RESUMO
UNLABELLED: The concept of normohemodynamics is based on the fact that the main function of the cardiovascular system is the transport of oxygen. The cardiovascular system is adapting to a new hemodynamic status with every heartbeat. Only one class, called the normohemodynamic state, containing a simultaneous normotension and normodynamic flow, can serve as therapeutic goal. Metabolic syndrome includes a constellation of clinical and biological features that confer an increased cardiovascular risk. Clutter hemodynamic modulators in metabolic syndrome and assessment of hemodynamic status both overall and by its components, open new perspectives in the management of patients with hypertension and metabolic syndrome. MATERIAL AND METHODS: In the current study were included 32 patients meeting the criteria for metabolic syndrome and hypertension and 32 controls. Patients were monitored and assessed for the global hemodynamic status and for the modulators of hemodynamics, intravascular volume, vasoactivity and inotropy, respectively. RESULTS AND CONCLUSIONS: There are no significant differences in the global hemodynamic status between the study group and the control group; in the study group there is a clear weathering of hemodynamic modulators. The improvement of these factors opens a new perspective in the global cardiovascular assessment and therapeutic directions.
Assuntos
Hemodinâmica , Hipertensão/fisiopatologia , Síndrome Metabólica/fisiopatologia , Doenças Cardiovasculares/etiologia , Estudos de Casos e Controles , Humanos , Hipertensão/complicações , Hipertensão/tratamento farmacológico , Síndrome Metabólica/complicações , Monitorização Fisiológica , Contração Muscular , Avaliação de Resultados em Cuidados de Saúde , Medição de Risco , Fatores de Risco , VasoconstriçãoRESUMO
UNLABELLED: The metabolic syndrome is a problem which regards public health this phenomenon being explined by the world -wide obesity epidemy.The metabolic syndromes prevalence varies with the studied populations.The unhealthy lifestyle which is defined by peoples sedentary character and unhealthy diets is being significantlly asociated with the metabolic syndromes prevalence growth. MATERIAL AND METHODS: The study was performed on 836 individuals with ages between 25 and 65 years, who have a questionnare based interview.Their blood pressure was measured, some anthropometric measures were taken and several laboratory test were made. The diagnosis of metabolic syndrome was established according to the consensual deffinition that was published in October 2009. RESULTS AND CONCLUSIONS: The metabolic syndrome is a compilation of clinical and biological elements which cause the individ to have a higher cardiovascular risk. The metabolic syndrome increased prevalance in the study is significantlly asociated with the growth of the obesitys and hypertensions prevalance. The lifestyle of the individuals from the study is based on unhealthy diets and sedentarism.