scholarly journals Hubungan Tingkat Kecemasan Dengan Hemodinamik Pasien Gagal Ginjal Kronik Yang Menjalani Hemodialisa

2019 ◽  
Vol 3 (2) ◽  
pp. 100-111
Author(s):  
Nurlinawati Nurlinawati ◽  
Dini Rudini ◽  
Yuliana Yuliana
Keyword(s):  
Mean Arterial Pressure ◽  
Arterial Pressure ◽  
Cross Sectional ◽  
Dialysis Disequilibrium Syndrome

Latar Belakang : Pasien hemodialisis seringkali mengalami kecemasan. Kecemasan ini apabila tidak diatasi akan mempengaruhi aspek fisiologis dan hemodinamik yang dikhawatirkan akan menimbulkan komplikasi yaitu dialysis disequilibrium syndrome. Penelitian ini bertujuan untuk mengetahui  hubungan  tingkat  kecemasan  dengan  kondisi  hemodinamik  pasien  gagal  ginjal kronik yang sedang menjalani hemodialisa. Metode : Jenis penelitian kuantitatif dengan menggunakan cross sectional. Sampel dalam penelitian ini berjumlah 57 responden. Analisis univariat menggunakan distribusi frekuensi dan analisis bivariat menggunakan regresi linier sederhana. Hasil : Hasil penelitian didapat tingkat kecemasan hanya berhubungan dengan Mean Arterial Pressure (MAP) sebelum hemodialisis dengan nilai signifikan 0.023 dan sesudah hemodialisis didapatkan nilai signifikan 0.026. Sedangkan nadi dan respirasi rate tidak terdapat hubungan dengan nilai signifikan >0.05. Kesimpulan : Ada hubungan antara tingkat kecemasan dengan Mean Arterial Pressure (MAP) pasien gagal ginjal kronik yang sedang menjalani hemodialisa di ruang Hemodialisa RSUD Raden Mattaher Jambi Tahun 2018.

scholarly journals Distribution of Ocular Perfusion Pressure in Hypertensive Patients

2020 ◽  
pp. 189-194
Author(s):  
S. Shruthi
Keyword(s):  
Mean Arterial Pressure ◽  
Arterial Pressure ◽  
Perfusion Pressure ◽  
Cross Sectional Study ◽  
Ocular Perfusion Pressure ◽  
Observation Study ◽  
Cross Sectional ◽  
Hypertensive Patients ◽  
Ocular Perfusion ◽  
Increased Risk

Aim: To describe the distribution of ocular perfusion pressure hypertensive patients. Design: Cross-sectional observation study. Materials and Methods: Hospital-based, case control cross-sectional study conducted on 100 patients. Systolic and diastolic blood pressure (SBP and DBP) was measured with a Mercury Sphygmomanometer. Mean ocular perfusion pressure (MOPP) = ⅔ (mean arterial pressure − IOP), where mean arterial pressure (MAP) = DBP + ⅓ (SBP − DBP), systolic perfusion pressure (SPP) = SBP – IOP and diastolic perfusion pressure (DPP) = DBP − IOP was calculated. Results: High values of diastolic BP (>90 mmHg) and low values of OPP (<40 mmHg) were associated to an increased risk of confirmed POAG. Conclusion: There is a close relationship between OPP and confirmed glaucoma in hypertensive patients.

scholarly journals Hubungan Kebiasaan Merokok dengan Tekanan Darah pada Siswa SMK N 1 Padang

2017 ◽  
Vol 6 (2) ◽  
pp. 429
Author(s):  
Aulia Fash Farabi ◽  
Afriwardi Afriwardi ◽  
Gusti Revilla
Keyword(s):  
Mean Arterial Pressure ◽  
Arterial Pressure ◽  
Global Youth Tobacco Survey ◽  
Cross Sectional

