ABSTRACT
Mental stress has been recognized as an essential risk factor for hypertension. Therefore, experts specializing in cardiology, psychiatry, and Traditional Chinese Medicine organized by the Psycho-cardiology Group, College of Cardiovascular Physicians of Chinese Medical Doctor Association, and Hypertension Group of the Chinese Society of Cardiology proposed the expert consensus on the diagnosis and treatment of adult mental stress-induced hypertension in March 2021, which includes the epidemiology, etiology, diagnosis, and treatment of the mental stress-induced hypertension. This consensus will hopefully facilitate the clinical practice of this disorder. In addition, the COVID-19 pandemic has become one of the primary global sources of psychosocial stressors since the beginning of 2020, and the revision of this expert consensus in 2022 has increased the relevant content. This consensus consists of two parts. The sections of Part A include (I) Background and epidemiological characteristics, (II) Pathogenesis, and (III) Diagnosis. The sections of Part B contain (IV) Treatment recommendations, and (V) Prospects. This article presents Part B of the consensus. © 2022 Heart and Mind ;Published by Wolters Kluwer - Medknow.
ABSTRACT
Mental stress has been recognized as an essential risk factor for hypertension. Therefore, experts specializing in cardiology, psychiatry, and Traditional Chinese Medicine organized by the Psycho-Cardiology Group of College of Cardiovascular Physicians of Chinese Medical Doctor Association and Hypertension Group of Chinese Society of Cardiology proposed the expert consensus on the diagnosis and treatment of adult mental stress-induced hypertension in March 2021, which includes the epidemiology, etiology, diagnosis, and treatment of the mental stress-induced hypertension. This consensus will hopefully facilitate the clinical practice of this disorder. In addition, the COVID-19 pandemic has become one of the primary global sources of psychosocial stressors since the beginning of 2020, and the revision of this expert consensus in 2022 has increased the relevant content. This consensus consists of Part A and Part B. Part A includes (I) Background and epidemiological characteristics, (II) Pathogenesis, and (III) Diagnosis and Part B includes (IV) Treatment recommendations and (V) Prospects. This part presents the content of Part A. © 2022 Heart and Mind ;Published by Wolters Kluwer - Medknow.
ABSTRACT
INTRODUCTION: Racially and ethnically minoritized communities are disproportionately affected by the COVID-19 pandemic. Yet, it is not well understood how these communities are coping with and managing COVID-19. Research has shown that patients' cultural identities and practices can affect their health behaviors. CASE PRESENTATION: We report the cases of 2 Hmong patients, a middle-aged man and an elderly woman, who were diagnosed with COVID-19. Both patients used a combination of traditional remedies and Western medical treatments to combat COVID-19. DISCUSSION: It is important to recognize how culture can affect COVID-19 treatment decisions in the Hmong population. The power of social networks in disseminating inaccurate information during the pandemic is something to be aware of within the Hmong community. CONCLUSION: Hmong patients are likely to use traditional remedies passed along through virtual social platforms and word of mouth, due to poor access, limited health literacy, and low English proficiency skills. Culturally acceptable interventions are needed to improve access to health literacy interventions, including better translations of COVID-19 information for the Hmong community.