How to identify masked hypertension in kids

Washington, May 3 (ANI): A study has suggested that parent”s blood pressure, waist and hip circumference are the keys to identifying masked hypertension in their kids.

According to data unveiled at the American Society of Hypertension Inc.”s 25th Annual Scientific Meeting and Exposition (ASH 2010), children and adolescents who have parents with hypertension and larger waist (WC) and hip circumference (HC) should be evaluated for hypertension even if they exhibit normal blood pressure (BP) levels in the doctor”s office.

Investigators found that these patients exhibited masked hypertension, which occurs when BP levels are normal when measured inside the doctor”s office but increase when measured outside the doctor”s office, when evaluated with ambulatory blood pressure monitoring (ABPM).

Masked hypertension is not rare in children and adolescents and implies an increased risk of cardiovascular disease.

“The children found to be hypertensive with ABPM were not even in a pre-hypertensive state in the doctor”s office. Their blood pressure was normal,” lead author of the study, Claudia Maria Salgado, adjunct professor, Department of Pediatrics and Hypertension League, Federal University of Goiás, Brazil, said.

“The fact that the blood pressure rates for these patients escalated so significantly is alarming and warrants attention, if additional data confirm these findings,” she said.

A total of 110 children and adolescents (aged 5-15) were included in this prospective study. Of the 110 enrolled, 99 completed the BP evaluation.

Participants were evaluated for family BP history, weight, height, body mass index and WC/HC. Data from 82 subjects who had an office BP lower than the 95th percentile were analysed.

Of these, 70 had normal BP and 12 were pre-hypertensive. Through ABPM, 10 were diagnosed with masked hypertension.

None of those considered pre-hypertensive presented with hypertension in the ambulatory setting. Children of hypertensive parents had more than a four-fold increased risk.

Children of hypertensive parents with abdominal obesity had a nine-fold increased risk of having masked hypertension. Age, sex, ethnicity and excess weight (simple obesity and overweight) had no influence on risk. (ANI)

Pediatricians tend to miss elevated BP in kids

Washington, May 3 (ANI): Researchers at Johns Hopkins Children”s Center say that pediatricians and nurses may be missing the development of hypertension and its serious consequences even when they read a child’s blood pressure.

The American Academy of Pediatrics (AAP) guidelines call for regular BP checks in children three years and older to screen for elevated BP.

They say elevated BP on three consecutive medical visits qualifies as hypertension.

Even a single episode of high BP can indicate hypertension and should trigger repeat measurements during the visit and subsequent doctor visits, the AAP says.

The problem is that measuring a child’s BP is far more complicated than it is in adults and requires interpreting each individual measure against a reference table for age, gender and height, says lead author Tammy Brady, nephrologist at Hopkins Children’s Hospital in the US.

Researchers at Hopkins analysed 2,500 records of visits to the pediatrician’s office. Medical staff did not check BP in 500 cases.

Elevated BP scores were recorded in 726 cases of the 2,000 measurements taken, but the implications went unrecognized and unremarked upon in 87 percent of them, the study found.

The findings underscore the need for better recognition and aggressive monitoring of all children to prevent both the short-term and long-term complications of hypertension, the investigators say.

The study found that medical staff were more likely to miss elevated BP in children of normal weight and in those without a family history of cardiovascular disease.

The same was true for those children whose blood pressure was at or below 120/80, a score considered ideal in adults, but one that may portend trouble in a child, depending on height, gender and age, said a Johns Hopkins release.

Hypertension, defined as persistently elevated BP, can cause kidney, eye and heart damage. While some complications take years and decades to develop, certain ones evolve quickly, the researchers say.

The results of the study were published in Pediatrics. (ANI)

America needs more vitamin D, say experts

Washington, April 28 (ANI): Milk is America”s top source of the much-needed vitamin D, a new study has revealed.

