Journal articles on the topic 'Blood pressure; elderly; gastrointestinal system'
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Kounis, NG, GM Zavras, PJ Papadaki, SN Kouni, M. Batsolaki, GV Gouvelou-Deligianni, C. Markoglou, et al. "Electrocardiographic Changes in Elderly Patients During Endoscopic Retrograde Cholangiopancreatography." Canadian Journal of Gastroenterology 17, no. 9 (2003): 539–44. http://dx.doi.org/10.1155/2003/620564.
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BACKGROUND: Cardiorespiratory complications may occur during gastrointestinal endoscopy, and elderly people seem to be more vulnerable to these complications during endoscopic procedures involving the manipulation of abdominal viscera. OBJECTIVES: To determine the incidence of cardiac arrhythmias, changes in oxygen saturation, heart rate and blood pressure during endoscopic retrograde cholangiopancreatography (ERCP) via Holter monitoring in elderly patients older than 70 years of age.METHODS: Holter monitoring and 12-lead electrocardiograms were performed in 30 elderly patients undergoing ERCP and in 30 control subjects undergoing routine chest, abdomen, bone and upper gastrointestinal small bowel follow-through studies. A computerized nontriggered template system was used to analyze the electrocardiograms qualitatively and quantitatively. Arrhythmias, cardiac axis, conduction defects, pauses, ST segment changes, ectopic beats, oxygen desaturation and changes in blood pressure and rate-pressure product were evaluated.RESULTS: Increased heart rate, ST segment changes resulting from myocardial ischemia, oxygen desaturation and transient atrial and ventricular ectopic beats were frequent during ERCP compared with the control group. In one patient, transient left bundle branch block developed and this was attributed to pre-existing hypertension with cardiomegaly. One patient developed ventricular tachycardia and one other sinus bradycardia, but this was attributed to sick sinus syndrome.CONCLUSIONS: Transient myocardial ischemia and various cardiac arrhythmias are frequent in elderly patients undergoing ERCP. Appropriate noninvasive monitoring seems to be justified during this procedure.
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Heseltine, David, Michael Dakkak, Ian A. Macdonald, Stephen R. Bloom, and John F. Potter. "Effects of carbohydrate type on postprandial blood pressure, neuroendocrine and gastrointestinal hormone changes in the elderly." Clinical Autonomic Research 1, no. 3 (September 1991): 219–24. http://dx.doi.org/10.1007/bf01824990.
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Cherubini, Antonio, Fabrizio Fabris, Ettore Ferrari, Domenico Cucinotta, Raffaele Antonelli Incalzi, and Umberto Senin. "Comparative effects of lercanidipine, lacidipine, and nifedipine gastrointestinal therapeutic system on blood pressure and heart rate in elderly hypertensive patients: the ELderly and LErcanidipine (ELLE) study." Archives of Gerontology and Geriatrics 37, no. 3 (November 2003): 203–12. http://dx.doi.org/10.1016/s0167-4943(03)00047-5.
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Ismaeil, Abderrhman Ahmed Mohamed, Nahla Ahmed Mohammed Abderahman, Mohammed Ahmed Ibrahim Ahmed, Nihal Abdalla Ahmed Abdalla, and Mosab Nouraldein Mohammed Hamad. "Caffeine's Effect on Blood Pressure in Sudanese Women in East Gezira State-Sudan, 2018." SAR Journal of Medical Biochemistry 3, no. 3 (June 22, 2022): 51–53. http://dx.doi.org/10.36346/sarjmb.2022.v03i03.004.
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Background: Caffeine is a significant component of coffee, which is one of the most extensively, consumed non-alcoholic beverages. Caffeine is a methylxanthine-class central nervous system stimulant that is one of the most extensively utilized medications on the planet. Caffeine stimulates the central nervous system and is perhaps the most extensively used psychoactive stimulant. It causes gastrointestinal disturbances, tremor, headache, and sleeplessness, palpitations, cardiac arrhythmias, and it has been proposed that caffeine is possibly hypertensive. Aim: The goal of the study was to see how caffeine affected the blood pressure of Sudanese adult females in Gezira state's east during July and August 2018. Methods: A descriptive cross-sectional prospective study of 400 females aged 18 to 70 years old from various areas of Gezira State was conducted. Caffeine was not consumed by the participants for 12 hours before to the test. Blood pressure was monitored at baseline after 20 minutes of rest, then 45 minutes later after consuming a 150 mL cup of boiling coffee (120 mg caffeine) (each cup contain teaspoon 10 g of coffee powder). A questionnaire was created to collect personal and demographic information. Body mass index (BMI) was computed after measuring weight and height. Results: The researchers discovered that 120 mg of caffeine increased systolic blood pressure by 5 to 18 mmHg, diastolic blood pressure by 6 to 16 mmHg, and mean blood pressure by 3 to 13 mmHg. Caffeine had a higher effect in older and hypertensive people, according to the study, with a P value of <0.0001. With regular coffee consumption, there was no tolerance to the pressure impact of caffeine, according to the study. There was also racial variance in the caffeine presser response, with the Tama tribe having a stronger response and the Rufaah tribe having a higher baseline BP (P value is <0.0001). In addition, the prevalence of hypertension was 5.8% lower in rural areas. Conclusion: Caffeine raises systolic, diastolic, and mean blood pressure in Sudanese adult females, with a particularly noticeable effect on the elderly and hypertensive.
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Seth, Henrik, Erik Sandblom, Susanne Holmgren, and Michael Axelsson. "Effects of gastric distension on the cardiovascular system in rainbow trout (Oncorhynchus mykiss)." American Journal of Physiology-Regulatory, Integrative and Comparative Physiology 294, no. 5 (May 2008): R1648—R1656. http://dx.doi.org/10.1152/ajpregu.00900.2007.
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When animals feed, blood flow to the gastrointestinal tract increases to ensure an adequate oxygen supply to the gastrointestinal tissue and an effective absorption of nutrients. In mammals, this increase depends on the chemical properties of the food, as well as, to some extent, on the mechanical distension of the stomach wall. By using an inflatable nitrile balloon positioned in the stomach, we investigated the cardiovascular responses to mechanical stretch of the stomach wall in rainbow trout ( Oncorhynchus mykiss). Distension with a volume equivalent to a meal of 2% of the body mass increased dorsal aortic blood pressure by up to 29%, and central venous blood pressure increased transiently nearly fivefold. The increase in arterial pressure was mediated by an increased vascular resistance of both the systemic and the intestinal circulation. Cardiac output, heart rate, and stroke volume (SV) did not change, and only transient changes in gut blood flow were observed. The increase in arterial pressure was abolished by the α-adrenergic antagonist prazosin, indicating an active adrenergic vasoconstriction, whereas the venous pressor response could be the consequence of a passive increase in intraperitoneal pressure. Our results show that mechanical distension of the stomach causes an instantaneous increase in general vascular resistance, which may facilitate a redistribution of blood to the gastrointestinal tract when chemical stimuli from a meal induce vasodilation in the gut circulation. The normal postprandial increase in gut blood flow in teleosts is, therefore, most likely partly dependent on mechanical stimuli, as well as on chemical stimuli.
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Noefitasari, Ida, and Desi Natalia Trijayanti Idris. "Reducing Blood Pressure on Elderly with Hypertension with Progressive Muscle Relaxation Therapy." Jurnal Ners dan Kebidanan (Journal of Ners and Midwifery) 9, no. 3 (December 25, 2022): 370–78. http://dx.doi.org/10.26699/jnk.v9i3.art.p370-378.
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Elderly is a process of life's journey of getting old. Physiological changes in the cardiovascular system experienced by the elderly are hypertension which occurs due to decreased elasticity of the arteries in the aging process. The purpose of this research was to analyze the effect of progressive muscle relaxation on reducing blood pressure in hypertensive elderly in Banjarejo Village. Pre-experimental research design with One group Pre-Post Test Design approach. The research sample is 30 elderly hypertension people with Quota Sampling. Research variables are progressive muscle relaxation therapy and blood pressure. Collecting data using observation sheets, using the Wilcoxon statistical test. The results showed that there were changes in blood pressure before and after therapy, namely systolic blood pressure -7.82 mmHg and diastolic blood pressure -5.54 mmHg. Wilcoxon statistical test showed p value = 0.000 which means there is a change in blood pressure in the elderly after doing progressive muscle relaxation therapy. The conclusion of this research shows that progressive muscle relaxation is a therapy that can be used to lower blood pressure in hypertensive patients.
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Mincoff, Raquel Cristina Luis, Rose Mari Bennemann, and Mayra Costa Martins. "Nutritional status of elderly participants of the Hiperdia system: socio-demographic characteristics and blood pressure." Revista da Rede de Enfermagem do Nordeste 16, no. 5 (November 10, 2015): 746. http://dx.doi.org/10.15253/2175-6783.2015000500017.
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Objective: to analyze the socio-demographic characteristics and stages of blood pressure associated to the nutritional status of elderly hypertensive patients included in the System of Registration and Monitoring of Hypertensive and Diabetic patient sin a Basic Health Unit. Methods: cross-sectional study with primary and secondary data collection. The nutritional status was evaluated through the body mass index and analyzed, according to socio-demographic characteristics and stages of blood pressure. To analyze the data, the chi-square test was used. Results: 250 elderly (63.6% women) were evaluated. Statistically significant association was observed between nutritional status and gender (p = 0.008), age group (p = 0.05) andstage of hypertension: optimal, normal and hypertension 1. Conclusion: the elderly assisted by the service require constant nutritional and blood pressure re-evaluation provided by the health team.
