research centers


Search results: Found 6

Listing 1 - 6 of 6
Sort by

Article
EFFECT OF DIALYSATE TEMPERATURE ON HEMODYNAMIC STABILITY AMONG HEMODIALYSIS PATIENTS

Authors: Tarik A. Hussein طارق حسين --- Arif S. Malik عارف سامي مالك
Journal: IRAQI JOURNAL OF MEDICAL SCIENCES المجلة العراقية للعلوم الطبية ISSN: P16816579,E22244719 Year: 2014 Volume: 12 Issue: 2 Pages: 173-179
Publisher: Al-Nahrain University جامعة النهرين

Loading...
Loading...
Abstract

Background:Hypotension is one of the complications of hemodialysis treatment. It increases morbidity and mortality and can compromise the dialysis efficacy. Cooling the dialysate below 36.5°C is an important factor that contributes to hemodynamic stability in patients during hemodialysis.Objective:To assess the effect of dialysate temperature on hemodynamic stability during hemodialysis sessions, post dialysis fatigue and the adequacy of dialysis.Methods:A total of 40 patients were assessed during six dialysis sessions; in three sessions, the dialysate temperature was (37 °C) and in three other sessions, the dialysate temperature was (35 °C). Specific scale questionnaires were used in each dialysis session, to evaluate the symptoms during the dialysis procedure as well as post-dialysis fatigue, and respective scores were noted. Blood pressure, heart rate, temperature were recorded. Also dialysis efficacy using Kt/v, urea reduction ratio were measured.Results:The results showed that usage of low dialysate temperature was associated with the following : higher post dialysis systolic blood pressure (P < 0.05) and lower post dialysis heart rate (P < 0.05), better intra-dialysis symptoms score and post-dialysis fatigue scores (P < 0.05 and P < 0.05, respectively), shorter post-dialysis fatigue period (P < 0.05) as well as Similar urea removal and Kt/V .Conclusion:Cool dialysis is an important factor in hemodynamic stability during hemodialysis. Also it improves symptoms during and after hemodialysis. Cool dialysis has no effect on adequacy of dialysis.Key words:Hemodialysis, Cool dialysate, Hypotension, Hemodynamic


Article
Orthostatic Hypotension Predicts The Early Morbidity And Mortality In Patients With Ischemic Heart Disease In Coronary Care Unit

Author: dr. Safaa Ali Khudhair د. صفاء علي خضير
Journal: Thi-Qar Medical Journal مجلة ذي قار الطبية ISSN: 19929218 Year: 2009 Volume: 3 Issue: 1 Pages: 33-39
Publisher: Thi-Qar University جامعة ذي قار

Loading...
Loading...
Abstract

ABSTRACTBackground: The mechanism by which the orthostatic hypotension and cardiac autonomic neuropathy increase cardiovascular morbidity and mortality remain to be settled. Some studies found exercise intolerance in patients with cardiac autonomic neuropathy with a reduced response in heart rate and blood pressure and decreased cardiac output during exercise. An association between cardiac autonomic neuropathy and QT prolongation has been shown.Objective: To asses the role of the orthostatic hypotension in the development of the early cardiovascular complications in the patients of the coronary care unit.Patients and method: In this a prospective observational follow up study, (50) patients with ischemic heart diseases were included. Blood pressure was measured with the standard mercury sphygmomanometer, the measurement in supine position was taken after at least 15 minutes of rest and the measurement in standing position was taken at the third minutes of standing, the orthostatic hypotension is said to be present when there was a sustained drop in systolic (≥ 20 mmHg) or diastolic (≥ 10 mmHg) blood pressure at the third minute of standing up.Results: Out of twenty two patients with orthostatic hypotension fifteen patients developed cardiovascular complications and out of twenty eight patients without orthostatic hypotension five patients developed cardiovascular complications, this association is statistically significant Conclusion: Orthostatic hypotension can be used as a prognostic marker for the development of early adverse outcomes in patients with acute coronary syndrome, thus it can be useful tool to screen the high risk patients in the coronary care unit.