Using the latest national data (NHANES 2003-2006) on what more than 16,000 Americans ages two and older eat, researchers investigated the contribution of each food group to the total vitamin D intake.

No other food item came close to the vitamin D contribution of milk.

In fact, for kids ages 2 to eighteen, milk provided nearly two-thirds of all vitamin D in the diet.

Dr. Keith Ayoob, a registered dietician and paediatric nutrition expert, said: “There are few true replacements for the nutrient package you find in one glass of fat free or lowfat milk.

“Without milk in the diet, it”s hard to meet a number of nutrient needs – most notably vitamin D.”

Many Americans are not getting enough vitamin D, and this D-ficiency may put their health at risk.

Well known for its role in keeping bones strong, vitamin D is now being hailed for so much more.

Emerging science suggests vitamin D may also help protect against diabetes, hypertension, heart disease and certain cancers. It also supports a healthy immune system.

Despite a potential upside of boosting vitamin D levels, Americans of all ages still fall short of their vitamin D needs.

In fact, current deficiency levels prompted the American Academy of Pediatrics to double the vitamin D recommendations for children and teens.

The Academy estimates that up to half of adolescents have low vitamin D levels.

Experts recommend 400IU of vitamin D each day – the amount in four glasses of fat free or lowfat milk.

The study was presented at the Experimental Biology conference in Anaheim, California. (ANI)

Ponzi king Madoff attacked by fellow inmate in jail

Washington, Mar. 19 (ANI): Ponzi king Bernard Madoff suffered a busted nose, fractured ribs and cuts to his head and face after he was beaten up by a fellow prisoner at the Butler, NC, federal prison, where he is serving a 150-year sentence for his multi-billion dollar fraud.

After being bashed up last December, he ended up in the hospital, The New York Post reports.

While prison officials denied that Madoff was assaulted, another inmate confirmed that Madoff was roughened up.

The official account at the time was that the 65 billion dollar swindler was suffering from dizziness and hypertension, and therefore he was admitted to hospital.

But sources reveal that a beefy man doing time for a drug conviction had attacked Madoff.

The Bureau of Prisons now says that it interviewed Madoff about the incident.

“In December, he told staff he was not assaulted, and an investigation was completed following his statements, which corroborated his statements,” said Traci Billingsley, a bureau spokeswoman. (ANI)

Female sex chromosomes, not just hormones, help in regulation of BP

Washington, Mar 16 (ANI): According to Georgetown University Medical Center (GUMC) scientists, something in female sex chromosomes appears to trigger a rise in blood pressure after the onset of menopause.

The finding challenges the current belief that sex hormones are largely responsible for regulating blood pressure.

Published in Hypertension, the research is the first of its kind and involves male mice engineered to have female (XX) sex chromosomes, and female mice with male (XY) chromosomes.

The finding suggests that sex chromosomes regulate blood pressure in and of themselves. Most researchers have thought that sex hormones (estrogen and testosterone) play key roles in controlling blood pressure and that women develop hypertension after reaching menopause because of loss of estrogen.

“Up until now, it has been impossible to separate the influence of sex chromosomes from the effects of sex hormones, and in this paper, we have shown for the first time that sex chromosomes are impacting blood pressure – independent of sex hormones,” says the study”s lead investigator, Kathryn Sandberg, PhD, director of the GUMC Center for the Study of Sex Differences in Health, Aging, and Disease.

“That is not to say sex hormones don”t matter in blood pressure regulation, because they do, but we now know they aren”t the only players,” she says. “Estrogen likely works to protect against hypertension, but once the hormone is depleted, something is unmasked on female XX chromosomes that allows blood pressure to rise.” (ANI)

Lowering BP risky for patients with diabetes, heart disease

Washington, March 15 (ANI): A University of Florida researcher has urged caution in reducing blood pressure in patients with diabetes and coronary disease.

According to Rhonda Cooper-DeHoff, an associate professor of pharmacy and medicine at UF, new data show an increased risk of heart attack, stroke or death for patients having blood pressure deemed too high or too low.

She suggests raising the systolic bar above 120 for blood pressure in patients with diabetes and coronary artery disease, saying that levels between 130 and 140 appear to be the most healthful.

Based on hypertension treatment guidelines, doctors have assumed that with regard to blood pressure, “the lower, the better,” Cooper-DeHoff said. But, The International Verapamil SR-Trandolapril study, known as INVEST, suggests that the range considered normal for healthy Americans may actually be risky for those with a combined diagnosis of diabetes and coronary artery disease.

Cooper-DeHoff said: “Our data suggest that in patients with both diabetes and coronary artery disease, there is a blood pressure threshold below which cardiovascular risk increases.”

Nearly two out of three adults with diabetes have high blood pressure. Normal blood pressure as defined by the American Heart Association is less than 120 systolic and less than 80 diastolic. Blood pressure greater than 140 is still associated with a nearly 50 percent increase in cardiovascular risk in patients with diabetes. But efforts to reduce systolic blood pressure to below 130 did not appear to offer any additional benefit to diabetics with coronary artery disease compared with reduction of systolic blood pressure to between 130 and less than 140.

Cooper-DeHoff”s research reveals for the first time that this group of patients also had a similar increase in risk when their blood pressure was controlled to lower than 115 systolic — the range recommended as normal by the American Heart Association.

Stephan Brietzke, an endocrinologist who did not participate in the research, said Cooper-DeHoff”s findings parallel recent studies looking at blood sugar control, which suggest a U-shaped curve with higher cardiovascular risks at both “too high” and “too low” extremes.

Cooper-DeHoff”s presented the findings of her study on March 14 at the American College of Cardiology”s 59th annual scientific session in Atlanta. (ANI)

Miss India Worldwide UK trying to find pulmonary hypertension cure

London, March 10 (ANI): Beauty and brains come together in the case of recently crowned Miss India Worldwide UK, Niharica Raizada who continues to be engaged with her job in stem cell research at a London hospital.

The 24-year-old, who works at Hammersmith Hospital, believes being beautiful is just not enough.

“Maybe it is the peer pressure in India these days that pushes the women to be acknowledged as smart, independent, highly qualified individuals,” the Telegraph quoted Raizada as saying.

She added: “There is a sense that, having only relatively recently achieved greater parity with the boys, we now have a need to prove ourselves. It is not enough just to be seen to be a beauty or a home maker.” (ANI)

Job insecurity causes health problems among workers

Washington, Aug 28 (ANI): Constant job insecurity could take a toll on the health of workers, revealed a study.

Using long-term data from two nationally representative sample surveys of the U.S. population, the researchers assessed the impact of chronic job insecurity apart from actual job loss.

“Dramatic changes in the U.S. labor market have weakened bonds between employers and employees and fueled perceptions of job insecurity,” said University of Michigan sociologist Sarah Burgard.

“This study provides the strongest evidence to date that persistent job insecurity has a negative impact on worker health. In fact, chronic job insecurity was a stronger predictor of poor health than either smoking or hypertension in one of the groups we studied,” she added.

The researchers analysed data on more than 1,700 adults, collected over periods from three to 10 years.

They interviewed the same people at different points in time to disentangle the connection between poor health and job insecurity, and to control for the impact of actual job loss and other factors.

One of the studies was conducted between 1986 and 1989, the other between 1995 and 2005.

“It may seem surprising that chronically high job-insecurity is more strongly linked with health declines than actual job loss or unemployment. But there are a number of reasons why this is the case. Ongoing ambiguity about the future, inability to take action unless the feared event actually happens, and the lack of institutionalised supports associated with perceived insecurity are among them,” said Burgard.

To measure feelings of job insecurity, participants in one study were asked: “How likely is that during the next couple of years you will involuntarily lose your main job?”

Participants in the other study were asked: “If you wanted to stay in your present job, what are the chances you could keep it for the next two years.”

