The Frequency of Hypertension Crises in the Emergency Medical Service Department in Tuzla

Salkić, Sabina; Ljuca, Farid; Batić-Mujanović, Olivera; Brkić, Selmira; Mesic, Dzenita; Mustafic, Sehveta

doi:10.5455/medarh.2013.67.393-396

Cited by 8 publications

(9 citation statements)

References 9 publications

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“…Основные критерии, составляющие твердую основу для установления диагноза ГК, -это внезапное появление объективной симптоматики (кардиальной, церебральной, вегетативной) и/или повышение АД ≥ 180/120 мм рт.ст. (хотя клинические признаки ГК иногда имеют место и при меньших цифрах) [16,38,39].…”

Section: диагностика и лечебная тактикаunclassified

“…Пациенты-гипертоники по-разному чувствительны к колебаниям атмосферного давления, стрессам и изменениям погодных условий [6,[16][17][18]. Резкая отмена гипотензивного средства у гипертоников старческого возраста, в основном из-за забывчивости и/или отсутствия приверженности к лечению, является наиболее частым фактором ГК у таких пациентов в практике врача ПМСП в целом и экстренной медицины в частности.…”

Section: Introductionunclassified

“…Бригадам экстренных медицинских служб при вызовах на дом на случаи с ГК приходится в основном оказывать помощь вопреки различным препятствиям: купирование ГК на фоне непрерывно поступающих в диспетчерскую вызовов и в довольно короткие (спорные) сроки, частые отказы пациентов ехать в больницу по «объективным», с их слов, причинам (их прежний опыт стационарного лечения якобы указывает на отсутствие медицинского внимания, «если у человека нет денег») и т.д. А реальность на сегодняшний день такова, что чем больше «не совсем профессиональных» реформ в медицине страны будет проводиться, тем выше могут быть показатели ГК наряду с другими проблемами со здоровьем у украинского населения [4,7,11,[15][16][17] Лікарю, що практикує / Practicing Physician являются истощение оксида азота, дисфункция эндотелия, повышение тонуса сосудов, снижение плотности микроциркуляторного русла и тромботические почечные микроангиопатии. Лучевая терапия, направленная на голову и шею, может вызвать изменения чувствительности барорецепторов, вследствие чего врачам следует учитывать эти изменения при лечении пациентов, проходящих курс химиотерапии (особенно при феохромоцитоме, параглиомах, карциноидных синдромах, склеродермии) [22,39].…”

Section: Introductionunclassified

“…Симптомы могут быть достаточно неспецифичными (головная боль, головокружение, носовое кровотечение, рвота и сердцебиение). Сердечно-легочные признаки и симптомы, такие как одышка, стенокардия, аритмии и обмороки, наблюдаются только у 30 % всех пациентов с ГК[4,16].При НГК у пациентов выявляется АД ≥ 180/120 мм рт.ст, без признаков ПОМ, чаще всего на фоне таких симптомов, как головная боль, одышка, тревожность и носовое кровотечение. При ОГК у пациентов выявляются АД ≥ 180/120 мм рт.ст.…”

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Клинические Основы Синдрома Гипертонического Криза На Уровне Первичного Звена

Abanto¹,

Abanto²,

Vásquez³

2021

ЕМ

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Hypertensive crisis is a common occurrence at the level of all primary healthcare. One of the main tasks in the diagnosis and treatment of a hypertensive crisis in emergency medicine is the ability to differentiate between a hypertensive emergency and urgency, based on the presence of damage to the target organ in the first case. An appropriate stratification, prevention, and regression of the damage caused by hypertensive crisis could prevent future events in the long term. The states of hypertensive urgency (uncomplicated hypertensive crisis) are usually not associated with an immediate risk to life, so treatment can be started, even completed, on an outpatient basis. Hypertensive emergency conditions (complicated hypertensive crisis) are very serious clinical situations that require hospitalization. In a case of severe hypertension in a patient, asymptomatic or with non-specific symptoms, a cautious therapeutic approach should be taken. When treating conditions of hypertensive urgency, the efforts of physicians are aimed both at lowering blood pressure (at least 20 % of the baseline) and avoiding its sudden and/or excessive decrease (it is necessary to maintain penumbra zone). Therefore, fast-acting drugs should not be used because of the risk of ischemic events. In the case of hypertensive emergency conditions, the choice of drugs should be individual, and the parenteral route of administration is the most common form. In the absence of symptoms of target organ damage, most of the patients are likely to be treated on an outpatient basis. Compliance with a clear continuity of diagnostic and therapeutic measures at the prehospital stage and in the hospital is a necessary condition for the real stabilization of this state. Emergency conditions associated with a hypertensive crisis are the main reasons for contacting and/or calling the physician of emergency medicine in Ukraine (≈ 25–26 %). Hypertensive crisis, the primary manifestation or complication of a previously diagnosed arterial hypertension, most often can occur as a severe increase in blood pressure ≥ 180/120 mm Hg (although the clinical picture of hypertensive crisis is sometimes observed with lower numbers). The literature search methods are as follows Scopus database, Web of Science, MedLine, CyberLeninka, RISC.

