Arterielle Hypertonie – Eine Übersicht für den ärztlichen Alltag

Hengel, Felicitas E.; Sommer, Christian; Wenzel, Ulrich

doi:10.1055/a-1577-8663

Cited by 23 publications

(11 citation statements)

References 47 publications

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“…HT affects more than one quarter of the world's population. Globally, more than 1 billion people are believed to have hypertension (2). Its prevalence is also quite high in our country, at 31.8% (3).…”

Section: Introductionmentioning

confidence: 94%

Relationship Between Fear of Earthquakes and Sleep Quality in Patients with Hypertension Living in Istanbul

Koç,

Meterelliyoz,

Etlik

et al. 2023

Preprint

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Introduction: It is known that emotional stress affects individuals with hypertension. Sleep quality is also associated with blood pressure regulation. In our study, we aimed to investigate the effect of Kahramanmaraş earthquakes on sleep quality in individuals with hypertension residing in Istanbul. Method This randomized and controlled study included hypertensive patients who visited the internal medicine outpatient clinic between March 7, 2023 and May 7, 2023. Individuals with hypertension consulted a psychiatrist for the presence of earthquake fear. The Pittsburg Sleep Quality Index (PSQI) was used to assess sleep quality. Results Seventy patients with hypertension aged 35–64 years, 35 with earthquake fear and 35 without, were included. While the mean PSQI sleep quality score of the group with earthquake fear was 7.26 ± 3.94, the mean score of the group without earthquake fear was 5.17 ± 3.89, which was higher (p = 0.013; p < 0.05). Based on the presence of earthquake fear, poor sleep quality was found in 71.4% (n = 25) of patients with earthquake fear and in 42.9% (n = 15) without, and a statistically significant difference was found (p = 0.016; p < 0 .05). The risk of impaired sleep quality in the earthquake-fear group was 3.333 times higher than that in the without earthquake-fear group (ODSS: 3.333; 95%CI 1.235–8.997). Conclusion Our study has shown that the sleep quality of individuals with hypertension residing in Istanbul is adversely affected by the fear of earthquakes. We believe that it may be useful to review the pharmacological treatments of individuals with hypertension whose sleep quality is impaired owing to the fear of earthquakes and provide close psychological support.

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Section: Introductionmentioning

confidence: 94%

Relationship Between Fear of Earthquakes and Sleep Quality in Patients with Hypertension Living in Istanbul

Koç,

Meterelliyoz,

Etlik

et al. 2023

Preprint

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“…Hypertension is a common chronic disease with high prevalence and is one of the most prevalent risk elements for cardiovascular disease (CVD) ( 1 , 2 ). According to epidemiologic statistics, there are approximately 1 billion hypertensive patients worldwide, and it is projected that the population of hypertensive patients will increase to 1.292 billion by 2025 ( 3 , 4 ). In the United States, it was found that the prevalence of hypertension in adults is about 32%–46% ( 5 ).…”

Section: Introductionmentioning

confidence: 99%

Association of visceral adiposity index with hypertension (NHANES 2003–2018)

Zhou,

Li,

et al. 2024

Front. Cardiovasc. Med.

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ObjectivesThis study focused on the association between visceral adiposity index (VAI) and the prevalence of hypertension in a nationally representative population of American adults.MethodsThe study obtained data from the National Health and Nutrition Examination Survey (NHANES) database from 2003–2018 for a large-scale study. This study incorporated participants ≥18 years of age. Multivariate logistic regression modelling and smoothed curve fitting were applied to investigate the existence of a correlation between VAI and hypertension prevalence. Subgroups were analyzed to confirm the stationarity of the association between VAI and hypertension prevalence. In addition, an interaction test was conducted in this study.ResultsIn completely adapted sequential models, the risk of hypertension prevalence in the overall population increased 0.17-fold with each 1-unit increase in VAI [odds ratio (OR) = 1.17; 95% confidence interval (CI) 1.12–1.22]. In the wholly adapted categorical model, there was a 0.95-fold increased risk of hypertension in the population of VAI quartile 4 (Q4) vs. VAI quartile 1 (Q1) (OR = 1.95; 95% CI 1.62–2.35). These results indicate that VAI was strongly related to the occurrence of hypertension, and smoothed curve-fitting analysis showed nonlinearity. Adjustment for covariates revealed no apparent interactions in the subgroup analyses, and results were stable across subgroups.ConclusionThis cross-sectional study suggests a nonlinear and positive correlation between elevated VAI and the adult risk of developing hypertension in U.S. adults.

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“…To address this issue, researchers used estimated pulse wave velocity (ePWV) to assess the degree of aortic stiffness using an algorithm including age and mean blood pressure (MBP) [10]. At present, ePWV is considered an alternative to cfPWV [11], which may have critical importance in forecasting morbidity and mortality of people with obesity with different complications [12]. In this study, we analyzed the correlation between e-PWV and mortality in patients with obesity.…”

Section: Introductionmentioning

confidence: 99%

Predictive value of estimated pulse wave velocity for cardiovascular and all-cause mortality in individuals with obesity

Cao

Cheng

et al. 2023

Diabetol Metab Syndr

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Background Estimated pulse wave velocity (ePWV) has revealed excellent performance in predicting cardiovascular disease (CVD) risk. However, whether ePWV predicts all-cause mortality and CVD mortality in populations with obesity remains elusive. Methods We performed a prospective cohort including 49,116 participants from the National Health and Nutrition Examination Survey from 2005 to 2014. Arterial stiffness was evaluated by ePWV. Weighted univariate, multivariate Cox regression and receiver operating characteristic curve (ROC) analysis was used to assess the effects of ePWV on the risk of all-cause and CVD mortality. In addition, the two-piecewise linear regression analysis was used to describe the trend of ePWV affecting mortality and identify the thresholds that significantly affect mortality. Results A total of 9929 participants with obesity with ePWV data and 833 deaths were enrolled. Based on the multivariate Cox regression results, the high ePWV group had a 1.25-fold higher risk of all-cause mortality and a 5.76-fold higher risk of CVD mortality than the low-ePWV group. All-cause and CVD mortality risk increased by 123% and 44%, respectively, for every 1 m/s increase in ePWV. ROC results showed that ePWV had an excellent accuracy in predicting all-cause mortality (AUC = 0.801) and CVD mortality (AUC = 0.806). Furthermore, the two-piecewise linear regression analysis exhibited that the minimal threshold at which ePWV affected participant mortality was 6.7 m/s for all-cause mortality and 7.2 m/s for CVD mortality. Conclusions ePWV was an independent risk factor for mortality in populations with obesity. High ePWV levels were associated with an increased all-cause and CVD mortality. Thus, ePWV can be considered a novel biomarker to assess mortality risk in patients with obesity.

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Arterielle Hypertonie – Eine Übersicht für den ärztlichen Alltag

Cited by 23 publications

References 47 publications

Relationship Between Fear of Earthquakes and Sleep Quality in Patients with Hypertension Living in Istanbul

Relationship Between Fear of Earthquakes and Sleep Quality in Patients with Hypertension Living in Istanbul

Association of visceral adiposity index with hypertension (NHANES 2003–2018)

Predictive value of estimated pulse wave velocity for cardiovascular and all-cause mortality in individuals with obesity

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