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Hypertension (High Blood Pressure) with its complications is a real and important public health problem even for the county of Argeş. Angiotensin converting enzyme inhibitors (ACEI) appear as a pharmacological class recommended to be used in most clinical situations in which hypertension is present. The aim of the present study is to demonstrate the efficacy of the ACEI therapy in a group of hypertensive patients from Argeş County and the influence of this treatment on global cardiovascular risk. The study results concluded that the ACEIs are effective in lowering systolic and diastolic blood pressure, they reduce global cardiovascular risk through multiple organ-protection and prevention of complications and they are an appropriate antihypertensive treatment for the hypertensive patients from Argeş County, with a favourable socio-economic impact. [ABSTRACT FROM AUTHOR]

Cardiopulmonary exercise testing is a specialized advanced investigation characterizing in a complex manner the exercise capacity of the person who undertakes it. Thus, on effort electrocardiogram, blood pressure and oxygen saturation are monitored, oxygen consumption rate and carbon dioxide consumption are measured, as well as other ventilator parameters. The information obtained allows an evaluation of all organs and systems involved in the effort process: cardiovascular, respiratory, musculoskeletal, hematopoietic and mental. In this article, we present the most important parameters resulted from the cardiopulmonary exercise testing and their interpretation. [ABSTRACT FROM AUTHOR]

Introduction. A proportion of 92% of patients who accessed Sanodentaprim programme had multiple comorbidities. The most common comorbidity were cardiovascular diseases (36%), and of these most common was high blood pressure (69%). Objectives. Assessment of odonto-periodontal status, oral hygiene and oral side effects of antihypertensive drugs in a group of socially disadvantaged patients with high blood pressure (HBP) of Sanodentaprim programme. Assessment of real needs for dental care and recording changes in blood pressure (BP) during dental treatment. Material and method. The study was conducted on a group of 55 patients with hypertension and a control group of 55 normotensiv patients of the Sanodentaprim programme. At the two groups were determined indices: plaque, gingival bleeding, gingival inflammation, periodontal index, prevalence of simple and complicated caries, the number of teeth extracted, fixed and movable prosthetic restoration. Patients responded to a questionnaire regarding personal oral hygiene and regular dental check frequency. BP was monitored on the two groups in 3 stages: in the waiting room, during dental procedure and 30 minutes afer dental treatment. Results. Prevalence of complicated caries and periodontal indices showed higher values in hypertensive patients group. Hypertensive patiens showed more movable and fixed prosthetic restorations. Systolic BP increased by an average of 9.16 mmHg and 3.46 mmHg diastolic with during dental procedures in patients with hypertension than controls. Conclusions. Oral health of socially disadvantaged patients with hypertension is poor and dental care needs are high. Compliance is minimized for dental care and oral hygiene. Patients with hypertension present many risks in the dental office. [ABSTRACT FROM AUTHOR]

The patient`s compliance to endoscopy decreases due to anxiety. Lower tolerance prolongs examination and in association with sedation can determine complications. Objective: This study aims to determine levels of anxiety in patients submitted to digestive endoscopy in order to identify those who need sedation or another methods to decrease anxiety. Methods: 101 patients admitted in Medical Clinic II of Cluj-Napoca between march-june 2008 were included in this study. 71 patients were undergoing gastroscopy and 30 were undergoing colonoscopy. The variables examined were age, sex, education, civil status, origin of environment, history of endoscopy. The anxiety level were measured using State Trait Anxiety Inventory, as state-STAI-X1- applied with 10-15 minutes before examination and as trait-STAI-X2-one day before examinations. The blood pressure and heart rate were measured before and two hours after endoscopy. Results: Women had higher state and trait anxiety scores than males (48,62/40,93; p<0,0001, respective 51,56/45,8; p<0,0004). Patients with previous endoscopy had lower scores of anxiety (40,92) than patients who were at the first endoscopy experience (47,41), p<0,0018. The origin environment, the education level did not influence the anxiety as state in a statistically significant way and also did not influence the presence of the endoscopy lesion (p>0,05). Anxiety was higher for colonoscopy (47,00) than gastroscopy (44,11). Variation of the blood pressure and heart rate before and after endoscopy was statiscally significant (p<<0,05). Conclusions: The anxiety level is higher for women, for patients who have their first digestive endoscopy examination, for those who had colonoscopy, categories of patients who could benefit of endoscopic maneuvers under sedation or another methods to decrease anxiety . [ABSTRACT FROM AUTHOR]

Detection of hypertension in type 1 diabetes mellitus is limited by the white coat effect. The causes and consequences of white coat hypertension in type 1 diabetes have not been fully elucidated. Data are contradictory as regards the relationship between the white coat hypertension, age, sex, diabetes evolution. Material and method: Study included 112 patients with type 1 diabetes mellitus, with disease duration between 5 and 15 years, without hypertension, from Diabetes, Nutrition and Metabolic Diseases Center Iaşi. Blood pressure was measured both in terms of using a calibrated mercury sphygmomanometer and automatic blood pressure monitoring (ABPM) for 24 hours - Oscar 2. Results: Prevalence of white coat hypertension in this study was 25,89%. Th e frequency of white coat hypertension is especially high for long standing diabetes with poor metabolic control. Regarding the insulin dose was not identified a statistically significant difference, but the closest correlation with insulin is related to the number of daily injections: blood pressure values increased significantly in patients on more injections. Blood pressure, measured by ABPM is higher for patient with long evolution of diabetes. Conclusions: White coat hypertension can be considered clinically manifested preamble of hypertension in type 1 diabetes. ABPM provides a valuable tool to detect patients with white coat hypertension and avoid unnecessary antihypertensive therapy. [ABSTRACT FROM AUTHOR]