المؤلفون: Javanbakht, Sahel, Eghbali, Maryam, Bolourinejad, Paria, Sherafat, Alireza, Khosravi, Alireza, Hashemi, Mohammad, Sarrafzadegan, Nizal

المصدر: ARYA Atherosclerosis; 2021, Vol. 17 Issue 1, p1-6, 6p

مصطلحات موضوعية: BLOOD pressure, NON-communicable diseases, FAMILY history (Sociology), UNITS of measurement, HYPERTENSION

مصطلحات جغرافية: IRAN, ISFAHAN (Iran)

الشركة/الكيان: WORLD Health Organization

مستخلص: BACKGROUND: Hypertension (HTN) is one of the most common non-communicable diseases (NCDs), which in 2017 accounted for 1.65% of all deaths, and 0.66% of disability-adjusted life years (DALYs). About 25% of the adult population are hypertensive in Iran. Prevalence of HTN is significantly higher in those with a family history of HTN. This study compares the impact of paternal and maternal history of HTN on the risk of HTN development. METHODS: This cross-sectional study was conducted among 2107 adults of 18-84 years old residing in Isfahan, Iran, from August 2015 to March 2016. Blood pressure (BP) measurement standards were taken from World Health Organization (WHO) guidelines. We measured BP in the right arm for three times at 1-minute intervals and considered the mean of second and third measurements. Other data were collected by questionnaire. RESULTS: Prevalence of HTN was higher in participants whose mother or both parents were hypertensive (P < 0.001). Diastolic BP (DBP) was affected by every side of parental history (P < 0.001), while systolic BP(SBP) was affected when both parents were hypertensive (P < 0.001). As a result, maternal family history increased the odds of HTN by 1.9 times [95% confidence interval (CI): 1.35-2.65] and both maternal and paternal history increased it by 3.1 times (95% CI: 2.01-4.78) compared to those with no family history. However, paternal history was not significantly related to the odds of HTN. CONCLUSION: Our study results demonstrate that maternal history of HTN doubles the odds of HTN. Besides, if both parents are hypertensive, it will be tripled. [ABSTRACT FROM AUTHOR]

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المؤلفون: Khorsand, Mohammad Reza, Enayatrad, Mostafa, Yekesadat, Seyed Meysam, Khodayar, Maryam, Noyani, Amir

المصدر: ARYA Atherosclerosis; Aug2022, Vol. 18, p1-8, 8p

مصطلحات موضوعية: CLINICAL trials, MIDAZOLAM, CAPTOPRIL, HYPERTENSION, AMBULATORY blood pressure monitoring, BLOOD pressure

مصطلحات جغرافية: IRAN

مستخلص: BACKGROUND: The urgency of uncomplicated blood pressure (BP) is known as a sudden rise in BP. The aim of this study was to evaluate the intravascular administration of midazolam as an emergency care to control BP against captopril in patients with uncomplicated hypertension (HTN). METHODS: The present study was a double-blind parallel randomized clinical trial (RCT) study that was performed on patients with urgent HTN referred to Imam Hossein Hospital in Shahroud, Iran, in 2018. Patients with BP higher than 180/110 mmHg and with healthy vital organs were selected randomly and allocated into three groups of 43 participants. All patients’ BP in both arms, and after a period of 10 minutes in the left arm, was checked and after administering the medication was checked again for 4 times of 15 minutes till 1 hour complete. RESULTS: There were significant differences between systolic (P = 0.024), diastolic (P = 0.001), and mean BP (P = 0.009) in the midazolam group before and after treatment. The group of midazolam and captopril showed the greatest reduction of BP before, in the middle, and after carrying out the treatment methods. As such, systolic, diastolic, and mean BP showed 23.5% (P = 0.047), 17.4% (P = 0.021), and 20.5% (P = 0.031) reduction, respectively. CONCLUSION: Midazolam can be used as an effective and low-risk drug for lowering BP. Midazolam also has a faster effect on lowering BP. [ABSTRACT FROM AUTHOR]

: Copyright of ARYA Atherosclerosis is the property of Isfahan University of Medical Sciences, Cardiovascular Research Center and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

المؤلفون: Eghbali-Babadi, Maryam, Khosravi, Alireza, Feizi, Awat, Alikhasi, Hassan, Kheirollahi, Narges, Sarrafzadegan, Nizal

المصدر: ARYA Atherosclerosis; 2021, Vol. 17 Issue 1, p1-9, 9p

مصطلحات موضوعية: CARDIOVASCULAR diseases risk factors, POSTMENOPAUSE, PREHYPERTENSION, DISEASE risk factors, BLOOD pressure, CARDIOVASCULAR diseases

