16 results match your criteria: "Canada (N.R.C.C.); and Alberta College of Pharmacists[Affiliation]"

Home Blood Pressure Measurements Are Not Performed According to Guidelines and Standardized Education Is Urgently Needed.

Hypertension

January 2025

Menzies Institute for Medical Research, College of Health and Medicine, University of Tasmania, Hobart, Australia (E.C., D.S.P., S.C., J.S., C.B., N.C.).

Background: Patient education is needed to perform home blood pressure measurement (HBPM) according to blood pressure (BP) guidelines. It is not known how BP is measured at home and what education is provided, which was the aim of the study.

Methods: Mixed-methods study among Australian adults who perform HBPM (June to December 2023).

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Comment on: Less sodium and more potassium to reduce cardiovascular risk and the PURE study.

Eur Heart J Open

September 2023

Wolfson Institute of Population Health, Barts and The London School of Medicine & Dentistry, Queen Mary University of London, Charterhouse Square, London EC1M 6BQ, UK.

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Spot urine samples with estimating equations have been used to assess individuals' sodium (salt) intake in association with health outcomes. There is large random and systematic error in estimating sodium intake using this method and spurious health outcome associations. Substantial controversy has resulted from false claims the method is valid.

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Hypertension is the leading preventable risk factor for cardiovascular diseases and disability globally. In low- and middle-income countries hypertension has a major social impact, increasing the disease burden and costs for national health systems. The present call to action aims to stimulate all African countries to adopt several solutions to achieve better hypertension management.

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24-Hour Urinary Sodium and Potassium Excretion and Cardiovascular Risk.

N Engl J Med

January 2022

From the Departments of Epidemiology (Y.M., Q.S., G.C.C., M.W., E.B.R., J.E.M., W.C.W., A.H., N.R.C., F.B.H.) and Nutrition (Q.S., C.Y., E.B.R., W.C.W., F.B.H.), Harvard T.H. Chan School of Public Health, and the Channing Division of Network Medicine, the Department of Medicine (Q.S., G.C.C., E.B.R., J.E.M., W.C.W., F.B.H.), Renal Division, the Department of Medicine (G.C.C.), and the Division of Preventive Medicine (J.E.M., N.R.C.), Brigham and Women's Hospital and Harvard Medical School - all in Boston; the Wolfson Institute of Population Health, St. Bartholomew's Hospital and the London School of Medicine and Dentistry, Queen Mary University of London, London (F.J.H., G.A.M.); the Department of Nephrology, University of Groningen, University Medical Center Groningen, Groningen, the Netherlands (L.M.K., S.J.L.B., R.T.G.); and the Departments of Medicine, Community Health Sciences, and Physiology and Pharmacology, O'Brien Institute of Public Health and Libin Cardiovascular Institute of Alberta, University of Calgary, Calgary, AB, Canada (N.R.C.C.).

Background: The relation between sodium intake and cardiovascular disease remains controversial, owing in part to inaccurate assessment of sodium intake. Assessing 24-hour urinary excretion over a period of multiple days is considered to be an accurate method.

Methods: We included individual-participant data from six prospective cohorts of generally healthy adults; sodium and potassium excretion was assessed with the use of at least two 24-hour urine samples per participant.

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High systolic blood pressure (BP) is the single leading modifiable risk factor for death worldwide. Accurate BP measurement is the cornerstone for screening, diagnosis, and management of hypertension. Inaccurate BP measurement is a leading patient safety challenge.

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Global Marketing and Sale of Accurate Cuff Blood Pressure Measurement Devices.

Circulation

July 2020

Department of Medicine, Physiology and Pharmacology and Community Health Sciences, O'Brien Institute for Public Health and Libin Cardiovascular Institute of Alberta, University of Calgary, Canada (N.R.C.C.).

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High blood pressure (BP) is a highly prevalent modifiable cause of cardiovascular disease, stroke, and death. Accurate BP measurement is critical, given that a 5-mmHg measurement error may lead to incorrect hypertension status classification in 84 million individuals worldwide. This position statement summarizes procedures for optimizing observer performance in clinic BP measurement, with special attention given to low-tomiddle- income settings, where resource limitations, heavy workloads, time constraints, and lack of electrical power make measurement more challenging.

