Most Read Articles
04 Oct 2018
A week of preoperative oral antibiotics prior to percutaneous nephrolithotomy does not appear to confer any benefit in patients at low risk for infectious complications, suggests a recent study. Perioperative antibiotics according to the American Urological Association (AUA) Best Practice Statement is deemed sufficient.
6 days ago
The use of statins does not appear to influence the immature platelet count in patients with coronary artery disease (CAD), a new study has shown.
Rachel Soon, 01 Sep 2018

MIMS Pharmacist presents an overview of a standardized extract of Pinus pinaster bark, and its potential role in slowing down the progression of diabetic retinopathy.

Dr. Lau Hui Ling, 01 Aug 2017
Oral contraceptive selection should be individualized for each patient to yield maximum benefit.

Arterial stiffness predicts stroke in patients with essential hypertension

12 Jun 2018

Arterial stiffness is an independent predictor of stroke in patients with essential hypertension, a Greek 8-year follow-up study has shown.

The study included 1,079 patients with essential hypertension (mean age, 55.8 years; office blood pressure [BP], 144/91 mm Hg). Arterial stiffness was evaluated by carotid to femoral pulse wave velocity (PWV) using a computerized method, with patients classified into high (n=546) and low (533) PWV values based on the median of 8.1 m/sec. [Tsioufis KP, et al, ACC 2018, abstract 1170-424]

The incidence of stroke was 2.03 percent over the follow-up period. Compared with patients without stroke, those with stroke were older at baseline (age, 63 vs 55 years; p=0.012), had higher office systolic BP (155 vs 144 mm Hg; p=0.022), and more commonly had high PWV values (68 percent vs 42 percent; p=0.019). No significant difference was observed between patients with and without stroke with respect to baseline renal function and lipid levels.

PWV (hazard ratio [HR], 1.105; p=0.015) and baseline age (HR, 1.098; p=0.04), but not baseline office BP, were found to be independent predictors of stroke on multivariate Cox regression analysis.

According to the researchers, the findings support PWV as a potent prognosticator of cerebrovascular events in patients with essential hypertension. “PWV estimation is essential to improve risk stratification in hypertension,” they suggested.

Digital Edition
Asia's trusted medical magazine for healthcare professionals. Get your MIMS Pharmacist - Malaysia digital copy today!
Sign In To Download
Editor's Recommendations
Most Read Articles
04 Oct 2018
A week of preoperative oral antibiotics prior to percutaneous nephrolithotomy does not appear to confer any benefit in patients at low risk for infectious complications, suggests a recent study. Perioperative antibiotics according to the American Urological Association (AUA) Best Practice Statement is deemed sufficient.
6 days ago
The use of statins does not appear to influence the immature platelet count in patients with coronary artery disease (CAD), a new study has shown.
Rachel Soon, 01 Sep 2018

MIMS Pharmacist presents an overview of a standardized extract of Pinus pinaster bark, and its potential role in slowing down the progression of diabetic retinopathy.

Dr. Lau Hui Ling, 01 Aug 2017
Oral contraceptive selection should be individualized for each patient to yield maximum benefit.