It was found that at any given time, as many as 18 percent of those surveyed felt insecure about their jobs.

However, only about 5 percent of respondents in the first survey and 3 percent of respondents in the second survey reported feeling anxious about their jobs both times they were interviewed.

According to Burgard, the findings have potential implications for both policy and intervention.

“Programs designed for displaced or unemployed workers are unlikely to solve the problems faced by workers who are still employed but are persistently insecure about their jobs. When you consider that not only income but so many of the important benefits that give Americans some piece of mind-including health insurance and retirement benefits-are tied to employment for most people, it’s understandable that persistent job insecurity is so stressful,” she said.

“We need to learn more about the conditions that generate or change worker perceptions of their job insecurity. Then organizations might want to intervene to reduce perceptions of insecurity or perhaps broader governmental policies might help to mitigate the degree of stress associated with perceived job insecurity. Additional acute and chronic strains at work and in other areas of life might also worsen or mitigate the health impact of long-term job insecurity.

“Certainly job insecurity is nothing new, but the numbers experiencing persistent job insecurity could be considerably higher during this global recession, so these findings could apply much more broadly today than they did even a few years ago,” she added.

The study appears in the September issue of the peer-reviewed journal Social Science and Medicine. (ANI)

Anti-aging gene may help reduce hypertension

Washington, Aug 20 (ANI): Scientists from University of Oklahoma Health Sciences Centre have found that an anti-aging gene might play a critical role in regulation of high blood pressure.

Persistent high blood pressure is a risk factor for stroke, heart attack, heart failure, arterial aneurysm and is the leading cause of chronic kidney failure.

Lead researcher Zhongjie Sun has discovered that anti-aging gene called klotho can be manipulated to regulate hypertension and also reverse kidney damage.

The research team showed that by increasing the expression of the gene in laboratory models, they not only stopped blood pressure from continuing to rise, but succeeded in lowering it and reverse kidney damage completely.

“One single injection of the klotho gene can reduce hypertension for at least 12 weeks and possibly longer,” said Sun.

“Klotho is also available as a protein and, conceivably, we could ingest it as a powder much like we do with protein drinks,” Sun added.

With age, the klotho level decreases while the prevalence of hypertension increases.

During the study, researchers used one injection of the klotho gene in hypertensive research models and were able to markedly reduce blood pressure by the second week.

It continued to decline steadily for 12 weeks. The klotho gene was delivered with a safe viral vector that is currently used for gene therapy.

The study appears in journal Hypertension. (ANI)

Cellular crosstalk contributes to asthma, pulmonary hypertension

Washington, Aug 18 (ANI): Crosstalk between cells lining the lung (epithelial cells) and airway smooth muscle cells could be linked to lung diseases, such as asthma and pulmonary hypertension.

Already, it is known that such crosstalk is important in lung development.

Researchers at the University of Pennsylvania, Philadelphia, have now molecularly characterized one crosstalk pathway in mice, which could provide potential new therapeutic targets for treating individuals with lung diseases, such as asthma and pulmonary hypertension, which are caused, at least in part, by affects on airway smooth muscle cells.

The team, led by Edward Morrisey and Ethan David Cohen, used numerous in vivo gain- and loss-of-function approaches to demonstrate that a Wnt7b/Tnc/Pdgfr crosstalk pathway was important for mouse smooth muscle development.

They also showed that lung epithelial cells exclusively express Wnt7b and the developing airway smooth muscle cells express Pdgfr.

Particularly, expression of the components of this crosstalk pathway was upregulated in a mouse model of asthma and humans with pulmonary hypertension.

Thus indentifying the Wnt/Tnc/Pdgfr crosstalk pathway is equally important in both lung development and adult lung disease. (ANI)

53-year-old woman dies of Swine Flu in Mumbai

Mumbai, Aug.8 (ANI): A middle-aged Mumbai woman reportedly died of H1N1 flu infection on Saturday at the Kasturba Gandhi hospital here, registering second death due to Swine Flu in the country.

