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  1. Artikel ; Online: Difficult Hypertension Clinic Utilizing a Nurse Specialist: A Cost-Efficient Model for the Modern Era?

    van der Merwe, Walter / van der Merwe, Veronica

    Journal of clinical hypertension (Greenwich, Conn.)

    2015  Band 17, Heft 9, Seite(n) 732–736

    Abstract: In the modern era in New Zealand, there has been a lack of specialist hypertension clinics where family practitioners might refer patients with difficult-to-treat or resistant hypertension. A new specialist referral hypertension clinic was established in ...

    Abstract In the modern era in New Zealand, there has been a lack of specialist hypertension clinics where family practitioners might refer patients with difficult-to-treat or resistant hypertension. A new specialist referral hypertension clinic was established in 2009 at North Shore Hospital, Auckland, employing a model of care where much of the follow-up work is done by a nurse specialist. The authors review data from the first 1000 patients discharged from the clinic. Mean (treated) blood pressure improved by -26/12 mm Hg over an average of three visits, two thirds of which were to nurse specialist clinics. The authors propose this as a cost-efficient model that could easily be duplicated in other centers.
    Mesh-Begriff(e) Adolescent ; Adult ; Aged ; Aged, 80 and over ; Ambulatory Care Facilities ; Amlodipine/administration & dosage ; Antihypertensive Agents/administration & dosage ; Blood Pressure/drug effects ; Blood Pressure Determination/methods ; Cost-Benefit Analysis ; Female ; Humans ; Hypertension/drug therapy ; Hypertension/economics ; Hypertension/nursing ; Male ; Middle Aged ; Mineralocorticoid Receptor Antagonists/administration & dosage ; New Zealand ; Nurse Practitioners/economics ; Nurse Practitioners/standards ; Spironolactone/administration & dosage ; Young Adult
    Chemische Substanzen Antihypertensive Agents ; Mineralocorticoid Receptor Antagonists ; Amlodipine (1J444QC288) ; Spironolactone (27O7W4T232)
    Sprache Englisch
    Erscheinungsdatum 2015-05-20
    Erscheinungsland United States
    Dokumenttyp Journal Article
    ZDB-ID 2077222-1
    ISSN 1751-7176 ; 1524-6175
    ISSN (online) 1751-7176
    ISSN 1524-6175
    DOI 10.1111/jch.12573
    Datenquelle MEDical Literature Analysis and Retrieval System OnLINE

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  2. Artikel ; Online: May we at least have a civilised discussion about primary aldosteronism in New Zealand?

    van der Merwe, Walter / van der Merwe, Veronica

    The New Zealand medical journal

    2015  Band 128, Heft 1419, Seite(n) 63–64

    Mesh-Begriff(e) Health Services Needs and Demand ; Humans ; Hyperaldosteronism/complications ; Hyperaldosteronism/diagnosis ; Hypertension/etiology ; Mass Screening/methods ; New Zealand
    Sprache Englisch
    Erscheinungsdatum 2015-08-07
    Erscheinungsland New Zealand
    Dokumenttyp Letter
    ZDB-ID 390590-1
    ISSN 1175-8716 ; 0028-8446 ; 0110-7704
    ISSN (online) 1175-8716
    ISSN 0028-8446 ; 0110-7704
    Datenquelle MEDical Literature Analysis and Retrieval System OnLINE

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  3. Artikel ; Online: Hypertension in young adults.

    van der Merwe, Walter / van der Merwe, Veronica

    The New Zealand medical journal

    2015  Band 128, Heft 1409, Seite(n) 75–77

    Mesh-Begriff(e) Adolescent ; Adult ; Antihypertensive Agents/therapeutic use ; Female ; Humans ; Hypertension/drug therapy ; Hypertension/epidemiology ; Hypertension/ethnology ; Male ; New Zealand/epidemiology
    Chemische Substanzen Antihypertensive Agents
    Sprache Englisch
    Erscheinungsdatum 2015-02-20
    Erscheinungsland New Zealand
    Dokumenttyp Letter
    ZDB-ID 390590-1
    ISSN 1175-8716 ; 0028-8446 ; 0110-7704
    ISSN (online) 1175-8716
    ISSN 0028-8446 ; 0110-7704
    Datenquelle MEDical Literature Analysis and Retrieval System OnLINE

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  4. Artikel ; Online: Malignant hypertension: a preventable emergency.

    van der Merwe, Walter / van der Merwe, Veronica

    The New Zealand medical journal

    2013  Band 126, Heft 1380, Seite(n) 39–45

    Abstract: The Waitemata Hypertension Clinic Database 2009-2012 (Auckland, New Zealand) was searched for patients meeting the definition of Malignant Hypertension. Eighteen of 565 patients met the criteria. All patients had essential hypertension which was either ... ...

