scholarly journals Cardiovascular Response to Defecating Postures with and without Valsalva Maneuver in Healthy Individuals

2016 ◽  
Vol 02 (01) ◽  
pp. 010-014
Author(s):  
Priyanka Bhagat ◽  
Mariya Jiandani ◽  
Amita Mehta
Keyword(s):  
Blood Pressure ◽  
Heart Rate ◽  
Cardiovascular Response ◽  
Valsalva Maneuver ◽  
Rate Pressure Product ◽  
Healthy Population ◽  
Rubber Tube ◽  
Healthy Individuals ◽  
Sitting Posture ◽  
Significant Difference

Abstract Aims: To assess the cardiovascular response to defecating postures of bridging and sitting lean forward with and without Valsalva maneuver in healthy individuals. Study design: Prospective interventional cross-over study in healthy population. Study material: Stop watch, Rubber tube, Nostril clip, Pillow, Mercury Sphygmomanometer, Cardioscope (Model no.: Iris 50, Maestros company). Materials and methods: A total of 100 healthy individuals participated in the study. They maintained sitting lean forward and in bridging position for 5 minutes with and without Valsalva maneuver. Valsalva maneuver was performed at 40 mm Hg pressure for 15 seconds. Blood pressure and heart rate were recorded. Mean arterial pressure and rate pressure product were derived. Data analysis: The data was analyzed using Statistical Package for the Social Sciences v 16. Shapiro–Wilk test was used to test normality, and nonparametric Mann-Whitney test was used with p < 0.05 as statistically significant. Results: Sitting in lean forward position showed statistical significant increase in heart rate (p < 0.05) compared to bridging position with Valsalva maneuver. There was a significant rise in blood pressure with bridging as compared to sitting lean forward with Valsalva. There was no statistically significant difference in heart rate and blood pressure between sitting lean forward position and bridging position without Valsalva maneuver. Conclusion: Sitting lean forward position and bridging position increase hemodynamic load compared to relaxed sitting posture. With Valsalva maneuver sitting lean forward posture causes greater rise in heart rate compared to bridging position.

Attenuation of Cardiovascular Response During Laryngoscopy and Endotracheal Intubation by Using Pethidine with Lignocaine

1970 ◽  
Vol 6 (2) ◽  
pp. 40-43 ◽  
Author(s):  
MT Mollick ◽  
MD Hossain ◽  
NP Ali
Keyword(s):  
Blood Pressure ◽  
Heart Rate ◽  
Body Weight ◽  
General Anaesthesia ◽  
Endotracheal Intubation ◽  
Cardiovascular Response ◽  
Rate Pressure Product ◽  
Group I ◽  
Blood Pressures ◽  
Group Ii

A prospective comparative study was done on lignocaine versus lignocaine with pethidine to observe the effect on cardiovascular response to laryngoscopy and endotracheal intubation. One hundred such elective surgical patients of active age group (16 - 60 years) having American Society of Anaesthesiologist (ASA) physical status I & II irrespective of surgical procedure were randomly assigned to one of the two groups of 50 each. Group I received injection lignocaine 1 mg/kg intravenously 02 minutes before induction of general anaesthesia. Patients in group II received injection pethidine 1 mg/kg body weight and injection lignocaine 1 mg/kg body weight intravenously 02 minutes before induction of general anaesthesia. Haemodynamic parameter i.e. blood pressures (systolic blood pressure, diastolic blood pressure and mean blood pressure), heart rate, rate pressure product were monitored after 1st, 3rd, 5th minutes following intubation. There were statistically significant (p<0.001) increase in blood pressures, heart rate and rate pressure product in group I i.e. pretreatment with 1 mg/kg body weight intravenous lignocaine and remained so after 5 minutes. On the other hand there were no statistically significant (p>0.05) increase in heart rate, blood pressures and rate pressure product in group II, where pretreatment done with pethidine 1 mg/kg body weight with lignocaine 1 mg/kg body weight and the values returned control level before 5 minutes. The study showed that pethidine 1 mg/kg body weight with lignocaine 1 mg/kg body weight pretreatment suppresses the cardiovascular response due to laryngoscopy and intubation. Key words: Cardiovascular response; laryngoscopy; lignocaine with pethidine. DOI: 10.3329/jafmc.v6i2.7274JAFMC Bangladesh. Vol 6, No 2 (December) 2010 pp.40-43

scholarly journals Cardiovascular response to strength training is more affected by intensity than volume in healthy subjects

