scholarly journals The Role of Mean Arterial Pressure (MAP) Roll Over Test (ROT) and Body Mass Index (BMI) in Preeclampsia Screening in Indonesia

Author(s):  
Dwi Putri Rahayu Tampubolon ◽  
Lilik Herawati ◽  
Anon Nursalam ◽  
Anon Ernawati
2016 ◽  
Vol 25 (1) ◽  
pp. 27-32 ◽  
Author(s):  
John J. Radosevich ◽  
Asad E. Patanwala ◽  
Brian L. Erstad

Background Whether or not norepinephrine infusions for support of hemodynamic status in patients with septic shock should be weight based is unknown. This situation is particularly pertinent in patients who are extremely overweight or obese. Objective To compare dosing requirements and effect of norepinephrine on blood pressure in obese and nonobese patients with septic shock. Methods In a retrospective cohort study, data on adult patients with septic shock who received norepinephrine infusion for support of hemodynamic status in a tertiary care, academic medical center were analyzed. Patients were categorized as obese (body mass index ≥ 30) or nonobese (body mass index < 30). The primary outcome was dosing requirements of norepinephrine at 60 minutes after the start of the infusion. The secondary outcome was the log-transformed ratio of mean arterial pressure to norepinephrine. Results The final cohort consisted of 100 obese and 100 nonobese patients. Mean norepinephrine infusion rate at 60 minutes was 0.09 (SD, 0.08) μg/kg per minute in the obese group and 0.13 (SD, 0.14) μg/kg per minute in the nonobese group (P = .006). The non–weight-based dose at 60 minutes was 9 μg/min in obese patients and 8 μg/min in nonobese patients (P = .72). The log transformed mean arterial pressure to norepinephrine ratio at 60 minutes was 2.5 (SD, 0.9) in obese patients and 2.5 (SD, 0.8) in nonobese patients (P = .54) Conclusions Compared with nonobese patients, obese patients with septic shock require lower weight-based doses of norepinephrine and similar total norepinephrine doses.


Author(s):  
Tanuj Mathur ◽  
Dileep Kumar Verma ◽  
Sunita Tiwari ◽  
Narsingh Verma ◽  
Ranjana Singh

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.


1996 ◽  
Vol 91 (4) ◽  
pp. 385-389 ◽  
Author(s):  
A. Scuteri ◽  
A. M. Cacciafesta ◽  
M. G. Di Bernardo ◽  
A. M. De Propris ◽  
D. Recchi ◽  
...  

1. The aim of the present study was to evaluate whether metabolic factors are linked to the steady component and the pulsatile component of blood pressure, evaluated as mean arterial pressure and pulse pressure respectively, in a sex-specific manner. 2. A cohort of 299 subjects (152 males, 147 females; 25–80 years of age) was studied. Patients presenting congestive heart failure, coronary insufficiency, severe valvular heart disease, neurological accident in the last 6 months, renal or respiratory failure, cancer, diabetes mellitus or acute infectious disease were excluded. None of the women was taking oral contraceptives or oestrogen supplementation. All cardioactive drugs were withdrawn at least 2 weeks before the subjects entered the study. 3. Men presented higher mean arterial pressure (120 ± 15 compared with 115 ± 16 mmHg, P < 0.01) and lower pulse pressure values (63 ± 16 compared with 67 ± 18 mmHg, P < 0.05) than women. In men, no significant relation between mean arterial pressure and the tested variables was detected; multiple regression analysis demonstrated that age contributed independently to the model for pulse pressure with a multiple r2 of 0.10 (P < 0.01). In women, body mass index contributed independently to the model for mean arterial pressure, with a multiple of 0.12 (P < 0.005); age and, to a lesser extent, body mass index, glycaemia and triglyceridaemia persisted as independent determinants of pulse pressure at the multiple regression analysis, with a multiple r2 of 0.20 (P < 0.001). 4. Our findings suggest that metabolic risk factors are associated differently with pulse pressure and mean arterial pressure values in the two sexes.


2016 ◽  
Vol 6 (3) ◽  
pp. 229-230
Author(s):  
Júlio Augusto Gurgel Alves ◽  
Sammya Bezerra Maia Holanda E Moura ◽  
Paulo Cesar Praciano Sousa ◽  
Fabricio Da Silva Costa

Author(s):  
Bertilla U. Ezeonwu ◽  
Clifford O. Okike ◽  
Hyginus I. Opara ◽  
Leonard E. Abonyi ◽  
Obinna C. Ajaegbu ◽  
...  

Background: Raised body mass index (obesity and overweight), is abnormal or excessive accumulation of fat that may impair health.The prevalence of obesity in Nigerian adolescents ranges between 1 and 10%.In children, raised body mass index is complicated with the development of cardiovascular diseases,which are consequences of arterial stiffness. The hallmark of arterial stiffness is wide pulse pressure which precedes isolated elevation of systolic blood pressure. Other manifestations of arterial stiffness are elevated diastolic blood pressure and increased mean arterial pressure. This study educated the students on healthy lifestyle and checked their cardiovascular indices.Methods: This was a descriptive cross-sectional study of students. Their weight, height and blood pressure were measured and cardiovascular indices were calculated.Results: There were 248 students, age between 8 and 16 years, 135 (54.4%) were males with adolescents comprising 96.8%. The prevalence rate of wide pulse pressure, raised body mass index, elevated blood pressure and increased mean arterial pressure was 26.6%, 16.1%, 8.5% and 4.0% respectively. More females and early adolescents comparably had raised body mass index.Conclusions: The mean values for cardiovascular indices were comparably higher in those with raised body mass index.


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