• Title/Summary/Keyword: hypertension.

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Potts Shunt in Patients with Primary Pulmonary Hypertension

  • Kim, Sue Hyun;Jang, Woo-Sung;Lim, Hong-Gook;Kim, Yong-Jin
    • Journal of Chest Surgery
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    • v.48 no.1
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    • pp.52-54
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    • 2015
  • Idiopathic pulmonary arterial hypertension eventually leads to right-sided heart failure and sudden death. Its mortality rate in children is still high, despite improvements in pharmacological therapy, and therefore novel treatments are necessary. The Potts shunt, which creates an anastomosis between the left pulmonary artery and the descending aorta, has been proposed as a theoretically promising palliative surgical technique to decompress the right ventricle. We report the case of a 12-year-old girl with suprasystemic idiopathic pulmonary hypertension and right ventricular failure who underwent a Potts shunt for palliation with good short-term results.

Effect of Gamisamool-tang(GMSMT) on Hypertension (가미사물탕(加味四物湯)이 고혈압에 미치는 영향)

  • Cho Bong-Hyun;Kim Yoon-Sik;Seol In-Chan
    • Journal of Physiology & Pathology in Korean Medicine
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    • v.20 no.1
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    • pp.131-137
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    • 2006
  • This study was done to investigate the effect of Gamisamool-tang(GMSMT) on hypertension. After administering GMSMT extract to SHR for 5 weeks, changes in blood pressure, pulse rate, aldosterone and catecholamine levels in plasma were examined, and immunohistochemical changes were observed, and liver function test was done. The following results were obtained; blood presure decreased significantly as well as levels of aldosterone, norepinephrine and epinephrine in SHR, But levels of dopamine were unaffected. No capillary vessel dilation in adrenal cortex was observed. Safety against hepatic toxicity was showed. These results support a role for GMSMT might be usefully applied in treatment of hypertension.

Endothelium-derived Relaxing Factors of Small Resistance Arteries in Hypertension

  • Kang, Kyu-Tae
    • Toxicological Research
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    • v.30 no.3
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    • pp.141-148
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    • 2014
  • Endothelium-derived relaxing factors (EDRFs), including nitric oxide (NO), prostacyclin ($PGI_2$), and endothelium-derived hyperpolarizing factor (EDHF), play pivotal roles in regulating vascular tone. Reduced EDRFs cause impaired endothelium-dependent vasorelaxation, or endothelial dysfunction. Impaired endothelium-dependent vasorelaxation in response to acetylcholine (ACh) is consistently observed in conduit vessels in human patients and experimental animal models of hypertension. Because small resistance arteries are known to produce more than one type of EDRF, the mechanism(s) mediating endothelium-dependent vasorelaxation in small resistance arteries may be different from that observed in conduit vessels under hypertensive conditions, where vasorelaxation is mainly dependent on NO. EDHF has been described as one of the principal mediators of endothelium-dependent vasorelaxation in small resistance arteries in normotensive animals. Furthermore, EDHF appears to become the predominant endothelium-dependent vasorelaxation pathway when the endothelial NO synthase (NOS3)/NO pathway is absent, as in NOS3-knockout mice, whereas some studies have shown that the EDHF pathway is dysfunctional in experimental models of hypertension. This article reviews our current knowledge regarding EDRFs in small arteries under normotensive and hypertensive conditions.

Pathogenetic Overlapping of Renovascular Hypertension Developed in a Child with Takayasu Arteritis: 'One-clip, One and Half-kidney Model'

  • Lee, Su Jeong;Baek, Hee Sun;Jang, Hea Min;Kim, Hyung-Kee;Huh, Seung;Cho, Min Hyun
    • Childhood Kidney Diseases
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    • v.20 no.1
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    • pp.33-36
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    • 2016
  • There are two pathogenic models of renovascular hypertension (RVH) originating from renal artery stenosis. We noted a case of a boy who had severe hypertension with atrophic left kidney, hypertrophic right kidney, a segmental stricture of the abdominal aorta, and total occlusion of the right renal artery. Due to the atrophic change of the contralateral, unclipped left kidney, this patient presented with various clinical manifestations related to both models of pathogenesis of RVH occurring at the same time. We conclude that this patient presented with the middle stage of the two RVH pathogenetic models, so called the 'one-clip, one and half-kidney model.'

Study on the Correlation Between Occupation and Chronic Degenerative Disease

  • KWON, Lee-Seung;KIM, Su-Hye;JUNG, Min-Jae
    • Journal of Wellbeing Management and Applied Psychology
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    • v.4 no.1
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    • pp.11-18
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    • 2021
  • Purpose: This study aims to explore the correlation between job and hypertension. Hypertension is a major risk factor such as stroke, myocardial infarction, heart failure, and vascular aneurysms. Research design, data and methodology: The data from this study are the 2017 National Health and Nutrition Examination Survey classified into office workers and non-office workers. Frequency analysis was used for general characteristics analysis, and ANOVA test analysis was used for correlation between subjects' basic variables and blood pressure. The post analysis as turey was used to verify the validity of the statistical results. All statistical analyzes were performed using the IBM SPSS 24.0 program. Results: There was a difference in the prevalence of hypertension among office workers and non-office workers.

Beta Blockers in Contemporary Cardiology: Is It Better to Cast Them Out?

