[Association between cyclothymic affective temperament and hypertension]
NEMCSIK János1,2, BATTA Dóra2, KŐRÖSI Beáta2, RIHMER Zoltán3
SEPTEMBER 30, 2020
Hypertension and nephrology - 2020;24(04)
DOI: https://doi.org/10.33668/hn.24.016
Review
NEMCSIK János1,2, BATTA Dóra2, KŐRÖSI Beáta2, RIHMER Zoltán3
SEPTEMBER 30, 2020
Hypertension and nephrology - 2020;24(04)
DOI: https://doi.org/10.33668/hn.24.016
Review
Szöveg nagyítása:
[Affective temperaments (cyclothymic, hypertymic, depressive, anxious, irritable) are stable parts of personality and after adolescent only their minor changes are detectable. Their connections with psychopathology is well-described; depressive temperament plays role in major depression, cyclothymic temperament in bipolar II disorder, while hyperthymic temperament in bipolar I disorder. Moreover, scientific data of the last decade suggest, that affective temperaments are also associated with somatic diseases. Cyclothymic temperament is supposed to have the closest connection with hypertension. The prevalence of hypertension is higher parallel with the presence of dominant cyclothymic affective temperament and in this condition the frequency of cardiovascular complications in hypertensive patients was also described to be higher. In chronic hypertensive patients cyclothymic temperament score is positively associated with systolic blood pressure and in women with the earlier development of hypertension. The background of these associations is probably based on the more prevalent presence of common risk factors (smoking, obesity, alcoholism) with more pronounced cyclothymic temperament. The scientific importance of the research of the associations of personality traits including affective temperaments with somatic disorders can help in the identification of higher risk patient subgroups.]
Hypertension and nephrology
[The six-part summary presents the epidemiology, diagnosis, pathogenesis, and treatment of hyperkalaemia.]
Hypertension and nephrology
[The modes of transmission of SARS-CoV-2 virus have been analyzed in detail recently. It can be stated that the deposition of micro-sized virus particles on different surfaces and in the air is the main reason for the strength and spread of the epidemic all over the world. Spread of virus is present in practically every event of our lives and daily activities. The usual movements of human-human contact, the specific habits of our own lives (face smoothing, eye rubbing etc.) increase the spread. The greatest threat is posed by infected but asymptomatic individuals as carriers of the virus, and the main concern is the speed of transmission dynamics. We have strong evidence that 1.5-2 meter distance, mask wearing, and eye protection are crucial in reducing the rate of virus transmission. It can be assumed that, like normal influenza virus infections, the appearance of the coronavirus shows a seasonal appearance.]
Hypertension and nephrology
[Hypertension and cardiovascular diseases are major public health issues. In their treatment non-pharmacological methods have a role in every case either alone or as a complement. Patient adherence is a key factor. The role of primary care is very important in the management and with general practitioners’ cluster model and with the involvement of new primary care professionals (for example: dietetitian, physiotherapist) the opportunities are expanding. In the A GP Cluster and in the Marosmenti GP Cluster the analysis of the patients’ results who participated in an individual health status examination, in dietetic and in physiotherapy services. Assessing the professionals’ attitudes towards GP cluster model. In the A GP Cluster 2409 people, in the Marosmenti GP Cluster 1826 people participated in an individual health status examination. 14.6% and 19.9% of the participants were under the age of 18. 58.9% and 60.7% of the participants over the age of 18 were female. 1083 and 232 patients used physiotherapy services, 147 and 187 people used dietetic services. The age distribution of the individual health status examinations is correspond to the Hungarian age pyramid. In addition to the preventive approach came into view the community based local health care services. The GP cluster model was welcomed by the patients, the physiotherapy was more popular than dietetic among them. All professionals of the GP clusters had a positive opinion of the professional work done in the project. Conclusion: There is a demand both from the patients and the healthcare professionals for the GP cluster concept. The establishing of an appropriate monitoring system and creating long-term, sustainable operating conditions are essential for achieving lasting social health gains. ]
Hypertension and nephrology
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Hypertension and nephrology
[Regular physical activity is essential in delaying the aging processes (e.g. arterial remodelling – stiffening, metabolism, bodyweight), the beneficial effects of competitive sports – especially strength sports – according to the recent data of the literature are questionable. The beneficial effects of physical activity on the cardiovascular (CV) system are well known, however less is known regarding the delayed impacts of high intensity competitive sports on the CV system, especially after the sport career is over. This review summarizes the effects of active competitive sport and the post-career period on the cardiometabolic system with special attention to the systemic blood pressure and the development of metabolic syndrome. After sport career, the welldeveloped high performance cardiovascular- and metabolic system suddenly is much less used, but still supported by sport-level diet. It is well known that hypertension is a significant pathogenic factor in the development of cardiovascular diseases, characterized – among others – by reduced elasticity of large- and medium- sized vessels thereby importantly contributing to the development of systolic hypertension. Inflammation and thrombus formation both play an important role in the development of vascular injury and atherosclerosis. The increased tone of microvessels can impair the blood supply of certain organs, including the coronary circulation. It has been ample shown, that regular non-competitive, aerobic exercise activities are important factors in preventing hypertension. Such pathological changes become more evident after the development of post-career obesity, as well as the development of hypertension due to the activation of the renin-angiotensin system through sodium retention and other metabolic changes (increased glucose tolerance, insulin resistance, type II diabetes mellitus). It has been ample shown, that regular non-competitive, dynamic aerobic exercise activities are important factors in preventing hypertension. The frequency, intensity, type, and time (FITT) principle of exercise prescription is the first and common therapeutic approach, which represents the translation of cardiovascular basic science research results into hypertension treatment, thus can provide a personalized physical activity program/therapy according to medical needs not just for the post-career sportspersons, but the wide range of patients.]
