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Prevalence of Autonomic Dysreflexia in Patients with Spinal Cord Injury above T6

OBJECTIVE: To investigate the prevalence of autonomic dysreflexia (AD) using ambulatory blood pressure monitoring (ABPM) and the autonomic dysfunction following spinal cord injury (ADFSCI) questionnaire in patients with spinal cord injury (SCI) above T6. METHODS: Twenty-eight patients diagnosed with...

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Autores principales: Lee, Eun Sun, Joo, Min Cheol
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Hindawi 2017
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5684522/
https://www.ncbi.nlm.nih.gov/pubmed/29226126
http://dx.doi.org/10.1155/2017/2027594
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author Lee, Eun Sun
Joo, Min Cheol
author_facet Lee, Eun Sun
Joo, Min Cheol
author_sort Lee, Eun Sun
collection PubMed
description OBJECTIVE: To investigate the prevalence of autonomic dysreflexia (AD) using ambulatory blood pressure monitoring (ABPM) and the autonomic dysfunction following spinal cord injury (ADFSCI) questionnaire in patients with spinal cord injury (SCI) above T6. METHODS: Twenty-eight patients diagnosed with SCI above T6 were enrolled. ABPM and ADFSCI were utilized to assess AD. Using ABPM, systolic blood pressure (SBP), diastolic blood pressure, and heart rate (HR) were measured at 30-minute intervals. AD was defined as SBP 20 mmHg higher than basal SBP, and the number of AD events was counted. The ADFSCI questionnaire evaluates the severity and frequency of the AD symptoms. RESULTS: According to the ABPM, AD occurred in 26 patients and AD events occurred 5.8 ± 4.7 times. Average daytime and nighttime SBP were 119.9 ± 18.8 mmHg and 123.8 ± 21.2 mmHg, respectively, and the nighttime mean SBP appeared to be 4 mmHg higher than daytime mean SBP. These findings suggest the loss of nocturnal BP dipping in SCI patients. ADFSCI results revealed that 16 of the patients evaluated were symptomatic while 12 were asymptomatic. CONCLUSION: AD following SCI above T6 was highly prevalent and several patients seemed asymptomatic. These results suggest the necessity of proper diagnostic and therapeutic interventions for managing AD.
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spelling pubmed-56845222017-12-10 Prevalence of Autonomic Dysreflexia in Patients with Spinal Cord Injury above T6 Lee, Eun Sun Joo, Min Cheol Biomed Res Int Research Article OBJECTIVE: To investigate the prevalence of autonomic dysreflexia (AD) using ambulatory blood pressure monitoring (ABPM) and the autonomic dysfunction following spinal cord injury (ADFSCI) questionnaire in patients with spinal cord injury (SCI) above T6. METHODS: Twenty-eight patients diagnosed with SCI above T6 were enrolled. ABPM and ADFSCI were utilized to assess AD. Using ABPM, systolic blood pressure (SBP), diastolic blood pressure, and heart rate (HR) were measured at 30-minute intervals. AD was defined as SBP 20 mmHg higher than basal SBP, and the number of AD events was counted. The ADFSCI questionnaire evaluates the severity and frequency of the AD symptoms. RESULTS: According to the ABPM, AD occurred in 26 patients and AD events occurred 5.8 ± 4.7 times. Average daytime and nighttime SBP were 119.9 ± 18.8 mmHg and 123.8 ± 21.2 mmHg, respectively, and the nighttime mean SBP appeared to be 4 mmHg higher than daytime mean SBP. These findings suggest the loss of nocturnal BP dipping in SCI patients. ADFSCI results revealed that 16 of the patients evaluated were symptomatic while 12 were asymptomatic. CONCLUSION: AD following SCI above T6 was highly prevalent and several patients seemed asymptomatic. These results suggest the necessity of proper diagnostic and therapeutic interventions for managing AD. Hindawi 2017 2017-10-26 /pmc/articles/PMC5684522/ /pubmed/29226126 http://dx.doi.org/10.1155/2017/2027594 Text en Copyright © 2017 Eun Sun Lee and Min Cheol Joo. https://creativecommons.org/licenses/by/4.0/ This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Research Article
Lee, Eun Sun
Joo, Min Cheol
Prevalence of Autonomic Dysreflexia in Patients with Spinal Cord Injury above T6
title Prevalence of Autonomic Dysreflexia in Patients with Spinal Cord Injury above T6
title_full Prevalence of Autonomic Dysreflexia in Patients with Spinal Cord Injury above T6
title_fullStr Prevalence of Autonomic Dysreflexia in Patients with Spinal Cord Injury above T6
title_full_unstemmed Prevalence of Autonomic Dysreflexia in Patients with Spinal Cord Injury above T6
title_short Prevalence of Autonomic Dysreflexia in Patients with Spinal Cord Injury above T6
title_sort prevalence of autonomic dysreflexia in patients with spinal cord injury above t6
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5684522/
https://www.ncbi.nlm.nih.gov/pubmed/29226126
http://dx.doi.org/10.1155/2017/2027594
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