research centers


Search results: Found 2

Listing 1 - 2 of 2
Sort by

Article
Inter-arm Blood Pressure Difference in Type 2 Diabetic Patients and Ambulatory Blood Pressure Monitoring :A Clinical Dilemma

Author: Hassan Salim Abdulsada
Journal: Karbala Journal of Medicine مجلة كربلاء الطبية ISSN: 19905483 Year: 2015 Volume: 8 Issue: 2 Pages: 2240-2251
Publisher: Kerbala University جامعة كربلاء

Loading...
Loading...
Abstract

background: Frequently coexistent condition in type 2 diabetes mellitus is hypertension and vice versa. Measurement of blood pressure by ambulatory blood pressure monitoring is superior to ordinary blood pressure . Blood pressure disparity reflects vascular diseases which diabetic patients liable for. Inconsistency in selecting the proper arm for blood pressure measurement may create a clinical dilemma in the presence of systolic and/or diastolic disparity.Aim :We tried in this study to set proper steps in choosing the suitable arm for ambulatory blood pressure monitoring cuff fitting.Material and Methods :Consecutive 140 type 2 diabetes mellitus patients aged 29 years and elder were examined by sequential ordinary blood pressure and simultaneous dual ambulatory blood pressure monitoring.Results: Systolic disparity grade I was dominant (75.7%) as well as diastolic disparity grade I (86.4%). The mean systolic and diastolic blood pressure in the dominant arm was higher than that in the non-dominant arm with significant pressure differences (<0.001).Age and duration of diabetes had positive impacts on systolic and diastolic disparities while gender and Hemoglobin A1C had no impacts. Systolic and diastolic blood pressures were significantly different in both arms when studied over day-time, night-time, and 24-hours ambulatory monitoring. Systolic and diastolic differences in the dominant arm and the non-dominant arm had been shown to have significant mean differences with the mean ambulatory day-time blood pressure.Discussion: Sequential method is an accepted modality and the arm with the higher systolic and/or diastolic blood pressure is the suitable arm for ambulatory monitoring and generally mirroring OBP


Article
Assessment of dipping status of systemic blood pressure by 24 hour Ambulatory Blood Pressure Monitoring (ABPM) in patients with features of optic nerve head (disc) changes of Optic Neuropathy
تقييم حالة الانخفاض لضغط الدم الجهازي بواسطة مراقب الضغط المتنقل 24ساعة عند المرضى الذين لديهم علامات اعتلال العصب البصري

Loading...
Loading...
Abstract

Background: Optic neuropathy is a spectrum of disease of different etiology, and especially when associated with systemic disease like hypertension, where there is effect on auto regulation mechanism of the ocular perfusion.Aim: To see the blood pressure behavior and dipping status by 24 hour Ambulatory Blood Pressure Monitoring among patients who were diagnosed to have features of secondary optic neuropathy whether they were hypertensive or not.Methods: Ninety-four patients were included in a cross sectional study, and using specific exclusion criteria, 38 patients were having changes of optic neuropathy as diagnosed by optical coherence tomography, with 56 other patients as a control group. All were examined and investigated, and subjected to 24 hour Ambulatory Blood Pressure Monitoring test using specific device (CONTEC ™ - AUTOMATIC BP MONITER - MODEL: ABPM50) and the data from the device were displayed to the computer for measurement and analysis. The dipping status was calculated manually using a specific formula. The data, then fed to SPSS software version 20 for statistical analysis.Results: There was no statistical significance for age, sex, BMI and other risk factors like hypertension, diabetes mellitus and dyslipidemia. Reverse or blunted response was common among hypertensive patients in both studied groups, but the P-value not significant.Conclusion: This study showed that there was no specific BP dipping pattern by ABPM in the studied patients with optic neuropathy in our locality.

الخلفية: اعتلال العصب البصري هو طيف من الامراض مختلفة الاسباب, خصوصا عندما تكون مصاحبة للأمراض الشاملة مثل ارتفاع ضغط الدم، حيث ان هناك تأثير على ميكانيكية التنظيم الالي للتروية البصرية. الهدف: رؤية تصرف ضغط الدم والحالة الاُنخفاضية بواسطة مراقب الضغط المتنقل 24 ساعة عند المرضى الذين لديهم علامات اعتلال العصب البصري بغض النظر عن اصابتهم بارتفاع ضغط الدم من عدمه.الطرائق: شملت الدراسة 94 مريضا في دراسة مقطعية باستخدام معايير استثنائية خاصة, 38 مريضا كانت لديهم تغيرات اعتلال العصب البصري مشخصة بفحص التماسك البصري المقطعي, و 56 مريضا مجموعة قياسية. جميع المرضى تم فحصهم سريريا ومختبريا, واجري لهم فحص مراقبة الضغط 24 ساعة المتنقل باستخدام جهاز خاص(CONTEC ™ – AUTOMATIC BP MONITER–MODEL:ABPM50) واخذت المعلومات وعرضت في الحاسوب للقياس والتحليل. تم احتساب حالة الانخفاض يدويا وفقا لمعادلة خاصة. تم تغذية المعلومات الى برنامج SPSS النسخة 20 للتحليل الاحصائي. النتائج: لم يكن هناك اهمية احصائية للعوامل: العمر, الجنس, معامل كتلة الجسم, وبقية عوامل الخطورة مثل ارتفاع ضغط الدم, مرض السكري, واضطراب الدهون. الاستجابة العكسية او المخشنة كانت السائدة عند مرضى ارتفاع ضغط الدم في كلا المجموعتين لكن القيمة الاحتمالية لم تكن مهمة. الاستنتاج: هذه الدراسة اوضحت انه لا يوجد نموذج خاص للحالة الانخفاضية باستخدام مراقب الضغط المتنقل 24 ساعة عند المرضى الذين تمت دراستهم في هذه العينة المصابين باعتلال العصب البصري.

Listing 1 - 2 of 2
Sort by
Narrow your search

Resource type

article (2)


Language

Arabic and English (1)

English (1)


Year
From To Submit

2018 (1)

2015 (1)