Navigation Links
Severe hypertension: 'Silent killer' still on the loose
Date:1/31/2008

Honolulu, HI High blood pressure may be one of the top killers in the country, but youd never know it by the way were behaving, say scientists attending the annual congress of the Society for Critical Care Medicine (SCCM).

Research shows that some 73 million people in the U.S. have high blood pressure, yet many of them dont even know it. And among those that do, a large number are not taking the medications they need to control it," says Dr. Christopher Granger, a cardiologist at Duke University Medical Center. Weve discovered that these patients are getting highly variable treatment. Moreover, we also found out that we arent doing a very good job following up with these folks once they leave the hospital, he adds.

Granger and colleagues at nearly two dozen institutions around the country created a special registry to find out what happens to patients with acute, severe hypertension those with blood pressure readings above 160/110 when they come to an emergency department or critical care setting for treatment.

They found that although 90 percent of them already had a diagnosis of high blood pressure, about a quarter of them were not taking the medicines they were supposed to. The researchers also found that extremely high blood pressure was related to high complication and death rates. Many of the patients already had major organ damage and over six percent of them died in the hospital. Upon discharge, most of the patients were given prescriptions for at least two medicines, but 41 percent had to be readmitted within three months. What may be most unsettling, however, is the fact that the investigators could not find any evidence in the discharge records of about 60 percent of the patients that there had been any attempt to schedule a follow-up appointment for them.

We are apparently turning large numbers of patients back out into the community without appropriate follow-up and care, says Granger. Severe hypertension is a very common problem, but we really know very little about it. There is a huge need to improve care for these patients.

Dr. Solomon Aronson, an anesthesiologist at Duke, sees danger in high blood pressure from another angle. Aronson has spent years trying to discover the sweet spot, or ideal range, of blood pressure during cardiac surgeries. Aronson led a team of investigators that analyzed over 3 million blood pressure readings in the records of 5238 cardiac surgical patients at Duke over a nine-year period They discovered that when patients systolic blood pressure readings fell below 95 or went higher than 135, there was a greater risk of death within the following month, with the risk of death increasing with the amount and duration of the deviation from that range.

This is the first time that anyone has determined the optimal range for blood pressure management during these procedures, says Aronson, who adds that different ranges might be more appropriate for other types of surgery.

Aronson says blood pressure management has become such a routine responsibility during surgery that physicians may have developed an attitude of therapeutic inertia. These data suggest that drifting off the road and onto the shoulder when you drive is not good for you. Were beginning to define the width of the road.

We still have a long way to go before we can understand and successfully manage the subtle and complex effects that targeted blood pressure control has on overall health, he says. Just because high blood pressure is a common problem doesnt mean that we know how best how to deal with it.


'/>"/>

Contact: Michelle Gailiun
michelle.gailiun@duke.edu
919-660-1306
Duke University Medical Center
Source:Eurekalert

Related medicine news :

1. Sickle Cell Disease Pain Can Occur Daily and Is Much More Severe Than Previously Thought
2. Too Much Sugar-Free Gum Linked to Severe Weight Loss
3. Drug Combo Halves Death Risk for Severe COPD Patients
4. New therapy reduces mortality in patients with severe COPD
5. Weight Loss Surgery May Help Less Severely Obese
6. Severe Psoriasis Linked to Higher Death Risk
7. New Study Demonstrates Ramelteon Does Not Exacerbate Respiratory Depressant Effects in Patients With Moderate-to-Severe COPD
8. Non-Caucasians at higher risk for severe metastatic breast cancer pain
9. Georgians with Severe Traumatic Brain Injury Lost in an Inadequate System
10. Severe Urinary Problems Boost Death Risk in Older Men
11. Study reveals high death toll after severe urinary complications in men over 45
Post Your Comments:
*Name:
*Comment:
*Email:
(Date:9/22/2017)... ... 22, 2017 , ... The freshly released app Smart Mart ... Smart Mart, customers can now order vegetable, fruit, snacks, dairy, or any eatables. ... clothing at discounted prices. Apart from this, Smart Mart has emphasized upon their ...
(Date:9/21/2017)... ... ... 38-Year-Old Plastic Surgeon Gill at Aesthetic Surgery Center is Saluted as Young Achiever ... Surgeon Kiranjeet Gill has been awarded as one of the 15th annual 40-under-40 recipients! ... started in 2003 to salute young achievers in Southwest Florida who have distinguished themselves ...
(Date:9/21/2017)... ... September 21, 2017 , ... Promotional Communication:, Keeping Up with ... In the competitive world of drug and device marketing and promotion, drug and ... rules. , The FDA has issued two draft guidances that are the closest ...
(Date:9/21/2017)... ... September 21, 2017 , ... ... exercise more try taking a more holistic approach and use natural alternatives for ... essential oil collection is certified USDA guaranteeing that, the new line of essential ...
(Date:9/21/2017)... New York (PRWEB) , ... September 21, 2017 , ... ... named “One Yoga Mat Revolution” on 6th, 7th and 8th October at Miranda Kuo ... renowned yoga mat art pieces, such as Zen Kodo mat. Wanderlust , one ...
Breaking Medicine News(10 mins):
(Date:9/7/2017)... 2017 Caris Life Sciences, a leading ... promise of precision medicine, today announced results from ... its molecular profiling approach in guiding therapeutic strategies ... plus (CGP+) with Caris Molecular Intelligence ® ... molecular level, leading to more therapeutic options and ...
(Date:9/7/2017)... BOTHELL, Wash. , Sept. 7, 2017   BioLife ... developer, manufacturer and marketer of proprietary clinical grade cell and ... media ("BioLife"), announces that Mike Rice , President and ... Rodman & Renshaw 19 th ... 3:25 p.m. Eastern time (12:25 p.m. Pacific time). The conference ...
(Date:9/6/2017)... 2017   PDI , a leader in infection ... an educational session focused on the role of chlorhexidine ... at the 2017 Annual Scientific Meeting of the Association ... at the Phoenix Convention Center ... 16-19, will also feature PDI,s Prevantics® Device Swab ...
Breaking Medicine Technology: