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Can pulse wave velocity measured preoperatively predict hypotension in hypertensive patients during anesthesia induction?
During the induction of general anesthesia, hemodynamic instability is a common occurrence in elderly hypertensive patients with increased arterial stiffness, which can cause undesirable complications. Pulse wave velocity (PWV) is an important indicator of arterial stiffness. Investigate if preopera...
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| Published in: | Annals of Saudi medicine 2023-05, Vol.43 (3), p.154-160 |
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| container_title | Annals of Saudi medicine |
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| creator | Yılmaz, Sinan Ömürlü, Imran Kurt |
| description | During the induction of general anesthesia, hemodynamic instability is a common occurrence in elderly hypertensive patients with increased arterial stiffness, which can cause undesirable complications. Pulse wave velocity (PWV) is an important indicator of arterial stiffness.
Investigate if preoperatively measured PWV is related to hemodynamic changes during induction of general anesthesia.
Prospective, case control.
University hospital.
The study was carried out between December 2018 and December 2019 in patients 50 years or older scheduled for elective otolaryngology with endotracheal intubation and who had an American Society of Anesthesiologists (ASA) score of I or II. Patients diagnosed with hypertension (HT) or receiving treatment for hypertension for systolic blood pressure (SBP) ≥140 mm Hg and/or diastolic blood pressure ≥90 mm Hg were compared with non-hypertensive patients (non-HT) of matching age and gender.
PWV values between HT and non-HT patients and hypotension rates at the 30th second of induction, the 30th second of intubation, and the 90th second of intubation between the HT and non-HT groups.
139 (95 with HT and 44 non-HT) RESULTS: PWV was higher in the HT group than in the non-HT group ( |
| doi_str_mv | 10.5144/0256-4947.2023.154 |
| format | article |
| fullrecord | <record><control><sourceid>proquest_doaj_</sourceid><recordid>TN_cdi_doaj_primary_oai_doaj_org_article_3232780cea4d41fcb9754f5452364b57</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><doaj_id>oai_doaj_org_article_3232780cea4d41fcb9754f5452364b57</doaj_id><sourcerecordid>2822367785</sourcerecordid><originalsourceid>FETCH-LOGICAL-c420t-ab515590ca596259823d2b3d3c828a0fccd972ebb1fc093bb4f629eb545ec4ee3</originalsourceid><addsrcrecordid>eNpVkslu3DAMho2gQZOmfYEcCh978VTWYlmnoBh0CRCgl_QsaKFnFHgsV7Kn8NuHziRBc5JI_vwokSyK65psRM35V0JFU3HF5YYSyja14GfFJVFSVJw3zTu8vwguig85PxBCCWfsfXHBJJWkkeqyWLZmKMe5z1D-M0coj9BHF6alPIDJcwJfjgniCMlMAWPLavrgpnK_jHGCIYc4lGFYTUhPNkJGFMMw5dLPKQy70gyQpz3kYFDqZzdh0s3H4rwzWPfT83lV_Pnx_X77q7r7_fN2--2ucpySqTJW1EIo4oxQDRWqpcxTyzxzLW0N6ZzzSlKwtu4cUcxa3jVUgRVcgOMA7Kq4PXF9NA96TOFg0qKjCfrJEdNOmzQF14NmlFHZEgeGe448i73kHZIoa7gVElk3J9Y42wN4h59Mpn8DfRsZwl7v4lHXhNWSK4qEL8-EFP_O2BZ9CNlB32OP4pw1bSkWk7IVKKUnqUsx5wTda52a6HUB9Dpfvc5XrwugcQEw6fP_L3xNeZk4ewQQEq_M</addsrcrecordid><sourcetype>Open Website</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2822367785</pqid></control><display><type>article</type><title>Can pulse wave velocity measured preoperatively predict hypotension in hypertensive patients during anesthesia induction?</title><source>Open Access: PubMed Central</source><creator>Yılmaz, Sinan ; Ömürlü, Imran Kurt</creator><creatorcontrib>Yılmaz, Sinan ; Ömürlü, Imran Kurt</creatorcontrib><description>During the induction of general anesthesia, hemodynamic instability is a common occurrence in elderly hypertensive patients with increased arterial stiffness, which can cause undesirable complications. Pulse wave velocity (PWV) is an important indicator of arterial stiffness.
Investigate if preoperatively measured PWV is related to hemodynamic changes during induction of general anesthesia.
Prospective, case control.
University hospital.
The study was carried out between December 2018 and December 2019 in patients 50 years or older scheduled for elective otolaryngology with endotracheal intubation and who had an American Society of Anesthesiologists (ASA) score of I or II. Patients diagnosed with hypertension (HT) or receiving treatment for hypertension for systolic blood pressure (SBP) ≥140 mm Hg and/or diastolic blood pressure ≥90 mm Hg were compared with non-hypertensive patients (non-HT) of matching age and gender.
PWV values between HT and non-HT patients and hypotension rates at the 30th second of induction, the 30th second of intubation, and the 90th second of intubation between the HT and non-HT groups.
139 (95 with HT and 44 non-HT) RESULTS: PWV was higher in the HT group than in the non-HT group (
<.001). Hypotension at the 30th second of intubation in the HT group was significantly more frequent than in the non-HT group (
=.025). PWV was higher in hypotensive (n=62) than in non-hypotensive patients but the difference was statistically significant only for PWV measured at 30th second of intubation (n=77) (
=.018).
The easily and non-invasively measured preoperative PWV may be an effective means of predicting hypotension during the induction of general anesthesia at the 30th second of intubation in HT patients.
