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Related Concept Videos

Hypertension and Regulation of Blood Pressure01:18

Hypertension and Regulation of Blood Pressure

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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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Hypertension III: Clinical Manifestations and Diagnostic Studies01:30

Hypertension III: Clinical Manifestations and Diagnostic Studies

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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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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 I: Introduction01:28

Hypertension I: Introduction

109
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,...
109
Errors occurring during blood pressure monitoring01:25

Errors occurring during blood pressure monitoring

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Blood pressure monitoring is a crucial clinical procedure in diagnosing and managing various cardiovascular conditions. Despite its significance, the accuracy of blood pressure measurements can be compromised by multiple factors, potentially leading to either falsely high or low readings. These inaccuracies are critical as they can significantly impact patient care. So, it is vital to understand these challenges deeply and adopt strategic approaches to minimize errors.
Several factors...
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Blood Pressure01:30

Blood Pressure

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Blood pressure (BP) is the pressure or force of blood exerted on the artery's walls as it circulates through the body. It is essential for maintaining blood flow throughout the body.
The average BP in an adult is typically around 120/80 mmHg (millimeters of mercury). In this measurement, the numerator (120) indicates the systolic pressure, which is the pressure in the arteries during the contraction of the heart's ventricles as blood is expelled. The denominator (80) represents the...
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The Relationship Between Racial/Ethnic Concordance and Hypertension Control.

Francesca Adriano1, Raoul J Burchette2, Alyson C Ma3

  • 1Kaiser Permanente San Diego Family Medicine Residency Program, Kaiser Permanente Southern California, San Diego, CA.

The Permanente Journal
|March 29, 2022
PubMed
Summary
This summary is machine-generated.

Racial and ethnic concordance between patients and providers is linked to better hypertension control. Longer relationships with primary care providers also improve blood pressure management, highlighting the importance of the patient-provider connection.

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Area of Science:

  • Health Services Research
  • Health Disparities
  • Cardiovascular Health

Background:

  • Hypertension poses a significant economic burden due to its high healthcare costs.
  • Understanding and improving hypertension control is crucial, especially concerning racial and ethnic disparities.

Purpose of the Study:

  • To investigate the relationship between hypertension control and patient-provider racial/ethnic concordance.
  • To determine if shared race/ethnicity between patient and provider predicts better high blood pressure control.

Main Methods:

  • Analysis of data from 612,524 adult patients diagnosed with hypertension.
  • Utilized multiple regression analysis to assess correlations between patient-provider concordance and hypertension control.
  • Data collected from Kaiser Permanente Southern California between January 2016 and December 2019.

Main Results:

  • Patient-provider concordance in language, gender, and race showed statistically significant positive correlations with hypertension control.
  • Language concordance had the highest impact, followed by gender and then race.
  • Asian patients experienced longer periods of hypertension control, while Black and Hispanic patients had less time in control.

Conclusions:

  • Racial/ethnic concordance between patients and providers is correlated with hypertension control.
  • Longer duration of care with the same primary care provider is positively associated with sustained hypertension control.
  • The patient-provider relationship is a critical factor influencing health outcomes in hypertension management.