مصطلحات جغرافية: ISFAHAN (Iran)

مستخلص: BACKGROUND: Pre-hypertension (HTN) and HTN are risk factors for cardiovascular disease (CVD). Despite its importance, HTN is often underestimated and undiagnosed, especially in women. This study was designed to determine the prevalence of pre-HTN and HTN among a large sample of Iranian menopausal women. METHODS: This repeated cross-sectional study was conducted on 1013 menopausal women aged 41 to 85 years in Isfahan, Iran, in the years 2001, 2007, and 2016. The participants were selected through multistage cluster random sampling. Awareness, treatment, and control of HTN were assessed using a validated researcher-made questionnaire. Blood pressure was determined via an arm digital blood pressure monitor. RESULTS: The prevalence of HTN in the years 2001, 2007, and 2016 was 52.6%, 49.0%, and 51.6%, respectively; no significant changes were observed (P > 0.05). The prevalence of pre-HTN in these years was 56.6%, 53.3%, and 42.2%, respectively. In 2001 and 2007, respectively, 28.8% and 50.4% of menopausal women had HTN controlled by medication, and in 2016, 86.6% of women were aware of their disease and 62% of them had controlled HTN (P < 0.001). CONCLUSION: The results showed that HTN and pre-HTN were highly prevalent among Iranian menopausal women and markedly increased with age. Interventional population-based approaches are needed to improve knowledge and efficient practice that may help to lower the risk of HTN and CVD in this at-risk population. [ABSTRACT FROM AUTHOR]

: Copyright of ARYA Atherosclerosis is the property of Isfahan University of Medical Sciences, Cardiovascular Research Center and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

المؤلفون: Mirzaei, Masoud, Mirzaei, Mohsen, Gholami, Somaye, Abolhosseini, Hossein

المصدر: ARYA Atherosclerosis; 2021, Vol. 17 Issue 1, p1-9, 9p

مصطلحات موضوعية: HYPERTENSION risk factors, HYPERTENSION, BLOOD pressure, LOGISTIC regression analysis, CHI-squared test

مصطلحات جغرافية: IRAN

مستخلص: BACKGROUND: The prevalence of hypertension (HTN) varies across countries due to differences in its related risk factors. This study aimed to investigate the prevalence of HTN and related risk factors among adults. METHODS: This study was conducted on the data from the recruitment phase of Yazd Health Study. Using multi-stage random cluster sampling, 10000 adults of 20-69 years were selected. Self-reported HTN (diagnosed by a physician) was recorded in a home visit. Blood pressure (BP) was measured using a standard protocol and categorized based on the Seventh Report of the Joint National Committee on Prevention, Detection, Evaluation, and Treatment of High Blood Pressure (JNC-7) classification. T-test was used to examine the gender differences. Qualitative variables were presented as number (frequency). Chi-square test and bivariate logistic regression were carried out to determine the association between risk factors. RESULTS: The response rate was 95% (n = 9975). The prevalence of positive history of HTN was 18.5%. The mean systolic and diastolic BP was 126.5 ± 18.4 and 80.2 ± 12.5 mmHg, respectively. The prevalence of HTN was 36.0% (95%CI: 35.1–36.9). Its prevalence reduced by high-education, physical activity, lower BMI, and lack of history of diabetes mellitus (DM) (P < 0.0001). HTN is less common in smokers (P < 0.0001). Logistic regression analysis showed that HTN was higher among men (OR: 1.83; 95%CI: 1.64-2.03), the elderly (OR: 5.15; 95%CI: 4.20-6.31), low-educated (OR: 1.40; 95%CI: 1.17-1.67), and diabetics (OR: 1.20; 95%CI: 1.05-1.38). The prevalence of HTN was 2 times higher in obeses. HTN did not have a significant relationship with inactivity, smoking, and hypercholesterolemia. CONCLUSION: The prevalence of HTN was high. By identifying modifiable risk factors, health policymakers can prioritize intervention programs. It is necessary to inform younger adult groups how these factors can be managed through a healthy lifestyle and nutritional habits. [ABSTRACT FROM AUTHOR]

: Copyright of ARYA Atherosclerosis is the property of Isfahan University of Medical Sciences, Cardiovascular Research Center and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

المؤلفون: Khosravi, Alireza, Rajabi, Hamid Reza, Vakhshoori, Mehrbod, Rabiei, Katayoun, Hosseini, Seyed Mohsen, Mansouri, Asieh, Roghani-Dehkordi, Farshad, Najafian, Jamshid, Rahimi, Mojtaba, Jafari-Koshk, Tohid, Sadeghian, Babak, Shishehforoush, Mansour, Lahijanzadeh, Ahmadreza, Taheri, Marzieh, Sarrafzadegan, Nizal

