scholarly journals What must we know about cardiovascular prevention in medical school freshmen?

2021 ◽  
Vol 28 (Supplement_1) ◽  
Author(s):  
Y Venevtseva ◽  
ELENA Golubeva ◽  
LEV Putilin
Keyword(s):  
Risk Factors ◽  
Blood Pressure ◽  
Heart Rate ◽  
Medical Students ◽  
Screen Time ◽  
Body Height ◽  
Real Life ◽  
Male Students ◽  
First Year ◽  
Normal Range

Abstract Funding Acknowledgements Type of funding sources: None. Background/Introduction. Medical students have been found to report high levels of perceived stress that may be influenced on health status and academic performance. Digital era and e-learning produce novel risk factors for cardiovascular disease (CVD) including arterial hypertension. In real life clinical practice in large healthy populations it is quite difficult to follow guidelines for hypertension screening due to the time deficit. Purpose. The aim of the study was to examine prevalence of CVD risk factors and impact of casual blood pressure on cognitive function in 1st and 6th year medical male students. Methods. Cross-sectional study was conducted during the period from 2014 to 2020. 222 first year (age (M ± m) 18.5 ± 0.1 years) and 207 6th year male medical students (age 23.5 ± 0.3 years) completed 45-item questionnaire about habitual life-behavior and performed 9 cognitive tasks. Blood pressure (BP) was self-measured by electronic device just prior to testing. Results. In freshmen mean body height was (M ± m) 180.3 ± 0.5 cm; weight – 76.8 ± 1.1 kg, body mass index (BMI) – 23.6 ± 0.3 kg/m2; heart rate – 82.1 ± 0.9 bpm; casual systolic BP (SBP) -131.9 ± 2.3 and diastolic BP (DBP) – 77.6 ± 0.6 mm Hg. 6th year male students had similar height (179.6 ± 0.5 cm), but were heavier (80.5 ± 1.0 kg; p < 0.01; BMI =24.9 ± 0.3 kg/m2; p < 0.01). Heart rate (78.7 ± 0.8 bpm; p < 0.05) and casual SBP (126.7 ± 0.8 mm Hg; p < 0.05) were lower. No difference was found in DBP (77.8 ± 0.6 mm Hg). Excessive body weight was detected in 16.6 % of 1st and in 36.2 % of 6th year students, obesity – in 8.5 and 6.8 % of students. 3 first year males and 1 – from 6th year group had morbid obesity (BMI > 40.0). Low physical activity reported 22.1% and 29.9%. Current smokers were 16.1 % of 1st and 33.3 % of 6th year students, but only 9.4 and 18.8 % smoked permanently. Casual SBP lay in high normal range in 27.4 % of 1st and in 34.3% of 6th year, and above 140 mm Hg – in 21.5 and 14%. Correlation analysis revealed in both groups significant positive correlations SBP and DBP to weight and BMI, SBP to height (p < 0.05) and screen time (p < 0.01) and DBP - to heart rate. Only in freshmen SPB was related to cognitive functions: 17-18 year’s ones with elevated BP made tests faster may be due to their greater arousal, whereas 19-20 year’s – slower, but had better working vision memory. Only in 17-18 year group existed negative association SBP to subjective vision value and smoking status. Conclusions. Modern medical male students are at high risk of CVD: casual BP within the normal range was only in 49 % of 1st and in 48 % of 6th year students, 25 % of freshmen and 43 % of 6th year males were overweight or obese, and one quarter was physically inactive. Besides healthy lifestyle and nutrition promotion quite necessary is also to limit screen time.

scholarly journals Prevalence Of Alcohol Consumption In First-Year Romanian Medical Students And Its Association With Cardiovascular Risk Factors

2021 ◽  
Vol 17 (21) ◽  
pp. 337
Author(s):  
Adriana Gherbon ◽  
Romulus Timar ◽  
Mirela Frandes ◽  
Marioara Nicula ◽  
Dorel Dronca ◽  
...  
Keyword(s):  
Risk Factors ◽  
Blood Pressure ◽  
Cardiovascular Risk ◽  
Medical Students ◽  
Alcohol Consumption ◽  
Cardiovascular Risk Factors ◽  
Health Risk Behaviors ◽  
First Year ◽  
Negative Consequences ◽  
First Year Medical Students

