VENTRICULAR RATE AND BLOOD PRESSURE ORTHOSTATIC REACTIONS IN PATIENTS WITH PERMANENT ATRIAL FIBRILLATION IN GENERAL CARDIOVASCULAR RISK GROUPS

  • L. O. Martymianova V.N. Karazin Kharkiv National University, Kharkiv, Ukraine
Keywords: orthostatic reaction, atrial fibrillation, general cardiovascular risk

Abstract

Types and prevalence of ventricular rate (VR), systolic (SBP) and diastolic (DBP) blood pressure (BP) orthostatic reactions (OR) in patients with permanent atrial fibrillation (AF) in general cardiovascular risk groups (GCVR) were studied in 137 patients (73 men and 64 women), aged 66.4 ± 9.9 years. VR was measured by the electrocardiography (ECG) on the computer electrocardiograph «CardioLab 2000» and BP – semi-automatic tonometer Microlife BP2BIO. Changes VR, SBP and DBP in the range of ± 5 % were classified as a lack, an increase of 5 % and more – both positive and decreased by 5 % or more – as a negative OR. GCVR calculated in accordance with the scale of SCORE. Patients were classified into groups of GCVR. Statistical evaluation of the results was performed with the parametric estimate of the mean (M) and standard deviation (sd) and non-parametric Student's T-test and Mann-Whitney test methods.

It was found that patients with AF have all three types (positive, absent, negative) OR of VR, SBP and DBP, which are stored in all classes GCVR. Optimizing the management of patients with atrial fibrillation, including with and through modification within the GCVR risk factors should take into account deviations in orthostatic reactions of VR, SBP and DBP.

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Author Biography

L. O. Martymianova, V.N. Karazin Kharkiv National University, Kharkiv, Ukraine

Svobody sq., 6, Kharkiv, 61022, Ukraine

 

References

Trends in atrial fibrillation in patients hospitalized with an acute coronary syndrome / [D. D. McManus, W. Huang, K. V. Domakonda et al.]. // Am J Med. – 2012. – № 125. – P. 1076–1084.

Gialdini G. Perioperative atrial fibrillation and the long-term risk of ischemic stroke / G. Gialdini, K. Nearing, P. D. Bhave. // JAMA. – 2014. – № 312. – P. 616–622.

Sychev O. S. Fibrillyatsiya predserdiy. Sovremennyye podkhody k lecheniyu i profilaktike oslozhneniy u patsiyentov s soputstvuyushchey patologiyey serdtsa / O.S. Sychev. // Ukraí̈ns'kiy medichniy chasopis. – 2011. – № 6.

Orthostatic hypotension predicts mortality in middle-aged adults: the Atherosclerosis Risk In Communities (ARIC) Study / [K. M. Rose, M. L. Eigenbrodt, R. L. Biga et al.]. // Circulation. – 2006. – № 114. – P. 630–638.

Egorova A. Y. The effectiveness of amlodipine in patients with hypertension with iso and hypertensive types of orthostatic reactions / A.Y. Egorova. // Medicine sogodnі i zavtra. – 2009. – № 2. – P. 45–50.

Fedorowski A. Early postural blood pressure response and cause-specific mortality among middle-aged adults / A. Fedorowski, B. Hedblad, O. Melander. // European Journal of Epidemiology. – 2011. – № 26. – P. 537–546.

Orthostatic hypertension patogenetic studies / [D. H. Streeten, G. H. Anderson, F. D. Thomas et al.]. // Hypertension. – 1985. – № 7. – P. 196–203.

Internal diseases: the time of global somatic risk / [M. I. Yabluchanskiy, A. M. Yabluchanskiy, O. Y. Bychkova et al.]. // The Journal of V. N. Karazin Kharkiv National University. Series «Medicine». – 2013. – № 1044. – P. 5–7.

Fomich G. M. Ortostatichní reaktsíi chastoti shlunochkovikh skorochen' u patsíêntív z postíynoyu formoyu fíbrilyatsíí̈ peredserd' / G. M. Fomich, L. O. Martymianova, M. I. Yabluchanskiy. // The Journal of V. N. Karazin Kharkiv National University. Series «Medicine». – 2011. – № 938. – P. 77–84.

Chorna Y. A. Ortostaticheskiye reaktsii sistolicheskogo arterial'nogo davleniya u patsiyentov s postoyannoy formoy fibrillyatsii predserdiy / Y. A. Chorna, L. O. Martymianova, M. I. Yabluchanskiy. // Mízhnarodniy Medichniy zhurnal. – 2011. – № 2. – P. 22–26.

Gar'kaviy P. O. Tipi ortostatichnikh reaktsíy sistolíchnogo arteríal'nogo tisku u patsíentív z arteríal'noyu gípertenzíeyu / P. O. Gar'kaviy, A. YU. Êgorova, M. Í. Yabluchans'kiy // The Journal of V. N. Karazin Kharkiv National University. Series «Medicine». – 2007. – № 774. – P. 89–93.

How to Cite
Martymianova, L. O. (1). VENTRICULAR RATE AND BLOOD PRESSURE ORTHOSTATIC REACTIONS IN PATIENTS WITH PERMANENT ATRIAL FIBRILLATION IN GENERAL CARDIOVASCULAR RISK GROUPS. The Journal of V. N. Karazin Kharkiv National University, Series "Medicine", (32), 24-28. Retrieved from https://periodicals.karazin.ua/medicine/article/view/7823
Section
Clinical research