Discover and read the best of Twitter Threads about #Hypertension

Most recents (24)

"We published the first global report on the burden of #sepsis, and a charter on health worker safety"-@DrTedros #HealthForAll #WHA73

"We’ve drawn new & much-needed attention to #mentalhealth, with new guidelines on stress management & adolescent & mental health, & we hosted the Big Event for Mental Health, a global advocacy event seen by more than 600,000 people"-@DrTedros #WHA73

"On maternal & child health, we’ve published new standards for improving the quality of care for small & sick newborns & provided intensive support for 20 countries to address the indirect impact of #COVID19 on mothers & children"-@DrTedros #HealthForAll
Read 91 tweets
Hi #MedTwitter & #NephTwitter
How's everyone doing? while waiting for the #Election2020, let's do a #Tweetorial on #Neonatal #Hypertension
@MedTweetorials @EBNEO @AAPneonatal
Summarizing nice review by Drs. Dionne, @CabitbolZyx & @drjosflynn
link.springer.com/article/10.100…
A thread
1/
#Tweetorial
2/
First, what is the ideal protocol for BP measurement in neonates?
Realizing that it is sometimes challenging to meet all these requirements in the #NICU.
#Tweetorial
3/
What are the normal BP values in newborns by gestational age?
In #preterm and LBW infants, in day 1 of life, BP correlates with birth weight and GA. This correlation is not as evident in healthy, term infants.
BP increases in the first postnatal days.
Read 8 tweets
1/ Our work out today in @PNASNews: even 60 years later, we are still seeing increased risk of #Tuberculosis among those who experienced prenatal exposure to the Great Chinese #famine (1958-62), w/ @Trangucc @kbratnelson @jzelner @Justin_Remais and others pnas.org/content/early/…
2/ Previous research has linked prenatal exposure to famine to increased risks of a range of chronic conditions (e.g., #Schizophrenia, type 2 #diabetes, and #hypertension)
Read 10 tweets
"6 months ago, WHO launched the Solidarity Trial to evaluate the effectiveness of 4 drugs for the #COVID19 treatment.
The Solidarity Trial is the 🌍’s largest randomized controlled trial of COVID-19 therapeutics, involving almost 13K patients in 500 🏥 in 30 countries"-@DrTedros
"In June, we announced that we were discontinuing the hydroxychloroquine arm of the study, and in July we announced that we would no longer enrol patients to receive the combination of lopinavir and ritonavir"-
@DrTedros #COVID19
Read 30 tweets
"Today has a personal resonance for me, because I am one of the 1.1 billion people globally living with #hypertension.

I have access to good medical care. But many others who live with hypertension are not as lucky as me"-@DrTedros #WorldHypertensionDay
"#Hypertension is one of the world’s silent killers.

But it does not have to be. It is within our reach to prevent, diagnose and treat"-@DrTedros #WorldHypertensionDay

Read 9 tweets
Today is #WorldHypertensionDay.

Hypertension - or elevated blood pressure - is a serious medical condition that significantly increases the risks of ❤, 🧠, kidney & other diseases.

It is a major cause of premature death worldwide. 👉 bit.ly/3j5duXG
This is how you can prevent high blood pressure:

❗️Reduce 🧂 to less than 5g/day
❗️Avoid saturated fats & trans fats 🍔
❗️Avoid 🚬
❗️Reduce 🍷
❕Eat 🍎 and 🥦 regularly
❕Be active 🧘‍♀️🏊‍

#BeatNCDs
People with cardiovascular disease or diabetes, as well as those with #hypertension and obesity, are at increased risk of severe disease and death from #COVID19.

Learn how to check your blood pressure today! bit.ly/2GV6rEf
Read 8 tweets
The RED Talk on The #Business and #Science of #Healthcare is now live! Still time to join us at ruralpolicy.group/red.
The next big issue facing NICE & #healthcare will be our relationship with the European Medicines Agency after Brexit; it will impact our #medicines research, trials. We could see a dramatic reduction in research, access to medicine and disrupt the supply of meds - @steve_mccabe
The British #taxpayer makes a phenomenal contribution to the development of new #drugs - but these can then be prohibitively priced. We need to improve access to new medicines and there is a question around cost, access and funding. @steve_mccabe
Read 24 tweets
THREAD: Are we using ACEIs & ARBs properly? A TI Tweetorial

1/6: British Columbia doctors give 4.5m scripts/year for ACE inhibitors (ACEIs) & angiotensin receptor blockers (ARBs) to control bp. Goal is to ↘️ mortality & morbidity, not simply to ↘️ bp.

