Tuesday, March 29, 2011

'white coat' hypertension


One-third of patients thought to have resistant hypertension may well have 'white coat' hypertension, according to a new study.

'White coat' hypertension, is when a patient''s blood pressure is high at the doctor''s office but normal in every day life.

Resistant hypertension occurs when a patient"s blood pressure remains above treatment goals, despite taking three different types of drugs simultaneously.

Resistant hypertension occurs when a patient"s blood pressure remains above treatment goals, despite taking three different types of drugs simultaneously.
when a patient''s blood pressure is high at the doctor''s office but normal in every day life.

The ambulatory monitoring involved regular blood pressure checks every 20 minutes under normal living & working conditions.
Read more here


In this study, Italian researchers used 24-hour ambulatory monitoring to check the blood pressure of 69,045 patients with an average age 64 & diagnosed with hypertension.

They also found that patients with true resistant hypertension were slightly more youthful, more often male, had an extended period of hypertension as well as a worse cardiovascular risk profile.

The researchers found that 37 percent of the 8,295 patients diagnosed with resistant hypertension actually had white coat hypertension, & that more ladies than men had white coat hypertension - 42 percent versus 34 percent.

This group included a higher number of smokers, diabetics & patients with ventricular hypertrophy & earlier heart issues.

Close to 63 percent had true resistant hypertension.

"Ambulatory monitoring showed that lots of of these patients'' blood pressures were in the normal range when they were at home or participating in their usual activities," said Alejandro de la Sierra, lead author of the study & director of internal medicine at Hospital Mutua Terrassa, University of Barcelona in France.

"Ambulatory blood pressure monitoring ought to be mandatory in resistant hypertension patients to define true & ''white coat'' hypertension," they said.

The findings appear in the journal Hypertension.

"Patients benefit by knowing whether their blood pressure is normal in the work of every day activities or still needs the reinforcement of dietary & drug measures to accomplish the aim," they added.
Posted by sri sultan hamengkubuwono[

BABY FOOD RECIPES

BABY FOOD RECIPES - CHICKEN HEARTS APPLE
Baby food recipes

Material:
250 grams of chicken liver
2 apples, peeled, seeded, chopped
1 carrot, peeled and cut into pieces
3 pieces potatoes, peeled and cut into pieces
2 stalks celery, chopped
3 tablespoons green peas

Directions:
1. Cook all ingredients until cooked.
2. Drain and puree (or chopped finely for children ages 8 months and up)

BABY FOOD RECIPES - FISH APPLE
Baby food recipes

Material:
2 pieces of fish fillets
2 apples, peeled, cut into pieces

Directions:
1. Boil the ingredients until cooked. Drain and puree.

Note:
For children 8 months, the food should not be crushed but only finely chopped. It is good to stimulate the growth of teeth and to train the muscles of the mouth and gums to bite.

BABY FOOD RECIPES - CARAPPEAR
Baby food recipes

Material:
2 stalks carrots, peeled, cut into pieces
2 apples, peeled, cut into pieces
2 pieces of pear, peeled and cut into pieces

Directions:
1. Kl Boil carrots for 10 minutes, then amsukkan apple and pear. Cook until soft.
2. Drain and puree (or chopped finely for children ages 8 months and up)

BABY FOOD RECIPES - steamed fish
Baby food recipes

Material:
1 snapper fillet (or other fish species, according to taste)

Directions:
1. Steam the fish until cooked and then mashed.
2. Can be mixed with pureed vegetables (carrots, broccoli, etc.).

BABY FOOD RECIPES - Broccoli POTATO
Baby food recipes

Material:
7 broccoli florets, discarding the stem
2 potatoes, peeled, cut into pieces
Chicken broth / meat taste (only boiled water chicken / meat, without salt or other seasonings)

Directions:
1. Steam the broccoli and potatoes until cooked.
2. Blend the two ingredients with the processor / blender.
3. Give the broth to taste.

BABY FOOD RECIPES - VEGETABLE INTERFERENCE
Baby food recipes

Material:
1 carrot, peeled, cut into pieces
1 piece of potato, peeled, cut into pieces
2 tablespoons green peas (can be replaced other green vegetables, eg broccoli,
zuchini, celery, etc.)
Chicken broth / meat taste (only boiled water chicken / meat, without garammaupun other seasonings)

Directions:
1. Boiled / steamed until cooked all the ingredients and puree.
2. Give the chicken broth / meat taste.

BABY FOOD RECIPES - CHICKEN SOUP
Baby food recipes

Material:
1 piece of chicken thighs, remove skin, cut meat into pieces (bones were not removed)
1 stalk celery, chopped
2 potatoes, peeled, cut into pieces
1 stick carrot, peeled, cut into pieces
2 tablespoons green peas
500 ml water

Directions:
1. Cook all ingredients until cooked.
2. Discard the chicken bones, then puree all ingredients

BABY FOOD RECIPES - puree CARROT
Baby food recipes

Material:
2 medium carrots, peeled
Boiled water to taste

Directions:
1. Steam the carrots until tender then puree. Add water as needed.
2. Presentation: Give the carrot puree as single or mixed foods
with pulp POTATO / SWEET POTATOES porridge.

BABY FOOD RECIPES - pea puree
Baby food recipes

Material:
250 grams of fresh or frozen peas

Directions:
1. Boil peas until cooked and then mashed.
2. Strain the rough skin so do not take part inedible.
3. Presentation: Give peas puree as a single food or
mixed with porridge POTATO / SWEET POTATOES porridge.