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Yamazaki, Yoichi, Masayuki Ishii, Takahiro Ito, and Takuya Hashimoto. "Frailty Care Robot for Elderly and its Application for Physical and Psychological Support." Journal of Advanced Computational Intelligence and Intelligent Informatics 25, no. 6 (November 20, 2021): 944–52. http://dx.doi.org/10.20965/jaciii.2021.p0944.
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To achieve continuous frail care in the daily lives of the elderly, we propose AHOBO, a frail care robot for the elderly at home. Two types of support systems by AHOBO were implemented to support the elderly in both physical health and psychological aspects. For physical health frailty care, we focused on blood pressure and developed a support system for blood pressure measurement with AHOBO. For psychological frailty care, we implemented reminiscent coloring with the AHOBO as a recreational activity with the robot. The usability of the system was evaluated based on the assumption of continuous use in daily life. For the support system in blood pressure measurement, we performed a qualitative evaluation using a questionnaire for 16 subjects, including elderly people under blood pressure measurement by the system. The results confirmed that the proposed robot does not affect the blood pressure readings and is acceptable in terms of ease of use based on subjective evaluation. For the reminiscent coloring interaction, subjective evaluation was conducted on two elderly people under the verbal fluency task, and it has been confirmed that the interaction can be used continuously in daily life. The widespread use of the proposed robot as an interface for AI that supports daily life will lead to a society in which AI robots support people from the cradle to the grave.
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Wu, Xiujuan, Zongming Jiang, Jing Ying, Yangyang Han, and Zhonghua Chen. "Optimal blood pressure decreases acute kidney injury after gastrointestinal surgery in elderly hypertensive patients: A randomized study." Journal of Clinical Anesthesia 43 (December 2017): 77–83. http://dx.doi.org/10.1016/j.jclinane.2017.09.004.
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Yarosh, A. M., I. A. Batura, V. V. Tonkovtseva, F. M. Melikov, T. R. Bekmambetov, V. V. Bezzubchak, E. S. Koval, and E. E. V. Nagovskaya. "Impact of winter savory essential oil on the functioning of cardiovascular system of the elderly." Plant Biology and Horticulture: theory, innovation, no. 151 (December 30, 2019): 86–93. http://dx.doi.org/10.36305/2019-2-151-86-93.
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Objective. To study the effects of winter savory essential oil on the functioning of cardiovascular system of the elderly. Materials and methods. The study includes 97 women of older age with increased systolic blood pressure, which were divided into control (session of relaxation therapy only), and experimental (session of relaxation therapy combined with aromatherapy of winter savory essential oil) groups. Before and after the sessions, systolic and diastolic blood pressure, heart rate of the testees were measured and the following indices were determined: pulse blood pressure, minute blood volume, mean dynamic blood pressure, total peripheral vascular resistance, heart index, systolic index, Robinson index, Kerdo index, circulatory efficiency coefficient. Results. The study found that the use of winter savory essential oil led to a significant decrease in systolic blood pressure (exposure for 10 and 30 minutes) and heart rate (all time periods). The values of pulse and average dynamic blood pressure significantly decreased during aromatherapy for 10 or 30 minutes, there was also a significant decrease in the values of minute blood volume after 10 and 30-minute session of aromarelaxation. After 30-minute aromarelaxation there was an increase in the total peripheral vascular resistance. The change of Kerdo index value in the direction of parasympathetic after 30 minutes of aromatherapy was revealed. The value of the coefficient of efficiency of blood circulation significantly decreased after 10 and 30 minutes of aromarelaxation, Robinson index decreased during all time periods of exposure. Conclusion. On the basis of the obtained data, it can be concluded that the essential oil of winter savory has a pronounced normalizing effect on the circulatory function of the elderly women with systolic hypertension.
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Löwik, M. R., Z. Hofman, F. J. Kok, M. Wedel, K. F. Hulshof, J. Odink, and G. Schaafsma. "Nutrition and blood pressure among elderly men and women (Dutch Nutrition Surveillance System)." Journal of the American College of Nutrition 10, no. 2 (April 1991): 149–55. http://dx.doi.org/10.1080/07315724.1991.10718139.
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Hu, Ruixia, and Qi Hao. "Health Promotion System for the Elderly’s Daily Body Functions Based on Nanoprotective Technology." Journal of Nanomaterials 2022 (July 20, 2022): 1–11. http://dx.doi.org/10.1155/2022/1645089.
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With the acceleration of China’s aging trend, the physical health of the elderly needs more attention and research from us. In particular, many elderly people are prone to accidental injuries during exercise, so how to protect the health of the elderly through high-tech is worthy of more in-depth research. This measure can promote the establishment of a health system for the elderly. This article is mainly based on the research on the health promotion system of the elderly’s daily body functions based on nanoprotective gear technology. It uses the literature method to read a lot of literature to understand the current research status of the elderly’s daily body function and health and the application status of nanotechnology, through the questionnaire and survey method for testing the blood pressure, heart rate, pulse wave velocity, bone density, and other physical indicators of the surveyed elderly population, and organize and analyze the relevant data. In this survey, 28.8% of the elderly who regularly participate in physical exercise have high systolic blood pressure, 33.3% of the elderly who do not participate in exercise regularly have high systolic blood pressure, and most of them are in the low bone density stage. Therefore, nanocare technology can effectively protect the health of the elderly and provide protection during exercise. The research in this article is aimed at illustrating the establishment and improvement of the physical function and health promotion system of the elderly through the impact data on physical indicators and providing a factual basis for the elderly to better participate in physical exercise and improve the health quality of the elderly.
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Mena, Luis J., Vanessa G. Felix, Rodolfo Ostos, Jesus A. Gonzalez, Armando Cervantes, Armando Ochoa, Carlos Ruiz, Roberto Ramos, and Gladys E. Maestre. "Mobile Personal Health System for Ambulatory Blood Pressure Monitoring." Computational and Mathematical Methods in Medicine 2013 (2013): 1–13. http://dx.doi.org/10.1155/2013/598196.
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The ARVmobile v1.0 is a multiplatform mobile personal health monitor (PHM) application for ambulatory blood pressure (ABP) monitoring that has the potential to aid in the acquisition and analysis of detailed profile of ABP and heart rate (HR), improve the early detection and intervention of hypertension, and detect potential abnormal BP and HR levels for timely medical feedback. The PHM system consisted of ABP sensor to detect BP and HR signals and smartphone as receiver to collect the transmitted digital data and process them to provide immediate personalized information to the user. Android and Blackberry platforms were developed to detect and alert of potential abnormal values, offer friendly graphical user interface for elderly people, and provide feedback to professional healthcare providers via e-mail. ABP data were obtained from twenty-one healthy individuals (>51 years) to test the utility of the PHM application. The ARVmobile v1.0 was able to reliably receive and process the ABP readings from the volunteers. The preliminary results demonstrate that the ARVmobile 1.0 application could be used to perform a detailed profile of ABP and HR in an ordinary daily life environment, bedsides of estimating potential diagnostic thresholds of abnormal BP variability measured as average real variability.
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Antari, Yuni, Sang Ayu Ketut Candrawati, and Putu Gede Subhaktiyasa. "The Correlation between Insomnia with Blood Pressure in the Elderly in Banjar Wangaya Kajathe Work Area of Public Health Center III North Denpasar." Jurnal Ners dan Kebidanan Indonesia 8, no. 2 (August 3, 2020): 108. http://dx.doi.org/10.21927/jnki.2020.8(2).108-115.
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<em>Elderly is a term for an individual who has entered the period of late adolescence or old age. The number of elderly in the province of Bali in 2018 reached 572.518 inhabitants. Elderly degeneration in terms of both aspects of the psychological and physiological aspects. One form of setbacks is a sleep disorder (insomnia). Insomnia is a disorder of the quantity and quality of sleep that inhibit its function. The elderly who suffer from insomnia to be an increase in sympathetic activity will increase blood pressure and decreased parasympathetic activity lowers blood pressure, in which blood pressure is influenced by the autonomous system that is sympathetic and parasympathetic. This study aims to determine the correlation betweeninsomnia with blood pressure in the elderly in Banjar Wangaya Kaja the work area of Public Health Center III North Denpasar. This research is an analytic correlational research aimed to see whether or not the correlation insomnia with blood pressure exist in the elderly by using cross sectional approach. The sample consisted of 88 respondents to the sampling technique used purposive sampling. Collecting data using questionnaires insomnia and blood pressure measurements using a mercury sphygmomanometer. Most elderly people experience severe insomnia that 68 (77.3%), and as many as 58 people (65.9%) of elderly hypertensive level 1. Based on the results-Spearman rank correlation test in getting the results p (value) = 0,000 <0 , 05 then Ho is rejected and Ha accepted which means there is a significant correlation between insomnia with blood pressure in the elderly in Banjar Kaja Wangaya. The results showed a correlation coefficient of r = 0,702,, it means the correlation is in a strong level, the positive direction of correlation means the higher the insomnia in the elderly, the higher blood pressure will be</em>
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Bakar, Abu, Faishol Roni, and Nanang Bagus Sasmito. "THE EFFECT OF BREATH THERAPY ON HYPERTENSION REDUCTION IN UPT PSLU JOMBANG." Well Being 2, no. 2 (December 2017): 44–51. http://dx.doi.org/10.51898/wb.v2i2.141.
