The Autonomic Regulation of Circulation and Adverse Events in Hypertensive Patients during Follow-Up Study
المؤلفون المشاركون
Kozlenok, Andrey V.
Kamshilin, Alexei A.
Shlyakhto, Evgeny V.
Mamontov, Oleg
المصدر
Cardiology Research and Practice
العدد
المجلد 2019، العدد 2019 (31 ديسمبر/كانون الأول 2019)، ص ص. 1-6، 6ص.
الناشر
Hindawi Publishing Corporation
تاريخ النشر
2019-12-30
دولة النشر
مصر
عدد الصفحات
6
التخصصات الرئيسية
الملخص EN
Purpose.
Comprehensive study of autonomic regulation assessed during follow-up could provide new detailed information about the risks stratification for hypertensive patients.
Therefore, we investigated the associations of these indices with death, stroke, and revascularization during the follow-up observation of 55 patients.
Methods.
All patients were with target organ damage, and 27 of them had associated clinical conditions (ACC).
Mean age of patients with and without ACC was 62.6 ± 4.2 and 51.9 ± 9.9 (mean ± SD) years, respectively.
Follow-up was from 66 to 95 months.
At entry, autonomic regulation was assessed by the tilt test, Valsalva maneuver, hand-grip test, and cold-stress vasoconstriction.
Hemodynamic parameters were measured by continuous blood pressure monitoring, occlusion plethysmography, and electrocardiography.
Re-examination of patients was carried out by questioning and physical and laboratory examination.
Results.
We found that fatal outcomes were associated with a lower Valsalva index (1.34 ± 0.16 vs.
1.69 ± 0.37, P<0.05) and depressed cold vasoconstriction (0.20 ± 0.02 vs.
0.39 ± 0.16%, P<0.05) but with higher peripheral resistance (1.36 ± 0.19 vs.
0.89 ± 0.25, P<0.001) and respiratory-range blood pressure variability (BPV) (18.2 ± 14.2 vs.
6.2 ± 4.2 mmHg, P<0.001).
Higher total-range BPV (103 ± 51 vs.
65 ± 45 mmHg, P<0.05) in patients who had a stroke was observed.
Initial diastolic orthostatic hypertension (6.6 ± 10.8 vs.
0.4 ± 6.3 mmHg, P<0.05) and lower Valsalva index (1.36 ± 0.11 vs.
1.82 ± 0.37, P<0.05) in patients who suffered a new ACC were important findings as well.
Conclusions.
This study shows that such autonomic regulation indices as Valsalva index, blood pressure dynamics in the tilt test, cold-stress vasomotor reactivity, and BPV are important for prognosis of hypertension course.
نمط استشهاد جمعية علماء النفس الأمريكية (APA)
Mamontov, Oleg& Kozlenok, Andrey V.& Kamshilin, Alexei A.& Shlyakhto, Evgeny V.. 2019. The Autonomic Regulation of Circulation and Adverse Events in Hypertensive Patients during Follow-Up Study. Cardiology Research and Practice،Vol. 2019, no. 2019, pp.1-6.
https://search.emarefa.net/detail/BIM-1146087
نمط استشهاد الجمعية الأمريكية للغات الحديثة (MLA)
Mamontov, Oleg…[et al.]. The Autonomic Regulation of Circulation and Adverse Events in Hypertensive Patients during Follow-Up Study. Cardiology Research and Practice No. 2019 (2019), pp.1-6.
https://search.emarefa.net/detail/BIM-1146087
نمط استشهاد الجمعية الطبية الأمريكية (AMA)
Mamontov, Oleg& Kozlenok, Andrey V.& Kamshilin, Alexei A.& Shlyakhto, Evgeny V.. The Autonomic Regulation of Circulation and Adverse Events in Hypertensive Patients during Follow-Up Study. Cardiology Research and Practice. 2019. Vol. 2019, no. 2019, pp.1-6.
https://search.emarefa.net/detail/BIM-1146087
نوع البيانات
مقالات
لغة النص
الإنجليزية
الملاحظات
Includes bibliographical references
رقم السجل
BIM-1146087
قاعدة معامل التأثير والاستشهادات المرجعية العربي "ارسيف Arcif"
أضخم قاعدة بيانات عربية للاستشهادات المرجعية للمجلات العلمية المحكمة الصادرة في العالم العربي
تقوم هذه الخدمة بالتحقق من التشابه أو الانتحال في الأبحاث والمقالات العلمية والأطروحات الجامعية والكتب والأبحاث باللغة العربية، وتحديد درجة التشابه أو أصالة الأعمال البحثية وحماية ملكيتها الفكرية. تعرف اكثر