Aortic dissection presenting as concomitant stroke and STEMI.

Abstract:

:Aortic dissection is a disease of immediate consequence,as mortality of a proximal dissection is in excess of 50% when left untreated. Early recognition of the dissection event can lead to faster definitive correction with surgical and/or novel percutaneous approaches. Widely varying signs and symptoms can, however, make this diagnosis a challenge, further complicated by the fact that no specific imaging modality is ideal, nor immediately available, in all cases. Care must be taken inpatients where methodical evaluation is difficult,including physical exam, standard electrocardiogram and chest X-ray, before more definitive imaging. This is a case of aortic dissection that is presented as concomitant ST elevation myocardial infarction and embolic stroke, in which the patient received thrombolytics before diagnosis of the dissection itself. This arguably may have worsened her clinical course.

journal_name

J Hum Hypertens

authors

Cook J,Aeschlimann S,Fuh A,Kohmoto T,Chang SM

doi

10.1038/sj.jhh.1002208

subject

Has Abstract

pub_date

2007-10-01 00:00:00

pages

818-21

issue

10

eissn

0950-9240

issn

1476-5527

pii

1002208

journal_volume

21

pub_type

信件
  • Arterial stiffness in children and adolescents with masked and sustained hypertension.

    abstract::This study recruited 85 healthy children and adolescents, aged 6-18 years, from a school-based blood pressure (BP) screening study and performed office BP measurements, 24-h ambulatory blood pressure monitoring (24-h ABPM) and 24-h pulse wave analysis. Prevalence of BP phenotypes was assessed, factors that may predict...

    journal_title:Journal of human hypertension

    pub_type: 杂志文章

    doi:10.1038/s41371-020-0318-4

    authors: Kollios K,Nika T,Kotsis V,Chrysaidou K,Antza C,Stabouli S

    更新日期:2021-01-01 00:00:00

  • Influence of mild to moderate treated hypertension on 9-11 year mortality in patients with pre-existing coronary heart disease.

    abstract::Hypertension is a known risk factor in the genesis of coronary artery disease. However, the effect of pre-existing hypertension on the long-term mortality in patients with established coronary heart disease is not clear. The present cohort study analysed the influence of baseline mild to moderate treated hypertension ...

    journal_title:Journal of human hypertension

    pub_type: 杂志文章

    doi:

    authors: Gupta R,Gupta KD,Kasliwal P

    更新日期:1992-08-01 00:00:00

  • Antihypertensive therapy in diabetic patients.

    abstract::Diabetes mellitus (DM)-linked metabolic alterations and hypertension concomitantly accelerate or precipitate cerebrovascular and coronary heart disease, nephropathy, retinopathy and widespread macroangiopathy, thereby conferring to diabetic patients a very high risk of morbidity, disability and early death. Therefore,...

    journal_title:Journal of human hypertension

    pub_type: 杂志文章,评审

    doi:

    authors: Weidmann P,Boehlen LM,de Courten M,Ferrari P

    更新日期:1992-12-01 00:00:00

  • Effect of angiotensin II on pulse wave velocity in humans is mediated through angiotensin II type 1 (AT(1)) receptors.

    abstract::The objective of this study was to examine the effect of angiotensin II (Ang II) and angiotensin II type 1 (AT(1)) receptor blockade on pulse wave velocity (PWV) in healthy humans. We studied nine young male volunteers in a double-blind randomised crossover design. Carotid-femoral PWV (an index of arterial stiffness) ...

    journal_title:Journal of human hypertension

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1038/sj.jhh.1001372

    authors: Rehman A,Rahman AR,Rasool AH

    更新日期:2002-04-01 00:00:00

  • Consideration of hypertensive retinopathy as an important end-organ damage in patients with hypertension.

    abstract::Longstanding and therapy-resistant hypertension may cause cerebral, renal, cardiac and retinal end-organ damage (EOD). Retinal hypertensive abnormalities are correlated with an increased risk of cardiovascular (CV) disease in general but are not included in CV risk assessment tools. Research into prevalence and determ...

    journal_title:Journal of human hypertension

    pub_type: 杂志文章

    doi:10.1038/jhh.2016.49

    authors: Kolman SA,van Sijl AM,van der Sluijs FA,van de Ree MA

    更新日期:2017-02-01 00:00:00

  • Hypertension and heart failure: a dysfunction of systole, diastole or both?