#MedEd #hypertension
2/6 BEST EVIDENCE on ARBs & ACEI for #hypertension

3⃣@CochraneHTN systematic reviews:

ACEs v ARBs for htn bit.ly/34vS0hu

BP lowering efficacy of ACEIs for htn bit.ly/30YNIOX

BP lowering efficacy of ACEIs for htn https://t.co/u8dN378QAe

#MedEd Image
3/6 ACEIs over ARBS when considering HARMS 🤔

Both ACEIs & ARBs ↘️ blood pressure to similar extents.... BUT only ACEIs have evidence for a reduction in risk of morbidity & mortality. So they’d be your first choice 🥇

#MedEd #medsafety #ptsafety
Read 7 tweets
THREAD: Are we using ACEIs & ARBs properly? A TI Tweetorial

1/6: British Columbia doctors give 4.5m scripts/year for ACE inhibitors (ACEIs) & angiotensin receptor blockers (ARBs) to control bp. Goal is to ↘️ mortality & morbidity, not simply to ↘️ bp.

#MedEd #hypertension
2/6 BEST EVIDENCE on ARBs & ACEI for #hypertension

3⃣@CochraneHTN systematic reviews:

ACEs v ARBs for htn bit.ly/34vS0hu

BP lowering efficacy of ACEIs for htn bit.ly/30YNIOX

BP lowering efficacy of ACEIs for htn https://t.co/NCl1dfCCAO

#MedEd Image
3/6 ACEIs over ARBS when considering HARMS 🤔

Both ACEIs & ARBs ↘️ blood pressure to similar extents.... BUT only ACEIs have evidence for a reduction in risk of morbidity & mortality. So they’d be your first choice 🥇

#MedEd #medsafety #ptsafety
Read 7 tweets
A new research study in @bmj_latest doi.org/10.1136/bmj.m3… finds the risk to die early (<70yrs) increases with irregularity & length of women’s #menstrualcycle irregularity, with premature mortality mostly due to #cardiovasculardisease. What's it mean for women with #PCOS? 1/13
PCOS affects 10% of women worldwide & irregular menstrual cycles are a common symptom. Many of the women in this study likely have PCOS. Understandably, the higher rates of premature mortality reported will be worrying to women with PCOS. But what causes period irregularity? 2/13
Increased levels of male hormones #androgens are a cause of irregular periods (see: doi.org/10.1177/204201…; doi.org/10.1210/en.201…) and also impact on pancreatic beta cell function (doi.org/10.2337/db20-0…) causing #insulinresistance 3/13
Read 14 tweets
10 FACTS YOU SHOULD KNOW ABOUT #HYPERTENSION

1.) More than 70% of the patients see on a daily have HYPERTENSION.
Most of them didn’t even know, they actually came for other reasons such as medical examination for employment & it was diagnosed

A Thread 🏂⛷️ (Pls Retweet)
2.) Hypertension, RARELY has noticeable symptoms. But if untreated, it increases your RISK of serious problems such as Heart attacks, Heart failure, Strokes, Vision loss, Sexual Dysfunction & Kidney failure.

3.) The only way to know is to check ur blood pressure regularly.

2/c
Black people like Africans & Afro-Americans have a higher risk of having high BP.
*In Nigeria alone, there are more than 1.6 million cases a year.

4.) #Disclaimers : Having a High blood pressure on one reading isn't a confirmation of Hypertension.

3/c
Read 11 tweets
WHAT YOU NEED TO KNOW ABOUT #STROKE

Stroke is when there's poor blood flow to the brain leading to brain damage. Parts of the brain may stop working & various symptoms manifest.

A stroke is a medical emergency, so when you suspect it, act fast!!

A thread 🧵

{Retweet!}
There are 2 main types of stroke;

#Ischemic stroke is typically caused by blockage of a blood vessel.

