4^th International Conference on Hypertension & Cardiac Health June 23-24, 2020 Tokyo, Japan

Biography:

 Giulia Silveri received the Postgraduate degree in Clinical Engineering and she is working toward the Ph.D. degree in information engineering at the University of Trieste. Her research concerns biomedical signal analysis in particular blood pressure and heart rate variability. Agostino Accardo is an Associate Professor of biomedical engineering at the University of Trieste. His research interests include image and biomedical signal analysis (mainly ECG, EEG and eye movement), biomedical instrumentation design. He is author of more than 200 papers published in international journals or presented at international conferences.

Abstract:

The aim of this stuy was to evaluate in hypertensive and non-hypertensive subjects thecorrelation between carotid plaques (CP) and several risk factors for atherosclerosis (age, smoking,diabetes mellitus, dyslipidemia, antihypertensive therapy, obesity, gender) as well as the meanvalues of blood pressure (BP) calculated on 24h, daytime and nighttime, using ambulatory BPmonitor. Eighty-nine patients (aged between 60 and 90 years) from the Geriatric Department of theUniversity of Trieste along the year 2019 were examined. The study was conducted according toDeclaration of Helsinki and all subjects gave their informed consent. The clinical classification ofsubjects with hypertensive BP was done according to 2013 ESH/ESC guidelines i.e. they had officesystolic BP (SBP) ≥ 140 mmHg or diastolic BP (DBP) ≥ 90 mmHg. Thus 48 patients were classified as hypetensive and 41 subjects as non-hypertensive. We calculated the percent occupied area ofblood vessel by CP using echo color Doppler scanning. BP was measured both in office and in ambulatory way carried out using a Holter BP Monitor. The relation between CP and risk factors was assessed by correlation coefficients. In non-hypertensive subjects, we found significant (>33%)positive correlations (p<0.04) between CP and smoking, age and mean values of SBP calculated on 24h, night and day periods and a significant (32%) negative correlation (p<0.05) with office DBP.Hypertensive subjects presented a significant (31%) positive correlation (p<0.05) between CP and age and a significant (31%) negative correlation (p<0.03) with mean values of DBP calculated on 24h, night and day periods.

Biography:

 Giulia Silveri received the Postgraduate degree in Clinical Engineering and she is working toward the Ph.D. degree in information engineering at the University of Trieste. Her research concerns biomedical signal analysis in particular blood pressure and heart rate variability. Agostino Accardo is an Associate Professor of biomedical engineering at the University of Trieste. His research interests include image and biomedical signal analysis (mainly ECG, EEG and eye movement), biomedical instrumentation design. He is author of more than 200 papers published in international journals or presented at international conferences.

Abstract:

The aim of this stuy was to evaluate in hypertensive and non-hypertensive subjects thecorrelation between carotid plaques (CP) and several risk factors for atherosclerosis (age, smoking,diabetes mellitus, dyslipidemia, antihypertensive therapy, obesity, gender) as well as the meanvalues of blood pressure (BP) calculated on 24h, daytime and nighttime, using ambulatory BPmonitor. Eighty-nine patients (aged between 60 and 90 years) from the Geriatric Department of theUniversity of Trieste along the year 2019 were examined. The study was conducted according toDeclaration of Helsinki and all subjects gave their informed consent. The clinical classification ofsubjects with hypertensive BP was done according to 2013 ESH/ESC guidelines i.e. they had officesystolic BP (SBP) ≥ 140 mmHg or diastolic BP (DBP) ≥ 90 mmHg. Thus 48 patients were classified as hypetensive and 41 subjects as non-hypertensive. We calculated the percent occupied area ofblood vessel by CP using echo color Doppler scanning. BP was measured both in office and in ambulatory way carried out using a Holter BP Monitor. The relation between CP and risk factors was assessed by correlation coefficients. In non-hypertensive subjects, we found significant (>33%)positive correlations (p<0.04) between CP and smoking, age and mean values of SBP calculated on 24h, night and day periods and a significant (32%) negative correlation (p<0.05) with office DBP.Hypertensive subjects presented a significant (31%) positive correlation (p<0.05) between CP and age and a significant (31%) negative correlation (p<0.03) with mean values of DBP calculated on 24h, night and day periods.

Biography:

 Giulia Silveri received the Postgraduate degree in Clinical Engineering and she is working toward the Ph.D. degree in information engineering at the University of Trieste. Her research concerns biomedical signal analysis in particular blood pressure and heart rate variability. Agostino Accardo is an Associate Professor of biomedical engineering at the University of Trieste. His research interests include image and biomedical signal analysis (mainly ECG, EEG and eye movement), biomedical instrumentation design. He is author of more than 200 papers published in international journals or presented at international conferences.