المصدر: ARYA Atherosclerosis; 2020, Vol. 16 Issue 4, p178-184, 7p

مصطلحات موضوعية: PARTICULATE matter, BLOOD pressure, RESPIRATORY diseases, HEART diseases, AIR pollutants

مصطلحات جغرافية: ISFAHAN (Iran)

مستخلص: BACKGROUND: The relation between air pollution and cardiovascular diseases (CVDs) risk factors, especially blood pressure (BP) levels, has been less frequently assessed. The aim of this study was evaluating the association between air pollutants of less than 2.5 µm [particulate matter (PM2.5)] and BP indices among individuals admitted with CVDs and pulmonary diseases. METHODS: This cross-sectional study was in context of air pollution associated with hospitalization and mortality of CVDs and respiratory diseases (CAPACITY) study. Data of 792 Iranian patients referring to two hospitals in Isfahan, Iran, for cardiovascular or respiratory problems from March 2011 to March 2012 were used for analysis. BP indices including systolic BP (SBP), diastolic BP (DBP), and mean arterial pressure (MAP) were obtained from patients' medical forms and mean PM2.5 concentrations during 24 hours prior to admission of each patient were obtained from Isfahan Department of Environment (DOE). RESULTS: Mean ± standard deviation (SD) of participants' age were 62.5 ± 15.9 years. All BP indices on admission were significantly higher in women compared with men. Adjustment of all potential confounders including age, sex, temperature, wind speed, and dew point revealed that increasing one quartile in PM2.5 concentrations had been associated with 1.98 mmHg raising in SBP at the time of admission [95% confidence interval (CI) = 0.41-3.54, P = 0.010]. Women with cardiac diseases had higher all BP indices with increased PM2.5 concentration [SBP: ß: 4.30, 95% CI = 0.90-7.70, P = 0.010; DBP: ß: 1.89, 95% CI = 0.09-3.69, P = 0.040; MAP: ß: 3.09, 95% CI = 0.68-5.51, P= 0.010, respectively). CONCLUSION: Our findings suggest that increasing PM2.5 concentration has been positively associated with raising SBP in total population and all BP indices among women with cardiac problems at admission time. Several comprehensive studies are required for confirming these relations. [ABSTRACT FROM AUTHOR]

: Copyright of ARYA Atherosclerosis is the property of Isfahan University of Medical Sciences, Cardiovascular Research Center and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

المؤلفون: Jafari, Fahimeh, Shahriari, Mohsen, Sabouhi, Fakhri, Khosravi-Farsani, Alireza, Eghbali-Babadi, Maryam

المصدر: ARYA Atherosclerosis; 2020, Vol. 16 Issue 1, p7-15, 9p

مصطلحات موضوعية: BLOOD pressure, BODY mass index, HEART beat, SYSTOLIC blood pressure, EDUCATIONAL programs

مصطلحات جغرافية: ISFAHAN (Iran)

مستخلص: BACKGROUND: Hypertension (HTN) is one of the most prevalent risk factors for arteriosclerosis and coronary artery disease (CAD). Its side effects can be decreased through the use of some methods and interventions. The present study was conducted with the aim to evaluate the effects of a lifestyle management on blood pressure, heart rate, and body mass index (BMI) of patients with HTN who have undergone angioplasty. METHODS: This clinical trial was conducted on 2 groups in 3 stages in an educational hospital in Isfahan, Iran, in 2014. The study participants consisted of 60 patients with HTN who had undergone angioplasty. The participants were randomly allocated to the study and control groups. The intervention was implemented in 6 educational sessions during 3 weeks, and then, follow-up was conducted through phone calls in the study group. The collected data were analyzed using independent t-test, chi-square, Mann-Whitney U test, and ANOVA in SPSS software. RESULTS: Repeated measures ANOVA results indicated that the effect of time (P < 0.001) and group (P = 0.027) on systolic blood pressure (SBP) was significant. The effect of time (P = 0.015) and group (P = 0.040) on diastolic blood pressure (DBP) was also significant. In terms of BMI, both effects of time (P = 0.010) and group (P = 0.034) were significant. However, the effect of time (P = 0.899) and group (P = 0.900) on heart rate was not significant. CONCLUSION: The lifestyle management program implemented in the present study was effective on decreased DBP, SBP, and BMI in patients with HTN who had undergone angioplasty. Thus, nurses could implement this program as a part of their care provision program for patients. [ABSTRACT FROM AUTHOR]

