scholarly journals GUNSHOT WOUNDS OF FACE AND FUNCTIONAL DISORDERS

Author(s):  
M. B Shvyrkov

With gunshot wounds person observed serious violations of the cardiovascular system. In 83,3% of the wounded was detected: deafness heart sounds, blood pressure instability with a tendency to hypotension, lability of heart rate, tachycardia, heart rhythm disturbances caused by changes in automaticity sino-atrial node, excitability and conduction of cardiac impulse, myocardial hypoxia, metabolic disorders. In wounds of the upper jaw to the EEG revealed a violation of brain biocurrents as gipersinhronizatsii and distribution of basic rhythm, dysrhythmia and reduced reactivity to afferent stimuli, hemispheric asymmetry.

2014 ◽  
Vol 18 (1 (69)) ◽  
Author(s):  
D. Yu. Nechytailo

The study involved 420 children of school age. The children underwent screening determination of arterial pressure and heart rate using automatic blood pressure manometer with arrhythmias sensors. The results were specified by means of recording ECG on a portable cardiograph. The most common heart rhythm disturbances in schoolchildren were respiratory arrhythmia and bundle branch block.


1995 ◽  
Vol 4 (2) ◽  
pp. 106-111 ◽  
Author(s):  
A Evans ◽  
EH Winslow

BACKGROUND: Despite the frequency of intrahospital transport of critically ill patients, little research has been done on this topic and the findings are contradictory. OBJECTIVES: To describe arterial oxygen saturation by pulse oximetry, heart rate, heart rhythm, and systolic blood pressure and equipment problems in critically ill, mechanically ventilated adults during intrahospital transport. METHODS: The sample consisted of 36 critically ill, mechanically ventilated adults who required transport out of the intensive care unit for diagnostic testing or procedures within the hospital. Arterial oxygen saturation, heart rate, heart rhythm, and systolic blood pressure were measured at baseline, at least every 5 minutes during transport to and from the test site and at the test site, and every 5 minutes for 15 minutes after return to the unit. Descriptive statistics were used to analyze the data. RESULTS: Nineteen patients (53%) had clinically important changes in arterial oxygen saturation, heart rate, and/or systolic blood pressure. New cardiac arrhythmias developed in two patients. The clinically important changes occurred most frequently at the test/procedure site. Equipment problems such as monitor power failure and ventilator disconnection occurred during transport of 4 patients (11%). Total time out of ICU averaged 62 +/- 30 (range = 26 to 166) minutes. CONCLUSIONS: Transport outside the intensive care unit places the critically ill patient at additional risk. Although transport is often unavoidable, its risks versus benefits should be carefully and collaboratively evaluated for every patient prior to making the decision for transport.


2013 ◽  
Vol 68 (7) ◽  
pp. 20-23
Author(s):  
L. V. Poskotinova ◽  
D. B. Demin ◽  
E. V. Krivonogova ◽  
M. N. Dieva ◽  
N. M. Khasanova

Objective. The aim was to determine the nature of cardiovascular reactions during a single session of heart rate variability (HRV) biofeedback in order to increase vagal effects on heart rhythm in patients with different initial levels of blood pressure (BP). Participants and methods. 33 people with normal blood pressure (group I), 20 people with uncorrected arterial hypertension (AH) grade 1-2 (group II) and 22 people with AH grade 1-2 taking antihypertensive drugs (group III) were observed. The parameters of heart rate variability (HRV), BP and pulse oximetry in the initial stage, during a single HRV biofeedback session and after this session in order to increase the total power of the HRV spectrum (each stage was 5 min). Results. In patients of group II low success of HRV biofeedback session, a high sympathetic reactivity and reduced oxygen blood saturation were determined. A reactivity of vagal mechanism is more pronounced in persons of group III than in those of group II. It is reflected in a significant increase in their total power of the HRV spectrum compared to the initial values and in uptrend saturation levels during the biofeedback session. Conclusions. The ability to HRV biofeedback in order to increase the total power of the HRV spectrum for standard short recording (5 min) can be seen as a test to determine the safety reserves of vagal autonomic cardiovascular regulation in persons with increased blood pressure. 


2011 ◽  
Vol 4 (1) ◽  
pp. 31-43
Author(s):  
Ljubica Spasojević Kosić ◽  
Dragiša Trailović

As major surgical procedures, which last longer, are associated with signifi cant hemodynamic changes, it is unclear how much the duration of both anesthesia and surgery has an indipendant effect on the outcomes. In this work the infl uence of six hours’ anesthesia was studied on 10 dogs, under no surgery. Prolonged anesthesia was evaluated by direct blood pressure measurement, ecg monitoring and urine collection. During prolonged anesthesia in dogs, decreases of systolic (SAP) (p<0.05, p<0,01), mean (MAP) (p<0.05) blood pressure, heart rate (p<0.05, p<0.01, p<0.001) and urine output (p<0.01, p<0.001), were signifi cant, but the regularity of heart rhythm was maintained. Although blood pressure is preserved within autoregulatory range, the coexisting values of mean blood pressure and heart rate, and T wave polarity changes, point out to existence of myocardial ischemia.