Abstract:

 Giulia Silveri received the Postgraduate degree in Clinical Engineering and she is working toward the Ph.D. degree in information engineering at the University of Trieste. Her research concerns biomedical signal analysis in particular blood pressure and heart rate variability. Agostino Accardo is an Associate Professor of biomedical engineering at the University of Trieste. His research interests include image and biomedical signal analysis (mainly ECG, EEG and eye movement), biomedical instrumentation design. He is author of more than 200 papers published in international journals or presented at international conferences.

Biography:

Giulia Silveri received the Postgraduate degree in Clinical Engineering and she is working toward the Ph.D. degree in information engineering at the University of Trieste. Her research concerns biomedical signal analysis in particular blood pressure and heart rate variability. Agostino Accardo is an Associate Professor of biomedical engineering at the University of Trieste. His research interests include image and biomedical signal analysis (mainly ECG, EEG and eye movement), biomedical instrumentation design. He is author of more than 200 papers published in international journals or presented at international conferences

Abstract:

The aim of this stuy was to evaluate in hypertensive and non-hypertensive subjects thecorrelation between carotid plaques (CP) and several risk factors for atherosclerosis (age, smoking,diabetes mellitus, dyslipidemia, antihypertensive therapy, obesity, gender) as well as the meanvalues of blood pressure (BP) calculated on 24h, daytime and nighttime, using ambulatory BPmonitor. Eighty-nine patients (aged between 60 and 90 years) from the Geriatric Department of theUniversity of Trieste along the year 2019 were examined. The study was conducted according toDeclaration of Helsinki and all subjects gave their informed consent. The clinical classification ofsubjects with hypertensive BP was done according to 2013 ESH/ESC guidelines i.e. they had officesystolic BP (SBP) ≥ 140 mmHg or diastolic BP (DBP) ≥ 90 mmHg. Thus 48 patients were classified as hypetensive and 41 subjects as non-hypertensive. We calculated the percent occupied area ofblood vessel by CP using echo color Doppler scanning. BP was measured both in office and in ambulatory way carried out using a Holter BP Monitor. The relation between CP and risk factors was assessed by correlation coefficients. In non-hypertensive subjects, we found significant (>33%)positive correlations (p<0.04) between CP and smoking, age and mean values of SBP calculated on 24h, night and day periods and a significant (32%) negative correlation (p<0.05) with office DBP.Hypertensive subjects presented a significant (31%) positive correlation (p<0.05) between CP and age and a significant (31%) negative correlation (p<0.03) with mean values of DBP calculated on 24h, night and day periods.

Biography:

 Giulia Silveri received the Postgraduate degree in Clinical Engineering and she is working toward the Ph.D. degree in information engineering at the University of Trieste. Her research concerns biomedical signal analysis in particular blood pressure and heart rate variability. Agostino Accardo is an Associate Professor of biomedical engineering at the University of Trieste. His research interests include image and biomedical signal analysis (mainly ECG, EEG and eye movement), biomedical instrumentation design. He is author of more than 200 papers published in international journals or presented at international conferences.

Abstract:

The aim of this stuy was to evaluate in hypertensive and non-hypertensive subjects thecorrelation between carotid plaques (CP) and several risk factors for atherosclerosis (age, smoking,diabetes mellitus, dyslipidemia, antihypertensive therapy, obesity, gender) as well as the meanvalues of blood pressure (BP) calculated on 24h, daytime and nighttime, using ambulatory BPmonitor. Eighty-nine patients (aged between 60 and 90 years) from the Geriatric Department of theUniversity of Trieste along the year 2019 were examined. The study was conducted according toDeclaration of Helsinki and all subjects gave their informed consent. The clinical classification ofsubjects with hypertensive BP was done according to 2013 ESH/ESC guidelines i.e. they had officesystolic BP (SBP) ≥ 140 mmHg or diastolic BP (DBP) ≥ 90 mmHg. Thus 48 patients were classified as hypetensive and 41 subjects as non-hypertensive. We calculated the percent occupied area ofblood vessel by CP using echo color Doppler scanning. BP was measured both in office and in ambulatory way carried out using a Holter BP Monitor. The relation between CP and risk factors was assessed by correlation coefficients. In non-hypertensive subjects, we found significant (>33%)positive correlations (p<0.04) between CP and smoking, age and mean values of SBP calculated on 24h, night and day periods and a significant (32%) negative correlation (p<0.05) with office DBP.Hypertensive subjects presented a significant (31%) positive correlation (p<0.05) between CP and age and a significant (31%) negative correlation (p<0.03) with mean values of DBP calculated on 24h, night and day periods.