Hipertensi dapat mengganggu fungsi organ lain terutama organ vital seperti jantung dan ginjal. Hipertensi tidak hanya menyerang di usia tua saja, tetapi juga remaja. Merokok merupakan salah satu faktor pencetus hipertensi. Tujuan penelitian ini adalah untuk mengetahui hubungan antara kebiasaan merokok dan tekanan darah pada siswa SMK N 1 Padang. Rancangan penelitian yang digunakan adalah penelitian analitik dengan desain cross-sectional. Sampel penelitian ini adalah 111 orang siswa kelas XI SMK N 1 Padang. Penilaian status merokok dengan menggunakan kuesioner Global Youth Tobacco Survey (GYTS) yang telah disadur dan digabungkan dengan indeks Brinkman dan penilaian tekanan darah dengan sphygmomanometer air raksa serta stetoskop. Hasil penelitian didapatkan siswa bukan perokok sebanyak 68 orang (61,3%) dan perokok ringan sebanyak 43 orang (38,7%). Rata- rata tekanan darah sistolik siswa sebesar 112,57 mmHg dan tekanan darah diastolik siswa sebesar 70,05 mmHg. Didapatkan tekanan darah sistolik perokok ringan lebih rendah 2,1 mmHg dibandingkan bukan perokok dan tekanan diastolik perokok ringan lebih rendah 2,92 mmHg dibandingkan bukan perokok. Hasil analisis data statistik kebiasaan merokok dengan tekanan darah sistolik didapatkan p = 0,15. Hasil analisis data statistik kebiasaan merokok dengan tekanan darah disatolik didapatkan p = 0,078. Sedangkan hasil analisis data statistik kebiasaan merokok dengan mean arterial pressure (MAP) didapatkan p = 0,094, Simpulan penelitian ini menunjukan tidak terdapat hubungan kebiasaan merokok dengan tekanan darah sistolik, tekanan darah diastolik dan MAP.

scholarly journals INTERACTION IN SHEEP BETWEEN MEAN ARTERIAL PRESSURE AND CROSS–SECTIONAL AREA OF THE DESCENDING AORTA

1987 ◽  
Vol 67 (3) ◽  
pp. A178-A178 ◽  
Author(s):  
W. List ◽  
N. Gravenstein ◽  
T. Banner ◽  
D. Caton ◽  
R. F. Davis
Keyword(s):  
Mean Arterial Pressure ◽  
Arterial Pressure ◽  
Cross Sectional Area ◽  
Sectional Area ◽  
Cross Sectional ◽  
Descending Aorta

scholarly journals DETEKSI DINI DERAJAT KESADARAN MENGGUNAKAN PENGUKURAN NILAI KRITIS MEAN ARTERY PRESSURE

Jurnal NERS ◽  
2016 ◽  
Vol 11 (1) ◽  
pp. 73
Author(s):  
Martono Martono ◽  
Sudiro Sudiro ◽  
Satino Satino
Keyword(s):  
Mean Arterial Pressure ◽  
Arterial Pressure ◽  
Design Research ◽  
Critical Value ◽  
Regression Result ◽  
Cross Sectional ◽  
Artery Pressure ◽  
Level Of Consciousness ◽  
The Impact ◽  
The Brain

