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showing 10 items of 4213 documents

Joint effect of blood pressure and C-reactive protein and the risk of sudden cardiac death : a prospective cohort study

2020

Background Both blood pressure and C-reactive protein (CRP) are each independently related to mortality risk. However, the combined effect of systolic blood pressure (SBP) and CRP on sudden cardiac death (SCD) risk has not been studied. Patients and methods We studied the joint impact of SBP and CRP and the risk of SCD in the Kuopio Ischemic Heart Disease prospective cohort study of 1953 men aged 42–61 years with no history of ischemic heart disease. Baseline investigations were conducted between March 1984 and December 1989. SBP and CRP were measured. SBP was divided based on median values to low and high (median cutoffs 132 mmHg) and CRP as low and high (median cut-off 1.30 mg/L). Hazard …

AdultMalemedicine.medical_specialtysystolic blood pressuremenBlood PressurebiomarkkeritType 2 diabetes030204 cardiovascular system & hematologysudden cardiac deathSudden cardiac deathC-reactive proteinCohort Studies03 medical and health sciences0302 clinical medicineRisk Factorsc-reaktiivinen proteiiniInternal medicinemedicinekohonnut verenpaineHumansProspective Studies030212 general & internal medicineProspective cohort studyAspirinbiologybusiness.industryHazard ratioC-reactive proteinriskitekijätMiddle Agedmedicine.diseaseverenpaineC-Reactive ProteinDeath Sudden CardiacBlood pressureDiabetes Mellitus Type 2sydäninfarktibiology.proteinCardiologysydän- ja verisuonitauditmiehetCardiology and Cardiovascular MedicinebusinessCohort studymedicine.drug
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Trajectories of Blood Pressure Elevation Preceding Hypertension Onset: An Analysis of the Framingham Heart Study Original Cohort

2018

Importance Given that hypertension remains a leading risk factor for chronic disease globally, there are substantial ongoing efforts to define the optimal range of blood pressure (BP). Objective To identify a common threshold level above which BP rise tends to accelerate in progression toward hypertension. Design, Setting, and Participants This longitudinal, community-based epidemiological cohort study of adults enrolled in Framingham, Massachusetts, included 1252 participants (mean [SD] age, 35.3 [2.7] years) from the Framingham Original Cohort, of whom 790 (63.1%) were women. Each participant contributed up to 28 serial examinations of standardized resting BP measurements between 1948 and…

AdultMalemedicine.medical_specialtysystolic blood pressuresegmented mixed modelHemodynamicsBlood Pressurethreshold value030204 cardiovascular system & hematology03 medical and health sciencesSex Factors0302 clinical medicineFramingham Heart StudyInternal medicineHumansMedicineLongitudinal Studies030212 general & internal medicineAge of OnsetRisk factorAgedAged 80 and overFramingham Risk Scorebusiness.industryBrief ReportAge FactorsMiddle Agedta3121Blood pressureMassachusettsHypertensionCohortDisease ProgressionCardiologyFemaleAge of onsetCardiology and Cardiovascular MedicinebusinessCohort study
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Regression of structural vascular changes in hypertensives after captopril treatment.

1992

In order to investigate whether hypertension-related structural vascular changes may be influenced by antihypertensive treatment, 10 patients were studied suffering from essential arterial hypertension, five males and five females, aged between 34 and 61 years (mean age: 46.9 +/- 8.13 years). All patients received a placebo for 1 week and then captopril, 75 mg b.i.d. for 3 months. After placebo and captopril treatments, the following parameters were evaluated: SBP, DBP, mean blood pressure (MBP), by the formula 1/3 (SBP + 2 x DBP) and basal and minimal vascular resistances, respectively obtained by the ratios MBP/rest flow and MBP/peak flow. Blood flows have been obtained by strain gauge pl…

AdultMean arterial pressuremedicine.medical_specialtyCaptoprilHemodynamicsBlood PressureMuscle Smooth VascularInternal medicinemedicineHumansSystoleLegbusiness.industryHemodynamicsCaptoprilMiddle AgedPlethysmographyBlood pressureMean blood pressuremedicine.anatomical_structureEndocrinologyHypertensionVascular resistanceFemaleVascular ResistanceCardiology and Cardiovascular MedicinebusinessBlood Flow VelocityBlood vesselmedicine.drugEuropean heart journal
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Pharmacokinetics of Droloxifene and Its Metabolites in Breast Cancer Patients

1991

Pharmacokinetics and metabolism of droloxifene, a new antiestrogenic drug, have been investigated by single- and multiple-dose studies in postmenopausal patients with advanced breast cancer. Short terminal elimination half-life, low accumulation, and improved drug tolerability are the most striking features of this safe and effective new antiestrogen. Bioequivalence of film-coated tablet, tablet, and standard solution of droloxifene has been shown. The concentrations of droloxifene and its metabolites have been determined by a highly selective HPLC method.