: Copyright of ARYA Atherosclerosis is the property of Isfahan University of Medical Sciences, Cardiovascular Research Center and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

المؤلفون: Mirniam, Azam-Alsadat, Habibi, Zahra, Khosravi, Alireza, Sadeghi, Masoumeh, Eghbali-Babadi, Maryam

المصدر: ARYA Atherosclerosis; 2019, Vol. 15 Issue 6, p267-274, 8p

مصطلحات موضوعية: PATIENT compliance, BLOOD pressure, CLINICAL trials, DISEASE risk factors, HYPERTENSION

مصطلحات جغرافية: IRAN

مستخلص: BACKGROUND: Hypertension (HTN) is the key risk factor for cardiovascular diseases (CVDs). The purpose of this study was to determine the effect of a multifaceted intervention on blood pressure (BP) control and medication adherence (MA) among patients with uncontrolled HTN. METHODS: A randomized controlled clinical trial study was conducted on 72 patients in the emergency ward who were selected through convenience sampling method. They were randomly divided into intervention and control groups. The studied multifaceted intervention includes motivational interviews and 90 minutes of training sessions, use of a drug reminder box, family support, and 4 phone call follow-ups. ehT8-Item Morisky Medication Adherence Scale (MMAS-8) was used before and after the intervention. BP was measured in both groups before and after the intervention and compared between them. RESULTS: No significant difference existed between the two groups in terms of MA and systolic and diastolic BP before the study. The differences between the mean changes in postintervention systolic (-25.75 ± 19.39 vs. -2.88 ± 11.92 mmHG; P < 0.001) and diastolic (-6.18 ± 8.87 vs. -1.06 ± 8.70 mmHg; P = 0.010) BP in the intervention and control groups were statistically significant. The mean changes in post-intervention MA in the intervention and control group was 2.91 ± 1.64 and -0.36 ± 1.15, respectively; this difference was statistically significant (P < 0.001). CONCLUSION: The studied multifaceted intervention promoted MA and reduced systolic and diastolic BP. Thus, the use of this method as a supplementary treatment is recommended after patient discharge. [ABSTRACT FROM AUTHOR]

: Copyright of ARYA Atherosclerosis is the property of Isfahan University of Medical Sciences, Cardiovascular Research Center and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

المؤلفون: Eghbali-Babadi, Maryam, Feizi, Awat, Khosravi, Alireza, Nouri, Fatemeh, Taheri, Marzieh, Sarrafzadegan, Nizal

المصدر: ARYA Atherosclerosis; 2019, Vol. 15 Issue 5, p241-249, 9p

مصطلحات موضوعية: EXPLORATORY factor analysis, INTRACLASS correlation, CRONBACH'S alpha, HYPERTENSION, TEST validity

مصطلحات جغرافية: ISFAHAN (Iran)

مستخلص: BACKGROUND: There are a number of tools to assess self-care in hypertension (HTN), but they do not cover all the dimensions of self-care and do not have a good reliability and validity. This study was conducted to develop and evaluate the psychometric properties of a tool for self-care assessment in HTN. METHODS: This cross-sectional, methodological study was conducted in Isfahan, Iran. An expert panel was held to assess the qualitative face validity of the tool. The content validity ratio (CVR) and content validity index (CVI) were measured. The questionnaire was distributed among 20 patients to measure its internal reliability. After 14 days, it was re-distributed among the same patients, as a measure of external reliability. The questionnaire was completed by 203 patients with HTN and an exploratory factor analysis was performed in order to assess the construct validity of the tool. RESULTS: The items of the self-care tool were confirmed with a CVR = 0.5, Kappa = 0.71, I-CVI = 0.69, and intraclass correlation coefficient (ICC) = 0.952. The factor analysis showed that the 16-item questionnaire has 5 dimensions, including follow-up [3 items; factor loadings (FL) = 0.619 to 0.869, and Cronbach's alpha (a) = 0.737], healthy lifestyle (5 items; FL = 0.709 to 0.846, a = 0.703), promoting qualifications (4 items; FL = 0.610 to 0.791, a = 0.594), medication therapy (2 items; FL = 0.699 and 0.740, a = 0.717), and following recommendations (2 items, FL = 0.577 and 0.744, a = 0.701). These 5 dimensions explained 62.686% of the variance. The Cronbach's alpha coefficient of the final self-care assessment questionnaire was 0.833. CONCLUSION: The developed questionnaire proved to have appropriate psychometric properties for measuring self-care in patients with HTN. [ABSTRACT FROM AUTHOR]

: Copyright of ARYA Atherosclerosis is the property of Isfahan University of Medical Sciences, Cardiovascular Research Center and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)