Biography:

Marzeyeh Soleymani-nejad has just completed her PhD from Shahid Beheshti University of Medical Sciences, School of Health. She has done her Ph.D thesis on reducing salt intake in Iran under supervision of Dr Nastarn Keshavarz-Mohammadi.

Abstract:

Sodium intake more than maximum daily value is the most important risk-factor for hypertension. This study investigated 24-hour urinary sodium excretion level and its relationship with salt-related cognitive factors in two suburbs in Ahwaz city, Iran. This descriptive analytical cross-sectional study was undertaken among 260 women who were selected using systematic random sampling. Salt-related knowledge, attitude, intention, self-efficacy, and practice data were gathered using a researcher designed and validated questionnaire. To determine real salt intake of participants, 24-hour urinary sodium excretion level was measured. Data were analyzed using SPSS software edition 16, and running statistical tests including Pearson correlation and one-way Annova. Mean 24-hour Urinary sodium excretion was 3029.23±1295.31 mg/lit/day. Only 28% of participants knew the WHO recommended maximum level of salt intake. None of participants referred to all health consequences of high salt intake. Of the participants believed that their own daily salt intake is adequate. Most participant always added salt while cooking (86.8%) and never considered food label for sodium/salt while shopping (80.7%). There was significant association between sodium excretion level and knowledge (r=0.486, P< 0.001), attitude (r=0.587, P< 0.001), practice (r= 0.134, P=0.031), perceived susceptibility (r=0.282, P< 0.001), and perceived severity (r=0.224, p= 0.049). Salt-related practice was positively correlated to salt-related knowledge (r=0.164, p=0.008). Considering the significant relationship observed between urinary sodium intake and sodium-related knowledge, attitude, and practice, it seems necessary to develop and implement effective programs to improve these behavioral factors as contributing factors of population sodium intake.

Biography:

Marzeyeh Soleymani-nejad has just completed her PhD from Shahid Beheshti University of Medical Sciences, School of Health. She has done her Ph.D thesis on reducing salt intake in Iran under supervision of Dr Nastarn Keshavarz-Mohammadi.

Abstract:

Sodium intake more than maximum daily value is the most important risk-factor for hypertension. This study investigated 24-hour urinary sodium excretion level and its relationship with salt-related cognitive factors in two suburbs in Ahwaz city, Iran. This descriptive analytical cross-sectional study was undertaken among 260 women who were selected using systematic random sampling. Salt-related knowledge, attitude, intention, self-efficacy, and practice data were gathered using a researcher designed and validated questionnaire. To determine real salt intake of participants, 24-hour urinary sodium excretion level was measured. Data were analyzed using SPSS software edition 16, and running statistical tests including Pearson correlation and one-way Annova. Mean 24-hour Urinary sodium excretion was 3029.23±1295.31 mg/lit/day. Only 28% of participants knew the WHO recommended maximum level of salt intake. None of participants referred to all health consequences of high salt intake. Of the participants believed that their own daily salt intake is adequate. Most participant always added salt while cooking (86.8%) and never considered food label for sodium/salt while shopping (80.7%). There was significant association between sodium excretion level and knowledge (r=0.486, P< 0.001), attitude (r=0.587, P< 0.001), practice (r= 0.134, P=0.031), perceived susceptibility (r=0.282, P< 0.001), and perceived severity (r=0.224, p= 0.049). Salt-related practice was positively correlated to salt-related knowledge (r=0.164, p=0.008). Considering the significant relationship observed between urinary sodium intake and sodium-related knowledge, attitude, and practice, it seems necessary to develop and implement effective programs to improve these behavioral factors as contributing factors of population sodium intake.

Biography:

MarlyRanasinghe is a CredentialledDiabetes Educator with 13 years of experience in managingType 1 and 2 in private consulting, ospital, GP clinic and community healthsettings. Shealsohas 8 yearseducating in Gestational Diabetesat the RoyalWomen’s and Mercy Hospital.Marly i salso a CertifiedInsulinPump Trainer with multiple yearsmanaginginsulinpumps. Shehas a strong interest in diabetesresearch and hasstructured and executed a multi-disciplinaryhealtheducationprogram for patients with Type 2 Diabetes in Melbourne’ssouth-east.

