scholarly journals Effect of Percussion and Postural Drainage Positions on Cardiovascular and Respiratory Parameters

2009 ◽  
pp. 16-20
Author(s):  
Ayodele Teslim Onigbinde ◽  
Rufus A Adedoyin ◽  
O O Orijajogun ◽  
A E Uloko
Keyword(s):  
Blood Pressure ◽  
Heart Rate ◽  
Systolic Blood Pressure ◽  
Respiratory Rate ◽  
Turn On ◽  
Inferential Statistic ◽  
Respiratory Parameters ◽  
Postural Drainage ◽  
The Face ◽  
Males And Females

Background of the study: There are different drainage positions for different lobes of the lungs but most studies on the effect of postural drainage and percussion on cardiovascular and cardiorespiratory are old and also inconclusive. Aims: The primary aim of this study was to determine the effect of postural drainage positions and percussion in prone lying with foot of bed raised to 45cm and right side lying with 45 degree turn on to the face on cardiovascular and cardiorespiratory parameters such as systolic blood pressure (SBP), diastolic blood pressure (DBP), heart rate (RR) and respiratory rate (RR). Method: Forty subjects (20 males and females each) participated in the study and they were randomly assigned to 4 groups with 10 participants in each group. The cardiovascular and cardiorespiratory parameters were measured at sitting (pre-positioning), mid and postpositioning after 15 minutes. The data was analysed using descriptive and inferential statistic. Results: The results showed that percussion significantly decreased the systolic blood pressure (F = 3.15; P < 0.05) while the respiratory rate was increased significantly (F= 5.40; p < 0.05) when the subjects were in prone lying position. The result also showed that the systolic blood pressure and the respiratory rate increased significantly (F=I.26; p < 0.05) and (F=7.18; p

scholarly journals FRI0618-HPR EFFECTS OF MUSIC THERAPY ON PAIN, ANXIETY, AND VITAL SIGNS IN CHRONIC INFLAMMATORY RHEUMATIC DISEASES PATIENTS DURING BIOLOGICAL DRUGS INFUSION

2020 ◽  
Vol 79 (Suppl 1) ◽  
pp. 914.2-914
Author(s):  
S. Boussaid ◽  
M. Ben Majdouba ◽  
S. Jriri ◽  
M. Abbes ◽  
S. Jammali ◽  
...  
Keyword(s):  
Blood Pressure ◽  
Heart Rate ◽  
Music Therapy ◽  
Systolic Blood Pressure ◽  
Respiratory Rate ◽  
Vital Signs ◽  
Biological Therapies ◽  
Biological Drugs ◽  
Pain Anxiety ◽  
The Mean