    abstract::The pathological myocardial hypertrophy associated with hypertension contains the seed for further maladaptive development. Increased myocardial oxygen consumption, impaired epicardial coronary perfusion, ventricular fibrosis and remodelling, abnormalities in long-axis function and torsion, cause, to a varying degree,...

    journal_title:Journal of human hypertension

    pub_type: 杂志文章,评审

    doi:10.1038/jhh.2008.141

    authors: Yip GW,Fung JW,Tan YT,Sanderson JE

    更新日期:2009-05-01 00:00:00

  • Antihypertensive treatment and control according to gender, education, country of birth and psychiatric disorder: the Swedish Primary Care Cardiovascular Database (SPCCD).

    abstract::The reasons why women and men are treated with different antihypertensive drugs are not clear. Whether socioeconomic factors influence prescription patterns and blood pressure control differently in women and men has not been investigated. This cross-sectional study performed in a cohort of hypertensive patients from ...

    journal_title:Journal of human hypertension

    pub_type: 杂志文章

    doi:10.1038/jhh.2014.100

    authors: Ljungman C,Kahan T,Schiöler L,Hjerpe P,Wettermark B,Boström KB,Manhem K

    更新日期:2015-06-01 00:00:00

  • Factors affecting variability in home blood pressure in patients with type 2 diabetes: post hoc analysis of a cross-sectional multicenter study.

    abstract::Recent studies have shown that variability in home blood pressure has an important role in the progression of organ damage. The objective of this study was to investigate the factors that affect variability in home blood pressure in patients with type 2 diabetes. We assessed the relationship between home blood pressur...

    journal_title:Journal of human hypertension

    pub_type: 杂志文章,多中心研究

    doi:10.1038/jhh.2014.2

    authors: Ushigome E,Fukui M,Hamaguchi M,Tanaka T,Atsuta H,Mogami SI,Oda Y,Yamazaki M,Hasegawa G,Nakamura N

    更新日期:2014-10-01 00:00:00

  • Improvement of cardiovascular risk profile in an elderly population of low social level: the ICON (Improving Cardiovascular risk profile in Older Neapolitans) study.

    abstract::Older age and low socio-economic conditions are associated with poor control of cardiovascular risk factors (RFs). We assessed the prevalence and awareness of cardiovascular RFs in 503 elderly outpatients of low social status attending two public Internal Medicine clinics in Naples, and studied the interaction of educ...

    journal_title:Journal of human hypertension

    pub_type: 杂志文章

    doi:10.1038/sj.jhh.1002098

    authors: Marotta T,Viola S,Ferrara F,Ferrara LA

    更新日期:2007-01-01 00:00:00

  • Role of endothelin in stress-induced hypertension.

    abstract::In this study we investigated the role of endogenous endothelin in the cardiovascular response to acute stress, ie mild footshocks in conscious rats. Footshock-stress significantly increased mean arterial pressure and heart rate (P < 0.05). Peripheral or intracerebroventricular (IVT) administration of BQ 788, a select...

    journal_title:Journal of human hypertension

    pub_type: 杂志文章

    doi:10.1038/sj.jhh.1001338

    authors: Garrido MR,Israel A

    更新日期:2002-03-01 00:00:00

  • Preeclampsia: effect on newborn blood pressure in the 3 days following preterm birth: a cohort study.

    abstract::Maternal hypertension and preeclampsia are associated with greater risk of hypertension in childhood, and cardiovascular events in adulthood. However, whether preeclampsia affects blood pressure (BP) in the newborn period is unclear. Previous neonatal studies were based on small sample sizes, very low birth weight or ...

    journal_title:Journal of human hypertension

    pub_type: 杂志文章

    doi:10.1038/jhh.2014.50

    authors: Reveret M,Boivin A,Guigonnis V,Audibert F,Nuyt AM

    更新日期:2015-02-01 00:00:00

  • Nonspecific dizziness: frequency of supine hypertension associated with hypotensive reactions on head-up tilt.

    abstract::The clinical syndrome of supine hypertension associated with orthostatic hypotension (OH) in given individuals is recognized by specialists, but is underdiagnosed in the community. The objective of this study was to assess supine hypertension associated with hypotensive reactions on head-up tilt (SH-HRT) among patient...

