Quantitative and qualitative blood pressure clusters in patients of Truskavets’ SPA and their hemodynamic accompaniment
Keywordsblood pressure, hemodynamics, discriminant analysis, Truskavets’ spa.
Background. The influence of balneotherapy at the Truskavets’ spa on the blood pressure (BP) of his patients is still not in the focus of researchers. Therefore, we initiated the project “Neuroendocrine-immune and metabolic mechanisms of the effect of balneotherapy on BP”. The first swallow of the project is the analysis of a condition of BP and its hemodynamic support of profile patients of a resort. Materials and methods. Under an observations were 44 patients with chronic pyelonephritis and cholecystitis in the phase of remission. Testing was performed twice - on admission and after 7-10 days of standard balneotherapy. The main object of the study was BP (tonometer “Omron M4-I”, Netherlands). Simultaneously the parameters of hemodynamics were determined (echocamera “Toshiba-140”, Japan). Results. The optimal level of systolic BP (range 120÷129 mmHg) stated in 18,2% of cases only, high norm (130÷139 mmHg) in 14,8%, arterial hypertension (AH) I (140÷160 mmHg) – in 39,8%, AH II (over 160 mmHg) in 12,5%, however, in 14,8% of cases the BP was lower than 120 mmHg. In order to identify among the registered parameters of hemodynamics, those for which the BP clusters differ from each other, a discriminant analysis was performed. The program forward stepwise included in the discriminant model 13 parameters out of 17. The most informative among them: contractility index of left ventricle, heart work per minute, ejection fraction and time as well as end-systolic volume. Conclusion. Profile patients of Truskavets’ spa are characterized by a wide range of blood pressure - from low norm to arterial hypertension II that correspond to the hemodynamics parameters.
Bobrov VO, Stadnyuk LA, Kryzhanivs’kyi VO. Echocardiography [in Ukrainian]. Kyiv. Zdorovya; 1997: 152 p.
Celis H, Den Hond E, Staessen JA. Self-measurement of blood pressure at home in the management of hypertension. Clin Med Res. 2005; 3(1): 19-26.
Klecka WR. Discriminant Analysis [trans. from English in Russian] (Seventh Printing, 1986). In: Factor, Discriminant and Cluster Analysis. Moskva. Finansy i Statistika; 1989: 78-138.
Kozyavkina NV, Kozyavkina OV, Vovchyna YV, Popovych IL. Neurogenic mechanism of the influence of balneotherapy on arterial pressure. In: Proceedings of the XX Congress of the Ukrainian Physiological Society named after P.G. Kostyuk. Fiziol Zhurn. 2019; 65(3). Suppl: 54-54.
Kozyavkina NV, Kozyavkina OV, Vovchyna YV. Balneotherapy influences on arterial pressure by neurogenic mechanism. In: Rehabilitation Medicine and Health-Resort Institutions Development. Proceedings of the 19th International Applied Research Conference (Kyїv, 11-12 December 2019). Edited by O. Gozhenko and W. Zukow. Toruń, Kyiv. 2019: 41-42.
Lin HJ, Wang TD, Yu-Chih Chen M, et al. 2020 Consensus Statement of the Taiwan Hypertension Society and the Taiwan Society of Cardiology on Home Blood Pressure Monitoring for the Management of Arterial Hypertension. Acta Cardiol Sin. 2020; 36(6): 537-561.
Lukovych YuS, Ohorodnyk IO, Popel SL, Krayevyi VO. Relationships between blood pressure and heart rate variability parameters and the effect on them of balneotherapy at Truskavets’ spa [in Ukrainian]. Medical Hydrology and Rehabilitation. 2012; 10(4): 154-159.
Popovych IL, Ruzhylo SV, Ivassivka SV, Aksentiychuk BI (editors). Balneocardioangiology [in Ukrainian]. Kyiv. Computerpress; 2005: 229 p.
Ruzhylo SV, Tserkovnyuk AV, Popopvych IL. Actotropic Effects of Balneotherapeutic Complex of Truskavets spa [in Ukrainian]. Кyiv. Computerpress; 2003: 131 p.
Sagawa K. The end-systolic pressure-volume relation of the ventricle: definition modifications and clinical use. Circulation. 1981; 63(6): 1223-1227.
Shakhbazova LV, Mosiy HYe, Tkachuk SP, Shakhbazov OB. Dynamics of the daily profile of blood pressure and heart rate variability in patients with essential hypertension under the influence of treatment at the Truskavets’ spa [in Ukrainian]. Medical Hydrology and Rehabilitation. 2005; 3(4): 44-47.
Shakhbazova LV, Mosiy HYe, Shakhbazov OB, Pavelko OM. Features of the course and correction of arterial hypertension in patients with concomitant autonomic dysfunction in the Truskavets’ spa [in Ukrainian]. Medical Hydrology and Rehabilitation. 2006; 4(3): 65-68.
Vinogradova TS. Cardiac output. In: Instrumental Methods of Research of Cardiovascular System. Edited by Vinogradova TS [in Russian]. Moskva. Meditsina; 1986: 383-386.
Schiller N, Osipov MA. Clinical Echocardiography [in Russian]. Moskva; 1993: 347 p.
Vovchyna JV, Lukovych YuS, Matiyishyn GYo, Hryvnak RF, Tymochko OO, Andrusiv OV, Burkovska ММ. Hemodynamic variants of immediate effects of Naftussya bioactive water on blood pressure, their electrolyte accompaniment and the ability to predict [in Ukrainian]. Medical Hydrology and Rehabilitation. 2013; 11(3): 50-59.
Vovchyna JV, Voronych NM, Zukow W, Popovych IL. Relationships between normal or borderline blood pressure and some neural, endocrine, metabolic and biophysic parameters in women and men. Journal of Education, Health and Sport. 2016; 6(2): 163-182.
Vovchyna YuV, Zukow W. The influence of balneotherapy on spa Truskavets’ on arterial pressure and its regulation at children. Journal of Health Sciences. 2014; 4(10): 151-160.
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