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Section: диагностика и лечебная тактикаunclassified

Section: Introductionunclassified

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Клинические Основы Синдрома Гипертонического Криза На Уровне Первичного Звена

Abanto¹,

Abanto²,

Vásquez³

2021

ЕМ

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“…Arterial hypertension is the crucial independent risk factor in cardiovascular diseases for developed countries, characterized by an increasing prevalence in recent years [ 1 , 2 ]. Despite significant advancement in perception, diagnosis, and therapy of hypertension, it is underlined that blood pressure control is insufficient in less than half of the hypertensive patients and it poses a challenge for further patients’ management [ 2 ].…”

Section: Introductionmentioning

confidence: 99%

Effect of Spirulina Supplementation on Systolic and Diastolic Blood Pressure: Systematic Review and Meta-Analysis of Randomized Controlled Trials

et al. 2021

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Spirulina is a microalga that presents various important pro-health properties, for instance lowering blood pressure in the research. The study aims to appraise the efficacy of Spirulina administration on systolic (SBP) and diastolic blood pressure (DBP). Randomized controlled trials (RCTs) were retrieved by a systematic search of PubMed, Web of Science, and the Cochrane Library databases from inception to June 2021 according to a standardized protocol. The effect size of each study was counted from mean and standard deviation before and after the intervention and shown as Un-standardized mean difference and 95% confidence interval. Sensitivity analyses were performed. Meta-analysis on 5 RCTs with 230 subjects was eligible. The amount of Spirulina ranged from 1 to 8 g per day, and intervention durations ranged from 2 to 12 weeks. Data analysis indicated that Spirulina supplementation led to a significant lowering of SBP (Mean Difference (MD): −4.59 mmHg, 95% Confidence Interval (CI): −8.20 to −0.99, I square statistic (I2) = 65%) and significant lowering of DBP (MD: −7.02 mmHg, CI: −8.86 to −5.18, I2 = 11%), particularly in a subgroup of hypertensive patients. Spirulina administration might have a supportive effect on the prevention and treatment of hypertension. More exact randomized controlled trials are needed to clarify the effect of Spirulina supplementation on blood pressure.

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The Effect of Spirulina Supplementation on Blood Pressure in Adults: A GRADE‐Assessed Systematic Review and Meta‐Analysis of Randomized Clinical Trials

Shiri,

Yasbolaghi Sharahi,

Alizadeh Sani

et al. 2024

Phytotherapy Research

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Previous studies have yielded controversial results regarding the effect of spirulina on blood pressure (BP), which need updating. So, this updated systematic review and meta‐analysis of randomized controlled trials (RCTs) carry out a more accurate estimation of the effect of spirulina on BP in adults. This systematic searches (in PubMed/Medline, Scopus, and ISI Web of Science) until April 1, 2024, to identify related RCTs based on PICOS guidelines (population (individuals > 18 years old), the intervention (spirulina), the comparison (control or placebo group), the outcomes (systolic BP (SBP) and diastolic BP (DBP)), the study design (RCTs)), and PRISMA‐checklist (Supporting Information, data S2). We evaluated the impact of spirulina on DBP and SBP. Conventional procedures were employed for analyzing publication bias, heterogeneity, and sensitivity. The GRADE criteria and the Cochrane assessment method were employed to evaluate the risk of bias (ROB) and certainty of evidence across the studies, respectively. The result shows spirulina consumption decreases SBP (WMD: −4.41 mmHg, 95% CI: −6.74 to −2.07, I2 = 66.1%) and DBP (WMD: −2.84 mmHg, 95% CI: −4.65 to −1.03, I2 = 62.3%). Subgroup analysis demonstrated SBP and DBP were still lower in individuals with ≥ 120 and ≥ 80 mmHg, hypertension (HTN) individuals, overweight individuals, age > 50 years, and > 8 weeks of intervention. Indeed, we do not observe publication bias, ROB, or interference studies in the overall results of BPs, and based on GRADE, our outcomes have moderate quality. Because of the low number of studies and participants, the dose–response and meta‐regression are not significant. His study demonstrated spirulina intervention decreased SBP and DBP in HTN and overweight individuals, age > 50 years, and > 8 weeks of intervention. So, spirulina intake decreases BP and could be used in clinical practice. Furthermore, more and high‐quality RCTs are needed to establish the clinical efficacy of the spirulina and determine cutoff spirulina interventions based on dose and duration.Trial Registration: PROSPERO: CRD42024534608

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The Frequency of Hypertension Crises in the Emergency Medical Service Department in Tuzla

Cited by 8 publications

References 9 publications

Клинические Основы Синдрома Гипертонического Криза На Уровне Первичного Звена

Клинические Основы Синдрома Гипертонического Криза На Уровне Первичного Звена

Effect of Spirulina Supplementation on Systolic and Diastolic Blood Pressure: Systematic Review and Meta-Analysis of Randomized Controlled Trials

The Effect of Spirulina Supplementation on Blood Pressure in Adults: A GRADE‐Assessed Systematic Review and Meta‐Analysis of Randomized Clinical Trials

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