a 13 años. Se analizaron parámetros de adiposidad: índice de masa corporal, perímetro de cintura y del brazo, pliegue bicipital, tricipital, subescapular y suprailíaco y porcentaje de masa grasa, PA sistólica (PAS), diastólica (PAD) y NAF. Resultados. 60,4% de la muestra esta normotenso; 23,6% pre HTA y 16,0% HTA, sin asociación significativa entre la PA con el sexo (p>0,05). Se encontró para el total de la muestra una correlación significativa entre la PAS con todos los parámetros de adiposidad estudiados (p

Introducción: Circunferencia de cintura (CC), índice cintura/talla (ICT) e índice de masa corporal (IMC) elevados se relacionan con mayor riesgo cardiometabólico. El objetivo fue identificar puntos de corte antropométricos que permitan discriminar a sujetos en riesgo aumentado de presentar tensión arterial y glucemia elevadas en adultos argentinos. Métodos: Se utilizaron los resultados de la 4ta ENFR argentina. Se incluyeron sujetos de 18 a 65 años a quienes se les haya medido directamente tensión arterial, glucemia y antropometría (n=4.254 y 1.683 sujetos de ambos sexos para tensión arterial y glucemia elevadas respectivamente). Se calculó el área bajo la curva ROC. El punto de corte óptimo fue el que presentó menor diferencia entre sensibilidad y especificidad. Se calcularon odds ratios ajustados (ORa) para cada punto. Resultados: En varones los puntos de corte para tensión arterial elevada fueron CC=91,5 cm (ORa=3,55; IC95%=2,97-4,24), ICT=0,541 (ORa=3,12; IC95%=2,61-3,73) e IMC=27,0 kg/m2 (ORa=3,04; IC95%=2,55-3,63); y para glucemia elevada CC=94,5 cm (ORa=2,46; IC95%=1,64-3,70), ICT=0,559 (ORa=2,35; IC95%=1,55-3,55) e IMC=28,6 kg/m2 (ORa= 3,23; IC95%=2,14-4,88). En mujeres, para tensión arterial elevada fueron CC=88,5 cm (ORa=3,57; IC95%=2,84-4,41), ICT=0,542 (ORa=3,45; IC95%=2,79-4,27) e IMC=26,7 kg/m2 (ORa=3,25; IC95%=2,64-4,02); y para glucemia elevada CC=93,5 cm (ORa=4,28; IC95%=2,72-6,75), ICT=0,573 (ORa=3,61; IC95%=2,31-5,66) e IMC=27,8 kg/m2 (ORa=3,14; IC95%=2,03-4,87). Conclusión: Los adultos argentinos a quienes se les mida CC sobre la piel y se encuentren por encima de los puntos de corte aquí identificados, cuentan con un riesgo significativamente mayor de presentar tensión arterial y glucemia elevadas.

Introduction: High blood pressure (HBP) in informal workers could be explained, by their working and environmental conditions, habits and lifestyles. Objective: To determine working and environmental conditions, habits and lifestyles, which contribute to the explanation of HBP in informal workers in the downtown area in Medellin, Colombia, 2016. Methodology: Cross-sectional descriptive study with analytical intent. Primary source of information: a census of 686 workers in 2016, after obtaining informed consent. Working and environmental conditions, habits, lifestyles and self-report of HBP were investigated. Univariate, bivariate and multivariate analyzes were performed. Statistical tests show 95% confidence and 5% error. A group of workers participated in the design and execution of the fieldwork. Project approved by the Institutional Ethics Committee of Universidad CES, Medellín September 2015. Results: 20,26% of the workers had HBP. Age 50 (±11,76) years old, and 23,5 years as street vendors, 81,5% work>8 hours a day; 17,2% smoked cigarettes, 23,7% used saltshakers at the table and 28,9% were sedentary. Greater hypertension at older age (PR=12.35), greater seniority in the job (PR=1,73) and considered themselves obese (PR=2,61), and lower HBP for those who did not consume liquor (PR=0,48). Greater HBP is explained in people consuming fried foods (PR=3.14.IC=1,64;6.00), being between 30-44 (PR=10,71. CI:5,00;22,94) and 45 to 59 years old (PR=2,69.CI:1.66;4.37), and a lower HBP for those considered as overweight (PR=0,54. IC=0.34;0.78). Conclusion: working conditions, habits and lifestyles contribute to the explanation of HBP. These are some characteristics that contribute to configure labor vulnerability in this working population. [ABSTRACT FROM AUTHOR]