2018 ◽  
Vol 11 (3) ◽  
Author(s):  
OC Moreira ◽  
CEP Oliveira ◽  
DG Matos ◽  
SF Silva ◽  
RC Hickner ◽  
...  
Keyword(s):  
Blood Pressure ◽  
Heart Rate ◽  
Resistance Exercise ◽  
Systolic Blood Pressure ◽  
Diastolic Blood Pressure ◽  
Healthy Subjects ◽  
Bench Press ◽  
Cardiovascular Response ◽  
Rate Pressure Product ◽  
Repetition Maximum

Objective: To determine and compare the cardiovascular responses to three resistance exercise protocols with different volumes and loads. Methods: The study included 15 healthy subjects, experienced in resistance training, who underwent supine bench press exercise with three different volumes and loads separated by 48 hours, with a crossover model: a) 4 repetitions at 90% of one repetition maximum (4/90%), b) 8 repetitions at 80% of one repetition maximum (8/80%), and c) 15 repetitions at 65% of one repetition maximum (15/65%). Immediately following each protocol, measures of heart rate, systolic and diastolic blood pressure were performed, and were used to calculate the rate pressure product. Results: The 4/90% protocol resulted in an increase in heart rate (Δ = 84.57%; effect size [ES] = 0.31), systolic blood pressure (Δ = 24.03%; ES = 0.42), diastolic blood pressure (Δ = 8.47%; ES = 0.27) and rate pressure product (Δ = 129.65%; ES = 0.54). The 8/80% protocol resulted in changes on: heart rate (Δ = 74.94%; ES = 0.57), systolic blood pressure (Δ = 20.67%; ES = 0.27), diastolic blood pressure (Δ = 6.91%; ES = 0.15) and rate pressure product (Δ = 111.78%; ES = 0.48). The 15/65% protocol resulted in alterations on: heart rate (Δ = 66.77%; ES = 0.39), systolic blood pressure (Δ = 16.85%; ES = 0.35), diastolic blood pressure (Δ = 3.38%; ES = 0.13) and rate pressure product (Δ = 96.41%; ES = 0.30). Increases in all variables pre to post resistance exercise were observed for all protocols (p < 0.05). When comparing the three different protocols, it was found that the heart rate (p < 0.001), systolic blood pressure (p = 0.034) and rate pressure product (p < 0.001), were more elevated in the 4/90% compared to the 15/65%. Conclusion: The bench press exercise performed with low volume and high intensity promotes a more pronounced cardiovascular response compared to the same exercise performed with high volume and low intensity.      

scholarly journals Effect of rest interval on cardiovascular responses after resistance exercise

2013 ◽  
Vol 19 (2) ◽  
pp. 252-260 ◽  
Author(s):  
Aluísio Henrique Rodrigues de Andrade Lima ◽  
Cláudia Lúcia de Moraes Forjaz ◽  
Gleyson Queiroz de Moraes Silva ◽  
Ana Paula Andrade Lima ◽  
Ozéas Lima Lins Filho ◽  
...  
Keyword(s):  
Blood Pressure ◽  
Heart Rate ◽  
Resistance Exercise ◽  
Cardiovascular Response ◽  
Random Order ◽  
Cardiovascular Responses ◽  
Acute Effect ◽  
Interval Length ◽  
Rate Pressure Product ◽  
Rest Interval

OBJECTIVE: To analyze the acute effect of rest interval length on cardiovascular response after resistance exercise. METHODS: Twenty young eutrophic men (23.9 ± 0.7 years;23.8 ± 0.5 kg/m²) performed two experimental sessions in a random order: resistance exercise with a 30-second (I30) and with a 90-second (I90) rest interval between sets. Both sessions included five exercises with 50% of the one-repetition maximum. Before and 24 hours after the experimental sessions, systolic blood pressure (SBP), diastolic blood pressure (DBP), heart rate (HR), and rate-pressure product (RPP) were obtained. RESULTS: The SBP, DBP and RPP responses were similar between the I30 and I90 sessions (p>0.05), while the HR after I30 was significantly higher than after I90 (p<0.01) for the first hour after exercise. The cardiovascular responses during the first 24 hours were similar between both sessions (p>0.05). CONCLUSION: Different recovery intervals did not promote post-exercise hypotension, however, a short rest interval increases heart rate for 1 hour after exercise. In addition, within 24 hours of the responses were similar between groups.

scholarly journals Myocardial load at 30% and 50% of Maximal Voluntary Isometric Contraction in healthy individuals with Active and Sedentary Lifestyle