Article
Incidence Of Intradialytic Hypotension In Patients On Hemodialysis In Al Kindy Teaching Hospital

Author: Dr. Ali Jasim Hashim Al_Saedi
Journal: Karbala Journal of Medicine مجلة كربلاء الطبية ISSN: 19905483 Year: 2012 Volume: 5 no 1 Issue: 11 Pages: 1350-1359
Publisher: Kerbala University جامعة كربلاء

Loading...
Loading...
Abstract

Aim Of The Study: To Find Out The Incidence Of Intradialytic Hypotension In Esrd.Patients And Methods: From March To August 2010, (50) Patients With Esrd On Chronic Hemodialysis Program In Al Kindy Teaching Hospital Dialysis Unit Were Studied Cross Sectionally For Evidence Of Idh. The Patients Were On Hemodialysis Program For A Period That Ranged Between 1/4/2004 And 12/4/2010.The Study Sample Consists Of 25 Men And 25 Women With An Age From 18 To 80 Years And Their Body Weight Varied From 40 To 94 Kg And Height Varied From 140 To 186 Cm. Heparin Is Used As An Anticoagulant. Frequency Of Dialysis Differed From One Patient To Another Depending On Patient Condition, Availability Of Machine, It Ranged From Once Weekly To Thrice Weekly Lasting 3-4 Hours Per Session.The Blood Pressure Of All (50) Patients Were Measured Using Mercury Type Sphygmomanometer. The Blood Pressure Were Measured Pre Dialysis During And Post Dialysis. Ultrasound Of Abdomen Done For All (50) Patients. Idh Is Defined As A Decrease In Systolic Blood Pressure By ≥20 Mm Hg Or A Decrease In Map By 10 Associated With Symptoms That Include ; Abdominal Discomfort, Yawning, Sighing, Nausea, Vomiting, Muscle Cramps, Restlessness, Dizziness Or Fainting And Anxiety[2].Results:For 50 Patients The Following Results Obtained:The Total Number Is 20 Patients Developed Idh(40%).25 Females, Of Them 12 Patients Developed Idh(48%). 25 Males, Of Them 8 Patients Developed Idh(32%), 6 Patient Of Age >_ 65 Years, Of Them 3 Patients Developed Idh(50%).19 Patients Are Overweight (Bmi>25),Of Them 9 Patients Developed Idh(47.4%). 28 Patients With Normal Weight (Bmi=18.5-25),Of Them 10 Patients Developed Idh(35.7%),3 Patients Are Under Weight (Bmi<18.5),Of Them One Patient Developed Idh(33.3%). 41 Patients Take Antihypertensive Treatment, Of Them 16 Patients Developed Idh(39%), 5 Patients Have Diabetes , Of Them 2 Patients Developed Idh(40%).Discussion: Intradialytic Hypotension Is The Most Common Complication Associated With Hd, And Its Cause Is Multifactorial. Patients Subgroups Most Likely To Have Idh Include Those With Diabetic Ckd And Age >_65 Years. Both Normotensive Or Hypertensive Dialysis Patients Can Develop Idh. The Degree Of Idh In The Same Patient May Vary From Tim To Time, Other Risk Factors For The Development Of Idh Include Female Sex, And The Use Of Nitrates Before A Dialysis Session& Overzealous Use Of Antihypertensive Agents.Conclusion:Idh Is An Important Complication Of Hemodialysis.ThereIs ASignificant Number Of Patients With Esrd Who Developed Idh.Keywords:Intradialytic Hypotension, Hemodialysis, Al:Kindy Teaching Hospital


Article
Angiotensin Converting Enzyme Inhibitors, to Continue or Discontinue on the Morning Day of Surgery

Authors: Sabah Noori Al-saad --- Arkan Muhammed Mahdi
Journal: Iraqi Academic Scientific Journal المجلة العراقية للاختصاصات الطبية ISSN: 16088360 Year: 2013 Volume: 12 Issue: 2 Pages: 208-212
Publisher: The Iraqi Borad for Medical Specialization المجلس العراقي للاختصاصات الطبية

