Stephen P Juraschek, MD, PhD, FAHA, AHSCP-CHS

Factors Associated With Discordant Blood Pressure Measures among Very Old Adults: Results From the Atherosclerosis Risk in Communities (ARIC) Study | Hypertension BACKGROUND: Home blood pressure (BP) monitoring (HBPM) is increasingly used as an alternative to office BP. However, factors influencing agreement between office and home BP among very old adults rema...

Excited to share our data on self-monitored blood pressure among adults >=78 years. Arm size, frailty, age, sex, and blood pressure all associated with clinic discordance.

Factors Associated With Discordant Blood Pressure Measures among Very Old Adults www.ahajournals.org/doi/10.1161/...

Off to Dallas to work with colleagues on the Hypertension curriculum for AHA Scientific Sessions 2026. Excited about our ideas so far!
@ahascience.bsky.social

Five-year risk of cardiovascular events and falling in Parkinson's disease with orthostatic hypotension: A nationwide cohort study Orthostatic hypotension (OH) is a frequent autonomic feature of Parkinson's disease (PD), yet its long-term clinical consequences remain insufficiently characterized, particularly regarding falls and ...

Higher fall burden among Parkinson patients on vasopressors... confounding by indication or supine hypertension?

Parkinsonism & Related Disorders www.prd-journal.com/article/S135...

Association Between Postprandial Hypotension Determined by Ambulatory Blood Pressure Monitoring and Falls Among Older Adults With Hypertension Who Are Taking Antihypertensive Medication: Results From ... BACKGROUND: Postprandial hypotension (PPH) may contribute to falls among older adults, particularly those taking antihypertensive medication. However, evidence on this association in community-dwellin...

Postprandial hypotension is common among older adults.

Association Between Postprandial Hypotension Determined by Ambulatory Blood Pressure Monitoring and Falls Among Older Adults With Hypertension Who Are Taking Antihypertensive Medication: The AMBROSIA Study
www.ahajournals.org/doi/abs/10.1...

Profound economic benefits projected from lowering the sodium content of foods.

www.ahajournals.org/doi/10.1161/...

From French Gastronomy to Cardiovascular Health: Cutting Salt in the Baguette Has Saved Thousands of Lives in France | Hypertension

Want to live longer? Choice of bread could help! Read how a strategic cut in salt of a national staple made a huge difference in France!

From French Gastronomy to Cardiovascular Health: Cutting Salt in the Baguette Has Saved Thousands of Lives in France www.ahajournals.org/doi/10.1161/...

Comparative effects of salt substitutes on blood pressure, cardiovascular events and mortality: a systematic review and network meta-analysis - BMC Medicine Background Hypertension is a major risk factor for cardiovascular disease. Salt substitutes may reduce sodium intake while maintaining palatability, but comparative effects across formulations remain ...

Nice meta-analysis on sodium salt substitutes.

link.springer.com/article/10.1...

VA

super interesting mechanistic study

effect of potassium supplement on natriuresis, with and without lisinopril
in patients with and without CKD

academic.oup.com/ndt/article-...

Growing Healthy Hearts: a pilot randomized controlled trial of a digitally delivered gardening, cooking, and Dietary Approaches to Stop Hypertension (DASH) diet intervention for adults with cardiovascular risk factors - PubMed Registered on Clinicaltrials.gov (NCT05720611). Registered on January 13, 2023, https://clinicaltrials.gov/study/NCT05720611?term=nct05720611&rank=1.

Cool pilot trial for implementing DASH:

pubmed.ncbi.nlm.nih.gov/41606653/

I just found the delegate option in sciencv!!!!!

Now collaborators who could use some help with the new system can send my way!

Pretty sweet!

Association of Clinic Blood Pressure and Out-of-Clinic Blood Pressure Difference With Falls Among Older Adults With Hypertension | Hypertension BACKGROUND: A barrier to intensification of antihypertensive medication among older adults with hypertension is the perceived risk of falls. Blood pressure (BP) measured in the clinic setting is prima...

Important work showing that lower out-of-clinic BP is not associated with falls among older adults.

www.ahajournals.org/doi/abs/10.1...

Excited to present the GoFreshRx trial at the ACC Scientific Sessions on Sat 3/28. GoFreshRx focuses on groceries and blood pressure among adults who are treated for hypertension. It is a complement to GoFresh (adults without hypertension):

jamanetwork.com/journals/jam...

Hope to see you there!

📣 In this week's PCT Grand Rounds, @spjuraschek.bsky.social of Beth Israel Deaconess Medical Center will present "DASH Groceries to Stop Hypertension: Results From the GoFresh Trial." Join us!

🔗 duke.is/pctnews20260...

