Respiratory homeostasis features in female students with idiopathic arterial hypotension and hyperventilation syndrome

Authors

DOI:

https://doi.org/10.14739/2310-1210.2024.2.296465

Keywords:

hyperventilation syndrome, idiopathic arterial hypotension

Abstract

Aim. To assess the condition of pulmonary ventilation and diaphragmatic excursion in female students with idiopathic arterial hypotension in the context of hyperventilation syndrome and excessive anxiety.

Materials and methods. In total, 62 female students aged 18–24 diagnosed with idiopathic arterial hypotension were examined. The patients were randomly assigned to three groups based on clinical symptoms. Group 1 consisted of 34 students with idiopathic arterial hypotension accompanied by excessive anxiety and hyperventilation syndrome. Group 2 comprised 28 students with arterial hypotension without signs of neurogenic hyperventilation. Group 3, the control one, included 11 apparently healthy age-matched students.

The manifestations of hyperventilation syndrome were determined using the Nijmegen Questionnaire. The level of anxiety was assessed using the Spielberger–Hanin scale. Primary indicators of pulmonary ventilation were examined using a Spirolab spirometer (Italy). The diaphragm dynamic function was evaluated by assessing the excursion of its right dome using a Chison QBIT 5 apparatus (China).

Results. Through the survey, signs of neurogenic hyperventilation syndrome and excessive anxiety have been identified in the students of Group 1 showing changes in pulmonary ventilation parameters, such as significantly decreased vital capacity (VC), forced vital capacity (FVC), and forced expiratory volume in 1 second (FEV1), compared to the results obtained in Groups 2 and 3, indicating restrictive respiratory disorders.

It has been found that diaphragmatic excursion values (18.29 ± 3.26 mm) at rest in Group 1 were significantly lower compared to those obtained in the control group (26.82 ± 2.32 mm) (p ˂ 0.05). During forced breathing, diaphragmatic excursion (56.86 ± 4.35 mm) in Group 1 was lower than that (80.18 ± 3.19 mm) in the control group (p < 0.05). In Group 2, a significant initial decrease in diaphragmatic excursion was revealed only in 26.67 % of the girls.

Conclusions. In female students with idiopathic arterial hypotension accompanied by hyperventilation syndrome and excessive anxiety, restrictive pattern of decreased pulmonary ventilation parameters and reduced diaphragmatic excursion were observed.

Author Biographies

L. M. Soltysik, Ivano-Frankivsk National Medical University, Ukraine

MD, Senior Lecturer at the Department of Disaster Medicine and Military Medicine

V. A. Levchenko, Ivano-Frankivsk National Medical University, Ukraine

MD, PhD, DSc, Professor, Head of the Department of Disaster Medicine and Military Medicine

References

Sorokivskyi MS, Chernyaga-Royko UP. [Daily blood pressure monitoring: practical aspects and clinical significance]. Zdorovia Ukrainy. 2021;1(74). Ukrainian. Available from: https://health-ua.com/article/64672-dobove-montoruvannya-arteralnogo-tisku-praktichn-aspekti-taklnchne-znachenn

Duschek S, Hoffmann A, Reyes Del Paso GA, Ettinger U. Autonomic Cardiovascular Control and Executive Function in Chronic Hypotension. Ann Behav Med. 2017;51(3):442-53. doi: https://doi.org/10.1007/s12160-016-9868-7

Duschek S, Hoffmann A, Reyes Del Paso GA. Affective impairment in chronic low blood pressure. J Psychosom Res. 2017;93:33-40. doi: https://doi.org/10.1016/j.jpsychores.2016.12.008

Cherednichenko T, Sereda V, Svyrydova N, Parnikoza T, Chuprina G, Khanenko N, et al. Vegetative-vascular dystonia: etiopathogenesis, clinical picture, diagnosis, treatment (clinical lecture). East European Journal of Neurology. 2017;1(13):34-9. Ukrainian. doi: https://doi.org/10.33444/2411-5797.2017.1(13).34-39