    Abstract The Waitemata Hypertension Clinic Database 2009-2012 (Auckland, New Zealand) was searched for patients meeting the definition of Malignant Hypertension. Eighteen of 565 patients met the criteria. All patients had essential hypertension which was either undiagnosed, untreated or undertreated. Most cases responded satisfactorily to standard drug therapy, but a number were left with significant chronic kidney disease. Malignant hypertension is a life-threatening disease which should be entirely preventable with regular blood pressure checks in primary care.
    Mesh-Begriff(e) Adult ; Aged ; Aged, 80 and over ; Algorithms ; Antihypertensive Agents/therapeutic use ; Blood Pressure Determination ; Disease Progression ; Emergencies ; Female ; Humans ; Hypertension, Malignant/complications ; Hypertension, Malignant/drug therapy ; Hypertension, Malignant/epidemiology ; Hypertension, Malignant/prevention & control ; Kidney Failure, Chronic/epidemiology ; Kidney Failure, Chronic/etiology ; Male ; Middle Aged ; New Zealand/epidemiology ; Practice Guidelines as Topic
    Chemische Substanzen Antihypertensive Agents
    Sprache Englisch
    Erscheinungsdatum 2013-08-16
    Erscheinungsland New Zealand
    Dokumenttyp Journal Article
    ZDB-ID 390590-1
    ISSN 1175-8716 ; 0028-8446 ; 0110-7704
    ISSN (online) 1175-8716
    ISSN 0028-8446 ; 0110-7704
    Datenquelle MEDical Literature Analysis and Retrieval System OnLINE

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  5. Artikel ; Online: A consensus statement on the use of angiotensin receptor blockers and angiotensin converting enzyme inhibitors in relation to COVID-19 (corona virus disease 2019).

    Talreja, Hari / Tan, Jasmine / Dawes, Matt / Supershad, Sharen / Rabindranath, Kannaiyan / Fisher, James / Valappil, Sajed / van der Merwe, Veronica / Wong, Lisa / van der Merwe, Walter / Paton, Julian

    The New Zealand medical journal

    2020  Band 133, Heft 1512, Seite(n) 85–87

    Abstract: There has been a lot of speculation that patients with coronavirus disease 2019 (COVID-19) who are receiving angiotensin-converting enzyme (ACE) inhibitors or angiotensin receptor blockers (ARBs) may be at increased risk for adverse outcomes. We reviewed ...

    Abstract There has been a lot of speculation that patients with coronavirus disease 2019 (COVID-19) who are receiving angiotensin-converting enzyme (ACE) inhibitors or angiotensin receptor blockers (ARBs) may be at increased risk for adverse outcomes. We reviewed the available evidence, and have not found this to be the case. We recommend that patients on such medications should continue on them unless there is a clinical indication to stop their use.
    Mesh-Begriff(e) Angiotensin Receptor Antagonists/adverse effects ; Angiotensin Receptor Antagonists/therapeutic use ; Angiotensin-Converting Enzyme Inhibitors/adverse effects ; Angiotensin-Converting Enzyme Inhibitors/therapeutic use ; Animals ; Betacoronavirus ; COVID-19 ; Consensus ; Coronavirus Infections/complications ; Humans ; Hypertension/complications ; Hypertension/drug therapy ; Models, Animal ; Pandemics ; Peptidyl-Dipeptidase A/drug effects ; Peptidyl-Dipeptidase A/metabolism ; Pneumonia, Viral/complications ; Pneumonia, Viral/drug therapy ; Pneumonia, Viral/prevention & control ; SARS-CoV-2
    Chemische Substanzen Angiotensin Receptor Antagonists ; Angiotensin-Converting Enzyme Inhibitors ; Peptidyl-Dipeptidase A (EC 3.4.15.1)
    Schlagwörter covid19
    Sprache Englisch
    Erscheinungsdatum 2020-04-03
    Erscheinungsland New Zealand
    Dokumenttyp Journal Article
    ZDB-ID 390590-1
    ISSN 1175-8716 ; 0028-8446 ; 0110-7704
    ISSN (online) 1175-8716
    ISSN 0028-8446 ; 0110-7704
    Datenquelle MEDical Literature Analysis and Retrieval System OnLINE

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  6. Artikel ; Online: Nurse titration clinics to achieve rapid control of blood pressure.

