Home Blood Pressure Monitoring and Hypertension Control

Akinseye, Oluwaseun A.; Akinseye, Leah

doi:10.4172/2167-1079.1000182

Cited by 8 publications

(7 citation statements)

References 75 publications

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“…It is an independent prognosticator of cardiovascular disease and cause of mortality. 20 The burden of hypertension is substantial. The prevalence and the health significances of uncontrolled hypertension make it one of the world's most lethal diseases.…”

Section: Introductionmentioning

confidence: 99%

<p>Knowledge and Attitude of Self-Monitoring of Blood Pressure Among Adult Hypertensive Patients on Follow-Up at Selected Public Hospitals in Arsi Zone, Oromia Regional State, Ethiopia: A Cross-Sectional Study</p>

Wake¹,

Mengistu²,

Tuji³

2020

IBPC

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Background: Self-monitoring of blood pressure (BP) among hypertensive patients is an important aspect of the management and prevention of complication related to hypertension. However, self-monitoring of BP among hypertensive patients on scheduled follow-up in hospitals in Ethiopia is unknown. The aim of the study was to assess knowledge and attitude of self-monitoring of BP among adult hypertensive patients. Methods: A cross-sectional survey was conducted on 400 adult hypertensive patients attending follow-up clinics at four public hospitals of Arsi Zone, Oromia Regional State, Ethiopia. The data were collected from patients from March 10, 2019 to April 8, 2019 by face-to-face interview using a pretested questionnaire and augmented by a retrospective patients' medical records review. The data were analyzed using the SPSS version 21.0 software. Results: A total of 400 patients were enrolled into the study with the response rate of 97.6%. The median age of the participants was 49 years (range 23-90 years). More than half (225 [56.3%]) were male. The majority (160 [40%]) were married and more than two-thirds (282 [70.5%]) were Oromo by ethnic background. About 206 (51.5%) had attended primary education. The proportion of patient's knowledge toward self-monitoring of BP and the practice of self-monitoring of BP among hypertensive patients was 31.5% (n=126 [95% CI; 26.5, 36.5]) and 7.75% (n=31 [95% CI; 5.3, 10.5]) respectively. The multivariable logistic regression analysis revealed; higher education (AOR=2.73, 95% CI [1.33, 13.88)], governmental employed (AOR=1.52, 95% CI [1.06, 6.48]), having an income of >3500 Ethiopian Birr (AOR=2.16, 95% CI [1.56, 7.39]), duration of hypertension >6 years (AOR=1.87, 95% CI [1.21, 6.37]), having health insurance (AOR=3.56, 95% CI [1.39, 10.53]), having co-morbidities (AOR=3.93, 95% CI [1.35, 10.32]), receiving a health professional recommendation toward self-monitoring of BP (AOR=6.08, 95% CI [2.45, 15.06]), and having an awareness of hypertension-related complication (AOR=3.94, 95% CI [1.34, 11.44]) were factors significantly associated with self-monitoring of BP. Conclusion: In this study, the proportion of knowledge of self-monitoring of BP and the practice of self-monitoring of BP among hypertensive patients on follow-up were low. Educational programs on self-monitoring of BP including teaching through demonstration may be needed to be in place.

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Section: Introductionmentioning

confidence: 99%

<p>Knowledge and Attitude of Self-Monitoring of Blood Pressure Among Adult Hypertensive Patients on Follow-Up at Selected Public Hospitals in Arsi Zone, Oromia Regional State, Ethiopia: A Cross-Sectional Study</p>

Wake¹,

Mengistu²,

Tuji³

2020

IBPC

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“…Melatonin was able to reduce blood pressure, vascular reactivity, the pulsatile index in the carotid artery and circulatory catecholamines in healthy participants as well as to decrease blood pressure in patients with hypertension …”

Section: Melatonin For Cardioprotection In Patientsmentioning

confidence: 99%

Melatonin and cardioprotection against ischaemia/reperfusion injury: What's new? A review

Lochner

Marais

Huisamen

2018

Journal of Pineal Research

104

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Melatonin is a pleiotropic hormone with several functions. It binds to specific receptors and to a number of cytosolic proteins, activating a vast array of signalling pathways. Its potential to protect the heart against ischaemia/reperfusion damage has attracted much attention, particularly in view of its possible clinical applications. This review will focus mainly on the possible signalling pathways involved in melatonin-induced cardioprotection. In particular, the role of the melatonin receptors and events downstream of receptor activation, for example, the reperfusion injury salvage kinase (RISK), survivor activating factor enhancement (SAFE) and Notch pathways, the sirtuins, nuclear factor E2-related factor 2 (Nrf2) and translocases in the outer membrane (TOM70) will be discussed. Particular attention is given to the role of the mitochondrion in melatonin-induced cardioprotection. In addition, a brief overview will be given regarding the status quo of the clinical application of melatonin in humans.

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“…Numerous pharmacological and nonpharmacological procedures have been used in the treatment of hypertension; however, the percentage of individuals with uncontrolled hypertension still remains unacceptably high. 51 The effects of melatonin on cardiovascular function in healthy participants are significant (Table 2). Melatonin in comparison to placebo was able to reduce blood pressure (BP), vascular reactivity, the pulsatility index in the internal carotid artery, and circulating catecholamines in healthy participants.…”

Section: Melatonin Effects On Arterial Blood Pressure In Humansmentioning

confidence: 99%

Section: Melatonin Effects On Arterial Blood Pressure In Humansmentioning

confidence: 99%

Melatonin and Human Cardiovascular Disease

Pandi-Perumal

BaHammam

Ojike

et al. 2016

J Cardiovasc Pharmacol Ther

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The possible therapeutic role of melatonin in the pathophysiology of coronary artery disorder (CAD) is increasingly being recognized. In humans, exogenous melatonin has been shown to decrease nocturnal hypertension, improve systolic and diastolic blood pressure, reduce the pulsatility index in the internal carotid artery, decrease platelet aggregation, and reduce serum catecholamine levels. Low circulating levels of melatonin are reported in individuals with CAD, arterial hypertension, and congestive heart failure. This review assesses current literature on the cardiovascular effects of melatonin in humans. It can be concluded that melatonin deserves to be considered in clinical trials evaluating novel therapeutic interventions for cardiovascular disorders.

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Home Blood Pressure Monitoring and Hypertension Control

Cited by 8 publications

References 75 publications

<p>Knowledge and Attitude of Self-Monitoring of Blood Pressure Among Adult Hypertensive Patients on Follow-Up at Selected Public Hospitals in Arsi Zone, Oromia Regional State, Ethiopia: A Cross-Sectional Study</p>

<p>Knowledge and Attitude of Self-Monitoring of Blood Pressure Among Adult Hypertensive Patients on Follow-Up at Selected Public Hospitals in Arsi Zone, Oromia Regional State, Ethiopia: A Cross-Sectional Study</p>

Melatonin and cardioprotection against ischaemia/reperfusion injury: What's new? A review

Melatonin and Human Cardiovascular Disease

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