    journal_title:Journal of human hypertension

    pub_type: 杂志文章

    doi:10.1038/sj.jhh.1001947

    authors: Naschitz JE,Mussafia-Priselac R,Kovalev Y,Zaigraykina N,Slobodin G,Elias N,Storch S,Rosner I

    更新日期:2006-02-01 00:00:00

  • Evaluation of the antioxidant response in the plasma of healthy or hypertensive subjects after short-term exercise.

    abstract::Reactive oxygen species are produced during exercise. The antioxidants prevent or limit tissue damages by these species in physiological conditions. In particular, ascorbate and urate scavenge peroxynitrite, which can alter the function of many molecules, including the lecithin-cholesterol acyltransferase (LCAT) enzym...

    journal_title:Journal of human hypertension

    pub_type: 杂志文章

    doi:10.1038/sj.jhh.1001617

    authors: Santangelo L,Cigliano L,Montefusco A,Spagnuolo MS,Nigro G,Golino P,Abrescia P

    更新日期:2003-11-01 00:00:00

  • Clinical relevance of visit-to-visit blood pressure variability: impact on renal outcomes.

    abstract::An impaired renal function has been found associated with very high cardiovascular (CV) risk, especially in subjects with type 2 diabetes. Microalbuminuria is a sensitive early marker of renal damage, often preceding the more advanced stages of diabetic nephropathy. Consistent evidence has been provided that any degre...

    journal_title:Journal of human hypertension

    pub_type: 杂志文章,评审

    doi:10.1038/jhh.2013.96

    authors: Parati G,Liu X,Ochoa JE

    更新日期:2014-07-01 00:00:00

  • Left ventricular hypertrophy, blood pressure and ACE genotype in untreated hypertension.

    abstract::It has been suggested that the deletion polymorphism of the angiotensin-converting enzyme (ACE) genotype may be important in the development of left ventricular hypertrophy (LVH). In order to test this hypothesis we investigated the interaction between blood pressure (BP), LVH and ACE genotype in 86 previously untreat...

    journal_title:Journal of human hypertension

    pub_type: 杂志文章

    doi:10.1038/sj.jhh.1000491

    authors: Mayet J,O'Kane KP,Elton R,Johnstone HA,Shahi M,Ozkor MA,Stanton AV,Poulter NR,Sever PS,Foale RA,Webb DJ,Thom SA

    更新日期:1997-09-01 00:00:00

  • The role of aliskiren in the management of hypertension and major cardiovascular outcomes: a systematic review and meta-analysis.

    abstract::The role of the direct renin inhibitor aliskiren in hypertension is not fully established and use of aliskiren in diabetic patients is especially controversial. A systematic review investigating both short-term diastolic and systolic blood pressure (DBP and SBP) reduction and long-term cardiovascular outcomes has not ...

    journal_title:Journal of human hypertension

    pub_type: 杂志文章,meta分析

    doi:10.1038/s41371-018-0149-8

    authors: Bjerre HL,Christensen JB,Buus NH,Simonsen U,Su J

    更新日期:2019-11-01 00:00:00

  • Coronary microcirculation into different models of left ventricular hypertrophy-hypertensive and athlete's heart: a contrast echocardiographic study.

    abstract::The study was carried out in two different models of left ventricular hypertrophy: athlete's heart and essential arterial hypertension. Three groups of strictly age-matched males were studied: one group of 10 young adult untreated essential hypertensive patients (H), a second group of 10 athletes (A), and a group of 1...

    journal_title:Journal of human hypertension

    pub_type: 杂志文章

    doi:10.1038/sj.jhh.1001547

    authors: Di Bello V,Giorgi D,Pedrinelli R,Talini E,Palagi C,Nardi C,Dell'Omo G,Delle Donne MG,Paterni M,Mariani M

    更新日期:2003-04-01 00:00:00

  • Particle numbers of lipoprotein subclasses and arterial stiffness among middle-aged men from the ERA JUMP study.

    abstract::We examined the association between serum lipoprotein subclasses and the three measures of arterial stiffness, that is, (i) carotid-femoral pulse wave velocity (cfPWV), which is a gold standard measure of central arterial stiffness, (ii) brachial-ankle PWV (baPWV), which is emerging as a combined measure of central an...

    journal_title:Journal of human hypertension

    pub_type: 杂志文章,多中心研究

    doi:10.1038/jhh.2013.60

    authors: Vishnu A,Choo J,Masaki KH,Mackey RH,Barinas-Mitchell E,Shin C,Willcox BJ,El-Saed A,Seto TB,Fujiyoshi A,Miura K,Lee S,Sutton-Tyrrell K,Kuller LH,Ueshima H,Sekikawa A,ERA JUMP Study Group.

