Salat Dhuha Improves Haemodynamic: A Randomized Controlled Study

BACKGROUND: The prevalence of hypertension increases with age, more than 1 in every two elderly have hypertension, dominated by women. The primary prevention of hypertension is a worldwide public health concern. Salat Dhuha is a moderate-intensity physical activity. Salat with a two-movement cycle (rakaat) demonstrated improved hemodynamic in adults. AIM: Our study purpose was to asses the effects of 2 and 8 rakaats of Salat Dhuha in improving systolic and diastolic blood pressure and heart rate in healthy elderly women. METHODS: Elderly women in the Senior Care Residence (aged 60–74 years) participated in a 6-week controlled study. We completed a formal physical, clinical, and blood assessments before admission. Participants with a history of hypertension were excluded from the study. The participants were randomized into 2 groups, i.e., “8 rakaats group” (n = 13) and “2 rakaats group” (n = 13) of Salat Dhuha. Two participants dropped out from the present study. At baseline and at the end of 6 weeks study period, blood pressure and heart rate were recorded. All data obtained were statistically analyzed. RESULTS: Both groups demonstrated the benefits of Salat Dhuha in improving hemodynamic parameters (systolic and diastolic blood pressure and heart rate). However, the reduction of systolic blood pressure in the “2 rakaats group” (2.16 mmHg) was less than in the “8 rakaats group” (5.50 mmHg), the reduction of diastolic blood pressure in the “2 rakaats group” (0.75 mmHg) was less than the “8 rakaats group” (2.41 mmHg) and the reduction of heart rate in “2 rakaats group” (2.08 bpm) was less than the “8 rakaats group” (6.08 bpm). All differences were statistically significant (p < 0.05). CONCLUSION: This study demonstrated that the Salat Dhuha has a significant potential in improving hemodynamic parameters for elderly women which the more frequent rakaat will give more benefit than less frequent rakaat.

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Effects of high vs moderate-intensity intermittent training on functionality, resting heart rate and blood pressure of elderly women

Journal of Translational Medicine ◽

10.1186/s12967-020-02261-8 ◽

2020 ◽

Vol 18 (1) ◽

Cited By ~ 3

Author(s):

Victor Silveira Coswig ◽

Matheus Barbalho ◽

Rodolfo Raiol ◽

Fabrício Boscolo Del Vecchio ◽

Rodrigo Ramirez-Campillo ◽

...

Keyword(s):

Blood Pressure ◽

Heart Rate ◽

Elderly Women ◽

Moderate Intensity ◽

Resting Heart Rate ◽

Intermittent Training

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A study on oral clonidine vis a vis intravenous lignocaine for attenuation of hemodynamic response to laryngoscopy and endotracheal intubation

Asian Journal of Medical Sciences ◽

10.3126/ajms.v12i3.31995 ◽

2021 ◽

Vol 12 (3) ◽

pp. 33-37

Author(s):

Sankar Roy ◽

Bidyut Bikas Gharami ◽

Paramita Pandit ◽

Arunava Biswas ◽

Dipasri Bhattacharya ◽

...

Keyword(s):

Blood Pressure ◽

Heart Rate ◽

Stress Response ◽

Systolic Blood Pressure ◽

Diastolic Blood Pressure ◽

Endotracheal Intubation ◽

Controlled Study ◽

Care Hospital ◽

Total N ◽

Oral Clonidine

Background: Hemodynamic change takes place during procedures like laryngoscopy and endotracheal intubation due to reflex sympathetic discharge caused by epipharyngeal and laryngopharyngeal stimulation before a surgery under general anesthesia. Aims and Objectives: The aim of the study was to compare the effectiveness of oral clonidine and intravenous lignocaine as premedicant to obtund the stress response due to such mandatory maneuvers. Materials and Methods: A prospective, randomized, double-blind, double dummy-controlled study was undertaken for 11 months at a tertiary care hospital in the eastern part of India. A total (n=100) patient aged 30 to 50 years of either sex with ASA I and II waiting for elective abdominal surgery were randomized into two equal groups. Group C (n=50) received (4μg/kg) of oral clonidine 90 minute before laryngoscopy and Group L (n=50) received 1.5 mg/kg lignocaine 3 minute before laryngoscopy as active drugs and appropriate placebos were administered as double dummy technique. Comparable demographic and baseline parameters like heart rate, systolic blood pressure and diastolic blood pressure were recorded at various time intervals. Similar anesthesia technique applied was in both the study arm. Result: Attenuation of systolic blood pressure, diastolic blood pressure, heart rate and mean arterial pressure was statistically highly significant (p<0.0001) more in Group C as compared to Group L within first vital 10 minutes of intubation. Conclusion: Oral clonidine attenuates the stress response better than intravenous lignocaine during laryngoscopy and endotracheal intubation with minimum adverse effects.

