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Magnitude and Clinical Predictors of Blood Pressure Changes in Patients Undergoing Hyperbaric Oxygen Therapy: A Retrospective Study

Hyperbaric oxygen therapy (HBOT) is widely used to treat several pathologies. The hemodynamic changes during HBOT, particularly the magnitude of arterial blood pressure (ABP) increase, are not completely understood. No clinical predictors for HBOT-induced ABP increase have been described. The purpos...

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Autores principales: Schiavo, Simone, Djaiani, Carine, DeBacker, Julian, Albertini, Lisa, Santa Mina, Daniel, Buryk-Iggers, Stephanie, De Moraes, Marcus Vinicius, Kanj, Mohammad, Katznelson, Rita
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7589597/
https://www.ncbi.nlm.nih.gov/pubmed/33086495
http://dx.doi.org/10.3390/ijerph17207586
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author Schiavo, Simone
Djaiani, Carine
DeBacker, Julian
Albertini, Lisa
Santa Mina, Daniel
Buryk-Iggers, Stephanie
De Moraes, Marcus Vinicius
Kanj, Mohammad
Katznelson, Rita
author_facet Schiavo, Simone
Djaiani, Carine
DeBacker, Julian
Albertini, Lisa
Santa Mina, Daniel
Buryk-Iggers, Stephanie
De Moraes, Marcus Vinicius
Kanj, Mohammad
Katznelson, Rita
author_sort Schiavo, Simone
collection PubMed
description Hyperbaric oxygen therapy (HBOT) is widely used to treat several pathologies. The hemodynamic changes during HBOT, particularly the magnitude of arterial blood pressure (ABP) increase, are not completely understood. No clinical predictors for HBOT-induced ABP increase have been described. The purpose of this study was to quantify ABP changes in patients undergoing HBOT and to examine their predictors. This retrospective longitudinal cohort study examined 3291 elective HBOT sessions. Non-invasive ABP was recorded before and after each session. The primary outcome was to quantify the HBOT-induced ABP rise. The secondary outcome was to determine the ABP-rise predictors among demographic and clinical variables. Overall, ABP increased significantly after HBOT; this finding was more evident in the hypertensive subgroup compared to the normotensive one (+6 vs. +16.2 mmHg). Clinical predictors of significant post-HBOT ABP change were history of hypertension and pre-session baseline ABP classification. This study demonstrates an absolute HBOT-induced ABP rise. This change is clinically relevant in patients with history of hypertension. A higher baseline ABP seems a risk factor for clinically relevant ABP change. Pre-session ABP should be used clinically as an indicator for strict ABP monitoring during HBOT; future studies are recommended to explore the ABP optimization before starting an HBO treatment.
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spelling pubmed-75895972020-10-29 Magnitude and Clinical Predictors of Blood Pressure Changes in Patients Undergoing Hyperbaric Oxygen Therapy: A Retrospective Study Schiavo, Simone Djaiani, Carine DeBacker, Julian Albertini, Lisa Santa Mina, Daniel Buryk-Iggers, Stephanie De Moraes, Marcus Vinicius Kanj, Mohammad Katznelson, Rita Int J Environ Res Public Health Article Hyperbaric oxygen therapy (HBOT) is widely used to treat several pathologies. The hemodynamic changes during HBOT, particularly the magnitude of arterial blood pressure (ABP) increase, are not completely understood. No clinical predictors for HBOT-induced ABP increase have been described. The purpose of this study was to quantify ABP changes in patients undergoing HBOT and to examine their predictors. This retrospective longitudinal cohort study examined 3291 elective HBOT sessions. Non-invasive ABP was recorded before and after each session. The primary outcome was to quantify the HBOT-induced ABP rise. The secondary outcome was to determine the ABP-rise predictors among demographic and clinical variables. Overall, ABP increased significantly after HBOT; this finding was more evident in the hypertensive subgroup compared to the normotensive one (+6 vs. +16.2 mmHg). Clinical predictors of significant post-HBOT ABP change were history of hypertension and pre-session baseline ABP classification. This study demonstrates an absolute HBOT-induced ABP rise. This change is clinically relevant in patients with history of hypertension. A higher baseline ABP seems a risk factor for clinically relevant ABP change. Pre-session ABP should be used clinically as an indicator for strict ABP monitoring during HBOT; future studies are recommended to explore the ABP optimization before starting an HBO treatment. MDPI 2020-10-19 2020-10 /pmc/articles/PMC7589597/ /pubmed/33086495 http://dx.doi.org/10.3390/ijerph17207586 Text en © 2020 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (http://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Schiavo, Simone
Djaiani, Carine
DeBacker, Julian
Albertini, Lisa
Santa Mina, Daniel
Buryk-Iggers, Stephanie
De Moraes, Marcus Vinicius
Kanj, Mohammad
Katznelson, Rita
Magnitude and Clinical Predictors of Blood Pressure Changes in Patients Undergoing Hyperbaric Oxygen Therapy: A Retrospective Study
title Magnitude and Clinical Predictors of Blood Pressure Changes in Patients Undergoing Hyperbaric Oxygen Therapy: A Retrospective Study
title_full Magnitude and Clinical Predictors of Blood Pressure Changes in Patients Undergoing Hyperbaric Oxygen Therapy: A Retrospective Study
title_fullStr Magnitude and Clinical Predictors of Blood Pressure Changes in Patients Undergoing Hyperbaric Oxygen Therapy: A Retrospective Study
title_full_unstemmed Magnitude and Clinical Predictors of Blood Pressure Changes in Patients Undergoing Hyperbaric Oxygen Therapy: A Retrospective Study
title_short Magnitude and Clinical Predictors of Blood Pressure Changes in Patients Undergoing Hyperbaric Oxygen Therapy: A Retrospective Study
title_sort magnitude and clinical predictors of blood pressure changes in patients undergoing hyperbaric oxygen therapy: a retrospective study
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7589597/
https://www.ncbi.nlm.nih.gov/pubmed/33086495
http://dx.doi.org/10.3390/ijerph17207586
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