Journal of Nursing Theory and Practice
[The high blood pressure disease is one of the primary risk factors for the development of other cardiovascular diseases. The aim of the present study was to assess the medication habits, sleep quality, and quality of life of patients aged 45 and older living with hypertension.
Our study was a quantitative descriptive cross-sectional survey conducted in 2022 in the form of an online questionnaire among patients aged 45 and older suffering from hypertension (n=143). The data collection tools included the Morisky Medication Adherence Scale (8 items), the Pittsburgh Sleep Quality Index, EQ-5D-5L, and a self-designed questionnaire.
Lower age was associated with higher levels of medication adherence (R=-0.36; p=0.024). Patients who regularly visited their general practitioner showed more consistent medication intake (p=0.048). Adequate sleep quality positively influenced the quality of life (p<0.001).
Regular visits to the general practitioner not only facilitate medication adherence but also provide an excellent opportunity for patient education and health promotion. Therefore, it has paramount importance to draw the attention of hypertensive patients to the role of regular check-ups with their general practitioner, which can contribute to the prevention of complications arising from hypertension.]
Clinical Neuroscience
Posterior reversible encephalopathy syndrome (PRES) is characterized by vasogenic edema, usually reversible, with the prominent involvement of the parietal and occipital lobes. The exact etiopathogenesis leading to PRES is unknown. Because signs of eclampsia and preeclampsia in neuroimaging often overlap and manifest as PRES, we aimed to evaluate whether demographic, clinical, and laboratory parameters predict PRES in patients with preeclampsia or eclampsia.
Hypertension and nephrology
[Hypertension and hyperlipidemia frequently coexist, and their interaction amplifies overall atherosclerotic cardiovascular disease risk. We aimed to investigate lipid abnormalities and their associations with body mass index (BMI) in a large adult hypertensive patient population with the help of data mining.]
Lege Artis Medicinae
[Preventing unwanted pregnancy, and in treating many gynaecological diseases, we use hormones produced by the ovaries, namely the follicle hormone and the corpus luteum hormone, or their synthetic versions. In terms of hormonal therapies, combined oral hormonal contraception and menopausal hormone therapy are of outstanding importance. Some pharmaceuticals do not increase the cardiovascular (CV) risk, while others do it by increasing the risk of coronary diseases (primarily myocardial infarction), venous thromboembolism, and ischaemic and haemorrhagic strokes respectively. This review of concerning literature summarized the cardiovascular impact of hormonal therapies in gynaecologic practice, in two parts. The first part discusses hormonal contraception, the second one the menopausal hormone therapy.
Combined hormonal contraceptives (COC) containing follicle hormone and progestogen significantly increase the risk of venous thromboembolism (VTE), however without any major clinical significance. The higher risk perceived among smoking, overweight and older women is additionally burdened by COC. Nevertheless, products containing estetrol and progesterone-only-pills do not increase the CV risk. Using COC does not increase the risk of haemorrhagic stroke, but does it slightly that of ischaemic stroke and myocardial infarction. CV side effects of hormonal ACs are not significant from a clinical point of view and are far below the complications caused by unwanted pregnancies due to the use of improper contraception. This study summarized the literature data on CV risk of hormonal contraceptives. ]
Lege Artis Medicinae
[Concerning cardiovascular (CV) risk, beside hormonal contraception, menopausal hormone therapy (MHT) has a pre-eminent clinical significance. If women start MHT younger than 60 years of age, or within 10 years after their menopausal transition, the risk of coronary diseases and mortality too decreases. Conventional oral MHT slightly increases the risk of venous thromboembolism (VTE) and stroke, while transdermal admission does not it. MHT initiated in women above 60, raise the risk of cardiovascular (CV) diseases, thus it is useful to start MHT at the onset of menopause syndrome signs (primarily hot flashes), preferably at a younger age. Preventing serious late complications to start and continue MHT at least until natural menopause is essential in premature ovarian insufficiency and early menopause. Below, we summarize the CV implications of MHT and its alternative treatment options.]
Determination of hemorrhagic transformation risk in acute ischemic cerebrovascular disease: The relationship between ADC values and GRE hemo sequence microhemorrhage
Personalized analysis of pain–weather associations: a pilot study
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