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Self-home blood pressure (BP) monitoring is recommended to guide clinical decisions on hypertension and is used worldwide for cardiovascular risk management. People usually make their own decisions when purchasing BP devices, which can be made online. If patients purchase nonvalidated devices (those not proven accurate according to internationally accepted standards), hypertension management may be based on inaccurate readings resulting in under- or over-diagnosis or treatment.

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To study the effect of formulas on the estimation of dietary sodium intake (sodium intake) and its association with mortality, we analyzed the TOHP (Trials of Hypertension Prevention) follow-up data. Sodium intake was assessed by measured 24-hour urinary sodium excretion and estimations from sodium concentration using the Kawasaki, Tanaka, and INTERSALT (International Cooperative Study on Salt, Other Factors, and Blood Pressure) formulas. We used both the average of 3 to 7 urinary measurements during the trial period and the first measurement at the beginning of each trial.

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There are sporadic cases of fatalities from acutely eating salt. Yet, on social media, there are "challenges to" and examples of children and some adults acutely eating salt, and recently a charity advocated eating small amounts of salt to empathize with Syrian refugees. We performed a systematic review of fatalities from ingesting salt to assess if relatively moderate doses of salt could be fatal.

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Healthcare Costs Attributable to Hypertension: Canadian Population-Based Cohort Study.

Hypertension

September 2015

From the Department of Community Health Sciences (C.G.W., F.M.C., N.R.C.C., M.T.J., B.R.H., M.T., K.A.M.), O'Brien Institute for Public Health (C.G.W., F.M.C., N.R.C.C., M.T.J., B.R.H., K.A.M.), Department of Medicine (N.R.C.C., M.T.J., B.R.H., M.T.), Libin Cardiovascular Institute (N.R.C.C., M.T.J., B.R.H.), and Department of Family Medicine, (K.A.M.), Cumming School of Medicine, University of Calgary, Calgary, Canada; and Department of Medicine, Faculty of Medicine and Dentistry, University of Alberta, Edmonton, Canada (S.W.K.).

Accurately documenting the current and future costs of hypertension is required to fully understand the potential economic impact of currently available and future interventions to prevent and treat hypertension. The objective of this work was to calculate the healthcare costs attributable to hypertension in Canada and to project these costs to 2020. Using population-based administrative data for the province of Alberta, Canada (>3 million residents) from 2002 to 2010, we identified individuals with and without diagnosed hypertension.

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Randomized Trial of the Effect of Pharmacist Prescribing on Improving Blood Pressure in the Community: The Alberta Clinical Trial in Optimizing Hypertension (RxACTION).

Circulation

July 2015

From EPICORE Centre/COMPRIS, Faculty of Medicine and Dentistry (R.T.T., S.K.D.H., T.L.C., M.R.K., M.M.R., F.A.M.), Department of Medicine, Faculty of Medicine and Dentistry (R.T.T., S.K.D.H., M.M.R., R.L., F.A.M.), Mazankowski Alberta Heart Institute (R.T.T., S.K.D.H., R.L., F.A.M.), Faculty of Pharmacy and Pharmaceutical Sciences (T.L.C.), and Department of Family Medicine, Faculty of Medicine and Dentistry (M.R.K.), University of Alberta, Edmonton, Canada; School of Pharmacy, University of Waterloo, Kitchener, ON, Canada (R.T.T., S.K.D.H.); Department of Medicine, Faculty of Medicine, University of Calgary, AB, Canada (N.R.C.C.); and Alberta College of Pharmacists, Edmonton, Canada (D.C.).

Background: Hypertension control rates remain suboptimal. Pharmacists' scope of practice is evolving, and their position in the community may be ideal for improving hypertension care. We aimed to study the impact of pharmacist prescribing on blood pressure (BP) control in community-dwelling patients.

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