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Hypertension is a disorder of the circulatory system and is a problem for the elderly. One easy therapy is deep breathing relaxation techniques that can calm and calm muscles. The purpose of this study was to determine the effect of breath relaxation techniques on changes in blood pressure in the elderly with hypertension. The type of research used was the pre-experimental One Group Pre-Post Test Design, the elderly who had their blood pressure measured first were then given a deep relaxation breathing technique and after giving breath relaxation techniques the elderly were re-measured their blood pressure then analyzed by comparing the mean blood pressure before and after being given deep breath relaxation techniques. The population in this study were 25 elderly with hypertension in UPT PSLU Jombang. The sampling technique used was total sampling and obtained 25 samples of elderly people with hypertension. The measuring instrument used is the observation sheet. From the results of the study, it was found that the value of blood pressure before breathing relaxation techniques in the hole was 171.00 diastole 78.00 and p = 0.00 (p = <0.05). The mean blood pressure after breathing relaxation techniques in systole was 17.36 diastole 3.20 and p = 0.172 (p => 0.05). There is an effect of blood pressure systole in the elderly before and after deep breathing relaxation techniques of 17.36 and in diastole there is no effect 3.20.
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Patriyani, Ros Endah Happy, and Dwi Sulistyowati. "Menurunkan Tekanan Darah pada Lansia dengan Hipertensi melalui SEFT." jurnalempathy.com 1, no. 1 (July 30, 2020): 9–17. http://dx.doi.org/10.37341/jurnalempathy.v1i1.2.
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Background: Increased high blood pressure in the elderly can be caused by various factors, one of which is stress. Stress can trigger the onset of hypertension through activation of the sympathetic nervous system which causes an increase in blood pressure intermittently. Hypertension patients need to be helped to reduce stress so that blood pressure does not increase. One of the non-pharmacological therapies to reduce stress is SEFT therapy. The purpose of this activity are to increase the elderly's knowledge about hypertension and increase awareness to control blood pressure and lowering blood pressure with SEFT therapy. Methods: Method this study is used blood pressure measurement, health education, and SEFT therapy. Results: Of this activity are health education can increase knowledge and awareness in controlling blood pressure, and SEFT therapy can reduce blood pressure in elderly hypertension. Conclusion: SEFT therapy can be an intervention alternative in reducing blood pressure.
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Yarosh, A. M., I. A. Batura, V. V. Tonkovtseva, V. V. Bekmambetov, E. E. V. Nagovskaya, V. V. Bezzubchak, E. S. Koval, and I. A. Fedotova. "The impact of сіоле tree essential oil on the functions of the cardiovascular system of the elderly depending on its initial state." Plant Biology and Horticulture: theory, innovation, no. 154 (October 21, 2020): 90–105. http://dx.doi.org/10.36305/2712-7788-2020-1-154-90-105.
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Objective. To study the effect of clove tree essential oil on the cardiovascular function of the elderly with normal blood pressure and with small deviations in the direction of hypertension and hypotension. Materials and methods. The study included 293 elderly women divided into 3 control (sessions of relaxation psychotherapy) and 3 experimental (sessions of relaxation psychotherapy combined with sessions of aromatherapy with clove tree essential oil) groups by blood pressure (normal, small deviations towards hypertension and hypotension), each of which was divided into three subgroups by exposure time (10, 20 and 30 minutes). Before and after the sessions, systolic, diastolic blood pressure and heart rate of the testees were measured, and then the following indicators were calculated: pulse pressure, stroke volume, minute cardiac output, average dynamic arterial pressure, total peripheral vascular resistance, heart mdex<, Robinson rndex^ Kerdo index<, coefficient of efficiency of blood circulation. Results. It was found that the effect of clove tree essential oil depends on the initial level of blood pressure. The testees with a slightly increased blood pressure (up to140 mm Hg) after aroma sessions of aU durations the blood pressure became normal. Accordingly, the values of the minute cardiac output, heart mdex<, coefficient of efficiency of blood circulation, Robinson index were normalized. The testees with normal blood pressure, the sessions of aroma psycho-relaxation practically did not cause changes in parameters characterizing the functions of the cardiovascular system The testees with moderate hypotension (on the average110 mm Hg) during the aroma sessions had the shifts to the normal of the parameters characterizing the functions of the cardiovascular system Thus, clove tree essential oil has a normalizing effect on the function of the cardiovascular system of elderly women at all its initial values.
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Majid, Yudi Abdul. "PENGARUH TERAPI RELAKSASI GUIDED IMAGERY TERHADAP TEKANAN DARAH PADA LANSIA PENDERITA HIPERTENSI." Masker Medika 9, no. 2 (February 1, 2022): 542–50. http://dx.doi.org/10.52523/maskermedika.v9i2.468.
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Background: The elderly are individuals aged 60 years and over who experience physical, mental, psychosocial changes. One of the thysical changes in the cardiovaskular system where the heart valves thicken and become stiff so that the aortic wall decreases. The heartꞌs ability to pump blood decreases resulting in loss of elasticity of blood vessels which can cause blood pressure which is at risk for several degenerative disease including hypertension. Hypertension is a condition in which a person experiences an increase in blood pressure above normal. One of the non-farmakological treatments is guided imagery relaxation theraphy, guided imagery relaxation theraphy is a techique that uses a personꞌs imagination by imagining good or happy things, fun and calming. Research Objectives: The aim in this study was to analyze the effect of guided imagery relaxation theraphy on blood pressure in the elderly with hypertension. Research Methods: This study uses a literature review by analyzing articels related to the research. Data were obtained from electronic databases, namely Goggle Scholar, Pubmed, Proques, with the keywords elderly, guided imagery, and hypertension published in 2015-2020. Results: Based on the results of the analysis of 10 research articles reviewed, it was found that area there was a significant effect of guided imagey relaxation theraphy on changes in blood pressure in the elderly with hypertension, because by stimulating the brain through imagination, a response in the nervouse system can arise which makes the body relax. It is felt by the body so that endorphins are released into the blood vessels so that the blood vessels experience vasodilation and the blood supply is fulfilled which can cause a decrease in blood pressure and heart rate. Conclussion: Guided imagery relaxation theraphy can reduce blood pressure in elderly patients with hypertension.
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Pareira, Elisabeth Matrona Sintia, I. Dewa Putu Sutjana, Wahyuddin Wahyuddin, Nyoman Adiputra, I. Made Krisna Dinata, and I. Gusti Ayu Widianti. "HATHA YOGA TRAINING HAS SIMILAR EFFECTS WITH TAI CHI TRAINING IN DECREASING BLOOD PRESSURE IN PRE-ELDERLY WITH GRADE I HYPERTENSION." Sport and Fitness Journal 10, no. 1 (March 29, 2022): 9. http://dx.doi.org/10.24843/spj.2022.v10.i01.p02.
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The increase of life expectancy theis more complex health problem is which suffered by the elderly. The problem in health which is often occurred that is instability of blood pressure which dominated by hypertension. One of methods to decrease high blood pressure is by increasing physical activity. Physical activity reduces the risk of hypertention by decreasing resistance of blood pressure and surpressing the activity in sympathetic nerves system and renin-angiotensin system. This research aims to discover Hatha Yoga training and Tai Chi traning in decreasing blood pressure in pre-elderly with grade I hypertension in Banjar Batu, Mengwi sub-distict, Badung Regency. This research used experimental design with pre test and post test two group design. Group I was given Hatha Yoga and Group II was given Tai Chi. The sample in this research is 20 people (man and woman) who suffered grade I hypertension and aged in 45-49 years old. The training was done in 3 times a week for 6 weeks. The result of the research shows that the decrease of blood pressure is shown Group I in systole is 5,60±1,43 mmHg and diastole is 4,00±1,94 mmHg, with value p=0,00. In Group II, there is a decrease in systole blood pressure is 4,90±0,99 mmHg and diastole 4,30±2,05 mmHg, with value p=0,00. There is no significant difference in the decrease of blood pressure between Group I and Group II with blood pressure in systole is p=0,378 (p>0,05) and in diastole is p=0,805 (p>0,05). The conclusion is that Hatha Yoga training is as goof as Tai Chi training in decreasing blood pressure in pre-elderly with mild hypertention.
Keywords: Hatha Yoga; Tai Chi; Pre Elderly; Grade I Hypertension
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Kario, Kazuomi, Keiji Motai, Takeshi Mitsuhashi, Takaaki Suzuki, Yukinori Nakagawa, Uichi Ikeda, Takefumi Matsuo, Toshio Nakayama, and Kazuyuki Shimada. "Autonomic Nervous System Dysfunction in Elderly Hypertensive Patients With Abnormal Diurnal Blood Pressure Variation." Hypertension 30, no. 6 (December 1997): 1504–10. http://dx.doi.org/10.1161/01.hyp.30.6.1504.
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Hu, Haijuan, Jidong Zhang, Yan Wang, Zejun Tian, Demin Liu, Guangming Zhang, Guoqiang Gu, Hongmei Zheng, Ruiqin Xie, and Wei Cui. "Impact of baseline blood pressure on the magnitude of blood pressure lowering by nifedipine gastrointestinal therapeutic system: refreshing the Wilder’s principle." Drug Design, Development and Therapy Volume 11 (November 2017): 3179–86. http://dx.doi.org/10.2147/dddt.s143551.
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Trofimov, Mykola V., Valerii P. Kryshen, Valentyna Y. Kudryavtseva, Alla V. Chukhriienko, Pavlo V. Lyashchenko, and Ivan V. Gaponov. "CLINICAL FEATURES OF GASTROINTESTINAL ULCERATIVE BLEEDING IN ELDERLY PATIENTS COMPLICATED BY CARDIO-VASCULAR PATHOLOGY." Wiadomości Lekarskie 74, no. 2 (2021): 202–6. http://dx.doi.org/10.36740/wlek202102105.