    更新日期:2014-02-01 00:00:00

  • Association between hepatic steatosis, insulin resistance and hyperinsulinaemia as related to hypertension in alcohol consumers and obese people.

    abstract::The presence of hepatic steatosis was determined in 180 middle-aged male workers by ultrasonography and was found in 39 (22%) of them. Body mass index (BMI), systolic and diastolic blood pressure (BP) and serum levels of asparate aminotransferase (AST), alanine aminotransferase (ALT) and gamma-glutamyl transpeptidase ...

    journal_title:Journal of human hypertension

    pub_type: 杂志文章

    doi:

    authors: Ikai E,Ishizaki M,Suzuki Y,Ishida M,Noborizaka Y,Yamada Y

    更新日期:1995-02-01 00:00:00

  • Aggregation of blood pressure in families: genetic and environmental influences.

    abstract::A study was undertaken to determine whether parent-child blood pressure (BP) resemblances reflect parent-child similarities in body build. Those studied were 889 children, 5-18 years old, their parents and relatives because of recognized correlations between body build and BP in individuals, along with familial cluste...

    journal_title:Journal of human hypertension

    pub_type: 杂志文章

    doi:

    authors: de Macedo ME,Trigueiros D,Freitas AF

    更新日期:1990-08-01 00:00:00

  • Blood pressure and other risk factors before the onset of myocardial infarction in hypertensive patients.

    abstract::To investigate blood pressure (BP) as well as other risk factors before the onset of myocardial infarction in hypertensive patients, we analysed the BP and metabolic variables in 94 hypertensive patients who had been followed up in our out-patient clinic before the first onset (M1 group; n = 42, 69 +/- 1 years, mean +...

    journal_title:Journal of human hypertension

    pub_type: 杂志文章

    doi:10.1038/sj.jhh.1000697

    authors: Minami J,Kawano Y,Nonogi H,Ishimitsu T,Matsuoka H,Takishita S

    更新日期:1998-10-01 00:00:00

  • Soluble vascular endothelial growth factor receptor-1 is reduced in patients with resistant hypertension after renal denervation.

    abstract::Renal denervation (RDN) has been shown in several studies to reduce blood pressure (BP) in patients with resistant hypertension (RH). Data on potential biomarkers associated with BP changes remain scarce. We evaluated whether soluble vascular endothelial growth factor receptor (sVEGFR-1) is affected by the procedure. ...

    journal_title:Journal of human hypertension

    pub_type: 杂志文章

    doi:10.1038/jhh.2016.64

    authors: Eikelis N,Hering D,Marusic P,Walton AS,Lambert EA,Sata Y,Krum H,Lambert GW,Esler MD,Schlaich MP

    更新日期:2017-04-01 00:00:00

  • Antihypertensive effect of valyl-tyrosine, a short chain peptide derived from sardine muscle hydrolyzate, on mild hypertensive subjects.

    abstract::The present study was conducted to determine whether Valyl-Tyrosine (VY) has an antihypertensive effect on high-normal blood pressure and mild essential hypertension, as well as spontaneous hypertensive rats (SHR). A randomised double-blind placebo-controlled study was carried out on 29 volunteers. A 100-ml drink cont...

    journal_title:Journal of human hypertension

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1038/sj.jhh.1001065

    authors: Kawasaki T,Seki E,Osajima K,Yoshida M,Asada K,Matsui T,Osajima Y

    更新日期:2000-08-01 00:00:00

  • Strategies for prevention of adult hypertension and cardiovascular risk behaviour in childhood. An Australian perspective.

