24-HOUR BLOOD PRESSURE MONITORING PARAMETERS IN THE PERI-INTERVENTIONAL PERIOD AMONG PATIENTS WITH LAPAROSCOPIC CHOLECYSTECTOMY
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 wit...
Main Authors: | , , |
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Format: | Article |
Language: | Russian |
Published: |
«FIRMA «SILICEA» LLC
2011-12-01
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Series: | Российский кардиологический журнал |
Subjects: | |
Online Access: | https://russjcardiol.elpub.ru/jour/article/view/1170 |
Summary: | 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. |
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ISSN: | 1560-4071 2618-7620 |