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The aim: To determine clinical and endoscopical features of gastroduodenal hemorrhages in elderly patients with concomitant cardio-vascular pathology in a way by studying, main indicators of the immune system for drawing up further tactics. Material and methods: The study included 609 patients with ulcerative gastroduodenal bleeding, complicated by cardio-vascular system pathology in 2017-2019 years. The observed patients were distributed into the groups: I – patients, who received treatment according to the standard system of cardiovascular pathology treatment (n=541), II – “double” therapy (n=68). Control group consists of 20 relatively healthy patients were similar to the research group. Results: Blood lost of a big amount and massive blood lost were noticed in 113 (18.56%±1.58) and 121 (19.87%±1.62) patients respectively. Active bleeding (F I) was revealed in 38 patients (6.24%±0.98), a high risk of hemorrhage relapse was determined in 486 patients (79.80%±1.63). Signs of recent hemorrhage were absent in 85 patients (13.96%±1.40). A high level of pro-inflammatory cytokines IL-6, TNF-α and a low activity of the anti-inflammatory mediator IL-10 define the process activity, their long-term circulation in patients with ulcerative hemorrhages of the gastro-intestinal tract are associated with unfavorable prognosis. In 5 cases conditionally-radical surgical interventions were performed. Palliative surgery – 3 patients (р>0.05). Conclusions: The patients of second group (“double therapy”) with big and massive blood loss was 2.7 times higher than similar indices in patients of the first group (standard therapy). The patients who received “double therapy” had 3.3 times more active hemorrhage percentage than the patients who received standard therapy (р<0.05).
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Sonhaji, Sonhaji, and Roland Lekatompessy. "Efektifitas Spiritual Emotional Freedom Technique (SEFT) dan menyanyi terhadap tekanan darah lansia di rumpelsos pucang gading semarang." Health Sciences and Pharmacy Journal 3, no. 1 (August 2, 2019): 14. http://dx.doi.org/10.32504/hspj.v3i1.93.
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The result of statistical analysis obtained data on the average blood pressure inthe left group before being given the intervention of 173,76/96,41 while after being given the intervention of 170,29/93,82. On the singing group before being given intervention, the average of blood pressure of 153,06/87,41 and after being given intervention tobe 168/87. Camparative test results in both groups between before and after ihe invention were obtained p – value = 0,00 (p- value p < 0,05). Conclusion was spiritual emotional freedom techneque (SEFT) is more effective than singing to reduce the blood pressurenof the elderly with hypertension in social service home, Pucang Gading, Semarang. One of the body system disorders that is often experienced by the elderly. Namely the cardiovascular system such as hypertension. Hypertension of elderly can caused bad condition such as heartdiscase, stroke and kidney failure, there fore, intervention is needed to maintain blood pressure within normal himits.
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Serrador, Jorge M., Farzaneh A. Sorond, Mitul Vyas, Margaret Gagnon, Ikechukwu D. Iloputaife, and Lewis A. Lipsitz. "Cerebral pressure-flow relations in hypertensive elderly humans: transfer gain in different frequency domains." Journal of Applied Physiology 98, no. 1 (January 2005): 151–59. http://dx.doi.org/10.1152/japplphysiol.00471.2004.
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The dynamics of the cerebral vascular response to blood pressure changes in hypertensive humans is poorly understood. Because cerebral blood flow is dependent on adequate perfusion pressure, it is important to understand the effect of hypertension on the transfer of pressure to flow in the cerebrovascular system of elderly people. Therefore, we examined the effect of spontaneous and induced blood pressure changes on beat-to-beat and within-beat cerebral blood flow in three groups of elderly people: normotensive, controlled hypertensive, and uncontrolled hypertensive subjects. Cerebral blood flow velocity (transcranial Doppler), blood pressure (Finapres), heart rate, and end-tidal CO2 were measured during the transition from a sit to stand position. Transfer function gains relating blood pressure to cerebral blood flow velocity were assessed during steady-state sitting and standing. Cerebral blood flow regulation was preserved in all three groups by using changes in cerebrovascular resistance, transfer function gains, and the autoregulatory index as indexes of cerebral autoregulation. Hypertensive subjects demonstrated better attenuation of cerebral blood flow fluctuations in response to blood pressure changes both within the beat (i.e., lower gain at the cardiac frequency) and in the low-frequency range (autoregulatory, 0.03–0.07 Hz). Despite a better pressure autoregulatory response, hypertensive subjects demonstrated reduced reactivity to CO2. Thus otherwise healthy hypertensive elderly subjects, whether controlled or uncontrolled with antihypertensive medication, retain the ability to maintain cerebral blood flow in the face of acute changes in perfusion pressure. Pressure regulation of cerebral blood flow is unrelated to cerebrovascular reactivity to CO2.
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Zhang, Yanke, Ying Zhang, Zhou Zhou, Xiaoqiao Sang, Miaomiao Qin, Guangrong Dai, Zhibin Zhao, Fang Yan, and Xiaobao Zhang. "Higher intraoperative mean arterial blood pressure does not reduce postoperative delirium in elderly patients following gastrointestinal surgery: A prospective randomized controlled trial." PLOS ONE 17, no. 12 (December 22, 2022): e0278827. http://dx.doi.org/10.1371/journal.pone.0278827.
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Background This study aimed to describe the relationship between the different levels of intraoperative mean arterial blood pressure (MAP) and postoperative delirium in elderly patients undergoing gastrointestinal laparoscopic surgery. Materials and methods This prospective controlled clinical trial enrolled 116 patients aged 65 to 85 years who underwent gastrointestinal laparoscopic surgery. These patients were randomized 1:1 to a MAP goal of 65 to 85 mmHg (L group) or an 86 to 100 mmHg (H group). The primary endpoint was the incidence of postoperative delirium, assessed twice daily with the Confusion Assessment Method (CAM) and Richmond Agitation–Sedation Scale (RASS) during the first five postoperative days. Delirium severity was evaluated with the Delirium-O-Meter (D-O-M). Results 108 patients (L group n = 55, H group n = 53) were eventually included in intention-to-treat analyses. Postoperative delirium occurred in 18 (32.7%) of 55 cases of L group and in 15 (28.3%) of 53 cases of H group. The incidence of delirium subtypes between the two groups: hypoactive delirium 14.5% (8/55) vs 11.3% (6/53); hyperactive delirium 7.3% (4/55) vs 3.8% (2/53); mixed delirium 10.9% (6/55) vs 13.2% (7/53). However, the L group showed higher D-O-M scores of the first episode of delirium: 14.5 (Q1 = 12, Q3 = 18.5) vs 12 (Q1 = 10, Q3 = 14), which means the delirium is more severe. Conclusions Compared with 65 to 85 mmHg, maintaining intraoperative MAP at 86–100 mmHg did not reduce the incidence of postoperative delirium in elderly patients undergoing gastrointestinal laparoscopic surgery. However, the severity of delirium could be reduced and blood loss is a risk factor for postoperative delirium.
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Kumar, Amrit. "IoT Based Elderly Healthcare Monitoring System." International Journal for Research in Applied Science and Engineering Technology 10, no. 6 (June 30, 2022): 3320–28. http://dx.doi.org/10.22214/ijraset.2022.44645.
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Abstract: Now a days continuous patient health monitoring is becoming a key concern for the doctors since it can help them save patient’s life. So, the main objective is to design a patient monitoring system which can monitor various physiological data of patient who is remotely placed and make available this real time data to the doctor. The data is made available over the internet so that doctor can access this data from anywhere in the world. Remote patient monitoring reduces the need of doctor`s visit to the patient. In this entire system IOT plays a major role in providing many applications and services and Raspberry Pi used here is not just a sensor node but also a processor. It is a smart device which can sense, gather and publish this data over the internet. Paper proposes a generic health monitoring system with Heart Disease Prediction system (HDPS) using Neural network. The HDPS system predicts the likelihood of patient getting a heart disease. For prediction, the system uses sex, blood pressure, age, height, weight like medical parameters. as a step forward to the progress made in this department till now.
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Ruparelia, Darshan, Ganpat Devpura, Rakesh Thakuriya, and Bindu Rani. "Study of Autonomic Neuropathy in Cardiovascular System in Chronic Renal Failure Patients on Maintenance Hemodialysis." East African Scholars Journal of Medical Sciences 5, no. 2 (February 15, 2022): 35–38. http://dx.doi.org/10.36349/easms.2022.v05i02.002.
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Autonomic nervous system abnormalities are major causes of morbidity and mortality in patients with chronic renal failure (CRF) on hemodialysis and are generally considered a part of polyneuropathy. Postural hypotension, impotency, gastrointestinal disturbance, gastrointestinal motility, and sweating abnormalities are common symptoms. The most frequent complication in patients with CRF on hemodialysis is intradialytic hypotension, and it has been suggested that intradialytic hypotension is mostly related to autonomic neuropathy. The pathogenesis of autonomic neuropathy is unclear, but a reduced response to norepinephrine by the end organ and the toxic effect of metabolic toxins are considered to be some of the causes. Five cardiovascular reflex tests are generally used to determine autonomic neuropathy: the heart rate reaction to the Valsalva Maneuver, the heart rate variability during deep breathing, the heart rate response to standing up, the blood pressure response to standing up, and the blood pressure response to hand grip exercise.