Fifty three-year-old Famida Panwala’s medical condition reportedly worsened on Friday night after which she was immediately shifted to the Intensive Care Unit (ICU) ward of the Kasturba Gandhi hospital.

She was admitted to Leelavati hospital initially and was shifted only Friday night at 11.00 p.m to Kasturba Gandhi hospital.

“The cause of the death is not yet confirmed, as the patient was suffering from other complications as well,” said Municipal Commissioner Jairaj Phatak.

She was stated to suffering from diabetes and hypertension when she was admitted to the hospital.

The patient was already critical before tests were conducted, stated Brihanmumbai Municipal Corporation (BMC).

On August 3, first death due to H1N1 flu infection was reported after a 14-year-old-girl from Pune succumbed to the deadly influenza. (ANI)

Fat people ‘more likely to die of swine flu’

London, July 16 (ANI): Here’s some bad news for fat folks: Overweight people are more likely to die of swine flu, says a new US study.

According to unpublished figures, which were reported at a recent meeting of the US Centers for Disease Control and Prevention in Atlanta, Georgia, 99 people who died in the early stages of the pandemic in the US, 45 per cent were obese.

Up till now, most of the individuals who have died from H1N1 swine flu have had an underlying health problem which weakened their ability to fend off the virus, reports New Scientist.

Among the conditions recognised as increasing the risk from flu are hypertension, diabetes, chronic lung obstruction and coronary disease. Now it may be time to add obesity to the list.

The figures surprised most flu researchers.

“In 40 years of studying flu, I have never heard anything about obesity,” says virologist John Oxford of Barts and The London School of Medicine and Dentistry, University of London. (ANI)

‘Heart healthy’ diet, exercise ‘protects against cognitive decline’

Washington, July 15 (ANI): A ‘heart healthy’ diet and taking moderate exercise can protect against cognitive decline, according to two new studies.

Researchers at Utah State University in the US found that over-65s on a diet full of green leafy vegetables, oily fish and the odd glass of red wine scored higher in mental tests.

A separate study at the University of California found that moderately physically active older adults might experience slower rates of mental decline.

In the first study, Heidi Wengreen, an assistant professor of nutrition at Utah State University, asked 3,831 adults, aged 65 and older, to complete a food survey. They then tested their cognitive skills over an 11-year period, beginning in 1995.

The researchers looked to see how well the participants followed the DASH diet, an eating regimen that protects against hypertension and heart trouble.

Those who followed the DASH diet more closely had higher scores on the cognitive tests at the start of the study and over time, Wengreen found.

In the second study, Deborah E. Barnes, of the University of California, San Francisco, followed more than 3,000 adults aged 70 to 79.

Those who were sedentary had the lowest level of cognitive function at the start and higher rates of decline over the course of the seven-year study.

The two studies were reported at the Alzheimer’s Association 2009 International Conference on Alzheimer’s Disease in Vienna. (ANI)

Patients with uncontrolled hypertension respond well to treatment intensification

Washington, July 8 (ANI): A new study has shown that patients with uncontrolled hypertension respond well to treatment intensification, regardless of their degree of adherence to anti-hypertensive medications.

“Despite a lack of evidence, many clinicians assume that ‘nonadherent’ patients cannot benefit from treatment intensification,” said the study’s lead author, Dr. Adam Rose, an assistant professor of medicine at BUSM and investigator at the Bedford Veterans Administration Medical Center in Bedford Mass.

“Our study calls this assumption into question.

“One of the major contributions of this study is to remind us that adherence is not a binary concept, with patients divided into those who are ‘adherent’ or ‘nonadherent,’” he added.

During the study, researchers from Boston University School of Medicine (BUSM) studied 819 patients with hypertension.

Their adherence to BP medications were assessed using electronic bottle caps that record all bottle openings and provide a detailed record of pill-taking.