2020 ◽  
Vol 4 (1) ◽  
pp. 7-11
Author(s):  
Samrudhi Singh ◽  
◽  
Mariya Jiandani ◽  
Keyword(s):  
Blood Pressure ◽  
Heart Rate ◽  
Systolic Blood Pressure ◽  
Isometric Contraction ◽  
Sedentary Lifestyle ◽  
Rate Pressure Product ◽  
Care Hospital ◽  
Hemodynamic Parameters ◽  
Maximal Voluntary Isometric Contraction ◽  
Significant Difference

Background: Activities of daily living consists of isometric & isotonic contraction. Isometric contraction is a static contraction that exerts pressure overload on the heart. Studies have been carried out demonstrating hemodynamic effects of isotonic exercises however limited studies are available on myocardial load with isometric exercises. Aims and Objectives: To study the myocardial load at 30% and 50% of maximal voluntary isometric contraction (MVIC) in individuals with active and sedentary lifestyle. Study design and setting: Observational cross-sectional study was carried out in a tertiary care hospital. Materials and Methods: 140 healthy subjects (70 each in active & sedentary group) were recruited for the study. Baseline demographics of both groups were comparable. Hemodynamic parameters were taken at rest. Subject performed 30% and 50% MVIC and hemodynamic parameters were recorded during and post contraction. Statistical Analysis: Paired t test was used to compare the myocardial load between 30% and 50% MVIC in both groups. Repeated measures ANOVA was used to compare the myocardial load between active & sedentary groups at 30% and 50% MVIC. Result: There was a statistically significant difference in heart rate, systolic blood pressure &rate pressure product between 30% and 50% in active as well as sedentary groups. There was statistically no significant difference in heart rate, systolic blood pressure & rate pressure product between active & sedentary groups at 30% and 50% MVIC. Conclusion: The myocardial load during activities at submaximal intensities (<50%) is within the physiological limits and can be performed safely in individuals with active and sedentary lifestyle.

scholarly journals Use of Gabapentin, Esmolol or Their Combination to Attenuate Haemodynamic Response to Laryngoscopy and Intubation

2012 ◽  
Vol 9 (4) ◽  
pp. 238-243 ◽  
Author(s):  
G S Shrestha ◽  
M N Marhatta ◽  
R Amatya
Keyword(s):  
Blood Pressure ◽  
Heart Rate ◽  
Mean Arterial Pressure ◽  
Arterial Pressure ◽  
Systolic Blood Pressure ◽  
Normal Saline ◽  
Study Drug ◽  
Haemodynamic Response ◽  
Rate Pressure Product ◽  
Significant Difference

Background Laryngoscopy and intubation increases blood pressure and heart rate. Objective The study aims to investigate the effect and safety of gabapentin, esmolol or their combination on the haemodynamic response to laryngoscopy and intubation. Methods A total of 72 patients undergoing elective surgery were randomly allocated to one of the four groups. First study drug was administered orally as gabapentin 1200mg or placebo. Second study drug was administered intravenously as esmolol 1.5mg/kg or normal saline. Heart rate, rate pressure product, systolic blood pressure and mean arterial pressure were recorded at baseline and at zero, one, three and five minutes after tracheal intubation. Results Baseline values were compared with the values at various time intervals within the same group. In group PE (placebo, esmolol), there was significant decrease in heart rate and rate pressure product at five minutes. In group GN (gabapentin, normal saline), there was significant decrease in systolic blood pressure and mean arterial pressure at five minutes. In group GE (gabapentin, esmolol), there was significant decrease in heart rate at zero, three and five minutes. Systolic blood pressure, mean arterial pressure and rate pressure product was significantly lower at three and five minutes. In group PN (placebo, normal saline), there was significant increase in heart rate at zero, one, three and five minutes; systolic blood pressure at zero and one minutes; mean arterial pressure at zero and one minutes & rate pressure product at zero, one and three minutes. In group GN (gabapentin, normal saline), there was significant increase in heart rate at zero, one and three minutes & rate pressure product at zero, one and three minutes. In group PE (placebo, esmolol), there was significant increase in systolic blood pressure at zero and one minutes & mean arterial pressure at zero and one minutes. However, in group GE (gabapentin, esmolol) none of the variables showed statistically significant increase at any time. Inter-group comparison was made for each time point. At zero minute, there was significant difference in heart rate between groups PN and GE, GN and PE & GN and GE Significant difference was also noted in rate pressure product between PN and GE at zero minute. At one minute there was difference in heart rate between PN and PE, PN and GE, GN and PE & between GN and GE. Significant difference was observed in rate pressure product between PN and PE & between PN and GE at one minute. No significant side effects of the study drugs were observed. ConclusionsCombination of gabapentin and esmolol in this study design is safe and better attenuates both the pressor and tachycardic response to laryngoscopy and intubation, than either agent alone.DOI: http://dx.doi.org/10.3126/kumj.v9i4.6336 Kathmandu Univ Med J 2011;9(4):238-43 

scholarly journals Different Cardiovascular Responses to a Resistance Training Session in Hypertensive Women Receiving Propanolol Compared with Normotensive Controls

