Features of daily dynamics of blood pressure in patients with high and very high cardiovascular risk by SCORE scale and concomitant phenomenon of heart rate turbulence

Authors

  • А. І. Vytryhovsky Ivano-Frankivsk National Medical University,

DOI:

https://doi.org/10.14739/2310-1210.2016.3.76923

Keywords:

Risk Factors, Coronary Disease, Arrhythmias, Sudden Cardiac Death, Heart Rate

Abstract

It is known fact, that the classical cause of life-threatening conditions in cardiology is  hypertension, but today there are more data on the importance of other previously unknown factors, such as left ventricular diastolic dysfunction, sleep apnea, asthenic figure, and the variability of heart rate turbulence .

The aim – is to develop new approaches for prediction, prevention and treatment of complications in patients with high and very high total cardiovascular risk based on assessment of impact on the variability and heart rate turbulence.

Materials and methods. In order to establish features daily blood pressure in patients with myocardial infarction, people with high and very high cardiovascular risk by SCORE scale and the associated phenomenon of heart rate turbulence it was conducted daily monitoring of blood pressure.

Results. Healthy people with heart rate turbulence (НRT) compared to persons without HRT, significantly had  higher daily index and significantly lower time index and the index area mean arterial pressure. People with coronary heart disease indicators of daily monitoring of blood pressure in patients with and without turbulence heart rate did not significantly differ. Individuals with a high cardiovascular risk of heart rate turbulence was significantly higher only average diastolic blood pressure, all other parameters did not differ. Individuals with high cardiovascular risk of heart rate turbulence has significantly higher the index area and mean arterial pressure was significantly lower - time performance index diastolic blood pressure, compared with those without TCP.

Conclusion. The presence of the phenomenon of heart rate turbulence in patients with existing cardiovascular disease does not lead to the emergence of some features or changing patterns in daily blood pressure

References

Bardy, G.Y., Lee, R. L., Mark, D. B., Poole, J. E, Packer, D. L, Boineau, R, et al.(2005). Sudden Cardia Death in Heart Failure Trial (SCD-HeFT). N. Engl. J. Med, 352, 225‒237.doi: 10.1056/NEJMoa043399.

Barthel, P., Schneider, R., Bauer, A., Ulm, K, Schmitt, C, Schömig, A, & Schmidt, G. (2003). Risk stratification after acute myocardial infarction by heart rate turbulence. Circulation, 108, 1221‒1226.

Bauer, A., Barthel, P., & Schneider, R. (2002). Dynamics of heart rate turbulence as independent risk predictor after dynamic myocardial infarction. PACE, 25(2), 608.

Brune, S., Gonska, B. D., Fleischmann, C., Belles, B., Belles, G., Kreuzer, H. (1991). Prevalence of late potentials ventricular in hypertensive patients. J. Cardiovasc. Pharmacol, 17(2),146‒147.

Davies, L. C., Francis, D. P., Ponikowski, P., Piepoli, M. F., & Coats, A. J. (2001). Relation of heart rate and blood pressure turbulence following premature ventricular complexes to baroreflex sensitivity in chronic congestive heart failure. Am. J. Cardiol, 87, 737‒742.

Laragh, J. H., Barry, M. D., & Brenner, M. (2015). Hypertension Pathophysiology, Diagnosis and Management. New York: Raven Press.

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How to Cite

1.
Vytryhovsky АІ. Features of daily dynamics of blood pressure in patients with high and very high cardiovascular risk by SCORE scale and concomitant phenomenon of heart rate turbulence. Zaporozhye Medical Journal [Internet]. 2016Sep.6 [cited 2024Nov.22];18(3). Available from: http://zmj.zsmu.edu.ua/article/view/76923

Issue

No. 3 (2016): Zaporozhye medical journal

Section

Original research

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