  • Javaid Ahmad Dar;John Roshan Jacob
    • Korean Circulation Journal
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    • v.54 no.4
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    • pp.165-171
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    • 2024
  • Beta blockers are one of the commonest prescription drugs in medicine and they have been thought to revolutionize the treatment of heart failure (HF) with reduced ejection fraction (HFrEF) in the last century. In addition to HFrEF, they are prescribed for a variety of diseases in cardiology from hypertension to HF, angina, and stable coronary artery disease (CAD). The increased prescription of beta blockers in conditions like HF with preserved ejection fraction (HFpEF), and stable CAD may be doing more harm than good as per the data we have so far. The available data shows that beta blockers are associated with increased stroke risk and atrial fibrillation (AF) in hypertension and in patients with HFpEF, they have been associated with decreased exercise capacity. In patients with stable CAD and patients with myocardial infarction with normal systolic functions, beta blockers don't offer any mortality benefit. In this article, we critically review the common indications and the uses of beta blockers in patients with HFpEF, CAD, hypertension and AF and we propose that beta blockers are overprescribed under the shadow of their beneficial effects in patients with HFrEF.

Developing Dish-based Food Frequency Questionnaire for the Epidemiology Study of Hypertension Among Korean (고혈압 역학연구를 위한 음식중심 식품섭취빈도 조사표 개발: 2001년 국민건강영양조사 자료 이용)

  • Kim, Mi-Kyung;Yun, Young-Mi;Kim, Young-Ok
    • Korean Journal of Community Nutrition
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    • v.13 no.5
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    • pp.701-712
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    • 2008
  • The purpose of the present study was aimed to identify dish items applicable in developing dish?based food frequency questionnaire (DFFQ) for a hypertension study of Koreans. The 24-hour recall data of 4,401 subjects aged $20{\sim}65$ years from the 2001 Korean National Health and Nutrition Examination Survey were used for the analysis. Logistic regression model was used to identify the nutrient related with hypertension. Energy, fiber, sodium, calcium, carotene, vitamin B1 and vitamin C were associated with hypertension. Selection the top 30 dish items for these seven nutrients was performed based on their degree of contribution in supplying nutrients in terms of the cumulative percent contribution (cPC), as well as on their degree of explanation for between?person variation, in terms of the cumulative regression coefficient (cMRC). Rice supplied 43% of total energy consumption. Korean cabbage and radish kimchi were two major sources of sodium and it also covered the 27% of between person variation of sodium intake. Soybean paste soup and single item of orange?colored fruits supplied 43% of total vitamin C intake for Koreans and it covered the almost 79% of between person variation among the Korean population. Korean cabbage kimchi was the major source of fiber, calcium, sodium, carotene, and vitamin C for Koreans. In summary, the top 30 selected dish items supplying the 78% to 89% of the 7 nutrients. Those items also covered the 79% to 94% of between person variation of the 7 nutrients consumption. Therefore, the selected 30 dish items in each categories of nutrient could be applicable in developing dish based food frequency questionnaire for hypertension study.

The Comparison between Periodontal Health Status and the Findings of Hypertension and Diabetes Disease of some Workers (일부 근로자의 혈압 및 혈당과 치주건강상태 비교)

  • Ku, In-Young;Moon, Seon-Jeong;Ka, Kyung-Hwan;Lee, Myeong-Seon
    • The Korean Journal of Health Service Management
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    • v.7 no.2
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    • pp.81-91
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    • 2013
  • This study was conducted on industrial workers to develop an integrated health promotion program on chronic disease and oral health, and to provide basic data for an effective management plan by conducting comparison analysis of periodontal health status based on the findings of hypertension and diabetes disease, and by understanding of influencing factors on periodontal health status. And the study was conducted on 4,600 workers in certain areas from March 22, 2010 to June 18, 2010. The results of the study indicates significant difference by having high plaque and gingivitis ratio in the people who had the findings of hypertension and having high plaque ratio in the people who had the findings of diabetes disease. Regarding the influences on periodontal health status, gender, age, whether the subject visited a dental hospital, whether the subject had scaling treatment, smoking, and hypertension had influenced gingivitis. And gender, age, whether the subject visited a dental hospital, whether the subject had scaling treatment, smoking, and hypertension had influenced plaque. And the aforementioned 2 groups had statistically significant difference, and the conclusion is established that metabolic syndrome which is measured during the health exam of workers is an important disease potentially threatening the health of workers and also highly related to oral health.

Effects of Chunmagudeungeumgamibang on Hypertension (천마구등음가미방(天麻鉤藤飮加味方)이 고혈압에 미치는 영향)

  • Kim, Eun-Hye;An, Jung-Jo;Jo, Hyun-Kyung;Yu, Ho-Ryong;Seol, In-Chan;Kim, Yoon-Sik
    • Journal of Physiology & Pathology in Korean Medicine
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    • v.21 no.5
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    • pp.1176-1184
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    • 2007
  • Chunmagudeungeumgamibang(CGE) has been used for many years as a therapeutic agent for acute stage of cerebrovascular disease and hypertension in oriental medicine. But the effect of CGE on hypertension and vascular system is not well-known. This study was done to investigate the effects of CGE on hypertension. The results were obtained as follow : CGE showed a safety in cytotoxicity and toxicity of liver. CGE showed scavenging activity on DPPH free radical. CGE showed the inhibitory effect on ROS and ACE. CGE significantly decreased the blood pressure and pulse in DOCA-salt hypertensive rat. CGE significantly decreased the levels of aldosterone in DOCA-salt hypertensive rat. CGE significantly decreased the levels of dopamine, epinephrine in DOCA-salt hypertensive rat. CGE significantly decreased the levels of potassium and chloride in DOCA-salt hypertensive rat. CGE significantly increased the levels of calcium in DOCA-salt hypertensive rat. These results suggest that CGE might be effective in treatment and prevention of hypertension