2012 ◽  
Vol 2012 ◽  
pp. 1-6 ◽  
Author(s):  
Fabiano Moraes Miguel ◽  
Luis Alexandre Grings ◽  
Guilherme Borges Pereira ◽  
Richard Diego Leite ◽  
Amilton Vieira ◽  
...  
Keyword(s):  
Blood Pressure ◽  
Heart Rate ◽  
Resistance Exercise ◽  
Cardiovascular Response ◽  
Beta Blockers ◽  
Training Session ◽  
Cardiovascular Responses ◽  
Rate Pressure Product ◽  
Lower Systolic Blood Pressure ◽  
Leg Press

The aim of the present study was to compare the responses of blood pressure, heart rate, and rate-pressure product of hypertensive women using beta-blockers with healthy controls during resistance exercise (by the end of the concentric phase of the contractions) and in the postexercise period (5 and 30 minutes after). Ten untrained normotensive women (N) and 10 mildly hypertensive females receiving 40 mg/day of propanolol (H) were selected. Three sets of 10 repetitions at 80% of 10 repetitions maximum with 30 s rest interval were performed on the leg press exercise. The H group exhibited lower systolic blood pressure after the second set compared with N. Heart rate and rate-pressure product were lower in H in all analyzed periods compared with N. Propanolol attenuates the cardiovascular response to a leg press resistance exercise in mildly hypertensive women.

scholarly journals Impact of Standing Speed on the Peripheral and Central Hemodynamic Response to Orthostasis

Hypertension ◽  
2020 ◽  
Vol 75 (2) ◽  
pp. 524-531 ◽  
Author(s):  
John D. O’Connor ◽  
Matthew D. L. O’Connell ◽  
Hugh Nolan ◽  
Louise Newman ◽  
Silvin P. Knight ◽  
...  
Keyword(s):  
Blood Pressure ◽  
Heart Rate ◽  
Cerebral Oxygenation ◽  
Cardiovascular Response ◽  
Adult Population ◽  
Early Period ◽  
Standing Position ◽  
Transition Time ◽  
Statistical Adjustment ◽  
Central Hemodynamic

Assessment of the cerebrovascular and cardiovascular response to standing has prognostic value for a range of outcomes in the older adult population. Studies generally attempt to control for standing speed differences by asking participants to stand in a specified time but little is known about the range of transition times observed. This study aimed to characterize how standing speed associates with cardiovascular and cerebrovascular measures following transition from supine to standing. Continuous cerebral oxygenation, heart rate, systolic and diastolic blood pressure were monitored for 3 minutes after transitioning from supine to standing. An algorithm was used to calculate the time taken to transition from existing Finometer data (from the height correction unit). Linear mixed-effects models were used to assess the influence of transition time on each of the signals while adjusting for covariates. Transition time ranged from 2 to 27 s with 17% of participants taking >10 s to stand. Faster transition was associated with a more extreme decrease 10 s after standing but improved recovery at 20 s for cerebral oxygenation and blood pressure. Standing faster was associated with an elevated heart rate on initiation of stand and a quicker recovery 10 to 20 s after standing. The speed of transitioning from supine to standing position is associated with cardiovascular and cerebrovascular response in the early period after standing (<40 s). Care should be taken in the interpretation of findings which may be confounded by standing speed and statistical adjustment for standing time should be applied where appropriate.