ABSTRACTABSTRAKPendahuluan: Dampak Trauma cranio cerebral dapat mempengaruhi gangguan autoregulasi volume intrakranial yang terdiri dari otak, cairan serebrospinal dan darah dalam pembuluh darah.  Perubahan salah satu volume tersebut tanpa diikuti respon kompensasi dari faktor yang lain akan menimbulkan perubahan tekanan intrakranial dan jumlah aliran darah dari sirkulasi sistemik yang diperlukan untuk memberi oksigen dan glukosa yang adekuat untuk metabolisme otak. Salah satu hal yang sangat penting dalam asuhan keperawatan pada pasien dengan cidera kepala adalah menjaga kecukupan Mean Arteri Pressure serebral. Penelitian ini bertujuan untuk mengetahui kecukupan nilai kritis mean artery pressure dalam mendeteksi tingkat kesadaran pada pasien yang mengalami cidera kepala. Metode: Penelitian ini menggunakan disain  explanatory research  dengan pendekatan cross sectional yang menjelaskan pengaruh dan prediksi kecukupan nilai kritis mean arteria pressure terhadap derajat kesadaran pada pasien cidera kepala yang berjumlah 34 sampel. Uji statistik penelitian ini menggunakan regresi sederhana. Hasil: Hasil penelitian menunjukkan bahwa ada pengaruh yang positif nilai kritis mean artery pressure terhadap derajat kesadaran yang ditunjukkan nilai p=0.00<0.05 dan nilai mean artery pressure mampu mendeteksi tingkat kesadaran pasien cidera kepala sebesar 77.8%. Diskusi: Peningkatan nilai kritis Mean Arterial Pressure lebih dari 65 mmHg dapat memperbaiki mikrosirkulasi dan autoreglasi otak, sehingga mencegah terjadinya penurunan kesadaran pada pasien cidera kepala.Kata kunci: mean artery pressure (MAP), kesadaran, cidera kepala ABSTRACTIntroduction: The Impact of the trauma cranio cerebral can affect the volume autoregulation disorders any intracranial disease that consists of the brain and cerebrospinal fluid and the blood in the veins. The changes one of the volume without followed the response of compensation from the other factors will cause overt increased intracranial pressure changes and the amount of blood flow from the systemic circulation required to give oxygen and glucose intake to the metabolism of the brain. One of the things that is very important in nursing nursery on patients with injury head is to maintain the adequacy of Mean Artery Pressure cerebral. This research aims to know the adequacy of critical value mean artery pressure in detecting the level of consciousness in patients who suffered injury on the head. Method: This research using explanatory design research with cross sectional approach that explains the influence and the prediction of the adequacy of the critical value mean arteria pressure against the degree of awareness in patients with injury head which numbered 34 samples. This research statistics tests using simple regression. Result: The results of the study showed that there is a positive influence critical value mean artery pressure against the degree of awareness that indicated the value of p=0.00<0.05 and value of mean artery pressure is able to detect the level of consciousness patients injury head of 77.8%. Discussion: Increased critical value mean arterial pressure is more than 65 mmHg can improve mikrosirkulasi and autoreglasi brain, so that prevent the decline of awareness in patients with wounds of the head.Keywords: mean artery pressure (MAP), consciousness injury head

scholarly journals Correlation of Body Mass Index, Mean Arterial Pressure with Peak Expiratory Flow Rate in Healthy Individuals- A Descriptive Study

2021 ◽  
Author(s):  
Tanuj Mathur ◽  
Dileep Kumar Verma ◽  
Sunita Tiwari ◽  
Narsingh Verma ◽  
Ranjana Singh
Keyword(s):  
Body Mass Index ◽  
Mean Arterial Pressure ◽  
Arterial Pressure ◽  
Body Mass ◽  
Peak Expiratory Flow ◽  
Flow Rate ◽  
Peak Expiratory Flow Rate ◽  
Healthy Individuals ◽  
Cross Sectional ◽  
Expiratory Flow

Introduction: Modern lifestyle has resulted in an increased prevalence of cardiovascular and respiratory diseases along with being overweight. An interaction between the three factors has also been demonstrated. Aim: The study aimed to assess the relationship of Body Mass Index (BMI), Mean Arterial Pressure (MAP) and Peak Expiratory Flow Rate (PEFR) in healthy individuals. Materials and Methods: This cross-sectional, observational study was done in the Department of Physiology, KGMU, Lucknow from 30 July 2019 to 30 July 2020. Forty healthy individuals, aged 18-35 years were assessed for height, weight, blood pressure and spirometric parameter of PEFR. PEFR was chosen as it was a reliable representative of airways functioning. PEFR reflects proximal airway calibre changes which might be due to effect of airway geometry. A correlation test was run to test the relation between BMI and PEFR and MAP and PEFR. Results: A weak correlation (r=-0.136) was noted between BMI and PEFR indicating that as BMI increased, PEFR compromised. A linear correlation was observed between MAP and PEFR. Conclusion: The present study confirms a weak association of BMI and MAP with PEFR.

scholarly journals The diagnostic accuracy of mean arterial pressure in second trimester for prediction of preeclampsia in females.