Abstract:

With a growing trend favouring fewer medications and greater emphasis on self-management through lifestyle change, health education programs offer a cost-effective and easily implementable method that could pave the future for management of chronic diseases such as diabetes and associated cardiovascular disease. Limited research exists on the efficacy of these programs for improvingcardiovascular disease and diabetes, particularly in regard to objective measures of glycaemic control and cardiovascular risk. Such programs have the potential to be implemented across a wide variety of community settings. In this study, we evaluate a community-based education program aimed at informing, engaging with and empowering patients with type 2 diabetes mellitus (T2DM) to make effective lifestyle changes.The significant proportion of patients who underwent nil or positive change in relation to their glycaemic control and cardiac medications highlights the value of education as both a supplementary and stand-alone tool. This is not only convenient and generally preferred by patients, but is also of financial benefit on a patient and government level. Beyond this, these programs may translate to reduction in overall downstream risk associated with cardiovascular and cerebrovascular adverse events. This also acts to reduce the burden on resources and efforts focused on addressing these dreaded further complications, in addition to improving patient prognosis. The research also draws attention to the significance of empowering patients to seize control of their health through supporting them in developing self-management strategies and healthy habits that potentially carry benefit for a lifetime.

Biography:

Omnia Abdallah has completed her Medical school 2018 from university of khartoum,Sudan. now she is doing her MSc in human anatomy at national university, Sudan .she is a teaching assisstant at Nile university, Obstitrics and Gynecology department. She has participated in two regional confernces by two different acasemic paper.

Abstract:

High BP is a serious non-communicable disease in developing countries due to its silent nature and numerous complications. This cross sectional facility-based study was conducted at Rabak cement  factory, White Nile state in 2016 to assess the prevalence of high blood pressure and to identify the risk factors among workers exposed to cement dust. A total of 125 workers were included in the study: 118 males and 7 females. The workers were divided into two groups to investigate the association between cement dust exposure and blood pressure. An interview-administered questionnaire was used to collect the information required. The blood pressure measured twice once in each arm using mercury sphygmomanometer and the highest readings were taken .Data was analyzed using descriptive statistical methods and chi square test via the SPSS software version 21. The prevalence of diagnosed  high BP was found to be 44.8 % (55 workers) and the prevalence of undiagnosed high BP was 44.8%. There was a significant association between gender and both high systolic (P<0.0001) and high diastolic (P=0.022) blood pressure. There was also a significant association between high dust exposure and high systolic (P=0.014) ,also high diastolic (P=0.038) blood pressure. Furthermore a  significant association was found between low and medium monthly income and high systolic blood pressure (p=0.01). The study has been concluded that the significant risk factors for high blood pressure among workers in Rabak cement factory were: male gender, low and medium monthly income and high level of cement dust exposure. Therefore, early management and preventive measures are recommended to prevent complications.

Biography:

S.Azmoun  Department of Cardiology, Department of  Nephrology .Mohammed VI Hospital. Marrakech. Morocco

Abstract:

Introduction: Aortic dissection (AD) is a diagnostic and therapeutic emergency that requires strict blood pressure targets. To achieve these objectives, the clinician is often required to prescribe a multiple and aggressive therapy exposing to a risk of drug toxicity including renal.

Case report:  We report the case of a patient who presented with an  AD type B of STANFORD, complicated by a drug-acute-renal-failure (ARF), requiring a hemodialysis session and a cessation of the majority of antihypertensive drugs , with very close monitoring until clinical improvement and normalization of clinical and biological parameters.

Discussion: The cornerstone of the management Type B AD is medical treatment with low blood pressure goals. However, the doctor must be alerted to side effects by respecting the rules of prescription in general, and knowing the situations with potential risk of developing adverse events. The knowledge of side effects allows their early diagnosis and appropriate care.

Conclusion: The tension equilibrium is a major objective in the treatment of the type B AD. To reach this objective, we often resort to a multiple and aggressive therapy, requiring vigilant monitoring of clinical and the paraclinical to detect its side effects early.

Biography:

Dr. Sudha Bansode is a Associate Professor in Zoology at Shankarrao Mohite College, Akluj, Maharashtra State, India. Recently she has completed her Post Doctoral Studies at University of California, Riverside, USA. She is a active researcher & passionate teacher in India. Still she has been published above 35 research papers in International Journals & she is interested on Bone Research. Also she has honor of Distinguished Editorial Board Member of several International Journals. She is a own author of “Textbook Histological Techniques” & “Outlines of Physiology”. And now she is working on another own reference book “Rhythms in Freshwater Crustaceans”. She is a University recognized research guide for Ph.D. students in India.

Abstract:

Heart disease, also known as cardiovascular disease, includes any number of conditions involving the human heart or blood vessels. It is the leading cause of death around the world. Coronary artery disease, stroke, hypertensions, arrhythmia, and angina are all types of heart disease. Scientists estimate that 90 percent of all heart disease is preventable, largely through lifestyle modifications including a healthy diet, regular exercise, the avoidance of tobacco, and limiting alcohol intake.