Copyright of Revista Brasileira de Medicina do Esporte is the property of Redprint Editora Ltda. and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Actualización en Nutrición is the property of Sociedad Argentina de Nutricion and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Reducing salt intake is one of the most cost-effective interventions to improve population health due to the subsequent reductions in blood pressure. Countries are introducing programs to lower salt consumption. Such programs usually focus on reducing salt in packaged foods and meals alongside campaigns to change consumer behavior. Thus, this paper provides an overview of the rationale for and evidence supporting the use of salt substitutes. Current approaches to salt reduction are insufficient, and more innovative solutions need to be identified. There is good evidence that salt substitutes, where some of the sodium is replaced with potassium, are effective to lower sodium total intake. The main challenge is to understand the pathways to market for salt substitutes. How do we implement programs to promote salt substitutes in different countries What levels of government intervention are required? With more research and government investment, salt substitutes could be a game changer for increasing the impact of strategies to reduce population salt intake. [ABSTRACT FROM AUTHOR]

Copyright of Revista de Enfermagem e Atenção à Saúde (REAS) is the property of Revista de Enfermagem e Atencao a Saude - Reas and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Revista de Enfermagem e Atenção à Saúde (REAS) is the property of Revista de Enfermagem e Atencao a Saude - Reas and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Revista Latinoamericana de Hipertension is the property of Revista Latinoamericana de Hipertension and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Revista de la Asociación Odontológica Argentina is the property of Asociacion Odontologica Argentina and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Objective: To update the recommendations of the Spanish Society of Neurology on primary and secondary stroke prevention in patients with arterial hypertension. Development: We proposed several questions to identify practical issues for the management of blood pressure (BP) in stroke prevention, analysing the objectives of blood pressure control, which drugs are most appropriate in primary prevention, when antihypertensive treatment should be started after a stroke, what levels we should aim to achieve, and which drugs are most appropriate in secondary stroke prevention. We conducted a systematic review of the PubMed database and analysed the main clinical trials to address these questions and establish a series of recommendations. Conclusions: In primary stroke prevention, antihypertensive treatment should be started in patients with BP levels > 140/90 mmHg, with a target BP of < 130/80 mmHg. In secondary stroke prevention, we recommend starting antihypertensive treatment after the acute phase (first 24 hours), with a target BP of < 130/80 mmHg. The use of angiotensin-II receptor antagonists or diuretics alone or in combination with angiotensin-converting enzyme inhibitors is preferable. Resumen: Objetivo: Actualizar las recomendaciones de la Sociedad Española de Neurología para la prevención de ictus, tanto primaria como secundaria, en pacientes con hipertensión arterial. Desarrollo: Se han planteado diferentes preguntas para identificar cuestiones prácticas para el manejo de la presión arterial (PA) en prevención de ictus, analizando cuál debe ser el objetivo de control de la presión arterial y cuáles son los fármacos más adecuados en prevención primaria, cuándo iniciar el tratamiento antihipertensivo después de un ictus, cuáles son las cifras que debemos alcanzar y qué fármacos son los más adecuados en prevención secundaria de ictus. Se ha realizado una revisión sistemática en Pubmed analizando los principales ensayos clínicos para dar respuesta a estas preguntas y se han elaborado unas recomendaciones. Conclusiones: En prevención primaria se recomienda iniciar tratamiento antihipertensivo con cifras de PA > 140/90 mmHg, con un objetivo de control de PA