2018 ◽  
Vol 28 (2) ◽  
pp. 150-157 ◽  
Author(s):  
Attila Frigy ◽  
Irma Varga ◽  
Zoltán Fogarasi ◽  
Boglárka Belényi ◽  
Ildikó Kocsis

Objective: To investigate the influence of sleep apnea (SA) on ECG and blood pressure (BP) monitoring parameters in patients with acute heart failure (AHF). Methods: A total of 51 hospitalized patients with AHF (13 women, 38 men, mean age 60.8 years) underwent 24-hour combined monitoring of ECG and BP and SA testing before discharge. Heart rhythm (mean heart rate, arrhythmias, pauses, QT interval, heart rate variability) and BP (mean systolic and diastolic values, variability, circadian variation) parameters were obtained for the whole day and for nighttime (22: 00–06: 00). Depending on SA severity, the patients were divided into two groups (respiratory event index, REI, < 15/h and ≥15/h). Comparisons of parameters between the two groups were performed using t test and χ2 test (alpha < 0.05 for significance). Results: A total of 29 (56.9%) patients had REI ≥15/h. In this group, the systolic and diastolic BP values (24-hour and nighttime) were significantly higher (p < 0.05). BP variability did not differ, and a markedly blunted circadian variation of both the systolic and diastolic values was observed. In the group with REI ≥15/h, we found a higher nocturnal versus diurnal mean heart rate ratio (p = 0.046) and a greater occurrence of nocturnal versus diurnal ventricular premature beats (p = 0.0098). Conclusion: The presence of significant SA was found to influence the BP values and nocturnal ventricular ectopy in patients with stabilized AHF. SA, 24-hour ECG, and BP monitoring could provide important information with potential impact on patient management.


2016 ◽  
Vol 6 (6) ◽  
pp. 388 ◽  
Author(s):  
Benny Johansson ◽  
Svetlana Sukhotskya

Background: Research on functional water has revealed its physiological functions and health-beneficial effects. Accordingly, this study explored the effects of drinking an average dietary volume of functional coherent mineral water (FCMW) on blood pressure, short-term cardiovascular variables, fractal heart rhythm dynamics, and salivary immunoglobulin A. Methods: Fifteen healthy subjects were randomized in a pre-post crossover design, selected the morning after an overnight fast. Short-term electrocardiography (ECG) was measured before and after drinking either control mineral water (CMW) or FCMW on two separate occasions. Saliva was collected for four minutes before the start of each ECG measurement. Blood pressure was monitored in five-minute intervals for one hour. Results: Drinking 100 ml of FCMW temporarily increased arterial blood pressure at 20 to 25 minutes in the 60 minutes post-drinking. Drinking CMW led to a significant reduction in the heart rate, while all-time domain and Power Spectral Density parameters (PSD) were unaffected. Consumption of FCMW resulted in a highly significant difference and decrease in heart rate, and an increase in NN interbeat intervals, and in two of the PSD parameters. A large increase in total power had a significant increasing effect on 2–3-minute oscillations of the very low frequency (VLF) power, indicating a specific change in the heartʼs intrinsic cardiac rhythm that is fundamental to health and well-being. An extension in mono and multifractal scaling of heart rate dynamics defines a healthy function and non-local adaptability, indicating a higher capacity to respond to unpredictable stimuli and stresses, a function which improves autonomic stability. The effect on the heart rate and VLF power suggest an efficient cellular metabolism and a stabilizing effect on mucosal immunoglobulin A. Conclusions: Functional coherent mineral water with an apparent non-local electromagnetic identity triggered in healthy subjects a sustainable sympathetic response in cardiac VLF power, which is considered an intrinsic health-promoting rhythm produced by the heart itself that accompanies adaptive mono and multifractal heart rhythm dynamics. Keywords: functional water, VLF-power, heart rate variability, fractal scaling, health improvement 


2007 ◽  
Vol 21 (2) ◽  
pp. 91-99 ◽  
Author(s):  
Yunfeng Sun ◽  
Yinling Zhang ◽  
Ning He ◽  
Xufeng Liu ◽  
Danmin Miao

Abstract. Caffeine placebo expectation seems to improve vigilance and cognitive performance. This study investigated the effect of caffeine and placebo expectation on vigilance and cognitive performance during 28 h sleep deprivation. Ten healthy males volunteered to take part in the double-blind, cross-over study, which required participants to complete five treatment periods of 28 h separated by 1-week wash-out intervals. The treatments were no substance (Control); caffeine 200 mg at 00:00 (C200); placebo 200 mg at 00:00 (P200); twice caffeine 200 mg at 00:00 and 04:00 (C200-C200); caffeine 200 mg at 00:00 and placebo 200 mg at 04:00 (C200-P200). Participants were told that all capsules were caffeine and given information about the effects of caffeine to increase expectation. Vigilance was assessed by a three-letter cancellation test, cognitive functions by the continuous addition test and Stroop test, and cardiovascular regulation by heart rate and blood pressure. Tests were performed bihourly from 00:00 to 10:00 of the second day. Results indicated that C200-P200 and C200-C200 were more alert (p < .05) than Control and P200. Their cognitive functions were higher (p < .05) than Control and P200. Also, C200-P200 scored higher than C200 in the letter cancellation task (p < .05). No test showed any significant differences between C200-P200 and C200-C200. The results demonstrated that the combination of caffeine 200 mg and placebo 200 mg expectation exerted prolonged positive effects on vigilance and cognitive performance.


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