Alcohol is the third risk factor for premature disease and death for the general population of the European Union (EU) after smoking and high blood pressure. In the case of young people, they consume alcohol based on the desire to explore, sometimes associating it with recreational drugs use, thus increasing the risk of negative consequences. The objective of this study was to assess the prevalence of alcohol consumption and its association with other cardiovascular risk factors in first-year medical students. The studied lot consisted of 434 first-year medical students, 30.18% boys, and 69.82% girls, with the mean age of 19.48 ± 0.53 years. The methods included the administration of a questionnaire (CORT 2004 questionnaire on health risk behaviors in first-year medical students) for assessing both alcohol consumption and stress state, as well as blood pressure determination, and anthropometric parameters. The prevalence of alcohol consumption among first-year medical students was 22.58%, with a net prevalence of male gender (57.25% M versus 7.59% F) (p <0.001, X2 = 129.02). The main reasons for alcohol consumption were the festive and official occasions and the desire to integrate into the group. People with whom they prefer to drink alcohol were friends, colleagues, and family. The age at which most people began to consume alcohol was 13-14 years old, and the favorite drink was beer among boys and wine among the girls. Regarding the cardiovascular risk factors, positive correlations were obtained between alcohol and smoking, increased consumption of bread, sedentary lifestyle, and increased body mass index. Students need to be educated from the first year of study on the long-term consequences of alcohol consumption related to the development of the cardiovascular disease, and further studies are needed to see if educational programs really reduce the prevalence of alcohol consumption.

EFFECT OF SUBMAXIMAL EXERCISE ON SYSTOLIC AND DIASTOLIC BLOOD PRESSURE IN YOUNG SEDENTARY NORMOTENSIVE NEPALESE MEDICAL STUDENTS

2003 ◽  
Vol 42 (149) ◽  
pp. 315-6
Author(s):  
Arijit Ghosh ◽  
T Pramanik
Keyword(s):  
Blood Pressure ◽  
Medical Students ◽  
Diastolic Blood Pressure ◽  
Submaximal Exercise ◽  
Muscular Exercise ◽  
Normal Blood ◽  
Normal Blood Pressure ◽  
Standing Posture ◽  
Normal Range ◽  
Exercise Blood Pressure

Higher exercise blood pressure represents low cardiorespiratory status of an individual and vice versa. Thechanges in systolic and diastolic blood pressure in response to rhythmic isotonic muscular exercise in sedentaryyoung normotensive Nepalese students were assessed. Normal blood pressure in standing posture in maleand female subjects are about 115 / 75 mm of Hg. and 106 / 71 mm of Hg. respectively. Just after the exercisesystolic blood pressure increases moderately in both the sexes, whereas diastolic blood pressure remainsunchanged in most of the females. Diastolic blood pressure is found to be decreased slightly in the males,just after exercise. The present study indicates the cardiorespiratory status of the Napalese medical studentsis within normal range.

Age dependence of brachial cuff-based ambulatory PWV in end-stage kidney disease patients undergoing long-term peritoneal dialysis

2021 ◽  
pp. 089686082199692
Author(s):  
Vasilios Vaios ◽  
Panagiotis I Georgianos ◽  
Georgia Vareta ◽  
Dimitrios Divanis ◽  
Evangelia Dounousi ◽  
...  
Keyword(s):  
Risk Factors ◽  
Blood Pressure ◽  
Heart Rate ◽  
Peritoneal Dialysis ◽  
Kidney Disease ◽  
Pulse Wave ◽  
Age Dependence ◽  
End Stage Kidney Disease ◽  
End Stage