2021 ◽  
Vol 28 (12) ◽  
Author(s):  
Sidra Mushtaq ◽  
Naeem Hameed ◽  
Rabika Bint Khamis Butt ◽  
Shahid Abbas ◽  
Ali Sajjad
Keyword(s):  
Mean Arterial Pressure ◽  
Arterial Pressure ◽  
Diagnostic Accuracy ◽  
Screening Method ◽  
Chronic Hypertension ◽  
Multiple Gestation ◽  
Second Trimester ◽  
Cross Sectional ◽  
The Mean ◽  
Sensitivity Specificity

Objective: To assess the diagnostic accuracy of mean arterial pressure in second trimester for prediction of pre-eclampsia in females. Study Design: Cross-sectional study. Setting: Department of Obstetrics & Gynecology Unit III, Allied hospital, Faisalabad. Period: October 2016 to September 2017. Material & Methods: Total 386 patients were enrolled after obtaining informed consent. Booked females of age 18-40 years, parity<5 presenting at gestational age >16 weeks (on LMP) for antenatal checkup were included in study. Patients with multiple gestation (on medical record and USG), Females with chronic hypertension (BP≥140/90mmHg), chronic or gestational diabetes (BSR>186mg/dl), Females having oligohydramnios (AFI<5cm) or polyhydramnios (AFI>21cm) on USG, females having abnormal placental implantation or placental abruption (on USG) were excluded. The mean age of the patients was 28.59±6.93 years. The MAP of the patients was 94.88±14.68 mmHg. Results: The sensitivity, specificity and diagnostic accuracy of MAP was 92.89%, 89.12% and 91.45% respectively taking preeclampsia as gold standard. Conclusion: The mean arterial pressure in second trimester is very effective and useful screening method for prediction of preeclampsia with high values of sensitivity, specificity and diagnostic accuracy. 

Discrepancies in Observed and Predicted Longitudinal Change in Central Hemodynamic Measures: The Framingham Heart Study

Hypertension ◽  
2021 ◽  
Author(s):  
Leroy L. Cooper ◽  
Jian Rong ◽  
Martin G. Larson ◽  
Emelia J. Benjamin ◽  
Naomi M. Hamburg ◽  
...  
Keyword(s):  
Risk Factor ◽  
Mean Arterial Pressure ◽  
Arterial Pressure ◽  
Framingham Heart Study ◽  
Aortic Stiffness ◽  
Characteristic Impedance ◽  
Longitudinal Change ◽  
Cross Sectional ◽  
Heart Study ◽  
Age Relations

Community-based studies have evaluated cross-sectional age relations of aortic stiffness measures, which are not often recapitulated in longitudinal studies. We examined baseline and longitudinal change in aortic stiffness in 5491 participants (mean age, 49.5±14.5 years; 54% women) who attended 2 sequential examinations (6.0±0.6 years apart) of the Framingham Heart Study. Cross-sectional relations of central hemodynamics (mean arterial pressure, central pulse pressure, carotid-femoral pulse wave velocity, and characteristic impedance) with age and risk factors were assessed at visits 1 and 2 (models 1 and 2). We used model 1 coefficients (M 1 ), visit 1 risk factor levels (R 1 ), and age at each visit (A 1 , A 2 ) to estimate values at visits 1 (M 1 R 1 A 1 ) and 2 (M 1 R 1 A 2 ). While using model 1 coefficients, we accounted for age and risk factor level (R 2 ) changes to predict values at visit 2 (M 1 R 2 A 2 ). Using model 2 coefficients (M 2 ) and visit 2 age and risk factor levels, we predicted visit 2 values (M 2 R 2 A 2 ). We calculated predicted change 3 ways: delta1=M 1 R 1 A 2 −M 1 R 1 A 1 , delta2=M 1 R 2 A 2 −M 1 R 1 A 1 , and delta3=M 2 R 2 A 2 −M 1 R 1 A 1 . Delta1 values were biased and correlated poorly with actual changes ( r =−0.02–0.14). For mean arterial pressure, delta1=1.9±0.8 mm Hg ( r =0.14), observed change=−3.3±10.3 mm Hg, and discrepancy=5.2±10.2 mm Hg ( P <0.0001). For characteristic impedance, delta1=7.2±14.7 dyne×sec/cm 5 ( r =0.07), observed change=20.5±68.2 dyne×sec/cm 5 , and discrepancy=−13.3±68.7 dyne×sec/cm 5 ( P <0.0001). Delta2 values were moderately correlated with change ( r =0.17–0.54) but remained biased whereas delta3 values were moderately correlated with change with no bias. Projected change in hemodynamic measures extrapolated from cross-sectional age relations may differ substantially from actual change, particularly for variables with nonlinear age relations.