#Hemorrhagic stroke is caused by either bleeding directly into the brain or into the space between the brain's membranes.
The main risk factor for stroke is;
⛔ high blood pressure or #hypertension!

Other risk factors are;
❌ Obesity
❌ Diabetes
❌ Previous mini-stroke
❌ Tobacco smoking
❌ High blood cholesterol
❌ Kidney disease, &
❌ Irregular heart beat (atrial fibrillation)
Read 10 tweets
‘Although proportionately scarce, exercise may paradoxically trigger sudden cardiac arrest in individuals with #cardiovascular disease (CVD), particularly those who were previously sedentary or have advanced CVD.’
‘In parallel with the drive to promote #exercise in all individuals, physicians will be confronted with an increasing number of enquiries from individuals with established risk factors for coronary artery disease or established CVD about participation in exercise‘
‘Such consultations need to strike a balance between the multiple benefits of #exercise, the small risk of sudden death, and the patient’s goals for cardiorespiratory fitness & ongoing participation in relatively strenuous exercise following a #cardiovascular diagnosis.’
Read 30 tweets
Gentle reminder:

80% of C19 infections are mild.

People at highest risk from #C19 are not the elderly.

People at highest risk are the elderly with co-morbidities.

We knew this back in March.

1/n
informationisbeautiful.net/visualizations… ImageImage
Being 60+ is not an immediate death certificate.

It’s the co-morbodities that are the problem.

What can we do about this?

A long life with good quality of life is possible.

#Diabetes, #HeartDisease, #hypertension ... are not fate.

They are reversible. 2/n
It’s not complicated to look after your #health.

It’s actually very simple.

Go back to basics.

Skip processed food.

1. Eat food you cook at home from raw wholesome ingredients.

2. Get active.

3. Get some sun.

That’s it.
3/n
Read 7 tweets
#livertwitter #irad
For patients with #cirrhosis without #liver failure, we believe in early and aggressive #treatment for #portal hypertension (increased liver pressure) with #TIPS and also knockout all big parasitic #shunts (done here with a plug) 1/3
@SRajesh_IR is 💯 on it Image
The #satisfaction of seeing those large bunch of #bleeding and #encephalopathy source #disappear is quite nice!
#MedTwitter #Medical #medicine
#MedicalStudent #MedEd
@SIRRFS 2/3 Image
In due course, we see the #spleen size reduce, as portal #hypertension comes under #control
Has anyone else noticed the dynamics of spleen post TIPS and its relevance? @keithppereira @CHICKVIR @SIRspecialists #radiology #aasld #easl #apasl
3/3 Image
Read 3 tweets
Sex-differences in mortality rates & underlying conditions for #COVID19UK deaths in England & Wales mayoclinicproceedings.org/article/S0025-…
Limited national data exists about the prevalence & distribution of underlying conditions among COVID-19 deaths between sexes & across age groups.
We studied all adult (≥18 years) deaths recorded in England & Wales between 1st March 2020 & 12th May 2020.
Read 13 tweets
My experience: #Covid_19 ICU rotation at #SGPGI #Lucknow

1. All patients were >35 years of age with majority being males

2. Apart from the usual comorbidities, central #obesity without over #diabetes or #hypertension also predisposed to #SARI
3. #Lymphopenia was a great marker of severity and a rising trend predicted clinical recovery

4. #recoverytrial further reiterated the use of steroids for patients with severe disease which many centers including ours was already practising
5. Although initially we had a guarded approach towards it, but #NIV with low pressures worked wonders avoiding intubation

6. Once intubated, outcomes aren’t great. Multiple reasons: severity of disease, nursing care and feeding becomes suboptimal, bradycardia associated with
Read 7 tweets
Truly grateful to announce I have been promoted to Associate Professor at @MonashBiol 😊

