Longdom Conferences

Speaker

July 19, 2020    London, UK
Webinar on

Hypertension and Healthcare

Miguel Angel Lpez Aranda
09:30 AM-10:30 AM

Miguel Angel Lpez Aranda

Marina Baixa Hospital Spain

Title: ESC / ESH 2018 guidance on the diagnosis and treatment of hypertension

Abstract:

At the start of a document fairly recent ESC / ESH 2018 guidance on the diagnosis and treatment of hypertension, developments and changes to be included in the guide 2013 with which we were working and practicing in our daily practice, but having many technical concepts and professionals, will give important aspects for the general public, our patients. Starting with the definition of hypertension, which says; Systolic blood pressure (SBP) ≥ 140 mmHg or diastolic blood pressure (DBP) ≥ 90 mmHg, make the diagnosis, unlike the changes presented in the American guide, who already considers HTA people with values> 130/80 mmHg, which has generated an intense debate among specialists involved in treating hypertension. They will continue to use the same values ​​for young people, middle-aged or older, while for children and adolescents change, using a specific nomenclature for them. The thresholds used to define the optimal pressure, normal pressure and normal-high pressure and varying degrees of pressure, not change.Among the most relevant and novel aspects, will detail the "Lifestyle", in which:

• recommend reducing salt intake to <5 g / day (class I).

• It is recommended to reduce the intake of alcohol (Class IA): o Less than 14 units per week for men (1 unit = 125 ml of wine or 250 ml of beer) or less than 8 units a week for women • consumption is not recommended for the total units in the weekend (Class III C) • weight control is indicated to avoid obesity (BMI> 30 or PC> 102 cm for men and> 88 cm for women). The goal is to achieve a healthy weight (BMI 20-25, PC <94 cm for men and <80 cm for women) • It is recommended that regular aerobic exercise at least 30 minutes of moderate the dynamic exercise 57 days per week

Note; BMI = body mass index or PC = waist circumference.

Hypertension is associated with an increased risk of cardiovascular complications stroke, myocardial infarction, sudden death, heart failure and peripheral arterial disease, and kidney disease

Its prevalence is high around a 30 - 45% of the general population is hypertensive, with a marked increase in more advanced ages.The prevalence in Spain is around 15-20% in the population> 15 years of 30-36% in the population> 45 years and 45-48% in> 65 years. 65% of hypertensive patients is known that, of these, 85% are being treated and only 25% managed to control blood pressure. High-risk patients, diabetics and renal patients are the worst achieve blood pressure control. All this makes the HTA is the most important risk factor contributing to overall mortality and disability. And it is becoming more common by the aging population and obesity epidemic.

 

 

Biography:

Dr. López is a leading specialist in Cardiology with extensive experience in the treatment of arrhythmias , hypertension and sports Cardiology . He graduated in Medicine and Surgery and made a specialization in Cardiology. Later he made several masters in the subjects of Cardiology and diagnostic imaging. He is currently a specialist in the Benidorm Clinic Hospital, although he has previously developed his medical work in various national and international hospitals, having been Chief of the emergency department of the Perpetuo Socorr Hospital and attached Physician at the Marina Baixa Hospital.

Useful Links

News

Health: Worrying rise of hypertension in Indians

2019-10-17

Hypertension is the most important risk factor for chronic disease burden across the world. Global burden of diseases study in year 2017 reported high systolic blood pressure as the leading risk factor across the globe that accounted for 10.2 million deaths. Indians are more prone to hypertension and heart disorders, and are affected at a younger age than the Europeans. The fourth District Level Household Survey reports an overall prevalence 25.3 per cent for hypertension in India that translates to around 207 million individuals.

Hypertension in adults: summary of updated NICE guidance

2019-10-21

Hypertension is a leading global cause of morbidity and mortality. More than 25% of the adult UK population has hypertension, and in about 30% blood pressure remains uncontrolled.1 In August, the National Institute for Health and Care Excellence (NICE) published its updated guideline on the diagnosis and management of hypertension. The guideline reviews further evidence that has emerged since it was last updated in 2011 from randomised trials investigating the initiation, monitoring, and choice of antihypertensive treatment. The scope of the updated guideline has increased to also include people with type 2 diabetes, but does not make recommendations for people with chronic kidney disease, established cardiovascular disease, or hypertension in pregnancy. This article summarises the most recent recommendations from NICE and includes information considered to be most relevant to primary care clinicians. Key changes to current practice include offering drug treatment to people at a lower threshold for 10 year risk of cardiovascular disease, emphasis on maintaining blood pressure below target, and clarifying criteria for same day specialist review in people with accelerated hypertension.

Tobacco Use, Hypertension Make Rural Population Susceptible to Heart Disease

2019-11-03

A study undertaken over the course of eight years in five villages near Chennai has shown that cardiovascular diseases remain quite high even among a rural population, a report in The Hindu says. The study, carried out by Dr. Prabhdeep Kaur of Chennai’s National Institute of Epidemiology and published in the journal BMJ Open has challenged the commonly held notion that those living comparatively ‘stress-free’ lives in non-urban areas are immune to heart attacks and strokes. “The study involved 5,641 adults aged 25-64 years…There were 96 deaths — 79 from heart attacks and 17 from stroke. There were 59 adults who suffered but did not die from heart attack and stroke,” said the Hindu report.

Women with gestational hypertension have elevated cardiovascular risk later in life

2019-11-12

First, women with a history of hypertensive pregnancy had stiffer arteries and two to five times the rate of chronic hypertension later in life across age groups, compared to control subjects. Second, they were more likely to develop cardiovascular conditions over time, including coronary artery disease, which prior research suggested, heart failure, and two kinds of valvular heart disease -- aortic stenosis and mitral regurgitation -- that had not previously been associated with hypertensive pregnancy. Third, the study found that between half and one-third of the risk of coronary disease and heart failure was driven by chronic hypertension

Daily coffee can cut risk of high blood pressure and diabetes

2019-11-27

Drinking up to four coffees a day can significantly reduce the risk of type 2 diabetes, high blood pressure and obesity, according to a study. Even decaffeinated coffee gave the health boost, researchers said, though the effect from either type disappeared after four cups. The team from the universities of Navarre in Spain and Catania in Italy found that there was an “association between coffee consumption and a decreased risk of type 2 diabetes” and added that “long-term coffee consumption is associated with a decreased risk of hypertension”.

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