Background: The newly introduced device Mobil-O-Graph (IEM, Stolberg, Germany) combines brachial cuff oscillometry and pulse wave analysis, enabling the determination of pulse wave velocity (PWV) via complex mathematic algorithms during 24-h ambulatory blood pressure monitoring (ABPM). However, the determinants of oscillometric PWV in the end-stage kidney disease (ESKD) population remain poorly understood. Methods: In this study, 81 ESKD patients undergoing long-term peritoneal dialysis underwent 24-h ABPM with the Mobil-O-Graph device. The association of 24-h oscillometric PWV with several demographic, clinical and haemodynamic parameters was explored using linear regression analysis. Results: In univariate analysis, among 21 risk factors, 24-h PWV exhibited a positive relationship with age, body mass index, overhydration assessed via bioimpedance spectroscopy, diabetic status, history of dyslipidaemia and coronary heart disease, and it had a negative relationship with female sex and 24-h heart rate. In stepwise multivariate analysis, age ( β: 0.883), 24-h systolic blood pressure (BP) ( β: 0.217) and 24-h heart rate ( β: −0.083) were the only three factors that remained as independent determinants of 24-h PWV (adjusted R 2 = 0.929). These associations were not modified when all 21 risk factors were analysed conjointly or when the model included only variables shown to be significant in univariate comparisons. Conclusion: The present study shows that age together with simultaneously assessed oscillometric BP and heart rate are the major determinants of Mobil-O-Graph-derived PWV, explaining >90% of the total variation of this marker. This age dependence of oscillometric PWV limits the validity of this marker to detect the premature vascular ageing, a unique characteristic of vascular remodelling in ESKD.

scholarly journals Case report: 2 cases of cardiac arrest caused by rhino-cardiac reflex while disinfecting nasal cavity before endonasal transsphenoidal endoscopic pituitary surgery

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Wen Wang ◽  
Hongwei Cai ◽  
Huiping Ding ◽  
Xiaoping Xu
Keyword(s):  
Risk Factors ◽  
Blood Pressure ◽  
Heart Rate ◽  
Cardiac Arrest ◽  
Case Report ◽  
Nasal Cavity ◽  
Pituitary Surgery ◽  
Case Presentation ◽  
Clinical Anesthesia ◽  
Vagus Reflex

Abstract Background Trigeminal-cardiac reflex (TCR) is a brainstem vagus reflex that occurs when any center or peripheral branch of the trigeminal nerve was stimulated or operated on. The typical clinical manifestation is sudden bradycardia with or without blood pressure decline. The rhino-cardiac reflex which is one type of TCR is rare in clinical practice. As the rhino-cardiac reflex caused by disinfection of the nasal cavity is very rare, we report these two cases to remind other anesthesiologists to be vigilant to this situation. Case presentation This case report describes two cases of cardiac arrest caused by rhino-cardiac reflex while disinfecting nasal cavity before endoscopic transsphenoidal removal of pituitary adenomas. Their heart rate all dropped suddenly at the very moment of nasal stimulation and recovered quickly after stimulation was stopped and the administration of drugs or cardiac support. Conclusion Although the occurrence of rhino-cardiac reflex is rare, we should pay attention to it in clinical anesthesia. It is necessary to know the risk factors for preventing it. Once it occurs, we should take active and effective rescue measures to avoid serious complications.

scholarly journals Student Profile: Motivations, Contributions and Barriers to Engage in Extracurricular Activities

2021 ◽  
Author(s):  
Renata Nunes Achar Fujii ◽  
Renata Kobayasi ◽  
Sylvia Claassen Enns ◽  
Patrícia Zen Tempski
Keyword(s):  
Medical Students ◽  
Extracurricular Activities ◽  
Time Management ◽  
Cross Sectional Study ◽  
Male Students ◽  
First Year ◽  
Motivating Factors ◽  
Cross Sectional ◽  
Student Profile ◽  
Personal Time