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THE PHYSIOLOGY EFFECTS OF A FINNISH SAUNA ON AEROBIC EXERCISE IN COLLEGE-AGED INDIVIDUALS

Revista Contexto & Saúde ◽

10.21527/2176-7114.2019.37.137-141 ◽

2019 ◽

Vol 19 (37) ◽

pp. 137-141

Author(s):

Holly Bogdanich ◽

Jan Kiger ◽

Julia Matzenbacher Santos

Keyword(s):

Blood Pressure ◽

Heart Rate ◽

Cardiovascular Diseases ◽

Aerobic Exercise ◽

Diastolic Blood Pressure ◽

Perceived Exertion ◽

Muscle Relaxation ◽

Moderate Intensity ◽

Exercise Recovery ◽

Moderate Exercise

Sauna baths acutely increases vasodilation, heart rate (HR) and muscle relaxation; therefore sessions of sauna have been tested as a therapeutic treatment for cardiovascular diseases and psychological diseases. When combined with exercise, sauna baths have been performed to accelerate exercise recovery, with the sauna being done post workout the majority of times. The aim of this study was to determine the effects of the sauna used prior to a bout of moderate intensity aerobic exercise. Eight volunteer performed a 20-minute treadmill aerobic exercise (running) 70% of maximal VO2 with and without a visit to the sauna. Systolic and diastolic blood pressure (BP), HR, and Rate of Perceived Exertion (RPE) were recorded before, halfway at 10 minutes, and after the aerobic exercise. Systolic BP, assessed before exercise, was not different when subjects performed prior sauna (124.8 ± 10.8 vs. 125± 11 mm/Hg no sauna and sauna, respectively). However, diastolic BP was lower in no-sauna condition vs. sauna condition while HR and RPE (73± 5 vs 80± 4.5 mm/Hg BP, 90±13 vs. 101±11 beats/min and 6 vs. 7 RPE no sauna and sauna, respectively). When the comparison was made within the experimental condition exercise, sauna attenuated the increase in systolic and diastolic BP induced by exercise without affecting HR and RPE. Extreme high temperatures experienced in sauna modulate cardiovascular system responses by increasing HR and diastolic blood pressure. Moderate exercise increases systolic and diastolic BP, which might be attenuated when sauna is performed prior to exercise. A Sauna session might be used to modulate the response of exercise towards BP.

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Maternal hemodynamic responses to two different types of moderate physical exercise during pregnancy: a randomized clinical trial

International Archives of Medicine ◽

10.3823/2559 ◽

2018 ◽

Vol 11 ◽

Author(s):

Jousilene de Sales Tavares ◽

Adriana Melo ◽

Bruno Maciel ◽

Amanda Vasconcelos ◽

Joao Guilherme Alves ◽

...

Keyword(s):