    Taylor, Dominic / van der Merwe, Veronica / van der Merwe, Walter

    The New Zealand medical journal

    2012  Band 125, Heft 1355, Seite(n) 31–40

    Abstract: Aims: To assess the effectiveness of a new hypertension clinic (in Auckland, New Zealand) using clinical nurse specialist appointments for drug titration.: Methods: A new hypertension clinic was established at Waitemata District Health Board (DHB) in ...

    Abstract Aims: To assess the effectiveness of a new hypertension clinic (in Auckland, New Zealand) using clinical nurse specialist appointments for drug titration.
    Methods: A new hypertension clinic was established at Waitemata District Health Board (DHB) in August 2010 using an initial registrar clinic appointment followed by fortnightly clinical nurse specialist appointments for drug titration. 50 GP-referred patients were prospectively audited and their outcomes compared to 50 patients seen in the physician hypertension clinic.
    Results: The comorbidities of the two groups were similar. 52-66% had the metabolic syndrome by IDF criteria. The mean number of clinic visits to discharge was not significantly different. The mean number of antihypertensive drugs at discharge was the same (2.8) for both clinics. There were significant reductions in systolic and diastolic blood pressures in both clinics, with a mean discharge blood pressure of 131/78 in the nurse clinic group.
    Conclusions: Nurse titration clinics are as effective as physician-only appointments in rapidly achieving target blood pressures.
    Mesh-Begriff(e) Adult ; Aged ; Aged, 80 and over ; Ambulatory Care Facilities ; Antihypertensive Agents/therapeutic use ; Blood Pressure/drug effects ; Blood Pressure Determination ; Comorbidity ; Female ; Humans ; Hypertension/drug therapy ; Hypertension/nursing ; Male ; Middle Aged ; New Zealand ; Nurse Clinicians ; Prospective Studies ; Referral and Consultation ; Surveys and Questionnaires ; Treatment Outcome
    Chemische Substanzen Antihypertensive Agents
    Sprache Englisch
    Erscheinungsdatum 2012-05-25
    Erscheinungsland New Zealand
    Dokumenttyp Journal Article
    ZDB-ID 390590-1
    ISSN 1175-8716 ; 0028-8446 ; 0110-7704
    ISSN (online) 1175-8716
    ISSN 0028-8446 ; 0110-7704
    Datenquelle MEDical Literature Analysis and Retrieval System OnLINE

    Zusatzmaterialien

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  7. Artikel: A consensus statement on the use of angiotensin receptor blockers and angiotensin converting enzyme inhibitors in relation to COVID-19 (corona virus disease 2019)

    Talreja, Hari / Tan, Jasmine / Dawes, Matt / Supershad, Sharen / Rabindranath, Kannaiyan / Fisher, James / Valappil, Sajed / van der Merwe, Veronica / Wong, Lisa / van der Merwe, Walter / Paton, Julian

    The New Zealand medical journal

    Abstract: There has been a lot of speculation that patients with coronavirus disease 2019 (COVID-19) who are receiving angiotensin-converting enzyme (ACE) inhibitors or angiotensin receptor blockers (ARBs) may be at increased risk for adverse outcomes We reviewed ... ...

    Abstract There has been a lot of speculation that patients with coronavirus disease 2019 (COVID-19) who are receiving angiotensin-converting enzyme (ACE) inhibitors or angiotensin receptor blockers (ARBs) may be at increased risk for adverse outcomes We reviewed the available evidence, and have not found this to be the case We recommend that patients on such medications should continue on them unless there is a clinical indication to stop their use
    Schlagwörter covid19
    Verlag WHO
    Dokumenttyp Artikel
    Anmerkung WHO #Covidence: #31481
    Datenquelle COVID19

    Kategorien

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