Apple Watch for Hypertension Screening | Hypertension

Excited to share our thoughts on the Apple Watch Hypertension alert!
@jordybc.bsky.social @deanpicone.bsky.social @alta-schutte.bsky.social

Apple Watch for Hypertension Screening | Hypertension www.ahajournals.org/doi/10.1161/...

Association of supine versus seated hypertension with cardiovascular events in older adults - European Geriatric Medicine Purpose Supine hypertension is prevalent but underdiagnosed among older adults, and its relationship with cardiovascular risk in adults aged ≥ 65 years remains unclear. This study aims to investigate ...

Another neat article on isolated supine hypertension and risk for CVD among older adults.

Association of supine versus seated hypertension with cardiovascular events in older adults | European Geriatric Medicine | Springer Nature Link
link.springer.com/article/10.1...

The Effect of Fludrocortisone and Midodrine on Ambulatory Blood Pressure Biomarkers and Symptoms of Syncope IntroductionFludrocortisone and midodrine are frequently used to raise blood pressure (BP) in patients with vasovagal syncope (VVS)/low BP phenotype and orthostatic hypotension (OH), despite limite...

Neat paper on fludrocortisone/midodrine and ABPM. Love ABPM for OH management. Not sure I agree that merely increasing mean BP = improved orthostatic regulation

Effect of Fludrocortisone and Midodrine on Ambulatory BP Biomarkers and Symptoms of Syncope www.tandfonline.com/doi/full/10....

For anyone struggling to find their publications on the new NIH biosketch (sciencv) -> I found them under the ORCID tab. Need to check both the my bibliography and orcid tab to find your publications.

Sex-Specific Blood Pressure Thresholds in Middle-Aged Adults | Hypertension BACKGROUND: Higher relative risk for cardiovascular disease (CVD) events at lower blood pressure (BP) thresholds in female versus male adults suggest that hypertension thresholds should be sex-specifi...

Excited to share our article informing the ongoing debate related to whether there should be sex-specific hypertension thresholds.

Huge congrats to the two med students who led this effort!

Sex-Specific Blood Pressure Thresholds in Middle-Aged Adults
www.ahajournals.org/doi/10.1161/...

This neat study simultaneously compared two validated home devices in 121 adults, finding notable discordance. Wrist was higher and less precise than upper arm...I'm curious about potential causes of discordance (like tronco-conical arm shape).

www.nature.com/articles/s41...

Great meta-analysis on deprescribing among older adults for your archives, looking at cardiovascular and hypotensive (falls, OH) endpoints.

Not surprisingly most pooled analyses favor continuation (strongest heart failure), but also suggestive for falls, death.

link.springer.com/article/10.1...

Neat review on supine hypertension...the next coolest thing in hypertension research (in my humble opinion)!

www.nature.com/articles/s41...

Love this figure!

@rueyhu.bsky.social

So true... Probably the most important item in a research study. It frames everything.

It's tricky: different clinical objectives (evolving acute clinical status vs chronic dz management) with BP as a vital sign vs HTN target being mixed together with distinct treatments (IV and oral) informed by studies that used hospital complications (an outcome of interest) as an exclusion.

A Portable, Active Abdominal Compression Binder for Orthostatic Intolerance: Design and Evaluation in Healthy Subjects - Annals of Biomedical Engineering Purpose Orthostatic intolerance is a category of disorders characterized by inadequate hemodynamic compensation upon standing. In this study, we developed a portable, active abdominal compression bind...

Grateful to work with collaborators from MIT on a next generation abdominal binder that might reduce orthostatic fluctuations in blood pressure.

Check it out:
link.springer.com/article/10.1...

Happy Holidays everyone!!!

Multi-omics study of molecular and genetic bases of orthostatic hypotension - Clinical Epigenetics Orthostatic hypotension is a sharp decrease in blood pressure when an individual transitions from a supine to an upright position. OH affects at least 30% of older adults. It is attributed to the dysf...

Interesting paper on the omics of orthostatic hypotension.
link.springer.com/article/10.1...

Season's greetings and a Happy New Year from the American Journal of Hypertension!

A dictionary for medicine’s unnamed moments Matt Morgan shares some words that capture what medicine feels like when no ICD code will do Words matter. In medicine, they act as scalpel and suture. They are the only operating instruments we carr...

Hilariously (and sometimes sadly) real

From the @bmj.com Christmas issue

www.bmj.com/content/391/...

These are too good!

Current Landscape of Mobile Health Applications for Hypertension Management in the United States: A Scoping Application Review AbstractBackground. Hypertension, a major contributor to cardiovascular mortality, requires multimodal monitoring and management strategies for optimal blo

Happy to be a part of this important review of mobile hypertension management applications led by @rueyhu.bsky.social!

Current Landscape of Mobile Health Applications for Hypertension Management in the United States: A Scoping Application Review url: academic.oup.com/ajh/article-...