Patients were further divided into five groups: those with the best adherence, next-best, fair, poor and patients who did not return their electronic bottle cap (missing adherence).

They found that the effect of treatment intensification upon the final blood pressure was similar in all five adherence groups.

The investigators concluded that treatment intensification could improve blood pressure control for patients with varying levels of adherence to therapy.

However, Rose recommends that further studies be undertaken to determine the most effective management strategy for patients with uncontrolled hypertension and suboptimal adherence. (ANI)

Microscopic ‘beads’ may revolutionise organ transplantation

Washington, July 7 (ANI): If Medical College of Georgia researchers are to be believed, organ transplantation in future may include microscopic beads that create “designer” immune cells so that patients may tolerate their new organ.

Dr. Anatolij Horuzsko, reproductive immunologist at the MCG Center for Molecular Chaperone/Radiobiology and Cancer Virology, has already used this approach successfully in mice with skin grafts.

“It’s absolutely natural,” says the researcher.

The degradable microparticles deliver the most powerful known form of HLA-G, a natural suppressor of the immune response, straight to dendritic cells, which typically show the immune system what to attack.

The microparticles are given right after a transplant, just as dendritic cells are giving the immune system a heads up to get busy attacking the new organ.

Dr. Horuzsko says that microparticle therapy likely would be needed for just a few weeks, until the dendritic cells have learned instead to ignore it.

“It’s like a calming effect and once tolerance is established, we don’t need it any more,” he says.

His team compared the success of HLA-G microparticles with the dendritic cell marker to those without a marker, those with were much more efficient at getting where needed and acting.

He says that those without direction likely were consumed by garbage eaters called macrophages.

“We want to create in kidney transplant patients, the same tolerance to the new kidney,” says Dr. Horuzsko, who reckons that HLA-G microparticles could be doing just that within five years.

He presented the patented process along with his other latest HLA-G findings during an opening lecture of the 5th International Conference on HLA-G in Paris, July 6-8.

Dr. Horuzsko believes that marked microparticles also have treatment potential in diseases where the immune system attacks normal tissue, such as arthritis, multiple sclerosis and inflammatory bowel disease.

He is currently working in collaboration with Dr. Laura Mulloy, chief of the Section of Nephrology, Hypertension and Transplantation Medicine in the MCG School of Medicine, to find out whether higher natural levels of HLA-G already are giving some transplant patients an edge, by comparing HLA-G expression in those who keep and reject their transplanted kidneys. (ANI)

Component of vegetable protein linked to lower BP

Washington, July 7 (ANI): A new study has shown that consuming an amino acid commonly found in vegetable protein is associated with lower blood pressure.

The study, conducted by Jeremiah Stamler, M.D., lead author of the study, and colleagues, showed that a 4.72 percent higher dietary intake of the amino acid glutamic acid as a percent of total dietary protein correlated with lower group average systolic blood pressure, lower by 1.5 to 3.0 millimeters of mercury (mm Hg). Group average diastolic blood pressure was lower by 1.0 to 1.6 mm Hg.

In the study, researchers examined dietary amino acids, the building blocks of protein.

Stamler, professor emeritus of the Department of Preventive Medicine in the Feinberg School of Medicine at Northwestern University in Chicago, Ill, said that glutamic acid is the most common amino acid and accounts for almost a quarter (23 percent) of the protein in vegetable protein and almost one fifth (18 percent) of animal protein.

In the study, researchers analyzed data from 4,680 middle-age people participating in an international population study on the effects of dietary nutrients on high blood pressure. Participants were from the U.S., U.K., China, and Japan.

The results showed that a nearly 5 percent higher intake of glutamic acid as a percent of total protein in the diet was linked to lower average blood pressure. Systolic blood pressure was lower by an average of 1.5 to 3.0 points and diastolic blood pressure was lower by 1.0 to 1.6 points.