Background:Music therapy is based on ancient cross-cultural beliefs that music can have a “healing” effect on mind and body. Research determined that listening to music can increase comfort and relaxation, relieve pain, lower distress, reduce anxiety, improve positive emotions and mood, and decrease psychological symptoms. Music therapy has been used greatly in various medical procedures to reduce associated anxiety and pain. Patients have a high level of anxiety when they are in the hospital, this is the case of patients with rheumatic diseases who consult regularly to have intravenous infusion of biological therapies.Objectives:The purpose of this study was to examine the effectiveness of music therapy on pain, anxiety, and vital signs among patients with chronic inflammatory rheumatic diseases during intravenous infusion of biological drugs.Methods:Fifty patients were divided into two groups: The experimental group G1 (n=25) received drug infusion while lestening to soft music (30 minutes); and the control group G2 (n=25) received only drug infusion. Measures include pain, anxiety, vital signs (blood pressure, heart rate and respiratory rate). The pain was measured using visual analogic scale (VAS). The state-trait anxiety inventory (STAI) was used for measuring anxiety, low anxiety ranges from 20 to 39, the moderate anxiety ranges from 40 to 59, and high anxiety ranges from 60 to 80. Vital signs (systolic blood pressure [SBP], diastolic blood pressure [DBP], heart rate [HR], and respiratory rate [RR]) were measured before, during and immediately after the infusion.Statistical package for social sciences (SPSS) was used for analysis.Results:The mean age in G1 was 44.45 years (26-72) with a sex ratio (M/F) of 0.8. Including the 25 patients, 12 had rheumatoid arthritis, 10 had ankylosing spondylitis and 3 had psoriatic arthritis. The mean disease duration was 8 years. In G2, the mean age was 46 years (25-70) with a sex ratio (M/F) of 0.75, 12 had rheumatoid arthritis, 11 had ankylosing spondylitis and 2 had psoriatic arthritis. The mean disease duration was 7.5 years. The biological drugs used were: Infliximab in 30 cases, Tocilizumab in 12 cases and Rituximab in 8 cases.Before the infusion, the patients of experimental group had a mean VAS of 5/10±3, a mean STAI of 50.62±6.01, a mean SBP of 13.6 cmHg±1.4, a mean DBP of 8.6 cmHg±1, a mean HR of 85±10 and a mean RR of 18±3. While in control group the mean VAS was 5.5±2, the mean STAI was 50.89±5.5, the mean SBP was 13.4±1.2, the mean DBP was 8.8±1.1, the mean HR was 82±8 and the mean RR was 19±2.During the infusion and after music intervention in G1, the mean STAI became 38.35±5 in G1 versus 46.7±5.2 in G2 (p value=0.022), the mean SBP became 12.1±0.5 in G1 versus 13±1 in G2 (p=0.035), the mean DBP became 8.1±0.8 in G1 versus 8.4±0.9 in G2 (p=0.4), the mean HR became 76±9 in G1 versus 78±7 in G2 (p=0.04) and the mean RR became 17.3±2.1 in G1 versus 18.2±1.7 in G2 (p=0.39).This study found a statistically significant decrease in anxiety, systolic blood pressure and heart rate in patients receiving music interventions during biological therapies infusion, but no significant difference were identified in diastolic blood pressure and respiratory rate.Conclusion:The findings provide further evidence to support the use of music therapy to reduce anxiety, and lower systolic blood pressure and heart rate in patients with rheumatic disease during biological therapies infusion.References:[1] Lin, C., Hwang, S., Jiang, P., & Hsiung, N. (2019).Effect of Music Therapy on Pain After Orthopedic Surgery -A Systematic review and Meta-Analysis. Pain Practice.Disclosure of Interests:None declared

scholarly journals Effects of Different Neck Manual Lymphatic Drainage Maneuvers on the Nervous, Cardiovascular, Respiratory and Musculoskeletal Systems in Healthy Students

2020 ◽  
Vol 9 (12) ◽  
pp. 4062
Author(s):  
Ángela Río-González ◽  
Ester Cerezo-Téllez ◽  
Cristina Gala-Guirao ◽  
Laura González-Fernández ◽  
Raquel Díaz-Meco Conde ◽  
...  
Keyword(s):  
Blood Pressure ◽  
Heart Rate ◽  
Systolic Blood Pressure ◽  
Respiratory Rate ◽  
Pain Threshold ◽  
Pressure Pain Threshold ◽  
Control Group ◽  
Pressure Pain ◽  
Significant Difference ◽  
Healthy Participants

The aim of this study is to describe the short-term effects of manual lymph drainage (MLD) isolated in supraclavicular area in healthy subjects. A 4-week cross-sectional, double-blinded randomized clinical trial was conducted. Participants: 24 healthy participants between 18 and 30 years old were recruited from Universidad Europea de Madrid from December 2018 to September 2019. A total of four groups were studied: control, placebo, Vodder, and Godoy. The order of the interventions was randomized. Resting Heart Rate and Oxygen Saturation, blood pressure, pressure pain threshold of trapezius muscle, respiratory rate, range of active cervical movements were measured before and after every intervention. All the participants fulfilled four different interventions with a one-week-wash-out period. No statistically significant differences were found between groups in descriptive data; neither in saturation of oxygen, diastolic blood pressure and cervical range of motion. Significant differences were found in favor of Vodder (p = 0.026) in heart rate diminution and in cardiac-rate-reduction. A significant difference in respiratory rate diminution is found in favor of the Godoy group in comparison with the control group (p = 0.020). A significant difference is found in favor of the Godoy group in systolic blood pressure decrease (p = 0.015) even in pressure pain threshold (p < 0.05). MLD decreases systolic blood pressure in healthy participants. However, it does not produce any changes in other physiologic outcomes maintaining physiologic values, which may suggest the safety of the technique in patients suffering from other pathologies.

scholarly journals Trajectories of vital status parameters and risk of mortality among acute organophosphorus poisoning patients – a latent class growth analysis