Loading...
Loading...
Abstract

ABSTRACT: BACKGROUND:Angiotensin converting enzyme inhibitors(ACEI) play a pivotal role in the management ofhypertension(11). whether to continue or discontinue them before surgery is an everyday encounteredquestion of both surgeon & patient, this issue is continuously submitting to debate & controversy.OBJECTIVE: To compare between the incidence of intra-operative hypotension in hypertensive patients whocontinue to take ACEI. & those who discontinue, & are undergoing general anesthesia for non-cardiacsurgery.PATIENTS AND METHOD:A comparative study consist of 40 patients presented to the Medical City, Baghdad Teaching Hospital& Surgical specialty Hospital between July 2011,to March 2012.the age of patients range from 38-70years old, they were 10 (25 %) men and 30 (75 %) women , they were divided into two groups;according to mode of medication, cases ( who were continued taking medication ) and control (whowere discontinued medication),twenty patient each, all patients underwent different surgicalinterventions under general anesthesia, they were studied & monitored intra-operatively regardingdevelopment of hypotension, this was done at time interval of 5 minutes & at starting point prior toinduction of general anesthesia until 20 minutes after.RESULTS: By comparing the mean systolic blood pressure (SBP) and diastolic blood pressure (DBP) in betweenboth groups of patients, those who were continued ACEI (group A) or those who werediscontinued(group B), it had been found that no significant differences in mean SBP neither preoperativelynoratdifferenttimeintra-operatively.P.valueinallcomparisonswas>0.05.CONCLUSION:Continuingor discontinuing ACEI before non-cardiac surgery under general anesthesia has nostatistical significance regarding concern of developing intra-operative hypotension.


Article
Cardiovascular Autonomic Impairment in Parkinson Disease

Authors: Asma'a Khalaf Hamod --- Ali Musa Ja'afer --- Abdul Kareem Kadim AL- Khazraji --- Isra'a Fayiq Ja'afer --- et al.
Journal: Diyala Journal of Medicine مجلة ديالى الطبية ISSN: 97642219 Year: 2015 Volume: 8 Issue: 1 Pages: 1-7
Publisher: Diyala University جامعة ديالى

Loading...
Loading...
Abstract

Background: Parkinson’s disease (PD) is a progressive neurodegenerative disorder characterized by motor dysfunction and several non-motor features. Dysautonomia is a significant non-motor feature as well as a neuropsychiatric symptom.Objective: To assess cardiovascular autonomic function in Parkinson patients.Patients and Methods: Samples were collected from Al Kadhimiya teaching hospital and Baquba teaching hospital in a period lasts from 1st January to 1st November 2013. Cardiovascular autonomic function had been tested in 44 Parkinson patients with autonomic dysfunction, 23 Parkinson patients without autonomic dysfunction and 25 healthy matched controls; using Valsalva maneuver, 30:15 ratio, and effect of posture on blood pressure.Results: The most frequent dysautonomic symptoms in parkinson disease were fainting and dizziness (postural hypotension) with a frequency of 26.8% with a P-value 0.015. The comparison between valsalva levels in three groups of study population was significant (P- value 0.04). The comparison between 30:15 ratio in three groups of study population was not significant statistically (P-value 0.344).Conclusion: Cardiovascular autonomic dysfunction is a common non-motor symptom associated with Parkinson's disease. It may precede the development of the cardinal motor symptoms in PD, making cardiovascular dysfunction an attractive target for early detection and potential neuroprotective strategies for PD. Valsalva maneuver and effect of changes in posture on blood pressure are affecting tests in cardiovascular autonomic study.