Stamler said that the study might help explain on a molecular level why the Dieatary Approaches to Stop Hypertension (DASH) diet lowers blood pressure.

The DASH eating pattern, developed by the U.S. National Institutes of Health, is rich in fruits, vegetables and low-fat and nonfat dairy products as well as whole grains, lean poultry, nuts and beans.

The study has been published in Circulation: Journal of the American Heart Association. (ANI)

How dairy foods are nutritional bang for the buck

Washington, July 2 (ANI): A daily consumption of dairy products like milk, cheese, and yogurt can provide a unique package of nine essential nutrients at a low cost per serving, according to a recent review.

Several prominent nutrition researchers have detailed an updated review of the health benefits of consuming dairy foods, which contributes to the well-established evidence that consuming three to four daily servings of dairy foods each day is a convenient and affordable way to get several key nutrients.

Dairy products help in improving the following:

Child nutrition

Children and adolescents between the ages of 9-18 need, on average, four servings of dairy foods a day to meet calcium recommendations and at least three servings to meet magnesium recommendations. Adolescents who do not regularly consume dairy, on average, only meet 40 percent of the Adequate Intake for calcium.

Bone health

The evidence supports the 2005 Dietary Guidelines for Americans recommendation to meet nutrient needs through foods, including dairy foods, rather than supplements. Studies continue to show that dairy foods provide a unique nutrient package beneficial for bone mass and play a major role in lifelong bone health.

Cardiovascular health

Low-fat and fat-free dairy foods play a key role in the Dietary Approaches to Stop Hypertension (DASH) diet, which has been shown to lower blood pressure and prevent hypertension. Eating the recommended servings of dairy foods can lower blood pressure and is associated with a lower risk of developing high blood pressure.

Healthy weight

Studies have shown that dairy foods may favourably impact body composition and weight maintenance, particularly in overweight or obese adults who consume three servings of dairy foods daily while moderately reducing daily caloric intake.

Shortfall nutrients

Dairy foods play a vital role in building a diet that contains the nutrients Americans consistently do not consume enough of including calcium, potassium and magnesium. The most practical way to meet these nutrient recommendations may be to add an additional serving of dairy to the current daily recommendation.

The review has appeared in a supplement to the current issue of the Journal of the American College of Nutrition (JACN). (ANI)

Meet, the 11-month-old tot who’s kept alive by Viagra

London, July 1 (AN): Despite being given just a few weeks to live by doctors, a little boy with a serious heart condition has managed to survive, courtesy anti-impotence drug Viagra.

Little Alfie Oliver, who needs six doses of the drug every day, is set to celebrate his first birthday in two weeks.

Alfie was born with two of his main arteries reversed, and surgeons switched them when he was 16 days old.

During a second op at three months, he had a heart attack and was rushed to intensive care.

Parents Tracey, 26, and rail worker Rob, 28, were told that he was less likely to survive and were put in touch with a children’s hospice.

Medics diagnosed the incurable blood vessel disorder pulmonary hypertension, which hits only a handful of children in Britain each year.

They prescribed liquid Viagra to open up the vessels.

After the treatment, Alfie is doing well and learning to walk, although doctors have warned that he may one day require a heart and lung transplant.

“We were shocked when the doctors put him on Viagra as you don’t think of it as a drug for babies,” the Sun quoted Tracey, of York, as saying.

“We don’t mind though. We call it Alfie’s lifesaver.

“It makes people giggle when we tell them – but if it keeps our son alive then who cares. He is our little fighter,” she added. (ANI)

Novel, simple way to identify high BP in kids created

Washington, May 26 (ANI): A paediatrician has created a new and simple way to diagnose high blood pressure in kids.

In an earlier study, Dr. David Kaelber, MetroHealth System paediatrician revealed that almost 75 percent of cases of hypertension and 90 percent of cases of prehypertension in children and adolescents go undiagnosed.

