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'Less is more' when it comes to treating high blood pressure
March 20, 2009A newly published study found patients actually have more control of their high blood pressure (hypertension) when treated with less medication. The study led by Dr. Ross D. Feldman, a clinical scientist with the Robarts Research Institute at The University of Western Ontario recommends a simplified and more effective method of treating hypertension using low doses of single pill combinations, rather than multiple pills. The "Simplified Treatment Intervention to Control Hypertension" (STITCH) study is in the April edition of the journal Hypertension.
STITCH involved 2,104 patients with high blood pressure at 45 family practices in southwestern Ontario, Canada. Researchers wanted to see if there are simpler ways to help patients (and their doctors) reduce their blood pressure to goal levels than by following national guidelines which can be complicated. Feldman's study suggests that the majority of recently-diagnosed patients might better be served starting with a half tablet of a single pill combination drug (e.g. an ACE-inhibitor/diuretic or Angiotensin receptor blocker/diuretic combination) than the regular starting dose of a single drug.
"The nature of hypertension management has changed. It's much more aggressive, and complex, leading to hundreds of recommendations on how to manage high blood pressure," says Feldman, the R.W. Gunton Professor of Therapeutics at Western. "This should be a call to hypertensive patients to go to their family physicians to be prescribed these single pill combinations. It makes both the patients' and doctors' lives easier."
The proper diagnosis and treatment of high blood pressure can cut your risk of stroke by up to 40% and heart attack by up to 25%.
University of Western Ontario
The proper diagnosis and treatment of high blood pressure can cut your risk of stroke by up to 40% and heart attack by up to 25%.
University of Western Ontario
Blood Pressure Current Events and Blood Pressure News RSSMultiple health concerns surface as winter, vitamin D deficiences arrive
A string of recent discoveries about the multiple health benefits of vitamin D has renewed interest in this multi-purpose nutrient, increased awareness of the huge numbers of people who are deficient in it, spurred research and even led to an appreciation of it as "nature's antibiotic."
High Blood Pressure Easy to Miss in Children with Kidney Disease
Spot blood pressure readings in children with chronic kidney disease often fail to detect hypertension - even during doctor's office visits - increasing a child's risk for serious heart problems, according to research from Johns Hopkins Children's Center and other institutions. A report of the findings appears online in the Journal of American Society of Nephrology.
Canadians finding it tough to shake the salt habit
Canadians know that too much salt isn't good for their diets, but half still continue to shake it on, according to a new study by University of Alberta researchers.
Night Beat, Overtime and a Disrupted Sleep Pattern Can Harm Officers' Health
A police officer who works the night shift, typically from 8 p.m. to 4 a.m., already is at a disadvantage when it comes to getting a good "night's" sleep.
At-risk college students reduce HBP, anxiety, depression through Transcendental Meditation
The Transcendental Meditation technique may be an effective method to reduce blood pressure, anxiety, depression, and anger among at-risk college students, according to a new study to be published in the American Journal of Hypertension, December 2009.
Fat collections linked to decreased heart function
Researchers from Boston University School of Medicine (BUSM) have shown that fat collection in different body locations, such as around the heart and the aorta and within the liver, are associated with certain decreased heart functions.
Young athletes need dual screening tests for heart defects, study suggests
To best detect early signs of life-threatening heart defects in young athletes, screening programs should include both popular diagnostic tests, not just one of them, according to new research from heart experts at Johns Hopkins.
Heart and bone damage from low vitamin D tied to declines in sex hormones
Researchers at Johns Hopkins are reporting what is believed to be the first conclusive evidence in men that the long-term ill effects of vitamin D deficiency are amplified by lower levels of the key sex hormone estrogen, but not testosterone.
New study links vitamin D deficiency to cardiovascular disease and death
While mothers have known that feeding their kids milk builds strong bones, a new study by researchers at the Heart Institute at Intermountain Medical Center in Salt Lake City suggests that Vitamin D contributes to a strong and healthy heart as well - and that inadequate levels of the vitamin may significantly increase a person's risk of stroke, heart disease, and death, even among people who've never had heart disease.
Early end to key study on benefits of niacin, a B vitamin, in keeping arteries open was premature
Heart experts at Johns Hopkins are calling premature the early halt of a study by researchers at Walter Reed Army Medical Center and Washington Hospital Center on the benefits of combining extended-release niacin, a B vitamin, with cholesterol-lowering statin medications to prevent blood vessel narrowing.
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