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Related Concept Videos

Hypertension I: Introduction01:28

Hypertension I: Introduction

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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,...
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Hypertension II: Pathophysiology01:29

Hypertension II: Pathophysiology

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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,...
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Hypertension V: Nursing Management01:23

Hypertension V: Nursing Management

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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.
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Hypertension and Regulation of Blood Pressure01:18

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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...
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Pulmonary Hypertension: Classification and Pathogenesis01:30

Pulmonary Hypertension: Classification and Pathogenesis

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Pulmonary hypertension (PH) is a severe health condition in which the mean pulmonary arterial pressure increases to 25 mmHg or more, even when the body is at rest. This high pressure in the blood vessels that transport blood from the heart to the lungs can cause various symptoms, including shortness of breath, can lead to right heart failure, and significantly affect the overall quality of life.
There are various classifications for PH, each relating to different underlying causes and also...
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Hypertension III: Clinical Manifestations and Diagnostic Studies01:30

Hypertension III: Clinical Manifestations and Diagnostic Studies

565
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...
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Acupuncture in a Rat Model of Asthma
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Acupuncture for hypertension.

Jie Yang1, Jiao Chen, Mingxiao Yang

  • 1Acupuncture and Tuina College, Chengdu University of Traditional Chinese Medicine, 37# shi-er-qiao Road, Chengdu, Sichuan, China, 610075.

The Cochrane Database of Systematic Reviews
|November 28, 2018
PubMed
Summary
This summary is machine-generated.

Acupuncture shows no sustained blood pressure lowering effect for hypertension. Short-term effects are uncertain due to low-quality evidence and potential bias in studies. Further research with rigorous controls is needed.

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Area of Science:

  • Integrative Medicine
  • Cardiovascular Health
  • Evidence-Based Practice

Background:

  • Hypertension affects one billion people globally, posing significant risks for stroke and myocardial infarction.
  • Poorly controlled blood pressure remains a challenge in clinical practice.
  • Traditional Chinese Medicine suggests acupuncture may lower blood pressure.

Purpose of the Study:

  • To evaluate the effectiveness and safety of acupuncture for reducing blood pressure in adults with primary hypertension.

Main Methods:

  • Systematic review and meta-analysis of randomized controlled trials (RCTs).
  • Searched multiple databases (Hypertension Group, Cochrane, MEDLINE, Embase, CNKI, VIP, WHO ICTRP, ClinicalTrials.gov) without language restrictions.
  • Included RCTs comparing acupuncture (alone or add-on) against no treatment, sham acupuncture, or antihypertensive drugs.

Main Results:

  • Twenty-two RCTs involving 1744 participants were included, with most trials having a high risk of bias.
  • No evidence of a sustained blood pressure lowering effect was found; one trial showed no effect at 3-6 months post-acupuncture.
  • Very low-quality evidence suggested a short-term reduction in systolic and diastolic blood pressure (1-24 hours) from sham-controlled trials.

Conclusions:

  • Current evidence does not support acupuncture for sustained blood pressure management in chronic hypertension.
  • Short-term effects are uncertain due to low-quality evidence and likely bias in non-sham controlled trials.
  • Future RCTs require sham controls and assessment of effects lasting at least seven days.