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Suwarini, Ni Made, Ni Made Ari Sukmandari, and Made Ririn Sri Wulandari. "Pengaruh Pemberian Terapi Akupresur terhadap Tekanan Darah Lansia di Puskesmas Kediri I Tabanan." Jurnal Surya Medika 7, no. 1 (August 30, 2021): 243–47. http://dx.doi.org/10.33084/jsm.v7i1.2181.
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Long as the elderly are getting older, the cardiovascular system will experience changes such as arteries losing their elasticity, leading to an increase in pulse and systolic blood pressure. Acupressure is a development of acupuncture therapy that can lower blood pressure; stimulation at the acupressure point causes the release of endorphin hormones which reduce lactic acid production to provide a relaxed and comfortable condition. This study used a pre-experimental research design with a one-group pre-posttest design with simple random sampling, which involved 34 elderly with hypertension. According to the standard operational procedure (SOP), blood pressure was measured with a sphygmomanometer, and acupressure therapy was the standard operational procedure (SOP). Data analysis was carried out using a paired t-test because the data were normally distributed. The results showed that the mean blood pressure before the intervention was 152.35/97.65 mmHg, while after the intervention, the average blood pressure was 140.74/90.59 mmHg. Analysis with paired sample t-test obtained p-value = 0.001 in systolic and diastolic pressures. There were differences in blood pressure before and after acupressure therapy intervention in the elderly at Kediri I Public Health Center, Tabanan Regency. It is hoped that nurses can independently provide acupressure therapy to older adults with hypertension to lower blood pressure.
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Rahmawati, Ira, Ade Dilaruri, Sulastyawati, and Supono. "The Role of Passive legs Raising Position in Hypovolemic Shock: A Case Report and Review of the Literature." Journal Of Nursing Practice 4, no. 2 (April 1, 2021): 177–84. http://dx.doi.org/10.30994/jnp.v4i2.130.
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Background: Hypovolemic shock can be catastrophic rapidly unless recognized and treated promptly. Although gastrointestinal loses might be the cause of hypovolemic shock in the elderly, it rarely causes a change in the blood gas analysis results.Purpose: This study aimed to report a case of a 75-year-old male with signs of hypovolemic shock caused by gastrointestinal loses and discuss the effect of passive leg raising procedure as an early nursing intervention in patients presenting with shock.Methods: The method used in this paper is a case study. The subject in this study is a 75-year-old male presenting to our Emergency Room with signs of shock which was caused by gastrointestinal problems. Passive leg raising or also known as modified Trendelenburg Position was performed as the patient presenting with low blood pressure. The results of physical dan laboratory investigation, as well as the nursing and medical therapies were presented, analyzed and discussed based on the recent literature.Results: There was an increase in the Mean Arterial Pressure (MAP) after the intervention was given for five minutes followed by fluid resuscitation with 1000 ml of warm Normal Saline. The patient responded well to the intervention given in the ED and was sent to the Intermediate Ward for further treatments.Conclusion: Passive leg raising might be beneficial to be performed in patients with hypovolemic shock as it increases the venous blood return the heart.
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Akamizu, T., T. Murayama, S. Teramukai, K. Miura, I. Bando, T. Irako, H. Iwakura, et al. "Plasma ghrelin levels in healthy elderly volunteers: the levels of acylated ghrelin in elderly females correlate positively with serum IGF-I levels and bowel movement frequency and negatively with systolic blood pressure." Journal of Endocrinology 188, no. 2 (February 2006): 333–44. http://dx.doi.org/10.1677/joe.1.06442.
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Aging is associated with a decrease in growth hormone (GH) secretion, appetite and energy intake. As ghrelin stimulates both GH secretion and appetite, reductions in ghrelin levels may be involved in the reductions in GH secretion and appetite observed in the elderly. However, only preliminary studies have been performed on the role of ghrelin in elderly subjects. In this study, we sought to clarify the physiologic implications of the age-related alterations in ghrelin secretion by determining plasma ghrelin levels and other clinical parameters in healthy elderly subjects. Subjects were ≥ 65 years old, corresponding to the SENIEUR protocol, had not had a resection of the upper gastrointestinal tract and had not been treated with hormones. One hundred and five volunteers (49 men and 56 women) were admitted to this study (73.4 ± 6.3 years old). Plasma levels of acylated ghrelin in elderly female subjects positively correlated with serum IGF-I levels and bowel movement frequency and negatively with systolic blood pressure. In elderly men, desacyl ghrelin levels correlated only weakly with bowel movement frequency. These findings suggest that the plasma levels of the acylated form of ghrelin may influence the age-related alterations in GH/IGF-I regulation, blood pressure and bowel motility. These observational associations warrant further experimental studies to clarify the physiologic significance of these effects.
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Braillon, Alain. "Adequate Control of Blood Pressure for the Elderly… in a Less Than Adequate Healthcare System." Journal of the American College of Cardiology 70, no. 1 (July 2017): 118–19. http://dx.doi.org/10.1016/j.jacc.2017.02.079.
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Zanchetti, Alberto, Laura Bianchi, Silvia Amigoni, Stefano Omboni, Alessandra Villani, and Antonella Ravogli. "Antihypertensive effects of nifedipine gastrointestinal therapeutic system on clinic and ambulatory blood pressure in essential hypertensives." Journal of Hypertension 11, no. 5 (December 1993): S334???S335. http://dx.doi.org/10.1097/00004872-199312050-00146.
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Priyanto, Sigit. "PENGARUH REBUSAN DAUN SIRIH TERHADAP PENURUNAN TEKANAN DARAH PADA LANSIA HIPERTENSI DI DESA PASURUHAN KECAMATAN MERTOYUDAN KABUPATEN MAGELANG." Jurnal Ilmu Keperawatan Komunitas 1, no. 1 (September 13, 2018): 34. http://dx.doi.org/10.32584/jikk.v1i1.86.
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Elderly (elderly) is a group of people who experience a process of gradual change over a period of time and are at risk of experiencing various health problems. Problems that are often experienced by elderly people are malnutrition, balance disorders, and the cardiovascular system, namely hypertension. Objective: To determine the effect of betel leaf decoction on blood pressure reduction in elderly hypertension in Pasuruhan village, Mertoyudan district, Magelang regency. Method: The research design used in this study was a quasi experiment using two groups pre post test with control group design. The number of samples was 36 for the intervention group and 36 for the control group. Hypothesis test analysis using Wilcoxon test analysis. Results: The results of statistical tests showed the effect of betel leaf decoction on blood pressure reduction in elderly hypertension in Pasuruhan village, Mertoyudan district, Magelang regency. p-value = 0.000 (<0.05), with a mean pre-test of 167/115 mmHg and post-test was 157/105 mmHg in the intervention group. The average control group of blood pressure before treatment was 169/119 mmHg and after treatment was 162/113 mmHg. Conclusion: There is an effect of betel leaf decoction on decreasing blood pressure in elderly hypertension in Pasuruhan village, Mertoyudan district, Magelang regency. Suggestion: Decoction of betel leaf can be given as a support therapy for hypertensive patients.
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Sari, Ni Luh Putu Dian Yunita, and Etty Rekawati. "The Effect of Traditional Music Therapy on Blood Pressure Among Elderly with Hypertension: A Literature Review." International Journal of Nursing and Health Services (IJNHS) 2, no. 2 (June 15, 2019): 55–65. http://dx.doi.org/10.35654/ijnhs.v2i2.103.
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Background: Elderly as one of vulnerable population has experienced several risk of cardiovascular system disturbance such as hypertension. Hypertension be non communicable disease most suffered elderly in some countries. Objective: This literature review aimed at describing the effect of traditional music therapy on blood pressure among elderly with hypertension. Method: This study carried out from databases such as EBSCOhost, Scopus, Pubmed, ProQuest, Science Direct and Sage with limited years of an article published in the last ten years (2008-2018). Result: Fifteen most relevant articles were extracted in this study and found that traditional music therapy provide a positive effect to decrease blood pressure’s elderly with hypertension and this finding explained clearly with Roy’s Adaptation Model. Conclusion: Traditional music therapy provides a positive effect in lowering blood pressure’s elderly with hypertension. This therapy can be given as single intervention or collaboration with other non pharmacological therapy such as calisthenics, breathing exercises, muscle relaxation, lifestyle modifications and walking-based exercise.
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Zhang, Jie, and Lixin Guo. "Effectiveness of acarbose in treating elderly patients with diabetes with postprandial hypotension." Journal of Investigative Medicine 65, no. 4 (February 17, 2017): 772–83. http://dx.doi.org/10.1136/jim-2016-000295.
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Postprandial hypotension (PPH) is a common condition that occurs primarily in elderly patients with type 2 diabetes mellitus (T2DM). This study aimed to assess the effectiveness of acarbose for PPH; it also investigated possible mechanisms behind PPH development. This single-blind, randomized controlled trial included 91 elderly patients with T2DM, aged between 60 and 80 years, who were inpatients at Beijing Hospital between March 2012 and November 2014. The patients were included into one of three groups: Group A, patients with T2DM without PPH; Group B, patients with T2DM with PPH receiving placebo; and Group C, patients with T2DM with PPH receiving acarbose. After an overnight fast, patients received a single dose of acarbose (100 mg) or placebo and then consumed a standardized 450 kcal meal. Blood pressure, glucose levels, heart rate (HR), and catecholamine levels were evaluated. Acarbose ameliorated PPH as determined by significant improvements in the duration and maximal fall in blood pressure (both p<0.001); however, no differences in HR and blood glucose levels were observed. In patients with PPH, blood pressure was correlated with blood glucose and HR variability values (p<0.05). Correlations between epinephrine and glucagon-like peptide-1 with blood pressure in groups A and C were largely lost in group B. Acarbose reduced postprandial blood pressure fluctuations in elderly patients with diabetes. PPH may be related to impaired autonomic nervous system function, reduced catecholamine secretion, and postprandial fluctuations in blood glucose levels.Trial registration numberChinese Clinical Trial Registry ChiCTR-IPR-15006177.