2020 ◽  
Vol 20 (1) ◽  
Author(s):  
Waqas Ahmed Farooqui ◽  
Mudassir Uddin ◽  
Rashid Qadeer ◽  
Kashif Shafique
Keyword(s):  
Blood Pressure ◽  
Heart Rate ◽  
Systolic Blood Pressure ◽  
Respiratory Rate ◽  
Oxygen Pressure ◽  
Latent Class ◽  
Vital Signs ◽  
Partial Oxygen Pressure ◽  
Risk Of Mortality ◽  
Partial Oxygen

Abstract Background Acute organophosphorus (OP) poisoning is one of the major causes of mortality among patients presenting to emergency departments in developing countries. Although various predictors of mortality among OP poisoning patients have been identified, the role of repeated measurements of vital signs in determining the risk of mortality is not yet clear. Therefore, the present study examined the relationship between trajectories of vital signs and mortality among OP poisoning patients using latent class growth analysis (LCGA). Methods This was a retrospective cohort study using data for 449 OP poisoning patients admitted to Civil-Hospital Karachi from Aug’10 to Sep’16. Demographic data and vital signs, including body temperature, blood pressure, heart rate, respiratory rate, and partial-oxygen pressure, were retrieved from medical records. The trajectories of vital signs were formed using LCGA, and these trajectories were applied as independent variables to determine the risk of mortality using Cox-proportional hazards models. P-values of < 0.05 were considered statistically significant. Results Data for 449 patients, with a mean age of 25.4 years (range 13–85 years), were included. Overall mortality was 13.4%(n = 60). In trajectory analysis, a low-declining systolic blood pressure, high-declining heart rate trajectory, high-remitting respiratory rate trajectory and normal-remitting partial-oxygen pressure trajectory resulted in the greatest mortality, i.e. 38.9,40.0,50.0, and 60.0%, respectively, compared with other trajectories of the same parameters. Based on multivariable analysis, patients with low-declining systolic blood pressure were three times [HR:3.0,95%CI:1.2–7.1] more likely to die compared with those who had a normal-stable systolic blood pressure. Moreover, patients with a high-declining heart rate were three times [HR:3.0,95%CI:1.5–6.2] more likely to die compared with those who had a high-stable heart rate. Patients with a high-remitting respiratory rate were six times [HR:5.7,95%CI:1.3–23.8] more likely to die than those with a high-stable respiratory rate. Patients with normal-remitting partial oxygen pressure were five times [HR:4.7,95%CI:1.4–15.1] more likely to die compared with those who had a normal-stable partial-oxygen pressure. Conclusion The trajectories of systolic blood pressure, heart rate, respiratory rate and partial-oxygen pressure were significantly associated with an increased risk of mortality among OP poisoning patients.

scholarly journals Gender based comparison of blood pressure and heart rate in adolescent population.

2021 ◽  
Vol 28 (11) ◽  
pp. 1539-1545
Author(s):  
Saleemullah Abro ◽  
Quratullain Saleem ◽  
Jahanzaib Lashari ◽  
Soofia Nigar ◽  
Ghazala Masood Farrukh ◽  
...  
Keyword(s):  
Blood Pressure ◽  
Heart Rate ◽  
Systolic Blood Pressure ◽  
Diastolic Blood Pressure ◽  
P Value ◽  
Adolescent Population ◽  
Males And Females ◽  
Gender Based ◽  
Medical University ◽  
Mean Heart Rate

Objective: To evaluate the gender based comparison of blood pressure and heart rate in adolescent population. Study Design: Comparative Cross Sectional Study. Setting: Department of Physiology, Baqai Medical University. Period: 15 February to 15 August in 2017. Material & Methods: A total of 500 student of MBBS, BDS and DPT of Baqai medical university were enrolled in this study by non-probabilty, purposive sampling, after taking ethical approval. Blood pressure was measured by using stethoscope and mercury sphygmomanometer, which is applied to the arm. Heart rate is measured by palpating the radial artery. This collected data were analyzed by using SPSS version 22.0.This data of male and female adolescents were analyzed separately due to autonomic regulation. Results: It was observed that Gender based comparison of mean weight, mean body mass index (BMI), mean Systolic Blood Pressure, mean Diastolic Blood Pressure, and mean heart rate between males and females had statistically significant (p-value<0.05) differences. Among the categories of Diastolic Blood Pressure, only mean Normotensive blood pressure comparison in males and females showed statistically significant (p-value<0.05) difference, while Age, categories of systolic blood pressure (Normotensive, Prehypertension, Hypertension) and Diastolic blood pressure (Prehypertension, Hypertension) had showed statistically non-significant (p-value>0.05) gender difference in study participants. Conclusion: In our study results the mean BMI, mean Systolic Blood Pressure, mean Diastolic Blood Pressure, and mean heart rate had statistically significant (p-value<0.05) differences in gender.