Kaelber and his research team felt that one of the main reasons for the under-diagnosis may be due to the complex chart currently used to help physicians and medical personnel identify high blood pressure in children.

Thus, they have now simplified the chart – focusing solely on a child’s age and gender – eliminating the need for a height percentile and reducing the number of values in the blood pressure table from 476 to just 64.

For re-designing the chart, the researchers reduced the systolic and diastolic blood pressure cut-off values to one value for girls and one value for boys for each year of life from ages 3 to 18 plus.

They used the lower limit of height (5th percentile) in the abnormal blood pressure range for a given gender and age.

However, they noted that the above limit might incorrectly identify some taller children as being in the abnormal blood pressure range.

But they predicted that this number would be small compared to the number of children with prehypertension and hypertension who are identified.

Any reading at or above the listed numbers in the chart will indicate a child who needs further evaluation by a physician.

“We know that children with high blood pressure often become adults with heart disease and other serious medical conditions. Anything that helps health care providers in identifying this life-threatening condition early is essential.

The long-term solution will no doubt involve electronic medical records and other electronic tools, but until that is available in all healthcare settings, this simplified table should be a helpful screening tool,” said Kaelber.

The revised chart and accompanying description are published in the June issue of the journal Pediatrics. (ANI)

Hypertension doubles already elevated risk of heart disease in diabetics

New Delhi, May 21 (ANI): The presence of hypertension doubles the already elevated risk of heart disease in diabetics, and at the same time, increases the risk for other vascular complications such as strokes, retinal damage and peripheral vascular disease.

Detailing the specifics on the subject, Dr. Vikas Ahluwalia, president of Diabetes Care Foundation of India, says hypertension also greatly accelerates the progression of kidney disease in diabetics.

Both diabetes and hypertension are dangerous because they usually have no symptoms, he adds.

“You can be feeling fine at the same time as damage to internal organs is progressing. It is important to treat diabetes and hypertension early before one feels the symptoms and reaches a stage when things go out of control,” he opines.

There are six facts that need to be highlighted:

1. Hypertension is twice as common in Diabetes Mellitus.

2. New onset Diabetes Mellitus is 2.5 times in hypertension.

3. 20 to 40 percent of IGT patients have hypertension.

4. 40 to 50 percent of Type 2 Diabetes Mellitus have hypertension.

5. Only 1/4 of hypertension in Diabetes Mellitus is controlled.

6. Diabetes Mellitus and hypertension increases cardio-vascular risk three fold.

In Dr. Ahluwalia’s opinion, these problems can be treated at an early stage by following a prescribed diet, exercising, and taking medications as directed.

“At a later stage treatment, it is often more difficult. For example, end-stage kidney disease may require dialysis, or heart disease may require bypass surgery. Therapeutic lifestyle changes (TLC) are very important at all stages / severity and are common for both Diabetes Mellitus and hypertension,” Dr. Ahluwalia adds.

The lifestyle changes should include regular 30 minutes of moderately intense exercise after consulting your physician; No tobacco and minimal intake of alcohol; Salt restriction to less than six grams per day; Avoid high salt foods – pickles, savories; Use of K containing foods – fruits, vegetables; Weight reduction – goal ideal weight and Reduce coffee consumption.

He also says that it is essential to set yourself blood pressure targets.

If you are a diabetic Without proteinuria, Dr. Ahluwalia says the ideal blood pressure would be – 130/80, while with proteinuria it should be 125/75.

The maximum blood pressure in the event of anyone having Diabetes Mellitus is 130/80.

He concludes that almost all Diabetes Mellitus patients require 1 drug for Hypertension.

Identify the co-morbidity – CAD, CKD, CVD.

Dr. Ahluwalia can be contacted as follows:

Dr Vikas Ahluwalia

Director- Diabetes Care Foundation Of India

diabetescarefoundation@gmail.com

Address B -4/234, Safdarjung Enclave,

New Delhi- 110029, 9910328390/26167893 (ANI)