Abstract Background: Extracurricular activities in medical education and are defined as any social, philanthropic, non-mandatory and unpaid activity. Some of these activities allow students to interact with the community providing care, learning and experiences for both. The purpose of this study is to describe the motivational aspects, the learnings and the barriers involved in the practice of these activities. Methods: This is a cross-sectional study with medical students attending the first to the fifth year of medicine. We used qualitative and quantitative analyses to understand the motivating aspects, barriers and contributions involved in the practice of extracurricular activities. Results: Of the 586 students regularly enrolled in the medical course, 462 students accepted to participate in the research (Response rate: 78.43%), with 159 male students (34, 4%) and 303 female students (65.6%). Most of medical students (58,01%) participate in extracurricular activities with less participation during the first year (10,9%) and internship (35,4%). Among the motivating factors, students reported the desire to contribute to society, support their professional choice and learning. The students mentioned as learnings: integration of knowledge, life experiences, and development of communication, teamwork, leadership, responsibility, empathy and resilience. The barriers mentioned were the limited spots, the selection, the lack of support from those involved, personal, time management and possible losses in academic performance, physical and financial resources. Conclusion: Extracurricular activities allow medical students to develop skills and attitudes that are important to their future as a doctor. Students are motivated to participate in these activities to contribute to society, support their future professional choice and improve their learning.

scholarly journals Influence of smoking cessation drugs on blood pressure and heart rate in patients with cardiovascular disease or high risk score: real life setting

2016 ◽  
Vol 16 (1) ◽  
Author(s):  
André Pacheco Silva ◽  
Jaqueline Scholz ◽  
Tania Ogawa Abe ◽  
Gabriela Gouveia Pinheiro ◽  
Patricia Viviane Gaya ◽  
...  
Keyword(s):  
Blood Pressure ◽  
Cardiovascular Disease ◽  
Heart Rate ◽  
Smoking Cessation ◽  
High Risk ◽  
Risk Score ◽  
Real Life ◽  
Real Life Setting

scholarly journals Electrocardiographic Changes during Normal Pregnancy

2017 ◽  
Vol 02 (03) ◽  
pp. 035-038
Author(s):  
Beeram Sumalatha ◽  
Maddury Jyotsna ◽  
Garre Indrani
Keyword(s):  
Blood Pressure ◽  
Heart Rate ◽  
Systolic Blood Pressure ◽  
Pregnant Women ◽  
Qtc Interval ◽  
Normal Range ◽  
Cardiovascular Changes ◽  
Pr Interval ◽  
Qrs Duration ◽  
The Mean

Background Pregnancy is a physiologic condition which is unique in that it alters the physiology of each organ in the body. Cardiovascular changes during pregnancy are significant and start at 6 to 8 weeks of gestation. Physiologic cardiovascular changes during pregnancy suggest the chance of altered electrocardiographic (ECG) parameters during pregnancy. Study of variations in ECG in normal pregnant women serves as a basis to detect pathologic changes in pregnant women. Material and Methods This is a cross-sectional data of case series of pregnant women across all stages of gestation who attended antenatal clinic of our teaching hospital, on Women's Day (March 8, 2017). A 12-lead ECG was recorded in all the participants in supine position. The parameters noted from the ECG include heart rate, PR interval, QRS duration, QRS axis, corrected QT (QTc) interval, and ST-T changes. Results Total 151 pregnant women were studied. The average age was 23.38 ± 3.49 years. With respect to gestational age, 12 (7.94%), 48 (31.78%), and 91 (60.26%) women were in the first, second, and third trimesters of pregnancy, respectively. With respect to parity, 60 (39.7%) were primigravidae and 91 (60.26%) were multigravidae. The mean ECG heart rate was increased (100.15 ± 12.48 beats/min). The mean systolic blood pressure (109.67 ± 9.34 mm Hg) and the mean diastolic blood pressure (71.32 ± 6.89 mm Hg) were decreased. The mean of ECG intervals and durations (PR, QRS, QTc) were in normal range (0.14 ± 0.01, 0.08 ± 0.008, and 407.83 ± 11.98, respectively). There was no abnormal P-wave dispersion. Even though the QTc was in normal range in 63.56% of pregnant women, this parameter was in upper quadrant of the normal range. General linear regression demonstrated that systolic blood pressure and palpitations were the only variables to independently predict QTc in upper quadrant of normal range (p = 0.05, 0.03, respectively). Conclusion The cardiovascular hemodynamic adaptation to pregnancy is a well-established fact that is also seen in our study. There is shortening of PR interval and QRS duration. Even though QTc is with in normal range, in more than half (63.56%) of pregnant women, it is in the upper quadrant of the normal range.

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