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Sharma, Sunil Kumar, D. K. Maharjan, P. B. Thapa, S. B. Adhikari, B. Byenjankar, S. Khadka, and R. Gurung. "The Role of Sedation and Pulse Oximetry During Upper Gastrointestinal Endoscopy." Journal of Nepal Medical Association 48, no. 174 (April 1, 2009): 92–8. http://dx.doi.org/10.31729/jnma.175.
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Introduction: To determine the changes in oxygen saturation, blood pressure and pulse rate during endoscopic procedure and to evaluate – oesophagogastroduodenoscopy (OGD) related discomfort assessed by the patient. Methods:It is observational case control study. Baseline pulse, blood pressure and oxygen saturation were monitored before procedure, at one minute of procedure, at fi ve minute and soon after procedure. Patients were randomly selected according to lottery system (1: without sedation and 2: with sedation) and divided into two groups; without and with sedation. Before leaving department they were asked about level of discomfort during and after procedure. Results:Patient’s mean age ± SD: 36.65, ± 11.42 years and 53.3% were men. Base line mean oxygen saturation among sedated patient were 96.77 ±1.56 % and 97.23, ± 2.26 % respectively (P=0.358). Mild to moderate hypoxia was noted more in sedated patient than in non sedated patient. Severe hypoxia was noted in 3.3% of sedated patient. No statistically signifi cant change was noticed in pulse and blood pressure in both the group. None or only slight discomfort was experienced by 9.4% in non sedated group and 90.6% in sedated group. Severe discomfort by 96.4% in non sedated group and 3.6% in sedated group .Conclusions:There is slight more incidence of mild hypoxia in sedated group than in non sedated group but no change in pulse and blood pressure. However, sedated patient have significant less level of discomfort than in non sedated group. Though routine use of pulse oxymeter is not necessary, routine use of sedation during endoscopy is recommended. Key Words: discomfort, gastroscopy, oxygen saturation, pulse oximeter
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Briasoulis, Alexandros, Ernesto Ruiz Duque, Dimitrios Mouselimis, Anastasios Tsarouchas, Constantinos Bakogiannis, and Paulino Alvarez. "The role of renin-angiotensin system in patients with left ventricular assist devices." Journal of the Renin-Angiotensin-Aldosterone System 21, no. 4 (October 2020): 147032032096644. http://dx.doi.org/10.1177/1470320320966445.
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End-stage heart failure is a condition in which the up-regulation of the systemic and local renin-angiotensin-aldosterone system (RAAS) leads to end-organ damage and is largely irreversible despite optimal medication. Left ventricular assist devices (LVADs) can downregulate RAAS activation by unloading the left ventricle and increasing the cardiac output translating into a better end-organ perfusion improving survival. However, the absence of pulsatility brought about by continuous-flow devices may variably trigger RAAS activation depending on left ventricular (LV) intrinsic contractility, the design and speed of the pump device. Moreover, the concept of myocardial recovery is being tested in clinical trials and in this setting LVAD support combined with intense RAAS inhibition can promote recovery and ensure maintenance of LV function after explantation. Blood pressure control on LVAD recipients is key to avoiding complications as gastrointestinal bleeding, pump thrombosis and stroke. Furthermore, emerging data highlight the role of RAAS antagonists as prevention of arteriovenous malformations that lead to gastrointestinal bleeds. Future studies should focus on the role of angiotensin receptor inhibitors in preventing myocardial fibrosis in patients with LVADs and examine in greater details the target blood pressure for these patients.
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Watts, Stephanie W. "The love of a lifetime: 5-HT in the cardiovascular system." American Journal of Physiology-Regulatory, Integrative and Comparative Physiology 296, no. 2 (February 2009): R252—R256. http://dx.doi.org/10.1152/ajpregu.90676.2008.
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Serotonin [5-hydroxytryptamine (5-HT)] is an amine made from the essential amino acid tryptophan. 5-HT serves numerous functions in the body, including mood, satiety, and gastrointestinal function. Less understood is the role 5-HT plays in the cardiovascular system, although 5-HT receptors have been localized to every important cardiovascular organ and 5-HT-induced changes in physiological function attributed to activation of these receptors. This manuscript relates a few scientific stories that test the idea that 5-HT is important to the control of normal vascular tone, more so in the hypertensive condition. Currently, our laboratory is faced with two different lines of experimentation from which one could draw vastly different conclusions as to the ability of 5-HT to modify endogenous vascular tone and blood pressure. Studies point to 5-HT being important in maintaining high blood pressure, but other studies solidly support the ability of 5-HT to reduce elevated blood pressure. This work underscores that our knowledge of the functions of 5-HT in the cardiovascular system is significantly incomplete. As such, this field is an exciting one in which to be, because there are superb questions to be asked.
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Volobuev, Andrei N., and Petr I. Romanchuk. "A specific feature of the diagnosis of primary arterial hypertension in elderly patients." Science and Innovations in Medicine 5, no. 3 (October 20, 2020): 148–53. http://dx.doi.org/10.35693/2500-1388-2020-5-3-148-153.
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Objective the analysis of a group of factors, leading to the increase of pulse pressure in the direction from aorta to microcirculation vessels, in order to define the diagnostic criterion for exception of primary arterial hypertension.
Material and methods.In the study, the modelling of the functions of arteries in cardiovascular system was used.
Results.The role of the increase of pulse pressure to the periphery of blood circulation was regarded as the diagnostic attribute of exception of the primary arterial hypertension. It was noted, that physical factors of the increase of pulse pressure to the periphery of blood circulation were insignificant. The cardiovascular reflex has the major influence on the increase of pulse pressure, its deterioration results in the decrease of this pressure.
Conclusion.The analysis revealed the fact, that the normal ankle-brachial index allows for exclusion of primary arterial hypertension in a patient, even if the absolute values of arterial pressure are in the limits corresponding to this disease.
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Nair, Vidhya, Hadi Mohammed, Sharmeen Mahmood, Pushpinderdeep Singh Kahlon, and Philip Kuriakose. "Assessing Steroid Toxicity in the Elderly with Multiple Myeloma." Blood 134, Supplement_1 (November 13, 2019): 5557. http://dx.doi.org/10.1182/blood-2019-125442.
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Background The mainstay of treatment for Multiple Myeloma (MM) includes various combinations of chemotherapy, which generally includes high dose steroids. The median age at diagnosis for MM is above 60 years. Patients above the age of 70 may not be considered for an auto peripheral blood transplant, resulting in being treated with chemotherapy alone. This often leads to a relatively long period of steroid exposure. Increasing age is a risk factor for decreased tolerance to steroids, and increased drug toxicity. As such, the steroid dose (usually Dexamethasone) is often considered for reduction in patients above a certain age. However, there are no clear guidelines regarding a standard dose to use in the elderly, nor is there uniformity among clinicians in the way doses are chosen. Purpose To assess a) the starting dose of Dexamethasone (dex) in the elderly, b) frequency of dose reduction of dexamethasone, c) adverse effects of dex treatment in the elderly with MM, and d) average time after dose reduction. Methods We performed a 10 year retrospective chart review on patients, age 70 or greater treated at Henry Ford Health System with a diagnosis of MM from 2000-2015. Patients were grouped by age 70-75 years, 76-80 years, and greater than 80 years based on when treatment was initiated. We investigated the starting treatment dose of dex, ranging from 1-20 mg weekly and 21-40 mg weekly. Secondly, we assessed for the occurrence of dose reduction; and, if present, the length of time to reducing the dose. Lastly, the types of adverse effects to dex leading to dose reduction were grouped by system, such as, central nervous system, musculoskeletal, endocrine, gastrointestinal and psychiatric. Data collected was categorical, thus, no statistical tests were performed as this was a descriptive study. Results A total of 150 patients were reviewed and 91 patients met the inclusion criteria. Of these patients, 8 (8.8%) were started at doses between 1-20 mg and majority (62.5%) were ages 70-75, thus, there was no relation between lower starting dose and age. Of the 91 patients, 24 (26.4%) had a dose reduction and 11 (12.1%) had both chemotherapy and dex discontinued prior to therapy completion. Majority (87.5%) of patients that had a dose reduction were initially started at 40 mg. The reasons for dose reduction included adverse effects grouped by musculoskeletal (29.17%), psychiatric (16.67%), endocrine (12.3%), central nervous system (4.17%), and gastrointestinal (4.17%). Of note, 8 patients (33.3%) had dose reductions as result of their clinical trial requirement. The average length of dex therapy before dose reduction was 17.2 months. Conclusion The majority of elderly patients (age 70 or above) with MM tolerated full doses of dex without adverse effects. Secondly, there was no relation between lower starting dose for dex and advanced age. However, since there were limited patients (n=8) who started at a low dose, other than those on clinical trials, we were not able to do a comparison of starting doses. But we were able to show that the majority of patients tolerated full dose, despite their age. The most frequent cause of steroid toxicity was musculoskeletal, such as leg swelling. On average, elderly patients were able to tolerate full dose of dex for over 1 year prior to requiring a dose reduction. Summary Our data demonstrates no correlation between advanced age in MM and lack of tolerability of high dose steroids. In conclusion, current findings do not justify reduced doses solely based on age alone. Future studies could include investigating statistical analysis on steroid exposure and survivorship. Disclosures Kuriakose: Alexion: Consultancy, Honoraria, Speakers Bureau; Bayer: Consultancy.