Blood Pressure ◽

Clinical Trial ◽

Heart Rate ◽

Physical Exercise ◽

Diastolic Blood Pressure ◽

Randomized Clinical Trial ◽

Systolic Pressure ◽

Moderate Intensity ◽

Hemodynamic Responses ◽

Maternal Heart Rate

Background/Aim: Maternal hemodynamic responses (heart rate, systolic and diastolic blood pressure) were compared during two types of moderate-intensity physical exercise. Methods: A randomized clinical trial compared 120 pregnant women performing physical exercise on a treadmill (n=64) or stationary bicycle (n=56). In 44 of these women (n=23 treadmill; n=21 bicycle), blood pressure was monitored for 24 hours following exercise. Repeated-measures analysis compared maternal heart rate, systolic and diastolic blood pressure before, during and in the 24 hours following exercise in both groups. Results: Maternal heart rate increased significantly (p<0.001) with both types of exercise (from 84 at rest to 112 bpm on the treadmill and from 87 at rest to 107 bpm on the bicycle), without exceeding the limit of 140 bpm. Systolic pressure increased from 110 at rest to 118 mmHg on the bicycle (p=0.06) and from 112 at rest to 120 mmHg on the treadmill (p=0.02). Systolic pressure dropped steadily following exercise, reaching its lowest level (104 mmHg) after 14 hours, increasing thereafter and returning to pre-exercise levels by the 19th hour. Diastolic pressure increased during exercise irrespective of the type of exercise (p=0.27), from 70 at rest to 75 mmHg on the bicycle (p=0.39) and from 70 at rest to 76 mmHg on the treadmill (p=0.18), with the lowest level (59 mmHg) being at the 13th hour. Conclusions: A slight increase in blood pressure levels was found during exercise; however, this was not clinically significant and was followed by a substantial hypotensive effect that lasted around 19 hours. Register: Clinical Trials NCT01383889.

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Effectiveness of dexmedetomidine for delirium and its impact on hemodynamics in critically ill patients

Anaesthesia, Pain & Intensive Care ◽

10.35975/apic.v24i6.1402 ◽

2020 ◽

Vol 24 (6) ◽

Author(s):

Shamim Kausar ◽

Iqra Yasin ◽

Irfan Ahsan ◽

Zunairah Rais

Keyword(s):

Blood Pressure ◽

Heart Rate ◽

Diastolic Blood Pressure ◽

Critically Ill ◽

Critically Ill Patients ◽

Local Population ◽

Ethical Review ◽

Hemodynamic Parameters ◽

Blood Pressures ◽

The Impact

Aim/Background: Delirium is common in critically ill patients. For its treatment along with other sedatives, dexmedetomidine has also been prescribed by the clinicians. However, the outcomes with its use are less well-defined by any study in local population. We aimed to study its effectiveness for delirium and the impact on hemodynamics in critically sick patients of our population. Methodology: It was a cross-sectional, prospective observational study conducted on 212 participants after ethical review committee approval at our hospital. Heart rate, systolic and diastolic blood pressures and Richmond Agitation Sedation Scale (RASS) scores were recorded before starting dexmedetomidine and within one hour of starting the drug. More than 10% decrease in heart rate (HR) or systolic or diastolic blood pressure was considered as an impact on hemodynamic parameters. An achievement of RASS of -2 was considered as effectiveness of drug. Results: There was a mean drop of HR by 13.78 ± 18.58 beats/min (14.49%) after starting dexmedetomidine. Mean systolic blood pressure drop was 10.99 ± 20.67 mmHg (9.16%), and mean drop in diastolic blood pressure was 4.958 ± 12.53 mmHg after dexmedetomidine use. The mean value of RASS score achieved on dexmedetomidine was -2. Conclusion: Our study concluded the effectiveness of dexmedetomidine as light sedation for delirium. It significantly impacted on hemodynamic parameters. Its impact on heart rate was more pronounced as compared to systolic and diastolic blood pressures. Key words: Dexmedetomidine; Critical care; Delirium; Hemodynamics Citation: Kausar S, Yasin I, Ahsan I, Rais Z. Effectiveness of dexmedetomidine for delirium and its impact on hemodynamics in critically ill patients. Anaesth. pain intensive care 2020;24(6):--- Received: 14 June 2020, Reviewed: 24 August, 19 October 2020, Accepted: 26 October 2020

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Effects of resistance training of moderate intensity on heart rate variability, body composition, and muscle strength in healthy elderly women

Sport Sciences for Health ◽

10.1007/s11332-016-0303-z ◽

2016 ◽

Vol 12 (3) ◽

pp. 389-395 ◽

Cited By ~ 4

Author(s):

Bruno Bavaresco Gambassi ◽

Bruno Rodrigues ◽

Daniele Jardim Feriani ◽

Fabiano de Jesus Furtado Almeida ◽

Bismarck Ascar Sauaia ◽

...