Arterial hypertension is the main modifiable risk factor for cardiovascular disease, occupying the first place among the causes of loss of life years adjusted for disability. In recent years, arterial hypertension in children and adolescents has gained ground in cardiovascular medicine thanks to progress made in several areas, fundamentally in pathophysiological and clinical research. Despite the advances that have been made in recent years, the prevention, diagnosis and treatment of high blood pressure in children and adolescents still have room for improvement. In this sense, the correct measurement of blood pressure is especially important, since it includes a series of essential elements such as the measurement devices, the regulated procedure and the interpretation of the results based on percentiles according to age, gender and height. The availability of a free access calculator facilitates the diagnosis and monitoring of arterial hypertension https://hyperchildnet.eu/. Resumen: La hipertensión arterial es el principal factor de riesgo modificable para la enfermedad cardiovascular ocupando el primer lugar entre las causas de pérdida de años de vida ajustados por discapacidad. En los últimos años la hipertensión arterial en niños y adolescentes ha ganado terreno en la medicina cardiovascular gracias a los avances en diversas áreas de la investigación fundamentalmente fisiopatológica y clínica. A pesar de los avances que se han llevado a cabo en los últimos años, la prevención, diagnóstico y tratamiento de la hipertensión arterial en niños y adolescentes todavía son susceptibles de mejorar. En este sentido cobra especial relevancia la medida correcta de la presión arterial que contempla una serie de elementos indispensables como son los dispositivos de medición, el procedimiento reglado y la interpretación de los resultados en base a percentiles según edad, sexo y talla. La disponibilidad de una calculadora de acceso libre facilita el diagnóstico y seguimiento de la hipertensión arterial https://hyperchildnet.eu/.

Objetivo. Evaluar las respuestas en la tensión arterial (TA) aguda en mujeres hipertensas durante la práctica de sesiones de gimnasia aeróbica acuática continuas (CON) y a intervalos (INT) y 20 minutos después de realizarlas. Método. Nueve mujeres hipertensas tratadas (61.22 ± 2.91 años, con índice de masa corporal 28.70 ± 4.45 kg.m-2) realizaron dos sesiones aleatorias de ejercicios acuáticos (32 min): CON (13-14 en la escala de Borg) y protocolo INT (2 min en el nivel 17 en la escala de Borg con 2 min de recuperación activa en el índice 9). La TA se midió 20 min antes, durante y después del ejercicio. Se utilizó el ANOVA bidireccional de mediciones repetidas con Bonferroni (α = .05). Resultados. Las respuestas en la TA no difirieron entre los protocolos (p > .05). En el caso de la TA diastólica, las mediciones en la mitad de la práctica de la sesión de ejercicio y a su conclusión fueron significativamente inferiores que en los cuatro puntos de recuperación medidos (p .05). Conclusión. Las mujeres hipertensas no presentan una diferencia significativa en cuanto a los valores de TA entre los protocolos CON e INT y no se observó hipotensión en los 20 minutos de recuperación tras la sesión de ejercicio físico. De ahí que se infiera que las mujeres hipertensas tratadas pueden practicar con seguridad ambos protocolos.

Copyright of Revista Argentina de Cardiología is the property of Sociedad Argentina de Cardiologia and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Objective. To describe the types of blood pressure measurement devices marketed through the Mercado Público platform between 2018 and 2020. Methods. This is a descriptive study based on transactions on the Mercado Público platform for the purchase of blood pressure measurement devices in the 2018-2020 period. A search was made for any validation granted by international organizations for automatic devices. The results are expressed as absolute and relative frequencies. Results. Between 2018 and 2020, purchases of automatic devices increased from 15% to 75%, while purchases of mercury-based devices dropped from 40.9% to 7.5%, and aneroid devices fell from 38.7% to 15.8%. Of the 772 automatic devices, 52.6% were validated for accuracy. Conclusions. Given that Chile is committed to the HEARTS Initiative in the Americas, and that prevention and control of hypertension is critical to reducing mortality from noncommunicable diseases, it is crucial to ensure accurate blood pressure measurement. This document provides relevant information on transactions and the purchase profile of blood pressure measurement devices on the Mercado Público platform. A growing trend was observed in the purchase of validated automatic equipment during the evaluation period. [ABSTRACT FROM AUTHOR]

