24-HOUR BLOOD PRESSURE MONITORING PARAMETERS IN THE PERI-INTERVENTIONAL PERIOD AMONG PATIENTS WITH LAPAROSCOPIC CHOLECYSTECTOMY

• Main Authors: R. V. Repnikova, O. I. Golofaeva, O. L. Barbarash
• Format: Article
• Language: Russian
• Published: «FIRMA «SILICEA» LLC 2011-12-01
• Series: Российский кардиологический журнал
• Subjects: arterial hypertension; 24-hour blood pressure monitoring; peri-interventional period; laparoscopic cholecystectomy
• Online Access: https://russjcardiol.elpub.ru/jour/article/view/1170
• ISSN: 1560-4071; 2618-7620

The study analysed the circadian blood pressure (BP) profile in patients with arterial hypertension (AH) before planned surgery, and also investigated the association between pre-surgery BP parameters and the risk of intra- and post-interventional complications. The study included 52 AH patients with cholelithiasis, admitted to a surgery department for a planned laparoscopic cholecystectomy. All participants underwent office BP measurement, as well as 24-hour BP monitoring (BPM) 2 weeks and 24 hours before the intervention. The incidence of peri-interventional complications was assessed. According to the 24-hour BMP results 2 weeks before the intervention, 50% of the patients had a normal circadian profile (“dipper”) of both systolic and diastolic BP (SBP, DBP). 24 hours before the intervention, pathological circadian SBP and DBP indices became more prevalent (mostly “non-dipper” type), and heart rate levels increased for both nighttime and daytime. Preinterventional AH features predicted the risk of peri-interventional complications. Therefore, pre-surgery 24-hour BPM can facilitate the identification of the patients with high risk of peri-interventional complications.