    abstract::This paper addresses approaches to evaluating the importance of different childhood behaviours on subsequent risk of high blood pressure and related cardiovascular risk factors and outlines results of a randomised controlled trial of nutrition and exercise interventions in schoolchildren. Clustering of cardiovascular ...

    journal_title:Journal of human hypertension

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:

    authors: Beilin L,Burke V,Milligan R

    更新日期:1996-02-01 00:00:00

  • Monitoring population sodium intake using spot urine samples: validation in a New Zealand population.

    abstract::Although 24-h urine collection is widely considered the 'gold standard' for estimation of population sodium intake, spot urine collection is increasingly used as a convenient and affordable alternative. We used four published formulae to convert spot urine sodium into estimates of 24-h sodium excretion in order to est...

    journal_title:Journal of human hypertension

    pub_type: 杂志文章

    doi:10.1038/jhh.2014.10

    authors: McLean R,Williams S,Mann J

    更新日期:2014-11-01 00:00:00

  • Interrelationship between aortic stiffness and proteinuria in chronic kidney disease.

    abstract::Aortic stiffness and proteinuria are cardiovascular risk factors that are generally associated with each other. We analysed whether this is true for patients with chronic kidney disease (CKD). We hypothesized that in CKD patients of young age and predominant sole renal disease, aortic stiffness has no predictive value...

    journal_title:Journal of human hypertension

    pub_type: 杂志文章

    doi:10.1038/jhh.2009.108

    authors: Pan CR,Roos M,Schmaderer C,Lutz J,Wang JG,Heemann U,Baumann M

    更新日期:2010-09-01 00:00:00

  • Acute effect of clonidine on left ventricular pressure-volume relation in hypertensive patients with diastolic heart dysfunction.

    abstract::We sought to assess the haemodynamic effects of clonidine on left ventricular (LV) pressure-volume relation in patients with diastolic heart dysfunction due to essential hypertension. Towards this end, simultaneous recordings of LV volume (acoustic quantification) and LV pressure (micromanometer) were obtained in 10 s...

    journal_title:Journal of human hypertension

    pub_type: 临床试验,杂志文章

    doi:10.1038/sj.jhh.1001243

    authors: Stefanadis C,Manolis A,Dernellis J,Tsioufis C,Tsiamis E,Gavras I,Gavras H,Toutouzas P

    更新日期:2001-09-01 00:00:00

  • Reliability of normative tables in assessing elevated blood pressure in children.

    abstract::Epidemiological studies indicate that elevated blood pressure (BP) is common among children. Early detection of elevated BP in children is important in the prevention of cardiovascular disease (CVD). Difficulties exist in the diagnosis of "elevated" BP in children of 8-12 years of age. Normative tables of sex, age, an...

    journal_title:Journal of human hypertension

    pub_type: 杂志文章

    doi:10.1038/s41371-019-0290-z

    authors: Agirbasli M,Dilek HF,Tatlisu MA,Ankarali H

    更新日期:2020-03-01 00:00:00

  • Lp(a) in hypertensive patients.

    abstract::Lipoprotein(a) (Lp(a)) is considered an important risk factor for coronary disease, cerebrovascular pathology and re-stenosis of coronary bypass. Few studies have been conducted on this lipoprotein in essential arterial hypertensive patients. The purpose of our study was to measure the serum concentrations of Lp(a) an...

    journal_title:Journal of human hypertension

    pub_type: 杂志文章

    doi:10.1038/sj.jhh.1000540

    authors: Catalano M,Perilli E,Carzaniga G,Colombo F,Carotta M,Andreoni S

    更新日期:1998-02-01 00:00:00

  • Acute effects of renin-angiotensin system blockade on arterial function in hypertensive patients.

    abstract::The acute effects of the renin-angiotensin system (RAS) blockers may be important in some clinical settings. To assess the acute impact of such drugs on arterial function, we studied the effects of captopril 25 mg, quinapril 20 mg and telmisartan 80 mg on 100 hypertensive patients, according to a randomized, double-bl...

    journal_title:Journal of human hypertension

    pub_type: 杂志文章,随机对照试验

    doi:10.1038/sj.jhh.1002211

    authors: Aznaouridis KA,Stamatelopoulos KS,Karatzis EN,Protogerou AD,Papamichael CM,Lekakis JP

    更新日期:2007-08-01 00:00:00