AdultOncologyDrugCancer Researchmedicine.medical_specialtymedia_common.quotation_subjectAdministration OralBiological AvailabilityAntineoplastic AgentsBreast NeoplasmsBioequivalenceBreast cancerPharmacokineticsInternal medicinemedicineHumansChromatography High Pressure LiquidAgedmedia_commonAged 80 and overbusiness.industryEstrogen AntagonistsCancerMiddle AgedAntiestrogenmedicine.diseaseTamoxifenOncologyTolerabilityDroloxifeneDrug EvaluationFemalebusinessHalf-LifeAmerican Journal of Clinical Oncology
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Interactive effects of avoidant coping and parental hypertension on Rate Pressure Product reactivity in women

2005

Background: Previous research suggests that personality, situational context variables, and genes might interact to potentiate cardiovascular stress responses.Purpose: Our purpose is to examine interactive effects of dispositional avoidant coping and parental hypertension on cardiovascular reactivity to three different laboratory stressors.Method: Participants were 63 healthy female students. Stressors were an evaluated videotaped speech, the cold pressor, and viewing of the speech video. Heart rate and blood pressure were continuously recorded during baselines and tasks.Results: After controlling for age, body mass index, smoking status, reported exercise, alcohol consumption, oral contrac…

AdultParentsHealth Statusmedia_common.quotation_subjectStressorCold pressor testVideotape RecordingPersonality DisordersDevelopmental psychologyLife Change EventsPsychiatry and Mental healthRate pressure productBlood pressureAdaptation PsychologicalHypertensionBehavioral medicineVisual PerceptionHumansPersonalityFemalePsychologyReactivity (psychology)Body mass indexGeneral Psychologymedia_commonAnnals of Behavioral Medicine
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Influence of optic quality on contrast sensitivity and visual acuity in eyes with a rigid or flexible phakic intraocular lens

2009

Purpose To determine whether the difference in optic quality between 2 types of phakic intraocular lenses (pIOLs) affects visual quality. Setting Fundacion Oftalmologica del Mediterraneo, Valencia, Spain. Methods Before implantation of a pIOL for myopia, all eyes had an examination including corrected (CDVA) and uncorrected (UDVA) distance visual acuity testing, corneal endothelial cell count (ECC), and intraocular pressure (IOP) measurement. The postoperative outcomes, determined at least 1 year after surgery, were CDVA; UDVA; contrast sensitivity function under photopic, mesopic, and mesopic with glare conditions; ECC; IOP; keratometry (Scheimpflug photography); and total ocular aberratio…

AdultPhakic Intraocular LensesIntraocular pressuremedicine.medical_specialtyVisual acuityOptical Phenomenagenetic structuresAnterior ChamberMesopic visionmedicine.medical_treatmentmedia_common.quotation_subjectVisual AcuityCell CountIntraocular lensProsthesis DesignPhakic intraocular lensGlarelaw.inventionContrast SensitivityLens Implantation IntraocularlawOphthalmologyMyopiamedicineHumansContrast (vision)Intraocular Pressuremedia_commonKeratometerbusiness.industryEndothelium Cornealeye diseasesSensory SystemsOphthalmologyOptometrySurgerysense organsmedicine.symptombusinessPhotopic visionJournal of Cataract and Refractive Surgery
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Fixed Mydriatic Pupil Associated with an Intraocular Pressure Rise as a Complication of the Implant of a Phakic Refractive Lens (PRL)

2013

We describe a case report of a patient that was implanted with a posterior chamber phakic intraocular lens (Phakic Refractive Lens, PRL) for the correction of moderate myopia and who developed postoperatively a fixed mydriasis compatible with an Urrets-Zavalia Syndrome (UZS). Specifically, a sudden acute increase of IOP in the left eye was observed in the immediate postoperative period. After IOP stabilization, the refractive result was good, but a fixed and mydriatic pupil appeared. This condition led the patient to experience visual discomfort, halos, and glare associated with high levels of higher-order aberrations in spite of the good visual result. A tinted-contact lens was fitted in o…

AdultPhakic Intraocular Lensesmedicine.medical_specialtygenetic structuresVisual AcuityVisual DiscomfortSuctionPhakic intraocular lensPhakic intraocular lensIris atrophyLens Implantation IntraocularOphthalmologyMyopiamedicineMydriasisHumansAntihypertensive AgentsIntraocular PressureÓpticabusiness.industryMydriasisGlare (vision)General MedicineRefractive lensCombined Modality Therapyeye diseasesOphthalmologymedicine.anatomical_structureSecondary glaucomaLens (anatomy)OptometryFemaleOcular Hypertensionsense organsImplantmedicine.symptomComplicationbusinessUrrets-Zavalia syndromeSeminars in Ophthalmology
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Efficacy and side effects of intravenous remifentanil patient-controlled analgesia used in a stepwise approach for labour: an observational study

