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The 2000 Canadian recommendations for the management of hypertension: part two--diagnosis and assessment of people with high blood pressure.

https://arctichealth.org/en/permalink/ahliterature192030
Source
Can J Cardiol. 2001 Dec;17(12):1249-63
Publication Type
Conference/Meeting Material
Article
Date
Dec-2001
Author
K B Zarnke
M. Levine
F A McAlister
N R Campbell
M G Myers
D W McKay
P. Bolli
G. Honos
M. Lebel
K. Mann
T W Wilson
C. Abbott
S. Tobe
E. Burgess
S. Rabkin
Author Affiliation
Department of Medicine, London Health Sciences Centre, University of Western Ontario, 339 Windermere Road, London, Ontario N6A 5A5, Canada. Kelly.Zarnke@lhsc.on.ca
Source
Can J Cardiol. 2001 Dec;17(12):1249-63
Date
Dec-2001
Language
English
French
Publication Type
Conference/Meeting Material
Article
Keywords
Adrenal Gland Neoplasms - complications
Adult
Blood Pressure Determination - methods - psychology - standards
Blood Pressure Monitoring, Ambulatory - methods - standards
Canada
Cardiovascular Diseases - etiology - prevention & control
Clinical Laboratory Techniques - standards
Diabetes Complications
Diabetic Nephropathies - complications - diagnosis
Echocardiography - standards
Electrocardiography
Evidence-Based Medicine - methods
Humans
Hypertension - complications - diagnosis - etiology - psychology
Hypertension, Renovascular - diagnosis
Hypertrophy, Left Ventricular - complications - ultrasonography
Office Visits
Patient compliance
Pheochromocytoma - complications - diagnosis
Risk factors
Self Care - methods - standards
Abstract
To provide updated, evidence-based recommendations for the diagnosis and assessment of high blood pressure in adults.
For people with high blood pressure, the assignment of a diagnosis of hypertension depends on the appropriate measurement of blood pressure, the level of the blood pressure elevation, the duration of follow-up and the presence of concomitant vascular risk factors, target organ damage and established atherosclerotic diseases. For people diagnosed with hypertension, defining the overall risk of adverse cardiovascular outcomes requires laboratory testing, a search for target organ damage and an assessment of the modifiable causes of hypertension. Out-of-clinic blood pressure assessment and echocardiography are options for selected patients.
People at increased risk of adverse cardiovascular outcomes and were identified and quantified.
Medline searches were conducted from the period of the last revision of the Canadian recommendations for the management of hypertension (May 1998 to October 2000). Reference lists were scanned, experts were polled, and the personal files of the subgroup members and authors were used to identify other studies. All relevant articles were reviewed and appraised, using prespecified levels of evidence, by content experts and methodological experts.
A high value was placed on the identification of people at increased risk of cardiovascular morbidity and mortality.
The identification of people at higher risk of cardiovascular disease will permit counselling for lifestyle manoeuvres and the introduction of antihypertensive drugs to reduce blood pressure for patients with sustained hypertension. In certain settings, and for specific classes of drugs, blood pressure lowering has been associated with reduced cardiovascular morbidity and/or mortality.
The present document contains detailed recommendations pertaining to aspects of the diagnosis and assessment of patients with hypertension, including the accurate measurement of blood pressure, criteria for the diagnosis of hypertension and recommendations for follow-up, routine and optional laboratory testing, assessment for renovascular hypertension, home and ambulatory blood pressure monitoring, and the role of echocardiography in hypertension.
All recommendations were graded according to strength of the evidence and voted on by the Canadian Hypertension Recommendations Working Group. Only the recommendations achieving high levels of consensus are reported here. These guidelines will be updated annually.
These recommendations are endorsed by the Canadian Hypertension Society, The Canadian Coalition for High Blood Pressure Prevention and Control, The College of Family Physicians of Canada, The Heart and Stroke Foundation of Canada, The Adult Disease Division and Bureau of Cardio-Respiratory Diseases and Diabetes at the Centre for Chronic Disease Prevention and Control of Health Canada.
PubMed ID
11773936 View in PubMed
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Accuracy of adrenal biopsy guided by ultrasound and CT.