Article
Comparison of the effect of intravenous phenylephrin and ephedrine in treatment of hypotension after spinal anesthesia in cystoscopic surgery
مقارنة بين تأثير فينيليفرين وريدي و الايفيدرين في علاج انخفاض ضغط الدم بعد التخدير النخاعي في جراحة تنظير المثانة

Authors: Ahmed Jabbar Kadhim احمد جبار كاظم --- Jaafar Hameed Mahboba جعفر حميد محبوبة
Journal: Al-Qadisiyah Medical Journal مجلة القادسية الطبية ISSN: 18170153 Year: 2019 Volume: 15 Issue: 2 Pages: 84-92
Publisher: Al-Qadisiyah University جامعة القادسية

Loading...
Loading...
Abstract

Background: Hypotension may accompany cystoscopy during spinal anesthesia for which a variety of measures have been considered and none of which has accepted wide agreement. For that reason the present study was conducted. Aim of the study: The objective was to study the changes in blood pressure during cystoscopy under spinal anesthesia in two groups of patients, one on ephedrine and the other on phenylephrin.Patients and Methods: 100 patients were randomly assigned to two equal groups (n = 50). Randomization was done according to surgery list. Group 1 received ephedrine while group 2 received phenylephrine.Results: Regarding systolic blood pressure, there was no significant difference in mean systolic blood pressure at baseline reading (P> 0.05); however, it was significantly higher in group 2 than in group 2 during follow up. Regarding diastolic blood pressure, there was no significant difference in mean diastolic blood pressure at baseline reading (P> 0.05); however, it was significantly higher in group 2 than in group 1 during follow up (P< 0.05). Regarding heart rate, there was no significant difference in mean heart rate at baseline reading (P> 0.05); however, it was significantly lower in group 2 than in group 1 during follow up (P< 0.05). Conclusion: Phenylephrine is better than ephedrine in controlling hypotension after spinal anesthesia in cystoscopy.

الخلفية: قد يرافق انخفاض ضغط الدم تنظير المثانة أثناء التخدير النخاعي الذي تم النظر في مجموعة متنوعة من التدابير ولم يقر أي منها باتفاق واسع. لهذا السبب أجريت الدراسة الحالية.الهدف من الدراسة: كان الهدف هو دراسة التغيرات في ضغط الدم أثناء تنظير المثانة تحت التخدير النخاعي في مجموعتين من المرضى ، واحدة على الايفيدرين والأخرى على فينيليفرين.المرضى والأساليب: تم ​​تعيين 100 مريض عشوائيا إلى مجموعتين متساويتين (ن = 50). تم التعشية وفقا لقائمة الجراحة. تلقت المجموعة 1 الإيفيدرين بينما تلقت المجموعة 2 فينيليفرين.النتائج: فيما يتعلق بضغط الدم الانقباضي ، لم يكن هناك فرق كبير في متوسط ​​ضغط الدم الانقباضي عند القراءة الأساسية (P> 0.05) ؛ ومع ذلك ، كان أعلى بكثير في المجموعة 2 منه في المجموعة 2 أثناء المتابعة. فيما يتعلق بضغط الدم الانبساطي ، لم يكن هناك فرق كبير في متوسط ​​ضغط الدم الانبساطي عند القراءة الأساسية (P> 0.05) ؛ ومع ذلك ، كان أعلى بكثير في المجموعة 2 منه في المجموعة 1 أثناء المتابعة (P <0.05). فيما يتعلق بمعدل ضربات القلب ، لم يكن هناك فرق كبير في متوسط ​​معدل ضربات القلب عند القراءة الأساسية (P> 0.05) ؛ ومع ذلك ، كان أقل بكثير في المجموعة 2 منه في المجموعة 1 أثناء المتابعة (P <0.05).الخلاصة: فينيليفرين أفضل من الايفيدرين في السيطرة على انخفاض ضغط الدم بعد التخدير الشوكي في تنظير المثانة.

Listing 1 - 6 of 6
Sort by
Narrow your search

Resource type

article (6)


Language

English (6)


Year
From To Submit

2019 (1)

2015 (1)

2014 (1)

2013 (1)

2012 (1)

More...