Just the Facts: The Five F's of Focused Echocardiography in Shock

CJEM ◽  
2020 ◽  
Vol 22 (5) ◽  
pp. 655-657
Author(s):  
Paul Atkinson ◽  
Mandy Peach ◽  
David Lewis
Keyword(s):  
Lung Cancer ◽  
Blood Pressure ◽  
Emergency Department ◽  
Heart Rate ◽  
Systolic Blood Pressure ◽  
Oxygen Saturation ◽  
Respiratory Rate ◽  
Sinus Tachycardia ◽  
History Of ◽  
Focused Echocardiography

A 60-year-old female presents to the emergency department (ED) with a 3-day history of fatigue and mild breathlessness. She has a history of lung cancer. Her vitals indicate shock with a heart rate of 140 bpm, a systolic blood pressure (SBP) of 65 mmHg, a respiratory rate of 28, with an oxygen saturation of 90% on 100% a nonrebreather mask, and a normal temperature at 36°C. Her electrocardiograph (ECG) shows sinus tachycardia. She appears mottled and pale.

Cardiopulmonary regulation after rapid-eye-movement sleep deprivation

1992 ◽  
Vol 72 (3) ◽  
pp. 970-976 ◽  
Author(s):  
S. DeMesquita ◽  
G. A. Hale
Keyword(s):  
Blood Pressure ◽  
Heart Rate ◽  
Sleep Deprivation ◽  
Systolic Blood Pressure ◽  
Respiratory Rate ◽  
Eye Movement ◽  
Rem Sleep ◽  
Rem Sleep Deprivation ◽  
Recovery Sleep ◽  
Arterial Blood

Arterial blood pressure, chest movement, electroencephalogram, and electromyogram were monitored in six normotensive Sprague-Dawley rats for 4 h/day 3 days before and 4 days after 114 h of rapid-eye-movement (REM) sleep deprivation. During recovery sleep immediately after REM sleep deprivation (RD), there was a significant increase in the amount of time spent in REM sleep. During this rebound in REM sleep, there was a significant rise (26%) in heart rate in wakefulness, non-REM sleep, and REM sleep during the first 4 h after RD. Systolic blood pressure was also significantly elevated (14%) but only during wakefulness before recovery sleep. Rats with the greatest waking systolic blood pressure after RD had the lowest REM sleep rebound in the 4 h immediately after RD (r = -0.885, P less than 0.05). The rise in heart rate, systolic blood pressure, and REM sleep time evident on day 1 immediately after RD was absent on recovery days 2–4. The respiratory rate tended to be higher throughout the recovery period in every state of consciousness; however, these values never reached the level of significance. In the initial recovery sleep period, regulation of heart rate was more disrupted by REM sleep deprivation than either arterial blood pressure or respiratory rate.

scholarly journals BMI and cardiovascular function in children and adolescents of Mauritius Island

2013 ◽  
Vol 2 ◽  
Author(s):  
Jennifer L. Miles-Chan ◽  
Noorjehan Joonas ◽  
Shashee Joganah ◽  
Jose Larhubarbe ◽  
Yves Schutz ◽  
...  
Keyword(s):  
Blood Pressure ◽  
At Risk ◽  
Heart Rate ◽  
Systolic Blood Pressure ◽  
Children And Adolescents ◽  
Ethnic Differences ◽  
Dietary Habits ◽  
Risk Population ◽  
Males And Females ◽  
Cardiovascular Functions