Modifying effects of the R389G β1-adrenoceptor polymorphism on resting heart rate and blood pressure in patients with obstructive sleep apnoea

2005 ◽  
Vol 110 (1) ◽  
pp. 117-123 ◽  
Author(s):  
Jan Börgel ◽  
Tino Schulz ◽  
Nina K. Bartels ◽  
Jörg T. Epplen ◽  
Nikolaus Büchner ◽  
...  
Keyword(s):  
Blood Pressure ◽  
Heart Rate ◽  
Obstructive Sleep Apnoea ◽  
Nervous Activity ◽  
Sleep Apnoea ◽  
Cpap Therapy ◽  
Pressure Therapy ◽  
Obstructive Sleep ◽  
Significant Difference ◽  
The Impact

OSA (obstructive sleep apnoea) stimulates sympathetic nervous activity and elevates resting HR (heart rate) and BP (blood pressure). In the present study in a cohort of 309 untreated OSA patients, the resting HR and BP during the daytime were correlated with AHI (apnoea/hypopnea index) and compared with patients with R389R (n=162), R389G (n=125) and G389G (n=22) genotypes of the β1-adrenoreceptor R389G polymorphism. We analysed the impact of the genotype on the decline of HR and BP in a subgroup of 148 patients (R389R, n=86; R389G, n=54; G389G, n=8) during a 6-month follow-up period under CPAP (continuous positive airway pressure) therapy during which cardiovascular medication remained unchanged. In untreated OSA patients, we found an independent relationship between AHI and resting HR (β=0.096, P<0.001), systolic BP (β=0.09, P=0.021) and diastolic BP (β=0.059, P=0.016). The resting HR/BP, however, did not differ among carriers with the R389R, R389G and G389G genotypes. CPAP therapy significantly reduced HR [−2.5 (−1.1 to −4.0) beats/min; values are mean difference (95% confidence intervals)] and diastolic BP [−3.2 (−1.5 to −5.0) mmHg]. The decline in HR was more significantly pronounced in the R389R group compared with the Gly389 carriers [−4.1 (−2.3 to −5.9) beats/min (P<0.001) compared with −0.2 (2.1 to −2.6) beats/min (P=0.854) respectively; Student's t test between groups, P=0.008]. Diastolic BP was decreased significantly (P<0.001) only in Gly389 carriers (R389G or G389G) compared with R389R carriers [−5.0 (−2.3 to −7.6) mmHg compared with −2.0 (0.4 to −4.3) mmHg respectively]. ANOVA revealed a significant difference (P=0.023) in HR reduction between the three genotypes [−4.1 (±8.4) beats/min for R389R, −0.5 (±9.3) beats/min for R389G and +1.9 (±7.2) beats/min for G389G]. In conclusion, although the R389G polymorphism of the β1-adrenoceptor gene did not influence resting HR or BP in untreated OSA patients, it may modify the beneficial effects of CPAP therapy on these parameters.

Valsalva maneuver effects on heart rate, blood pressure, and intrarectal pressure — Supine vs. sitting

2011 ◽  
Vol 165 (2) ◽  
pp. 211-212
Author(s):  
Yuko Kuwahara ◽  
Mika Imai ◽  
Yutaka Yoshida ◽  
Yuuki Shimizu ◽  
Naoki Nishimura ◽  
...  
Keyword(s):  
Blood Pressure ◽  
Heart Rate ◽  
Valsalva Maneuver

scholarly journals Caudal bupivacaine - midazolam for post operative analgesia in children

2014 ◽  
Vol 23 (1) ◽  
pp. 8-13
Author(s):  
Idris Ali ◽  
Amirul Islam ◽  
Golam Morshed ◽  
Nurul Islam ◽  
Ashia Ali ◽  
...  
Keyword(s):  
Blood Pressure ◽  
Heart Rate ◽  
Anaesthetic Agent ◽  
Caudal Block ◽  
Arterial Blood ◽  
Post Operative Period ◽  
Caudal Analgesia ◽  
Significant Difference ◽  
Group B

Background: Adjuvant used with local anaesthetic agent in caudal is more effective for post operative analgesia in children . Aim and objective: To find out the duration and quality of caudal analgesia in children undergoing genitourinary surgery by combination of bupivacaine and midazolam. Methods: A total number of sixty patients ASA grade I&II were selected randomly as per inclusion & exclusion criteria in two groups. Thirty in each group. In group A, caudal block was given by bupivacainemidazolam mixture and in group B, caudal block was given by bupivacaine in lateral decubitus position, just after completion of surgery before reversed from GA. In post operative period arterial blood pressure, heart rate, and duration of analgesia were recorded. Results: There was no significant difference between the groups of blood pressure, heart rate, and pain score up to 30 min but after one hour of post operative period pain scores were significant(p<0.05). Conclusion: Midazolam improves the duration and quality of analgesic effect of bupivacaine. DOI: http://dx.doi.org/10.3329/jbsa.v23i1.18152 Journal of BSA, 2010; 23(1): 8-13

Sign in / Sign up

Export Citation Format

Share Document