Exploring daily blood pressure fluctuations and cardiovascular risk among individuals with motor complete spinal cord injury: a pilot study
| Autor: | David S. Ditor, Kent A. Campbell, Magdy Hassouna, Amit Chopra, B. Catharine Craven, Derry L. Dance |
|---|---|
| Rok vydání: | 2016 |
| Předmět: |
Adult
Male 030506 rehabilitation medicine.medical_specialty Ambulatory blood pressure Supine position medicine.medical_treatment Blood Pressure Pilot Projects 03 medical and health sciences 0302 clinical medicine Heart Rate Heart rate medicine Humans Spinal cord injury Tetraplegia Spinal Cord Injuries Research Articles Rehabilitation business.industry Middle Aged medicine.disease Blood pressure Cardiovascular Diseases Anesthesia Physical therapy Autonomic dysreflexia Neurology (clinical) 0305 other medical science business 030217 neurology & neurosurgery |
| Zdroj: | The journal of spinal cord medicine. 40(4) |
| ISSN: | 2045-7723 |
| Popis: | Clinically silent autonomic dysfunction with bowel and bladder care, are postulated to contribute to cardiovascular disease after chronic spinal cord injury (SCI).We describe the frequency and severity of dysreflexic episodes, termed transient blood pressure elevations (T-BPE) over 48 hours in adults with cervical or high-thoracic motor-complete SCI.Tertiary SCI Rehabilitation Centre in Toronto, Canada.Individuals with chronic SCI, C1-T3 AIS A or B,1 year post-injury, living in the community (n=19).Data were obtained via 48-hour ambulatory blood pressure (BP) and heart rate (HR) monitoring, with data captured at 10-minute intervals and a concurrent diary describing activities of daily living, and bladder/bowel routines. T-BPE were defined as a ≥ 40 mmHg elevation in systolic blood pressure (SBP) above the participant's supine baseline. Severe (≥ 60-79 mmHg) and Extreme ≥80 mmHg elevations in SBP were described.Thirteen participants experienced T-BPE within the assessment period, with 7/13 experiencing "severe", and 3/13 experiencing "extreme" SBP elevations. The median number of T-BPE was 8 (IQR = 3), and the mean ± SD SBP during T-BPE was 150 ± 16 mmHg, These T-BPE were verified as dysreflexic events using a conservative definition of a40 mmHg increase in SBP, with a concurrent 10 bpm decrease in HR, above the 48-hour average SBP, yielding 12/19 participants with T-BPE.T-BPE were frequent, often with severe or extreme elevations in SBP, despite few reported symptoms. Recognition and management of these dysreflexic events associated with T-BPE are needed, which may ameliorate cardiovascular disease risk. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|