AbstractAmong countries which have undergone a rapid socio-economic and nutrition transition over the past few decades, the Indian Ocean island of Mauritius is among those with the greatest surge in the prevalence of type 2 diabetes and CVD. The aim of the present study was to characterise the BMI and cardiovascular functions of children and adolescents of this at-risk population. Data were collected through measurements of anthropometry, resting heart rate and blood pressure in a nationally representative sample (n 2489) of children (5–10 years) and adolescents (11–18 years), and analysed according to sex and ethnic identity: South Asian Hindus and Muslims (both of Indian ancestry), Creole (of varying degrees of African ancestry) and Chinese (of mainland China ancestry). Based on standards of the WHO or International Obesity Task Force, one in six of these young individuals exhibit a high BMI-for-age. Analysis by ethnicity revealed that Creole males and females show higher BMI-for-age but also lower heart rate (P < 0·001) even after adjustment for BMI. Additionally, Chinese males and females show higher systolic blood pressure (P < 0·01), independently of BMI. None of these ethnic differences could be related to household income, diet type (vegetarian v. non-vegetarian) or to fruit consumption. This study in children and adolescents of this multi-ethnic at-risk population for CVD reveal ethnic differences in BMI-for-age as well as consistent BMI-independent ethnic differences in heart rate and systolic blood pressure. These findings underscore the need to establish the BMI–fat % relationship across the various ethnic groups and for more detailed investigations about their differences in lifestyle and dietary habits that might explain their differential cardiovascular functions prior to adulthood.

scholarly journals Central ANG-(1–7) infusion improves blood pressure regulation in antenatal betamethasone-exposed sheep and reveals sex-dependent effects on oxidative stress

2019 ◽  
Vol 316 (6) ◽  
pp. H1458-H1467 ◽  
Author(s):  
Alexa S. Hendricks ◽  
Matthew J. Lawson ◽  
Jorge P. Figueroa ◽  
Mark C. Chappell ◽  
Debra I. Diz ◽  
...  
Keyword(s):  
Oxidative Stress ◽  
Blood Pressure ◽  
Heart Rate ◽  
Cerebrospinal Fluid ◽  
Autonomic Function ◽  
Premature Delivery ◽  
Similar Degree ◽  
Beneficial Effects ◽  
The Face ◽  
Males And Females

Fetal exposure to betamethasone (BMX) as a consequence of glucocorticoid administration to women threatening premature delivery may lead to long-term deleterious effects on the cardiovascular system and dysregulation of blood pressure in exposed adults. Indeed, adult offspring of BMX sheep exhibit increased mean arterial pressure (MAP) and attenuated baroreflex sensitivity (BRS) that are associated with lower medullary and cerebrospinal fluid (CSF) angiotensin-(1–7) [(ANG-(1–7)] content. Thus we determined the effects of ANG-(1–7) supplementation in the CSF on MAP, BRS, blood pressure (BPV) and heart rate variability (HRV) in conscious animals. The peptide or artificial CSF (aCSF) was infused continuously into the lateral ventricle (intracerebroventricular) of 4-mo-old male and female BMX sheep for 2 wk. Analysis of data from males and females combined revealed that intracerebroventricular ANG-(1–7) significantly lowered MAP and heart rate and improved BRS as compared with baseline; intracerebroventricular aCSF did not change these indexes. Similar patterns were observed for altered hemodynamics and autonomic function produced by intracerebroventricular ANG-(1–7) in both sexes. Oxidative stress and MAP kinase (MAPK) activation were lower in tissues from the dorsomedial medulla (DMM) of ANG-(1–7)-treated males but were unchanged in the treated females, when assessed at the end of the treatment period. We conclude that in the face of ANG-(1–7) deficiency in CSF and medullary tissue in BMX sheep intracerebroventricular supplementation of ANG-(1–7) lowers MAP and restores the impaired autonomic function to a similar degree in both males and females; however, the attenuation of MAPK and oxidative stress within the DMM was evident only in males. NEW & NOTEWORTHY We demonstrate that intracerebroventricular angiotensin-(1–7) [(ANG-(1–7)] treatment for 2 wk in antenatal betamethasone-exposed sheep provides beneficial effects on blood pressure and autonomic function. The physiological improvements are accompanied by an attenuation of oxidative stress in males but not females. The finding that ANG-(1–7) supplementation lowers blood pressure and restores the impaired autonomic function in a model of fetal programming previously shown to exhibit a deficiency in cerebrospinal fluid and brain tissue illustrates the potential for new therapeutic strategies for reducing cardiovascular dysfunction arising from prenatal events.

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