Marushko YV, Hyshchak TV, Izirinska YR. [Problematic issues of pathogenesis, diagnosis, prevention and approaches to the treatment of arterial hypotension in children (literary data, own researches)]. Ukrainian journal of perinatology and pediatrics. 2023;3(95):86-92. Ukrainian. doi: https://doi.org/10.15574/PP.2023.95.86

Rovella V, Gabriele M, Sali E, Barnett O, Scuteri A, Di Daniele N. Is Arterial Stiffness a Determinant of Hypotension? High Blood Press Cardiovasc Prev. 2020;27(4):315-20. doi: https://doi.org/10.1007/s40292-020-00388-9

Krzesinski JM. Les troubles fonctionnels et l’hypotension artérielle constitutionnelle [Functional disorder and arterial hypotension]. Rev Med Liege. 2023;78(5-6):345-50. French.

Grundmann CD, Wischermann JM, Fassbender P, Bischoff P, Frey UH. Hemodynamic monitoring with Hypotension Prediction Index versus arterial waveform analysis alone and incidence of perioperative hypotension. Acta Anaesthesiol Scand. 2021;65(10):1404-12. doi: https://doi.org/10.1111/aas.13964

Petersen L. Arterial and Intracranial Hypotension During and Following Exercise. Physiology. 2023;38(S1). doi: https://doi.org/10.1152/physiol.2023.38.s1.5793685

Hamasaki H. Effects of Diaphragmatic Breathing on Health: A Narrative Review. Medicines (Basel). 2020;7(10):65. doi: https://doi.org/10.3390/medicines7100065

Sembera M, Busch A, Kobesova A, Hanychova B, Sulc J, Kolar P. Postural-respiratory function of the diaphragm assessed by M-mode ultrasonography. PLoS One. 2022;17(10):e0275389. doi: https://doi.org/10.1371/journal.pone.0275389

Goligher EC, Dres M, Patel BK, Sahetya SK, Beitler JR, Telias I et al. Lung- and diaphragm-protective ventilation. Am J Respir Crit Care Med. 2020;202(7):950-61. doi: https://doi.org/10.1164/rccm.202003-0655CP

Stavrou VT, Tourlakopoulos KN, Daniil Z, Gourgoulianis KI. Respiratory Muscle Strength: New Technology for Easy Assessment. Cureus. 2021;13(5):e14803. doi: https://doi.org/10.7759/cureus.14803

Bennett A. Hyperventilation syndrome. InnovAiT. 2021;14(4):246-9. doi: 10.1177/1755738020986820

Fabrin SC, Palinkas M, Fioco EM, Gomes GG, Regueiro EM, da Silva GP, et al. Functional assessment of respiratory muscles and lung capacity of CrossFit athletes. J Exerc Rehabil. 2023;19(1):67-74. doi: https://doi.org/10.12965/jer.2244594.297

Rivero-Yeverino D. Espirometría: conceptos básicos [Spirometry: basic concepts]. Rev Alerg Mex. 2019;66(1):76-84. Spanish. doi: https://doi.org/10.29262/ram.v66i1.536

Peck M, Macnaughton P, Walden A. Lung assessment. In: Peck M, MacNaughton P, (editors). Focused Intensive Care Ultrasound. Oxford: Oxford University Press eBooks; 2019 [cited 2024 Feb 2]; p. 141-50. doi: https://doi.org/10.1093/med/9780198749080.003.0016

Published

2024-03-29

How to Cite

1.
Soltysik LM, Levchenko VA. Respiratory homeostasis features in female students with idiopathic arterial hypotension and hyperventilation syndrome. Zaporozhye Medical Journal [Internet]. 2024Mar.29 [cited 2024Nov.27];26(2):101-5. Available from: http://zmj.zsmu.edu.ua/article/view/296465