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Defina, Laura F., David A. Bookstaver, Michael P. Goldfinger, and Timothy A. Coffey. "Nifedipine Gastrointestinal Therapeutic System versus Nifedipine Coat-Core: Comparison of Efficacy via 24-Hour Ambulatory Blood Pressure Monitoring." Annals of Pharmacotherapy 31, no. 7-8 (July 1997): 819–22. http://dx.doi.org/10.1177/106002809703100701.
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OBJECTIVE: To assess the comparable efficacy and adverse effect profile of two extended-release preparations of nifedipine — Gastrointestinal therapeutic system (GITS) and coat-core (CC) — In patients with mild-to-moderate hypertension. DESIGN: Single institution, single-blind, prospective study. SETTING: Dwight David Eisenhower Army Medical Center, Fort Gordon, GA. PATIENTS: Ninety-one patients who were taking nifedipine GITS as a sole antihypertensive agent were randomized to receive either GITS or CC. After 3 weeks, 24-hour ambulatory blood pressure monitoring was conducted and an adverse effect questionnaire was administered. The patients were then crossed over to the other treatment arm and monitoring was repeated after 3 weeks. MEASUREMENTS: Mean blood pressures, heart rates, and the percentage of readings exceeding 140 mm Hg systolic and 90 mm Hg diastolic were compared for the 24-hour period. Additionally, mean blood pressures at 4-hour intervals after drug administration and heart rate during the first 8 hours of the dosage interval were compared. RESULTS: Ninety-one patients enrolled, 79 completed the study, and 62 patients were included in the efficacy analysis. A statistically significant difference (p = 0.020) was shown only in the last 4-hour systolic blood pressure. However, this difference was small (122 ± 15 mm Hg with GITS vs. 126 ± 14 mm Hg with CC). There was no difference in the percentage of readings exceeding 140 mm Hg systolic or 90 mm Hg diastolic. Neither dosage nor treatment order had an effect on the results. Adverse effects were reported with a greater frequency during CC therapy (40 with CC vs. 22 with GITS; p = 0.006), but were generally transient. Discontinuation of the drug was necessary in 3 patients during the CC cycle. CONCLUSIONS: GITS and CC demonstrated clinically equivalent antihypertensive efficacy in the study population. The CC product may have a higher rate of adverse effects, but drug discontinuation was uncommon. Patients who are taking the GITS formulation of nifedipine as a sole antihypertensive agent can safely be switched to the CC preparation without a clinically important sacrifice in blood pressure control or a major increase in adverse effects that might lead to drug discontinuation. The results of this study cannot be extrapolated to patients with poorly controlled hypertension or with other conditions treated with nifedipine. At our military medical center or any cost-controlled institution, the reason to contemplate such a switch is clearly economic. We estimate that there are 600 patients at our institution receiving the GITS preparation, at an annual cost of $320 000. At the current market costs, a direct switch would lead to an annual savings of $120 000 for our institution. For patients currently taking the GITS nifedipine product, CC nifedipine offers adequate blood pressure control and is more cost effective.
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Raharjo, Rahmawati, and Agung Dwi Rahardjo. "Decreasing in Blood Pressure with Music Therapy (Vivaldi-The Four Season) in Elderly Patients With Hypertension in PSTW Glenmore Banyuwangi." Wiraraja Medika : Jurnal Kesehatan 10, no. 2 (November 30, 2020): 48–52. http://dx.doi.org/10.24929/fik.v10i2.1046.
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The elderly is a vulnerable age group having health problems. The addition of age causes the function and structure of organs, especially the cardiovascular system and blood vessels, the condition contributes to the trigger occurs an increase in blood pressure. Prevention and management of hypertension can be done by pharmacological and non-pharmacological methods. The non-pharmacological method that can be intervened is classical music. The purpose of this study was to determine the effect of music therapy on reducing blood pressure in hypertensive elderly. This type of research design uses a pre-experimental design with one group pre-test-post test design approach. Samples were taken using a purposive sampling technique of 53 elderly people living in the Banyuwangi Tresna Werdha Social Home. Analysis of data using the Wilcoxon test with a value of p <0.05. Wilcoxon analysis test results obtained p or (Asymp. Sig. (2-tailed) = 0,000, p <0.05. These results research showed there was a difference before and after given classical music therapy in elderly patients with hypertension. Then it can be concluded that the delivery of music therapy in patients with hypertension will help in lowering blood pressure so that music therapy (Vivaldi-the four-season) becomes a non-pharmacological solution both in service and self-handling.
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Raharjo, Rahmawati, and Agung Dwi Rahardjo. "Decreasing in Blood Pressure with Music Therapy (Vivaldi-The Four Season) in Elderly Patients With Hypertension in PSTW Glenmore Banyuwangi." Wiraraja Medika : Jurnal Kesehatan 10, no. 2 (November 30, 2020): 48–52. http://dx.doi.org/10.24929/fik.v10i2.1046.
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The elderly is a vulnerable age group having health problems. The addition of age causes the function and structure of organs, especially the cardiovascular system and blood vessels, the condition contributes to the trigger occurs an increase in blood pressure. Prevention and management of hypertension can be done by pharmacological and non-pharmacological methods. The non-pharmacological method that can be intervened is classical music. The purpose of this study was to determine the effect of music therapy on reducing blood pressure in hypertensive elderly. This type of research design uses a pre-experimental design with one group pre-test-post test design approach. Samples were taken using a purposive sampling technique of 53 elderly people living in the Banyuwangi Tresna Werdha Social Home. Analysis of data using the Wilcoxon test with a value of p <0.05. Wilcoxon analysis test results obtained p or (Asymp. Sig. (2-tailed) = 0,000, p <0.05. These results research showed there was a difference before and after given classical music therapy in elderly patients with hypertension. Then it can be concluded that the delivery of music therapy in patients with hypertension will help in lowering blood pressure so that music therapy (Vivaldi-the four-season) becomes a non-pharmacological solution both in service and self-handling.
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Mustika, I. Wayan, Ketut Sudiantara, and Agus Sri Lestari. "Health Education With Audiovisual Media and Relaxation Massage in Lowering Blood Pressure and Improved Sleep Quality for the Elderly." Open Access Macedonian Journal of Medical Sciences 9, G (September 8, 2021): 118–23. http://dx.doi.org/10.3889/oamjms.2021.6781.
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Intruduction: The aging process results in a progressive decline in physiological functions with age, including a decrease in productivity. Hypertension is a major problem in public health in Indonesia and in developing countries. Hypertension is a common cause of disturbed sleep patterns, due to structural and functional changes in the peripheral vascular system. The purpose of this study was the effect of health education with audiovisual methods and relaxation massage to reduce blood pressure and sleep quality disorders in the elderly. Materials and Methods: Experimental research (community trial) with pretest-posttest control group design. The target population in this study is the elderly who are included in the elderly age group, namely > 50 years in Selemadeg District, Tabanan Regency. The sample size is 90 elderly, determined based on the results of previous studies with a standard deviation (σ) = 0.51, the difference in the mean of cognitive changes (μ1- 2) = 0.30. divided into two groups, the treatment group and the control group. The independent variable is health education using audiovisual media and Relaxation Massage and the dependent variable is blood pressure. Data collection tools in the form of sphygmomanometer, observation sheet. Data analysis used independent t-test, paired t-test and Multivariate ANOVA test. Result: The blood pressure of the treatment group before the intervention mostly had grade I hypertension (53.3%), and after the intervention most of the blood pressure improved to normal (57.8%), and this result was statistically significant (0.000). In the treatment group before the intervention, many had poor sleep quality (46.7%), and after the intervention improved sleep quality in the good category (53.3%), and this result was statistically significant (0.000). Conclotion: It is concluded that the provision of health education with audiovisual methods and massage relaxation can reduce blood pressure and improve sleep quality in the elderly.
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Widhi, Binar Wahyuning, and Mega Arianti Putri. "CORRELATION BETWEEN BODY FAT PERCENTAGE AND TOTAL CHOLESTEROL LEVELS TO HYPERTENSIVE ELDERLY WOMAN IN MADIUN." Nurse and Health: Jurnal Keperawatan 10, no. 1 (June 9, 2021): 26–37. http://dx.doi.org/10.36720/nhjk.v10i1.216.
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Background: Patients with hypertension have twice as great exposed to heart disease and eight times as large as a stroke risk than who do not experience hypertension. Risk increase in blood pressure on the person who has overweight than people with normal weight. Women who have increased cholesterol levels in the blood more vulnerable for hypertension (Nikolov et al., 2015).
Objectives: The purpose of this research aimed to determine a percentage of body fat and cholesterol levels of the elderly women in Posyandu, Geger Subdistrict, Madiun who occurrence of hypertension.
Methods: This research using cross sectional design. The sample using purposive sampling technique with 38 respondent which satisfy the inclusion criteria. Instrument used is Bioelectrical Impedance Analysis tool. Statistical test used is spearman rho with a significance level of α < 0.05.
Results: The results of this study showed that significant relationship between body fat percentage and blood pressure (p-value = .033; r = .304). Meanwhile, total cholesterol level did not show any relationship with blood pressure (p-value = .429; r = -.132).
