Chronobiological analysis of blood pressure in a patient with atrial fibrillation at the development of heart failure and its therapeutic and surgical treatment

Dynamics of blood pressure (BP) and heart rate (HR) was traced by automatic monitoring every 30 min uninterruptedly along several months in a patient suffering from combined atrial fibrillation and heart failure during the development of disease and its therapeutic and surgical treatment (pacemaker implanting and atrioventricular ablation). Analyses of spectral components as well as signal's shape revealed instabilities in circadian and semicircadian parameters. A new approach for signal's form description without using cosine approximation is suggested. The meaning that referring a patient as dipper, night peaker, or nondipper might be useful at choosing tactics of his treatment is impugned, because all these "types" can transform themselves in the same person in few days. Optimization timing of treatment provides better results if not the "types" of daily profile would be taken to account but the real form of the BP-signal and timing its first and second derivatives. © 2013 Sergey Chibisov et al.

Авторы
Chibisov S. 1 , Katinas G.2 , Brodskaya I.2 , Ertman A.2 , Gromyko G.2 , Konradi A.3 , Mamontov O.3 , Merkuryeva A.2 , Polunicheva E.2 , Shlyakhto E.3 , Soboleva A.2 , Yashin S.2 , Bhavdip B. 1
Редакторы
-
Издательство
Hindawi Limited
Номер выпуска
1
Язык
Английский
Страницы
-
Статус
Опубликовано
Подразделение
-
Номер
490705
Том
1
Год
2013
Организации
  • 1 People's Friendship University of Russia, Moscow 117198, Russian Federation
  • 2 Saint Petersburg State Medical University, St. Petersburg 197098, Russian Federation
  • 3 VA Almasov Heart, Blood and Endocrinology Centre, Russian Federation
Ключевые слова
beta adrenergic receptor blocking agent; calcium channel blocking agent; dipeptidyl carboxypeptidase inhibitor; diuretic agent; ablation therapy; aged; article; artificial heart pacemaker; blood pressure monitoring; case report; chronobiology; circadian rhythm; diastolic blood pressure; electrocardiography monitoring; essential hypertension; heart atrium fibrillation; heart failure; heart rate; human; male; priority journal; signal processing; systolic blood pressure
Дата создания
19.10.2018
Дата изменения
19.10.2018
Постоянная ссылка
https://repository.rudn.ru/ru/records/article/record/2182/