RESUMEN
BACKGROUND: Serial blood pressure and heart rate measurements, particularly obtained by the patients at home, are currently recommended for the management of patients. METHODS: Home blood pressure and heart rate measurements were obtained by an 81-year old husband and his 74-year old wife in the morning and evening, over the course of an entire month. RESULTS: Morning and evening systolic blood pressure (129.9 ± 5.5, 125.9 ± 10.2, respectively), and diastolic blood pressure (69.2 ± 4.0, 70.1 ± 5.3) were not different (P > .05), heart rate (61.2 ± 2.9, 69.0 ± 5.5) was higher in the evening (P = .00001) in the husband, while systolic blood pressure (134.7 ± 9.6, 119.0 ± 12.0) and diastolic blood pressure (78.6 ± 5.6, 72.1 ± 7.3) were higher in the morning (P = .00001, P = .00031), and heart rate (62.7 ± 4.7, 68.2 ± 4.6) was higher in the evening (P = .00017) in the wife. CONCLUSIONS: Patient-generated serial home blood pressure and heart rate logs provide essential data for the patients' management and could potentially be useful in research; circadian variation of blood pressure and heart rate calls for implementation of chronotherapeutic principles for the time of drug administration.
Asunto(s)
Monitoreo Ambulatorio de la Presión Arterial , Frecuencia Cardíaca , Humanos , Masculino , Anciano , Frecuencia Cardíaca/fisiología , Anciano de 80 o más Años , Monitoreo Ambulatorio de la Presión Arterial/métodos , Femenino , Presión Sanguínea/fisiología , Hipertensión/tratamiento farmacológico , Hipertensión/fisiopatología , Hipertensión/diagnóstico , Ritmo Circadiano/fisiologíaAsunto(s)
Antagonistas Adrenérgicos beta/administración & dosificación , Taquicardia Ventricular/diagnóstico , Taquicardia Ventricular/prevención & control , Disfunción Ventricular Izquierda/terapia , Antagonistas Adrenérgicos beta/efectos adversos , Desfibriladores Implantables , Esquema de Medicación , Cardioversión Eléctrica/instrumentación , Técnicas Electrofisiológicas Cardíacas , Humanos , Selección de Paciente , Medición de Riesgo , Taquicardia Ventricular/etiología , Resultado del Tratamiento , Disfunción Ventricular Izquierda/complicaciones , Disfunción Ventricular Izquierda/fisiopatologíaAsunto(s)
Muerte Súbita Cardíaca/prevención & control , Técnicas Electrofisiológicas Cardíacas/métodos , Deportes/fisiología , Taquicardia Ventricular/diagnóstico , Adulto , Arritmias Cardíacas/diagnóstico , Arritmias Cardíacas/fisiopatología , Estudios de Cohortes , Electrocardiografía Ambulatoria , Femenino , Estudios de Seguimiento , Humanos , Masculino , Evaluación de Necesidades , Valores de Referencia , Sensibilidad y Especificidad , Taquicardia Ventricular/fisiopatología , Factores de TiempoRESUMEN
Serial electrocardiograms (ECGs) obtained in a 79-year-old woman revealed consistently sharp regular high-voltage spikes, which were superimposed on her ECG curve, and which were caused by an implanted pelvic electrical stimulator used for the management of a neurogenic bladder, with symptoms of urinary urgency and incontinence.