https://arctichealth.org/en/permalink/ahliterature24747
Source
Acta Radiol. 1991 Sep;32(5):371-4
Publication Type
Article
Date
Sep-1991
Author
T. Tikkakoski
M. Taavitsainen
M. Päivänsalo
S. Lähde
M. Apaja-Sarkkinen
Author Affiliation
Department of Radiology, University Central Hospitals, Oulu, Finland.
Source
Acta Radiol. 1991 Sep;32(5):371-4
Date
Sep-1991
Language
English
Publication Type
Article
Keywords
Adrenal Gland Neoplasms - diagnosis - pathology - radiography - ultrasonography
Adult
Aged
Aged, 80 and over
Biopsy, Needle - methods
Female
Humans
Male
Middle Aged
Tomography, X-Ray Computed
Abstract
We reviewed the results of fine needle biopsy of the adrenal glands guided by ultrasonography or CT in 56 patients. The final diagnoses, obtained at operation, autopsy or follow-up were: metastasis (n = 22), adenoma (n = 21), adrenal cyst (n = 6), hematoma (n = 3), lymphoma (n = 1), pheochromocytoma (n = 1), lymph node (n = 1), and amyloid mass (n = 1). Sufficient cytologic material was obtained in 96.4% (54/56). The overall accuracy to differentiate benign from malignant disease was 85.7% (48/56), 2 were false-negative, one was false-positive. The biopsy was inconclusive ("possibly malignant") in 3 patients, 2 of whom had an additional cutting needle biopsy yielding a correct positive finding. No complications occurred. We conclude that in disseminated malignant disease with suspected adrenal metastases diagnostic results can be obtained with guided fine needle biopsy. Biopsy in primary adrenal lesions is helpful, especially if the aspirate of the lesion turns out to be composed of something other than adrenal cells.
PubMed ID
1910990 View in PubMed
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Acetylcholine-induced calcium signalling in adrenaline- and noradrenaline-containing adrenal chromaffin cells.

https://arctichealth.org/en/permalink/ahliterature9516
Source
Arch Biochem Biophys. 2004 Apr 1;424(1):23-32
Publication Type
Article
Date
Apr-1-2004
Author
O L Zaika
O M Pochynyuk
P G Kostyuk
E N Yavorskaya
E A Lukyanetz
Author Affiliation
International Center for Molecular Physiology, Kiev, Ukraine.
Source
Arch Biochem Biophys. 2004 Apr 1;424(1):23-32
Date
Apr-1-2004
Language
English
Publication Type
Article
Keywords
Acetylcholine - pharmacology
Adrenal Medulla - cytology
Animals
Atropine - pharmacology
Calcium - chemistry - metabolism
Calcium Signaling - drug effects - physiology
Cholinergic Agonists - pharmacology
Cholinergic Antagonists - pharmacology
Chromaffin Cells - chemistry - drug effects - metabolism - physiology
Cytophotometry - methods
Epinephrine - metabolism
Histocytochemistry - methods
Muscarine - pharmacology
Nicotine - pharmacology
Norepinephrine - metabolism
Rats
Receptors, Muscarinic - metabolism - physiology
Receptors, Nicotinic - metabolism - physiology
Research Support, Non-U.S. Gov't
Tubocurarine - pharmacology
Abstract
Adrenal chromaffin cells secrete catecholamines in response to cholinergic receptor activation by acetylcholine (ACh). Characteristics of Ca(2+) transients induced by activation of nicotinic (nAChRs) and muscarinic (mAChRs) receptors were analyzed using Fura-2 fluorescent measurements on rat chromaffin cells. We first found two populations of chromaffin cells, which differently responded on AChR stimulation. In the first group (n-cells), consecutive ACh applications evoked persistent Ca(2+) transients, whereas desensitizing transients were observed in the other group (m-cells). The AChR agonists and antagonists precisely imitated or abolished the ACh action on n- and m-type cells, respectively. Cytochemical staining showed that n-cells contained adrenaline, whereas m-cells-noradrenaline. Thus, for the first time we found that nAChRs and mAChRs are differentially expressed in adrenergic and noradrenergic chromaffin cells, respectively. Our data suppose that chromaffin cells can be differentially regulated by incoming ACh signals and in such way release different substances-adrenaline and noradrenaline.
PubMed ID
15019833 View in PubMed
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Activity of sympathoadrenal system and myelokaryocyte death during aging in AKR/JY mice.

https://arctichealth.org/en/permalink/ahliterature20209
Source
Bull Exp Biol Med. 2000 Jun;129(6):519-21
Publication Type
Article
Date
Jun-2000
Author
I A Khlusov
L A Stavrova
T I Fomina
T A Luk'yanova
A M Dygai
E D Gol'dberg
Author Affiliation
Institute of Pharmacology, Tomsk Research Center, Siberian Division of the Russian Academy of Medical Sciences.
Source
Bull Exp Biol Med. 2000 Jun;129(6):519-21
Date
Jun-2000
Language
English
Publication Type
Article
Keywords
Adrenal Medulla - metabolism
Aging
Animals
Apoptosis - physiology
Bone Marrow Cells - cytology - pathology
Catecholamines - metabolism
Cell Survival
Female
Leukemia - metabolism - pathology
Mice
Mice, Inbred AKR
Mice, Inbred CBA
Statistics, nonparametric
Stress
Abstract
Accelerated bone marrow cell death and activation of the sympathoadrenal system were observed during aging of highly leukemic 2-7-month-old AKR/JY mice compared to that in (CBA/CaLacxAKR/JY)F1 strain. Close correlation was revealed between activity of the sympathoadrenal system and necrotic and apoptotic forms of cell death. This can promote tumor process, because maximum changes in hemopoietic cells occur during advanced stage of the disease.
PubMed ID
11022236 View in PubMed
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[ACUTE ADRENAL INSUFFICIENCY IN SO-CALLED SEPTIC ENDOMETRITIS IN PREGNANCY.]

