Related Experiment Video

Updated: Aug 30, 2026

The Antihypertensive Effects and Mechanisms of Huotan Jiedu Tongluo Decoction in Rats with H-Type Hypertension
05:57

The Antihypertensive Effects and Mechanisms of Huotan Jiedu Tongluo Decoction in Rats with H-Type Hypertension

Published on: May 17, 2024

[Causes of uncontrolled hypertension. DUO-HTA survey]

S Laurent1, S Consoli, X Girerd

  • 1Service de pharmacologie, Inserm EMI 0107, Hôpital Européen Georges-Pompidou. stephane.laurent@egp.ap-hopparis.fr

Archives Des Maladies Du Coeur Et Des Vaisseaux
|October 24, 2003
PubMed

Insights

Lifestyle factors like smoking, obesity, and stress, along with doctor-patient dynamics, significantly impact blood pressure control in hypertensive patients. Addressing these is key for better hypertension management.

Area of Science:

  • Cardiology and Public Health
  • Hypertension Management
  • Patient-Physician Relationship Dynamics

Context:

  • Uncontrolled blood pressure (BP) remains a significant public health challenge.
  • Ambulatory care settings are crucial for managing hypertension.
  • Understanding multifactorial influences on BP control is essential.

Purpose:

  • To identify socio-demographic, clinical, psycho-behavioral, and therapeutic factors associated with uncontrolled blood pressure.
  • To explore the perspectives of both hypertensive patients and their physicians regarding hypertension management.
  • To investigate the role of the doctor-patient relationship in achieving BP control.

Summary:

  • A national cross-sectional study of 2022 hypertensive patients and their physicians revealed that younger age (<65), smoking, obesity, alcohol consumption, sedentary lifestyle, and polypharmacy were linked to uncontrolled BP.
  • Psycho-behavioral factors in patients included anxiety, irritability, perceived stress, and viewing hypertension as a "foreign entity."
  • Physicians managing uncontrolled BP perceived hypertension management as less gratifying and the condition as poorly understood and dramatized by patients.

Impact:

  • Findings highlight the critical role of patient lifestyle and psycho-behavioral factors in hypertension management.
  • The study emphasizes the importance of the reciprocal representation systems and the quality of the doctor-patient relationship in achieving blood pressure control.
  • Results suggest a need for targeted educational interventions for healthcare practitioners to enhance the doctor-patient relationship and improve hypertension outcomes.
Abstract

Related Concept Videos

Hypertension and Regulation of Blood Pressure01:18

Hypertension and Regulation of Blood Pressure

Hypertension, the most common cardiovascular disease, is diagnosed through repeated measurements of elevated blood pressure. Its risks, including damage to the kidney, heart, and brain, are directly proportional to blood pressure levels. Starting from 115/75 mm Hg, the risk of cardiovascular disease doubles with each increment of 20/10 mm Hg. The diagnosis relies on blood pressure measurements, not on patient symptoms, as hypertension is often asymptomatic until end-organ damage is imminent or...
Hypertension I: Introduction01:28

Hypertension I: Introduction

Hypertension is a widespread, long-term medical condition where blood pressure in the arteries remains elevated. It is characterized by systolic blood pressure readings of 130 mm Hg or above or diastolic blood pressure (DBP) readings of 80 mm Hg or higher. Unmanaged hypertension poses significant health risks, making the distinction between primary (or essential) hypertension and secondary hypertension crucial, as their management and implications vary.Primary HypertensionPrimary hypertension,...
Hypertension III: Clinical Manifestations and Diagnostic Studies01:30

Hypertension III: Clinical Manifestations and Diagnostic Studies

Hypertension is asymptomatic and also referred to as the "silent killer" until it progresses to a severe stage or causes target organ disease. Patients may experience symptoms stemming from the strain on blood vessels and tissues in various organs or the heart's increased workload.Physical exams might show no abnormalities other than high blood pressure. Signs of vascular damage, when present, correspond to the organs supplied by the affected vessels, leading to target organ damage. For...
Hypertension II: Pathophysiology01:29

Hypertension II: Pathophysiology

Hypertension is a chronic condition in which the blood's force against artery walls is excessively high, posing risks such as heart disease. The condition's underlying mechanisms involve complex interactions among the cardiovascular, kidney, and autonomic nervous systems.Renin-Angiotensin-Aldosterone System (RAAS): This system significantly influences blood pressure regulation. When blood pressure decreases, the kidneys secrete renin. This enzyme transforms angiotensinogen, a plasma protein,...
Hypertension IV: Drug Therapy and Lifestyle Modifications01:28

Hypertension IV: Drug Therapy and Lifestyle Modifications

Multiple classes of antihypertensive medications are employed in treating hypertension. The most commonly recommended first-line treatments include:Thiazide Diuretics, such as chlorthalidone, increase sodium and water excretion from the body, reducing blood volume and blood pressure.Angiotensin-converting enzyme inhibitors, like lisinopril, block the conversion of angiotensin I to II, a potent vasoconstrictor lowering blood pressure.Angiotensin II Receptor Blockers (ARBs) prevent angiotensin II...
Hypertension V: Nursing Management01:23

Hypertension V: Nursing Management

The nursing management of hypertension involves accurately assessing symptoms, making a comprehensive nursing diagnosis, collaborating with patients to set goals, and implementing targeted interventions to mitigate the condition's impact and improve patient well-being.Comprehensive AssessmentThe initial step in nursing care for hypertension involves a thorough patient assessment. It includes evaluating symptoms such as headaches, dizziness, blurred vision, and previous hypertension episodes.