I would like to thank my team & former team members, my collaborators, mentors, colleagues for the support and feedback @BBM_Wong and @RobertB_R, & my boss @OBryanMoira for the push to apply
Inspired by @jane_bourke_phd I would like to share how I got here because I look up to many & constantly think I am not doing 'well' enough. What I learned over the years is that on paper things look much more glamorous than they are (I call it the Instagram of academia) 1/
I came from a developing country (#Brazil) where research is not valued and there is little $ available. But I had amazing lecturers and teachers, and amazing opportunities to do research since I was an undergrad. This resulted in 5 papers prior to my PhD & helped me a lot 2/
Read 17 tweets
1/ Q. People with underlying conditions like #hypertension (high blood pressure) and #diabetes seem to be at higher risk for complications and death from #Covid_19. Can you tell me more about this? Is there anything I can do to minimize complications if I become infected?
2/ A. This is a very important: the @CDCgov estimates that nearly HALF of all Americans have hypertension and 10.5% have diabetes. Americans are also developing these conditions at much younger ages, even adolescence.
cdc.gov/bloodpressure/…
cdc.gov/diabetes/pdfs/…
3/ Studies from the CDC and others show that although having an underlying health condition doesn’t increase your chance of CATCHING #COVIDー19, people with one or more of these conditions are at a higher risk for severe illness, hospitalization and death.
Read 9 tweets
THREAD: High blood pressure (hypertension) – what does the best evidence say❓

1/13 A practical tweetorial for clinicians, patients and carers

#hypertension #HTNevidence #MedEd 🩺👩‍⚕️ ImageImage
2/13 What is #Hypertension

Hypertension (high blood pressure) is a very common condition, and is associated with increased 📈 risk for strokes, heart attacks and premature death, so it's worth asking some questions 🤔

#HTNevidence #MedEd #prescribing
3/13 What about SCREENING for #hypertension

Screening for high blood pressure might not be that helpful 😯 and early🕗detection of mild hypertension may not significantly impact health‐related costs in the long term nor improve health outcomes: bit.ly/35P2mcz Image
Read 9 tweets
THREAD: High blood pressure (hypertension) – what does the best evidence say❓

1/13 A practical tweetorial for clinicians, patients and carers

#hypertension #HTNevidence #MedEd 🩺👩‍⚕️ ImageImage
2/13 What is #Hypertension?

Hypertension (high blood pressure) is a very common condition, and is associated with increased📈 risk for strokes, heart attacks and premature death 💀, so it's worth asking some 🤔👩🏾‍💻

#TIevidence #MedEd #prescribing
3/13 What about SCREENING for #hypertension?

Screening for high blood pressure might not be that helpful 😯 and early 🕗 detection of mild hypertension may not significantly impact health‐related costs in the long term nor improve health outcomes: bit.ly/35P2mcz Image
Read 8 tweets
I just want to not contract #coronavirus...I would more than likely be hospitalized, because people thought working and hanging out with friends was more important than peoples lives... because they don't understand the gravity of the situation fully!
Do Not "#endthelockdownnow"
These @MedCramVideos are from doctors on the cutting edge with patients of #SARS_COV_2, which he has found (by first hand experience)it is revealing itself as more of a #clottingvirus than a respiratory virus, targeting people with #hypertension, #diabetes, #obesity, high BMI and
underlying immunocompromising conditions.

youtube.com/playlist?list=…
Read 3 tweets
As has happened with respiratory disease before, #COVID19 /#SARSCoV2 is disproportionately impacting racial and ethnic minorities in the US. The same will be true for low income/socioeconomic status individuals. For more information, see my recent review: preprints.org/manuscript/202…
This impact is due to higher rates of comorbidities, greater pollution exposure, fewer resources for avoiding/mitigating disease, racism in medical care, regularly experienced racism, increased exposure risk (pub transit, essential jobs, etc.), decreased healthcare access, & more
Low income/SES is also a health risk factor - higher comorbidities of concern, decreased access to care, fewer resources, greater exposure risk, etc.
Decreased numbers of rural hospitals creates even more vulnerability. #COVID19 #SARSCoV2
Read 7 tweets
1/ Using our @Geneticure platform, we’ve developed a #COVID19 solution, potentially creating an important short-term advance until a vaccine. Sharing details here w/the hope to reach the right eyeballs at research/funding partners who want to join us on the mission.
2/ One of the most common co-morbidities in patients who develop severe illness is #hypertension, an area where we have profound expertise on the genetics of the disease and treatment response.
3/ Like in hypertension treatment, we have identified genetic influences within the renin-angiotensin-aldosterone system (RAAS) that we believe will be beneficial in predicting severity of, and guiding treatment for, COVID19 patients.
Read 15 tweets

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