https://arctichealth.org/en/permalink/ahliterature67024
Source
Pediatr Akus Ginekol. 1964;33:64
Publication Type
Article
Date
1964
Author
I M ESTRIN
Iu M DAVIDENKO
Source
Pediatr Akus Ginekol. 1964;33:64
Date
1964
Language
Ukrainian
Publication Type
Article
Keywords
Adrenal insufficiency
Endometritis
Pregnancy
Pregnancy Complications, Infectious
PubMed ID
14294027 View in PubMed
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Acute asthma: emergency department management and prospective evaluation of outcome.

https://arctichealth.org/en/permalink/ahliterature229449
Source
CMAJ. 1990 Mar 15;142(6):591-5
Publication Type
Article
Date
Mar-15-1990
Author
J M Fitzgerald
F E Hargreave
Author Affiliation
Firestone Regional Chest and Allergy Unit, St. Joseph's Hospital, Hamilton, Ont.
Source
CMAJ. 1990 Mar 15;142(6):591-5
Date
Mar-15-1990
Language
English
Publication Type
Article
Keywords
Acute Disease
Adolescent
Adrenal Cortex Hormones - administration & dosage - therapeutic use
Adrenergic beta-Agonists - administration & dosage - therapeutic use
Adult
Asthma - diagnosis - drug therapy - physiopathology
Emergencies
Emergency Service, Hospital - utilization
Evaluation Studies as Topic
Female
Follow-Up Studies
Forced expiratory volume
Humans
Male
Medical History Taking
Middle Aged
Ontario
Prednisone - therapeutic use
Prognosis
Questionnaires
Recurrence
Retrospective Studies
Spirometry
Abstract
To determine the current management of acute asthma in the emergency department and to evaluate outcome we reviewed the charts of 99 patients aged 15 to 55 years who presented to the emergency department of a tertiary referral, university-affiliated hospital and were subsequently discharged with a diagnosis of acute asthma. Outcome was evaluated prospectively, with a structured questionnaire, by telephone. During the visit pulsus paradoxus was documented in four patients. Spirometry was done in 63 patients; postbronchodilator values ranged from 0.9 to 4.1 L. A total of 92 patients received inhaled bronchodilator therapy, most by wet nebulization. Sixteen patients received anticholinergic agents and three received theophylline. Ingested corticosteroids were given to 27 patients. Of the 71 patients contacted, a mean of 12 days after the visit, 26 (37%) had sought further medical attention, 19 at the emergency department; 9 had required admission. Forty-six patients reported that their condition had improved, but over 60% continued to have cough, sputum production, nocturnal waking and early-morning chest tightness. The results indicate that asthma continues to be undertreated in the emergency department and highlight the importance of routine spirometry in all patients and the need for systemic corticosteroid therapy.
Notes
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PubMed ID
1968778 View in PubMed
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Acute sarcoid arthritis: a favourable outcome? A retrospective survey of 49 patients with review of the literature.

https://arctichealth.org/en/permalink/ahliterature14315
Source
Scand J Rheumatol. 1996;25(2):70-3
Publication Type
Article
Date
1996
Author
J T Gran
E. Bøhmer
Author Affiliation
Department of Rheumatology, Central Hospital of Aust Agder, Arendal, Norway.
Source
Scand J Rheumatol. 1996;25(2):70-3
Date
1996
Language
English
Publication Type
Article
Keywords
Acute Disease
Adrenal Cortex Hormones - therapeutic use
Adult
Aged
Anti-Inflammatory Agents, Non-Steroidal - therapeutic use
Arthritis - complications - drug therapy - etiology
Female
Humans
Male
Middle Aged
Multicenter Studies
Retrospective Studies
Sarcoidosis - complications
Time Factors
Treatment Outcome
Abstract
Forty-nine patients, 30 males and 19 females with acute sarcoid arthritis admitted to three different hospitals in Norway were studied retrospectively. All patients had peripheral arthritis and hilar adenopathy, and 87.8% also presented with erythema nodosum (EN). Mean duration of arthritis was 3.7 months (0.5-12 months), but in 26% of the cases, duration of the inflammatory joint disease exceeded three months. Radiological bony erosions were not seen. Two patients had recurrence of acute sarcoid arthritis, 14 months and 10 years after the initial episode, respectively. Two other patients developed chronic myalgia and fibromyalgia. Four patients, one female and three males, developed chronic pulmonal sarcoidosis. Of these, two patients had simultaneous onset of acute sarcoid arthritis and parenchymal disease while two patients developed chronic lung disease three months after onset of acute sarcoid arthritis. We thus tentatively suggest that although acute sarcoid arthritis is usually a self-limiting joint disease, recurrences may occasionally occur and some cases develop chronic sarcoidosis of the lungs.
PubMed ID
8614769 View in PubMed
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797 records – page 1 of 80.