scholarly journals Prevalence of elevated mean arterial pressure and how fitness moderates its association with BMI in youth

2012 ◽  
Vol 16 (11) ◽  
pp. 2046-2054 ◽  
Author(s):  
Ayodele A Ogunleye ◽  
Gavin R Sandercock ◽  
Christine Voss ◽  
Joey C Eisenmann ◽  
Katharine Reed
Keyword(s):  
Mean Arterial Pressure ◽  
Arterial Pressure ◽  
Cardiorespiratory Fitness ◽  
Positive Impact ◽  
Cross Sectional Study ◽  
Normal Weight ◽  
Cross Sectional ◽  
Logistic Regression Models ◽  
Fitness Level ◽  
The Metabolic Syndrome

AbstractObjectiveCardiorespiratory fitness is known to be cardioprotective and its association with the components of the metabolic syndrome in children is becoming clearer. The aim of the present study was to examine the extent to which cardiorespiratory fitness may offset the weight-related association with mean arterial pressure (MAP) in schoolchildren.DesignCross-sectional study.SettingsSchoolchildren from the East of England, UK.SubjectsA total of 5983 (48 % females) schoolchildren, 10 to 16 years of age, had height, weight and blood pressure measured by standard procedures and cardiorespiratory fitness assessed by the 20 m shuttle-run test. Participants were classified as fit or unfit using internationally accepted fitness cut-off points; and as normal weight, overweight or obese based on BMI, again using international cut-off points. Age-adjusted ANCOVA was used to determine the main effects and interaction of fitness and BMI on MAP Z-score. Logistic regression models were used to estimate odds ratios of elevated MAP.ResultsPrevalence of elevated MAP in schoolchildren was 14·8 % overall and 35·7 % in those who were obese-unfit. Approximately 21 % of participants were overweight and 5 % obese, while 23 % were classified as unfit. MAP generally increased across BMI categories and was higher in the aerobically unfit participants. Obese-fit males had lower MAP compared with obese-unfit males (P < 0·001); this trend was similar in females (P = 0·05).ConclusionsIncreasing fitness level may have a positive impact on the weight-related elevations of MAP seen in obese and overweight schoolchildren.

scholarly journals pengaruh Paparan Kronis Timbal (Pb) terhadap tekanan Darah Petugas Parkir Di Pasar besar Kota Malang

2018 ◽  
Vol 6 (2) ◽  
pp. 295-301
Author(s):  
Dwi Soelistyoningsih
Keyword(s):  
Informed Consent ◽  
Mean Arterial Pressure ◽  
Arterial Pressure ◽  
Cross Sectional

Saat ini, penggunaaan kendaraan bermotor semakin meningkat. Hasil pembakaran bahan bakar kendaraan tersebut banyak menyebabkan polusi udara. Salah satunya berupa timbal (Pb) yang dapat membahayakan kesehatan dan merusak lingkungan. Tujuan dari penelitian ini adalah untuk mengetahui pengaruh paparan kronis Timbal (Pb) terhadap tekanan darah petugas parkir Pasar Besar kota Malang. Penelitian ini berupa observasional analitik dengan desain penelitian cross sectional. Subyek penelitian adalah tukang parkir di Pasar Besar kota Malang sebanyak 23 orang, setelah menandatangani informed consent subyek dilakukan pemeriksaan kadar Pb dalam darah, tekanan darah sistolik, tekanan darah diastolik, dan MAP (Mean Arterial Pressure). Hasil penelitian ini didapatkan bahwa kadar Pb dalam darah yang tinggi lebih beresiko 11,33 kali memiliki tekanan darah sistolik melebihi normal, walaupun nilainya tidak signifikan (p>0,05). Kadar Pb dalam darah yang tinggi lebih beresiko 12,00 kali memiliki tekanan darah diastolik melebihi normal secara signifikan (p<0,05). Kadar Pb dalam darah yang tinggi lebih beresiko 11,33 kali memiliki nilai MAP melebihi normal secara signifikan (p<0,05). Kesimpulan dari penelitian ini bahwa kadar   Pb yang tinggi dalam darah meningkatkan resiko untuk memiliki tekanan darah sistolik, tekanan darah diastolik, serta nilai MAP yang melebihi normal.

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