The risk factors of Heart Disease for developing heart disease are numerous and well-know. Major risk factors for heart disease include the following:

Age, Gender, Tobacco usage, One’s level of physical inactivity, Obesity, Hypertension, Diabetes, High cholesterol, A family history of heart disease

Hypertension research papers show that hypertension is a chronic medical condition that leads to increased susceptibility to life threatening diseases.  Coronary heart disease and stroke, the number one and number two leading causes of death in the United States, are directly attributable to hypertension.  As the incidence of heart disease and stroke begins to increase, finding viable methods for treating and curing the hypertension becomes imperative.

Biography:

Tsabang Nolé has completed his PhD at the age of 48 years. He is a botanist and ecologist with many skills in Ethnobotany, Ethnopharmacology and Environmental Sciences. Later on he obtained his post-graduation from the University of Yaounde 1, he started working at The Institute of Medical Research and Studies of Medicinal Plants where he has continued his research. Presently he is an independent consultant serving as visiting lecturer in three Universities in Cameroon. Tsabang Nole has 66 publications and 4 books edited by Heifer Project International Cameroon and he is editor and/or reviewer in many international journals

Abstract:

Only half of hypertensive patients with blood pressure ≥ 140/90 mmHg are undergoing treatment worldwide. Hypertension remains quantitatively the most important cardiovascular risk factor and  is responsible for 4.4% of global  mortality. It is a asymptomatic disease. So in Africa more than a halp of hypertensive patients is not diagnosed. Many patients don’t go or go to hospitals very late. With the aging of the population, the increasing prevalence of obesity, sleep apnea syndrome and chronic renal failure. Etiology, the number of hypertensive patients with resistant hypertension will increase. The contributing factors of resistant hypertension identified in most cases of essential hypertension remain unclear. Today, the new suspected pathophysiological hypotheses unknown in Africa traditional medecine are: an increased sympathetic neuronal activity, an excess of activity, or an inappropriate activity of aldosterone and angiotensin II compared to sodium intakes, a congenital predisposition or developed during the fetal life (number of nephrons, birth weight, etc.), and the observation that blood pressure is approximately 30-50% hereditary. These pathophysiological causes would help in the validation of plantes used by local therapists. The objective of this work was to identify and document among medicinal hypotensive plants those which can release resistante hypertension. To achieve this objective an ethnomedical and ethnopharmacological survey was conducted nearby 1131 interviewers living in 58 socio-cultural groups random distributed in ecosystems of Cameroon. The plants identified have been subject of bibliographic research confirming their effectiveness. The ethnopharmacological mode of herbal medicines preparation and administration, the dose, the duration of treatment were also taken in consideration. Ten plants belonging to 7 families and 8 gena, were recorded. Phyllanthus amarus aqueous extract induced antihypertensive effect associated with an improved cardiac structure and calcium channel ion blockade in relaxing smooth muscle. Such a beneficial effect might involve the normalization of the level of vascular oxidative stress. Herbal medicines which will be more effective in the management of resistant hypertension could be exploited in drugs’ manufacture worldwide.

Biography:

Ziauddin Ahmed, MD is a Nephrology Specialist in Philadelphia, PA and has over 43 years of experience in the medical field. He graduated from Dhaka Med Coll medical school in 1977. He is affiliated with Hahnemann University Hospital.

Abstract:

 An 83-year-old African American female presented with history of recurrent fainting. She was a challenge to her primary care physician due to wide instability of home bp taken by her daughter.  Since patient was very symptomatic she was given a confusing regimen with both Midodrine 5 mg 4 times a day for hypotension and Amlodipine 5 mg once a day for hypertension surge.   

During her first Nephrology clinic visit her systolic BP was recorded in the range of systolic 180-200 mmHg.  Her Midodrine dosage was cut down to 2.5 mg 4 times a day. As a result, her BP became normal, but she started fainting spells again. To monitor her BP more frequently, she was assigned an ambulatory BP monitoring device for 24 hours. The device recordings showed that her fainting spells were due to hypotension which is not associated with tachycardia, probably due to autonomic dysregulation or cardiac problem. Her hypertension surge was symptomatic and was happened immediately after her hypotension episode probably as a reflex mechanism. Her Amlodipine was discontinued and she was only treated with 2.5 mg of Midodrine 4 times a day, increase water intake and compression stocking. Patient symptoms improved with this therapy and her hypertensive surge was diminished.