Posts Tagged ‘hypertension’

The Case Against Renal Stenting for Treatment of Hypertension and Chronic Kidney Disease

Posted by Joshua Allen-Dicker • January 2nd, 2014

Wouldn’t it be great if medicine could borrow from the science behind percutaneous coronary arterial stenting (used over 600,000 times per year in the United States for coronary ischemia) in order to treat a chronic and widespread disease such as hypertension?  The CORAL trial (Cardiovascular Outcomes in Renal Atherosclerotic Lesions), published in this week’s NEJM,… Read More…

IgA Nephropathy

Posted by Sara Fazio • June 21st, 2013

IgA nephropathy is a common glomerular disease that is an important cause of kidney failure. The latest review in our Medical Progress series discusses advances in the therapy and understanding of the molecular basis of IgA nephropathy, a common glomerulopathy that not infrequently leads to kidney failure. IgA nephropathy is the most prevalent primary chronic… Read More…

Poorly Controlled Diabetes Mellitus and Fatigue

Posted by Sara Fazio • May 31st, 2013

In the latest Case Record from the Massachusetts General Hospital, a 56-year-old woman with diabetes mellitus was admitted to the hospital because of hyperglycemia and chest pain. Approximately 4 years earlier, a chest radiograph showed a solitary pulmonary nodule in the right upper lobe. The differential diagnosis for uncontrolled diabetes includes undertreatment or misdiagnosis of… Read More…

Secondary Stroke Prevention

Posted by Sara Fazio • May 16th, 2012

Patients with stroke are at high risk for subsequent vascular events, including recurrent stroke (highest risk), myocardial infarction, and death from vascular causes. The latest article in our Clinical Practice series reviews recommended strategies to reduce the risk of a subsequent stroke in patients with a history of transient ischemic attack (TIA) or stroke. Worldwide,… Read More…

Subclinical Atrial Fibrillation

Posted by Sara Fazio • January 13th, 2012

In a study from Healey et al, a cohort of 2580 patients with pacemakers or defibrillators were monitored for 3 months to detect subclinical atrial tachyarrhythmias. Patients with subclinical atrial tachyarrhythmias had a significantly increased risk of subsequent ischemic stroke. Atrial fibrillation may be asymptomatic and consequently subclinical. Epide­miologic studies indicate that many patients with atrial fibrillation… Read More…

Childhood Adiposity and Cardiovascular Risk

Posted by Lisa Rosenbaum • November 16th, 2011

Childhood obesity has reached epidemic proportions, and has moved beyond public health discourse and onto the public stage. No doubt, efforts to prevent and treat childhood obesity are critical. But in the face of highly visible social campaigns -from school lunch reform to the elimination of “food deserts,” it can be tough to tell where… Read More…

Hypertension in Pregnancy

Posted by Graham McMahon • August 5th, 2011

The latest article in our Clinical Practice review series, Chronic Hypertension in Pregnancy, reviews the potential risks associated with pregnancy among women with chronic hypertension and recommended treatment before and during pregnancy. Current recommendations regarding medications are reviewed. The prevalence of chronic hypertension in pregnancy in the United States is estimated to be as high as… Read More…

Dietary Management of Hypertension

Posted by Graham McMahon • June 4th, 2010

The latest Clinical Therapeutics article, Dietary Therapy in Hypertension, comes from Drs. Frank Sacks and Hannia Campos at the Harvard School of Public Health. Among most populations in developed countries, the prevalence of hypertension increases dramatically with age; in the United States it rises from about 10% in persons 30 years of age to 50%… Read More…