Objective. To improve blood pressure control and hypertension registry coverage at six demonstration sites in St Lucia. Methods. From January 2020 to December 2021, St Lucia's Ministry of Health, with support of the Pan American Health Organization, implemented the HEARTS Technical Package in six primary health care facilities with six-monthly monitoring of blood pressure control and hypertension registry coverage. The modules included healthy-lifestyle counselling, evidence-based treatment protocols, access to essential medicines and technology, risk-based cardiovascular management, team-based care and systems for monitoring. Results. Levels of blood pressure control at 6, 12, 18 and 24-months after the intervention were 37.1%, 28.9%, 33.9% and 36.5% respectively. Hypertension registry coverage increased by 17.8% (1 434 to 1 689) for patients accessing service. Implementing the monitoring for action initiative 12 to 15 months after the start of the intervention resulted in policy and operational changes, improved documentation, and provided accurate and reliable data. Conclusions. The HEARTS initiative unearthed basic infrastructural challenges in blood pressure control. The essential elements for success were (1) buy in at all levels of the health sector; (2) addressing policy and operational changes; (3) accurate documentation and required analysis; (4) standardization of equipment and procedures and (5) regular monitoring and evaluation. Capacity building underpinned all changes. [ABSTRACT FROM AUTHOR]

Copyright of Salud Uninorte is the property of Fundacion Universidad del Norte and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Revista de Enfermagem e Atenção à Saúde (REAS) is the property of Revista de Enfermagem e Atencao a Saude - Reas and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Revista Latinoamericana de Hipertension is the property of Revista Latinoamericana de Hipertension and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Revista Brasileira de Medicina do Esporte is the property of Redprint Editora Ltda. and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Objective: COVID-19 pandemic is associated with high incidence and fatality, however, non-communicable diseases remain a global public health problem with even greater morbidity and mortality. At present, there is a lag in diagnosis and treatment of patients with heart disease, particularly the performance of exercise testing (ET), due to the fear of aerosol generation and viral dissemination. Although some centers carry out the tests with the use of masks, the information is still superficial and preliminary. The objective of the study was to describe the ergometric performance observed when performing exercise tests during the COVID-19 (PANDEMIC-G) pandemic and to highlight the differences with those results carried out in another time, when there was no COVID-19 (NO PANDEMIC). Method: A cross-sectional study was carried out. PANDEMIC-G patients underwent ET between March 2020 and December 2020, once a biological triage was done and all of them wore N95 masks. They were compared to NO PANDEMIC patients that performed an ET between March 2019 and December 2019. Demographic and ergometric variables were presented and analyzed according to their type. All p < 0.05 were considered stochastically significant. Results: A total of 361 ET were studied: 209 (58%) belonged to NO PANDEMIC and 152 (42%) to PANDEMIC-G. The number of ET stopped by dyspnea was greater in PANDEMIC-G (117) than in NO PANDEMIC (8). Exercise tolerance did not show significant changes. Systolic blood pressure, double product, and myocardial oxygen utilization were higher in PANDEMIC-G ET (p < 0.01). Conclusions: In the COVID-era, fewer stress tests were performed, which were suspended more frequently due to dyspnea. Higher values of systolic blood pressure and myocardial oxygen utilization were observed in PANDEMIC-G as well. [ABSTRACT FROM AUTHOR]

Con el objetivo de describir los cambios funcionales y morfológicos tempranos en el riñón remanente de donantes vivos, se realizó un estudio retrospectivo en el Hospital Cayetano Heredia, en el que se incluyeron 55 individuos. De las historias clínicas, se obtuvieron los datos clínicos y demográficos, así como la depuración de creatinina, la proteinuria, la presión arterial y las dimensiones renales a los 1, 2, 3, 6 y 12 meses después de la donación del riñón. La edad media fue de 40,88 (±9,84) años; el 80% eran mujeres y el índice de masa corporal medio fue de 25,68 (±3,5) kg/m2. Se utilizaron modelos lineales y cuadráticos para estudiar las variables fisiológicas y morfológicas. Durante el tiempo de seguimiento, la tasa de filtración glomerular, la proteinuria, la presión arterial diastólica y la longitud de los riñones mostraron cambios significativos (p 0,05).