Keyword(s):

Heart Rate ◽

Heart Rate Variability ◽

Body Composition ◽

Resistance Training ◽

Muscle Strength ◽

Elderly Women ◽

Moderate Intensity ◽

Healthy Elderly

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Changes in hemodynamic parameters with the use of etomidate versus ketamine induction in the emergency department

10.22514/sv.2021.005 ◽

2021 ◽

Keyword(s):

Blood Pressure ◽

Emergency Department ◽

Heart Rate ◽

Mean Arterial Pressure ◽

Arterial Pressure ◽

Systolic Blood Pressure ◽

Diastolic Blood Pressure ◽

Rapid Sequence Intubation ◽

Hemodynamic Parameters ◽

Duration Of Action

Objectives: Etomidate is the sedative agent of choice during rapid sequence intubation (RSI) owing to its hemodynamic stability, rapid onset of action, and short duration of action. Nevertheless, ketamine is rapidly gaining popularity as an alternative agent, primarily because of its catecholamine-mediated effects. This feature has prompted clinicians to use ketamine for hemodynamically unstable patients. The aim of this study was to compare the percent change in hemodynamic parameters resulting from the use of etomidate versus ketamine during RSI in the emergency department. Methods: This cross-sectional prospective observational study conducted at an academic emergency department included patients recruited from March 2018 through May 2019 on a convenience basis when the principal investigator was scheduled to work in the emergency department. Results: Our study showed a percent reduction in all hemodynamic parameters with the use of ketamine: -13.14% in systolic blood pressure, -10.40% in diastolic blood pressure, -10.15% in mean arterial pressure, and -1.12% in heart rate. Moreover, the rate of ≥ 20% reduction in hemodynamic parameters with ketamine was 27.27% in systolic blood pressure, 18.18% in diastolic blood pressure, 18.18% in mean arterial pressure, and 27.27% in heart rate. Conclusions: Although ketamine has a sympathomimetic effect, it may cause hemodynamic instability in select patients. Therefore, caution is advised when using ketamine routinely during RSI, especially in critically ill patients in the emergency department.

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Obesity does not Impair Ambulatory Cardiovascular and Autonomic Responses Post-exercise

International Journal of Sports Medicine ◽

10.1055/a-1393-6184 ◽

2021 ◽

Author(s):

Gabriel Kolesny Tricot ◽

Fabiula Isoton Isoton Novelli ◽

Lucieli Teresa Cambri

Keyword(s):

Blood Pressure ◽

Heart Rate ◽

Diastolic Blood Pressure ◽

Maximal Exercise ◽

Young Men ◽

Autonomic Modulation ◽

Incremental Test ◽

Post Exercise ◽

Cardiac Autonomic Modulation ◽

Main Effect

AbstractThis study aimed to assess whether obesity and/or maximal exercise can change 24 h cardiac autonomic modulation and blood pressure in young men. Thirty-nine men (n: 20; 21.9±1.8 kg·m−2, and n: 19; 32.9±2.4 kg·m−2) were randomly assigned to perform a control (non-exercise) and an experimental day exercise (after maximal incremental test). Cardiac autonomic modulation was evaluated through frequency domain heart rate variability (HRV). Obesity did not impair the ambulatory HRV (p>0.05), however higher diastolic blood pressure during asleep time (p=0.02; group main effect) was observed. The 24 h and awake heart rate was higher on the experimental day (p<0.05; day main effect), regardless of obesity. Hypotension on the experimental day, compared to control day, was observed (p<0.05). Obesity indicators were significantly correlated with heart rate during asleep time (Rho=0.34 to 0.36) and with ambulatory blood pressure(r/Rho=0.32 to 0.53). Furthermore, the HRV threshold workload was significantly correlated with ambulatory heart rate (r/Rho=− 0.38 to−0.52). Finally, ambulatory HRV in obese young men was preserved; however, diastolic blood pressure was increased during asleep time. Maximal exercise caused heart rate increase and 24h hypotension, with decreased cardiac autonomic modulation in the first hour, regardless of obesity.

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