2012

Remifentanil has a suitable pharmacological profile for labour analgesia. In this prospective, observational study, intravenous patient-controlled analgesia with remifentanil, using stepwise bolus doses without background infusion, was examined during the first and second stages of labour. Outcomes were pain reduction, maternal satisfaction, maternal and neonatal side effects and remifentanil metabolism in the neonate.Parturients with normal term singleton pregnancies were recruited. The initial remifentanil bolus dose was 0.15 μg/kg, increasing in steps of 0.15 μg/kg, with a 2-min lock-out. Pain scores using a 100 mm visual analogue scale, systolic and diastolic blood pressures, respirator…

AdultRespiratory rateVisual analogue scalemedicine.medical_treatmentSedationRemifentanilBlood PressureRemifentanilYoung AdultBolus (medicine)PiperidinesHeart RatePregnancymedicineHumansPain ManagementProspective StudiesMaternal-Fetal ExchangePain MeasurementLabor PainLabor ObstetricPatient-controlled analgesiabusiness.industryInfant NewbornObstetrics and GynecologyAnalgesia Patient-ControlledAnalgesics OpioidTreatment OutcomeAnesthesiology and Pain MedicinePatient SatisfactionAnesthesiaApgar ScoreAnalgesia ObstetricalFemaleApgar scoremedicine.symptombusinessmedicine.drugIntravenous Patient-Controlled AnalgesiaInternational Journal of Obstetric Anesthesia
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Optical Coherence Tomography Angiography of Optic Disc in Eyes With Primary Open-angle Glaucoma and Normal-tension Glaucoma.

2019

PURPOSE To examine vessel density (VD) properties of the optic nerve head in eyes with ocular hypertension (OHT), high-tension glaucoma (HTG), and normal-tension glaucoma (NTG) and to evaluate associations on structural parameters of retinal nerve fiber layer (RNFL). METHODS Three groups of patients with OHT (n=15), HTG (n=36), and NTG (n=22), and a healthy control group (n=23) were included in this study. Peripapillary VD and optic disc flow area were measured using optical coherence tomography angiography, and peripapillary RNFL (pRNFL) thickness was determined. Global and sectoral analysis of optic nerve head vasculature and pRNFL thickness were measured. RESULTS Glaucomatous eyes had lo…

AdultRetinal Ganglion Cellsmedicine.medical_specialtygenetic structuresOpen angle glaucomaOptic DiskNerve fiber layerOcular hypertensionGlaucoma03 medical and health sciences0302 clinical medicineNerve FibersNormal tension glaucomaOphthalmologymedicineHumansLow Tension GlaucomaFluorescein AngiographyIntraocular PressureAgedRetrospective StudiesAged 80 and overmedicine.diagnostic_testbusiness.industryRetinal VesselsMiddle Agedmedicine.diseaseFluorescein angiographyeye diseasesOphthalmologymedicine.anatomical_structureCross-Sectional Studies030221 ophthalmology & optometryOptic nerveFemaleOcular Hypertensionsense organsVisual Fieldsbusiness030217 neurology & neurosurgeryGlaucoma Open-AngleTomography Optical CoherenceOptic discJournal of glaucoma
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Mixed predictability and cross-validation to assess non-linear Granger causality in short cardiovascular variability series

2006

A method to evaluate the direction and strength of causal interactions in bivariate cardiovascular and cardiorespiratory series is presented. The method is based on quantifying self and mixed predictability of the two series using nearest-neighbour local linear approximation. It returns two causal coupling indexes measuring the relative improvement in predictability along direct and reverse directions, and a directionality index indicating the preferential direction of interaction. The method was implemented through a cross-validation approach that allowed quantification of directionality without constraining the embedding of the series, and fully exploited the available data to maximise th…

AdultStatistics as TopicBiomedical EngineeringInferenceBlood PressureHealth InformaticsBivariate analysisDirectionalityCross-validationGranger causalityHeart RateStatisticsEconometricsHumansComputer SimulationPredictabilityMathematicsSeries (mathematics)Models CardiovascularNonlinear systemNonlinear DynamicsData Interpretation StatisticalShort-term cardiovascular variabilityRespiratory MechanicsRegression AnalysisFemaleNon-linear predictionLinear approximationAlgorithmsBiomedizinische Technik/Biomedical Engineering
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