Conclusion: Fat Accumulation in the kidneys where the renin-angiotensin system is identified in human fat tissue, can cause impaired nephron function which causes blood pressure to rise. Thus, abdominal obesity accompanied by ectopic fat deposits can play an important role in the development of hypertension and should not be neglected when undertaking blood pressure-lowering therapy.
Keywords: Body fat, cholesterol, elderly women.
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Atmaja, Hadi Kusuma, and Dina Fithriana. "A COMPARISON ON THE EFFECTIVENESS OF YOGA AND AROMATHERAPY MASSAGE USING LAVENDER TO DECREASE BLOOD PRESSURE IN ELDERLY." Jurnal Kesehatan Prima 11, no. 2 (April 10, 2018): 83. http://dx.doi.org/10.32807/jkp.v11i2.1.
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Abstract: The more a person’s age will affect the physical change. It may cause a change of cardiovascular system. One of ailments caused by cardiovascular change is hypertension. It is a leading cause of death in the world. One of the hypertension management is Yoga that can cause vasodilation of blood vessels and blood flow thus it can lower blood pressure. The purpose in the study was to identify the effectiveness of Yoga gymnastics compared by Aromatherapy massage using Lavender to decrease blood pressure in Nursing Home of Tresna Werda Puspakarma Mataram. The research used pre-experimental design namely two group pretest-posttest designs with sampling technique was purposive sampling. The sample was 20 respondents in each group that in accordance with criteria which have been set. The instrument was observation guideline and data analysis employed t-test. The result of statistical test on 9 respondents in each treatment group indicated there was a significant change of respondents’ blood pressure who were given either Yoga exercises or Aromatherapy massage using Lavender with t-count was higher than t-table (2.26), whereas Aromatherapy massage (t-count = 7.30) was more effective than Yoga activity (t-count = 4.296) to decrease blood pressure in Elderly. It can be concluded that Aromatherapy massage using Lavender is more effective than Yoga activity in decreasing Elderly’s blood pressure in Nursing House of Tresna Werda Puspakarma Mataram. This research is expected to be applied as one of therapy to figure out the increasing of blood pressure especially in Elderly.
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Susmadi, Susmadi, Anna Sunita, and Gurid Pramintarto Eko Mulyo. "The Effect of Deep Breath Relaxation and Roasted Garlic Consumption on the Blood Pressure decrease in the Pressure of Elderly Hypertension." Open Access Macedonian Journal of Medical Sciences 10, G (January 2, 2022): 80–85. http://dx.doi.org/10.3889/oamjms.2022.7814.
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Background Patients with hypertension are estimated to reach 1 billion globally, where 972 million (26%) of the adults in the world suffer from hypertension. Predicted by 2025, about 29% of adults worldwide suffer from hypertension, and two-thirds of them are in developing countries. Increased blood pressure that takes place in a long time can cause damage to the kidneys, heart, and brain when not detected early and received adequate treatment. The intervention of hypertension is still constrained in chemical drug pharmacological therapy. For non-pharmacological or complementary treatment such as deep breath relaxation and roasted garlic, consumption is already known in the community but not maximized utilized. Hence, a combination of this intervention needs to be developed to assess the effect of synergies.
Methods: The study was conducted in the west Bogor district with samples of 34 Pre-elderly and elderly respondents. Design of pre-experiment One Group Pre-Post Test Design by working combination intervention. Analysis of T-dependent tests and simple linear regression correlation.
Results and Conclusions: There is an influence of combination intervention on the second measurement of the day of intervention of the Systolic blood pressure (P-Value 0.006), a mean of 6.56 mmHg decrease, against diastole blood pressure (P-Value Vauile) is disclosed difference of 3.82 mmHg. In the post-intervention measurement of the Systolic blood pressure (P-Value 0.000) is a mean 8.86 mmHg, of diastole blood pressure not the influence (P-Value 0.103) with a decrease of 2.60 mmHg, there is an age correlation to the average of the decision of blood pressure of the system of the Systole (P-Value 0.006) shows the relationship and patterned positive. They recommended research results to alternative, complementary therapy effectively lowering blood pressure in the community.
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Uchiyama, Kazuhiko, Takeshi Ishikawa, Naoyuki Sakamoto, Hirokazu Kajikawa, Tomohisa Takagi, Osamu Handa, Yoshihide Tatsumi, et al. "Analysis of Cardiopulmonary Stress during Endoscopy: Is Unsedated Transnasal Esophagogastroduodenoscopy Appropriate for Elderly Patients?" Canadian Journal of Gastroenterology and Hepatology 28, no. 1 (2014): 31–34. http://dx.doi.org/10.1155/2014/291204.
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BACKGROUND: Transnasal esophagogastroduodenoscopy (EGD) without sedation has been reported to be safe and tolerable. It has recently been used widely in Japan for the detection of upper gastrointestinal disease. Alternatively, transoral examination using a thin endoscope has also been reported to be highly tolerable.OBJECTIVE: To examine the cardiocirculatory effects of transoral versus transnasal EGD in an attempt to determine the most suitable endoscopic methods for patients ≥75 years of age.METHODS: Subjects who underwent monitoring of respiratory and circulatory dynamics without sedation during endoscopic screening examinations were enrolled at the New Ooe Hospital (Kyoto, Japan) between April 2008 and March 2009. A total of 165 patients (age ≥75 years) provided written informed consent and were investigated in the present study. Patients were randomly divided into three subgroups: UO group – thin endoscope; SO group – standard endoscope; and UT group – transnasal EGD. Percutaneous arterial blood oxygen saturation, heart rate and blood pressure were evaluated just before EGD and at five time points during EGD. After transnasal EGD, patients who had previously been examined using transoral EGD with a standard endoscope were asked about preferences for their next examination.RESULTS: There were no statistical differences in the characteristics among the groups. Percutaneous oxygen saturation in the UT group showed a transient drop compared with the SO and UO groups at the beginning of the endoscopic procedure. Heart rate showed no significant differences among the SO, UO and UT groups; Systolic blood pressure in the UO group was lower immediately after insertion compared with the SO and UT groups. The rate pressure product in the UO group was comparable with that in the UT group during endoscopy, and the SO group showed a continuously higher level than the UO and UT groups. More than one-half (54.4%) of patients were ‘willing to choose transnasal EGD for next examination’.CONCLUSIONS: For elderly patients, unsedated transnasal EGD failed to show an advantage over unsedated standard endoscopy. Transoral thin EGD was estimated to be safe and tolerable.
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Dong, Zhiyu, Junwen Wang, Tingting Zhan, Haiqin Zhang, Lisha Yi, and Shuchang Xu. "A New Scoring System to Predict Poor Clinical Outcomes in Acute Nonvariceal Upper Gastrointestinal Bleeding Patients with High-Risk Stigmata." Gastroenterology Research and Practice 2018 (2018): 1–6. http://dx.doi.org/10.1155/2018/5032657.
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Aims. To explore the risk factors for rebleeding in acute nonvariceal upper gastrointestinal bleeding patients with high-risk stigmata after endoscopic hemostasis and to develop a new scoring system for them. Methods. A retrospective single-center study was conducted from January 2012 to June 2017. The logistic regression model was used to explore risk factors of poor clinical outcomes. Accuracy of new scoring systems was compared with Rockall score (RS) and Glasgow-Blatchford score (GBS) using receiver operating characteristics curve. Results. Two hundred nine patients were included. In multivariate regression analysis, systolic blood pressure, endoscopic hemostasis method, hemoglobin, blood urea nitrogen, and serum creatinine were identified as indicators for rebleeding. New scoring systems with 4 variables and 5 variables based on these 5 risk factors were chosen. The 4-variable scoring system outperformed GBS in predicting rebleeding while 5-variable scoring system outperformed RS and GBS in predicting rebleeding significantly. Score 2 was identified as the best cut-off of these 2 scoring systems. Conclusions. Systolic blood pressure, endoscopic hemostasis method, hemoglobin, blood urea nitrogen, and serum creatinine were all associated with poor clinical outcomes. The new scoring systems had greater accuracy than RS and GBS in predicting rebleeding. Further external validation should be performed to verify the results.
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Ruslang, Nirmawati Darwis, Lisna, and Firda Sintia. "PENGARUH SENAM LANSIA PADA ERA NEW NORMAL TERHADAP ERUBAHAN TEKANAN DARAH LANSIA HIPERTENSI." Hospital Majapahit (JURNAL ILMIAH KESEHATAN POLITEKNIK KESEHATAN MAJAPAHIT MOJOKERTO) 14, no. 2 (November 25, 2022): 160–68. http://dx.doi.org/10.55316/hm.v14i2.821.
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The elderly are one of the family and community members whose numbers are increasing along with life expectancy. The elderly will experience changes in the system where there is a decrease in organ function so that various health problems can arise such as degenerative diseases, better known as hypertension or also known as "the silent diseases". The importance of the problem to be investigated because the development of hypertension is slow, but it can be very dangerous. The purpose of this study was to analyze the effect of elderly exercise in the new normal era on changes in blood pressure in elderly patients with hypertension. The method used is a descriptive method with a quantitative approach with a sampling technique that is total sampling. Collecting data using observation sheets, sphygmomanometer and standard procedures for elderly gymnastics. The test used in this study is the Wilcoxon test. The results of this study indicate that from the first week to the eighth week with a p value <0.05 so it can be said that there is an influence of elderly exercise in the new normal era on changes in blood pressure of hypertensive elderly in Nepo Village.