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Effect of coronary artery bypass grafting on blood pressure response to head-up tilting

Blood pressure response to head-up tilt (HUT) in 7 healthy subjects and 9 patients before and after coronary artery bypass grafting (CABG) was measured during supine and 15-min 60° HUT. Stroke volume (SV) and ejection fraction (EF) were assessed by echocardiography. Baseline mean arterial pressure (...

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Autores principales: Hori, Shinnosuke, Kamijo, Yoshi-ichiro, Yuzaki, Mitsuru, Kawabe, Tetsuya, Minami, Kohei, Umemoto, Yasunori, Yokoyama, Mao, Uenishi, Hiroyasu, Nishimura, Yoshiharu, Kouda, Ken, Mikami, Yukio, Tajima, Fumihiro
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7105421/
https://www.ncbi.nlm.nih.gov/pubmed/32228438
http://dx.doi.org/10.1186/s12576-020-00746-1
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author Hori, Shinnosuke
Kamijo, Yoshi-ichiro
Yuzaki, Mitsuru
Kawabe, Tetsuya
Minami, Kohei
Umemoto, Yasunori
Yokoyama, Mao
Uenishi, Hiroyasu
Nishimura, Yoshiharu
Kouda, Ken
Mikami, Yukio
Tajima, Fumihiro
author_facet Hori, Shinnosuke
Kamijo, Yoshi-ichiro
Yuzaki, Mitsuru
Kawabe, Tetsuya
Minami, Kohei
Umemoto, Yasunori
Yokoyama, Mao
Uenishi, Hiroyasu
Nishimura, Yoshiharu
Kouda, Ken
Mikami, Yukio
Tajima, Fumihiro
author_sort Hori, Shinnosuke
collection PubMed
description Blood pressure response to head-up tilt (HUT) in 7 healthy subjects and 9 patients before and after coronary artery bypass grafting (CABG) was measured during supine and 15-min 60° HUT. Stroke volume (SV) and ejection fraction (EF) were assessed by echocardiography. Baseline mean arterial pressure (MAP) and heart rate (HR) in patients before CABG were similar to healthy subjects. MAP in patients decreased by 6 (4–9) mmHg [median (1st–3rd quartiles)] during 7–12 mmHg of HUT with decreased cardiac output (CO = SV × HR) while HR remained unchanged. MAP in healthy subjects remained unchanged during HUT with increased HR. Body weight decreased by 3.5 (2.5–3.7) kg and MAP decreased by 6 (2–13) mmHg during the last 3-min HUT while HR increased after CABG. Decreases in SV and CO during HUT disappeared after CABG. Blood pressure decreased during HUT in patients before and after CABG regardless of HR response.
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spelling pubmed-71054212020-04-03 Effect of coronary artery bypass grafting on blood pressure response to head-up tilting Hori, Shinnosuke Kamijo, Yoshi-ichiro Yuzaki, Mitsuru Kawabe, Tetsuya Minami, Kohei Umemoto, Yasunori Yokoyama, Mao Uenishi, Hiroyasu Nishimura, Yoshiharu Kouda, Ken Mikami, Yukio Tajima, Fumihiro J Physiol Sci Original Paper Blood pressure response to head-up tilt (HUT) in 7 healthy subjects and 9 patients before and after coronary artery bypass grafting (CABG) was measured during supine and 15-min 60° HUT. Stroke volume (SV) and ejection fraction (EF) were assessed by echocardiography. Baseline mean arterial pressure (MAP) and heart rate (HR) in patients before CABG were similar to healthy subjects. MAP in patients decreased by 6 (4–9) mmHg [median (1st–3rd quartiles)] during 7–12 mmHg of HUT with decreased cardiac output (CO = SV × HR) while HR remained unchanged. MAP in healthy subjects remained unchanged during HUT with increased HR. Body weight decreased by 3.5 (2.5–3.7) kg and MAP decreased by 6 (2–13) mmHg during the last 3-min HUT while HR increased after CABG. Decreases in SV and CO during HUT disappeared after CABG. Blood pressure decreased during HUT in patients before and after CABG regardless of HR response. BioMed Central 2020-03-30 2020 /pmc/articles/PMC7105421/ /pubmed/32228438 http://dx.doi.org/10.1186/s12576-020-00746-1 Text en © The Author(s) 2020 Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/.
spellingShingle Original Paper
Hori, Shinnosuke
Kamijo, Yoshi-ichiro
Yuzaki, Mitsuru
Kawabe, Tetsuya
Minami, Kohei
Umemoto, Yasunori
Yokoyama, Mao
Uenishi, Hiroyasu
Nishimura, Yoshiharu
Kouda, Ken
Mikami, Yukio
Tajima, Fumihiro
Effect of coronary artery bypass grafting on blood pressure response to head-up tilting
title Effect of coronary artery bypass grafting on blood pressure response to head-up tilting
title_full Effect of coronary artery bypass grafting on blood pressure response to head-up tilting
title_fullStr Effect of coronary artery bypass grafting on blood pressure response to head-up tilting
title_full_unstemmed Effect of coronary artery bypass grafting on blood pressure response to head-up tilting
title_short Effect of coronary artery bypass grafting on blood pressure response to head-up tilting
title_sort effect of coronary artery bypass grafting on blood pressure response to head-up tilting
topic Original Paper
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7105421/
https://www.ncbi.nlm.nih.gov/pubmed/32228438
http://dx.doi.org/10.1186/s12576-020-00746-1
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