Numbers of patients in the groups were not the same, and the study was not sufficiently powered to investigate the effect of hypertensive medications on PWV and arterial stiffness.
None.</description><identifier>ISSN: 0256-4947</identifier><identifier>EISSN: 0975-4466</identifier><identifier>DOI: 10.5144/0256-4947.2023.154</identifier><identifier>PMID: 37270679</identifier><language>eng</language><publisher>Saudi Arabia: King Faisal Specialist Hospital and Research Centre</publisher><subject>Aged ; Anesthesia, General - adverse effects ; Blood Pressure - physiology ; Humans ; Hypertension - complications ; Hypotension - etiology ; Original ; Prospective Studies ; Pulse Wave Analysis</subject><ispartof>Annals of Saudi medicine, 2023-05, Vol.43 (3), p.154-160</ispartof><rights>Copyright © 2023, Annals of Saudi Medicine, Saudi Arabia 2023</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c420t-ab515590ca596259823d2b3d3c828a0fccd972ebb1fc093bb4f629eb545ec4ee3</cites><orcidid>0000-0002-5281-137X</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC10317492/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC10317492/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,727,780,784,885,27924,27925,53791,53793</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/37270679$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Yılmaz, Sinan</creatorcontrib><creatorcontrib>Ömürlü, Imran Kurt</creatorcontrib><title>Can pulse wave velocity measured preoperatively predict hypotension in hypertensive patients during anesthesia induction?</title><title>Annals of Saudi medicine</title><addtitle>Ann Saudi Med</addtitle><description>During the induction of general anesthesia, hemodynamic instability is a common occurrence in elderly hypertensive patients with increased arterial stiffness, which can cause undesirable complications. Pulse wave velocity (PWV) is an important indicator of arterial stiffness.
Investigate if preoperatively measured PWV is related to hemodynamic changes during induction of general anesthesia.
Prospective, case control.
University hospital.
The study was carried out between December 2018 and December 2019 in patients 50 years or older scheduled for elective otolaryngology with endotracheal intubation and who had an American Society of Anesthesiologists (ASA) score of I or II. Patients diagnosed with hypertension (HT) or receiving treatment for hypertension for systolic blood pressure (SBP) ≥140 mm Hg and/or diastolic blood pressure ≥90 mm Hg were compared with non-hypertensive patients (non-HT) of matching age and gender.
PWV values between HT and non-HT patients and hypotension rates at the 30th second of induction, the 30th second of intubation, and the 90th second of intubation between the HT and non-HT groups.
139 (95 with HT and 44 non-HT) RESULTS: PWV was higher in the HT group than in the non-HT group (
<.001). Hypotension at the 30th second of intubation in the HT group was significantly more frequent than in the non-HT group (
=.025). PWV was higher in hypotensive (n=62) than in non-hypotensive patients but the difference was statistically significant only for PWV measured at 30th second of intubation (n=77) (
=.018).
The easily and non-invasively measured preoperative PWV may be an effective means of predicting hypotension during the induction of general anesthesia at the 30th second of intubation in HT patients.
Numbers of patients in the groups were not the same, and the study was not sufficiently powered to investigate the effect of hypertensive medications on PWV and arterial stiffness.
None.</description><subject>Aged</subject><subject>Anesthesia, General - adverse effects</subject><subject>Blood Pressure - physiology</subject><subject>Humans</subject><subject>Hypertension - complications</subject><subject>Hypotension - etiology</subject><subject>Original</subject><subject>Prospective Studies</subject><subject>Pulse Wave Analysis</subject><issn>0256-4947</issn><issn>0975-4466</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2023</creationdate><recordtype>article</recordtype><sourceid>DOA</sourceid><recordid>eNpVkslu3DAMho2gQZOmfYEcCh978VTWYlmnoBh0CRCgl_QsaKFnFHgsV7Kn8NuHziRBc5JI_vwokSyK65psRM35V0JFU3HF5YYSyja14GfFJVFSVJw3zTu8vwguig85PxBCCWfsfXHBJJWkkeqyWLZmKMe5z1D-M0coj9BHF6alPIDJcwJfjgniCMlMAWPLavrgpnK_jHGCIYc4lGFYTUhPNkJGFMMw5dLPKQy70gyQpz3kYFDqZzdh0s3H4rwzWPfT83lV_Pnx_X77q7r7_fN2--2ucpySqTJW1EIo4oxQDRWqpcxTyzxzLW0N6ZzzSlKwtu4cUcxa3jVUgRVcgOMA7Kq4PXF9NA96TOFg0qKjCfrJEdNOmzQF14NmlFHZEgeGe448i73kHZIoa7gVElk3J9Y42wN4h59Mpn8DfRsZwl7v4lHXhNWSK4qEL8-EFP_O2BZ9CNlB32OP4pw1bSkWk7IVKKUnqUsx5wTda52a6HUB9Dpfvc5XrwugcQEw6fP_L3xNeZk4ewQQEq_M</recordid><startdate>202305</startdate><enddate>202305</enddate><creator>Yılmaz, Sinan</creator><creator>Ömürlü, Imran Kurt</creator><general>King Faisal Specialist Hospital and Research Centre</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><scope>5PM</scope><scope>DOA</scope><orcidid>https://orcid.org/0000-0002-5281-137X</orcidid></search><sort><creationdate>202305</creationdate><title>Can pulse wave velocity measured preoperatively predict hypotension in hypertensive patients during anesthesia induction?</title><author>Yılmaz, Sinan ; Ömürlü, Imran Kurt</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c420t-ab515590ca596259823d2b3d3c828a0fccd972ebb1fc093bb4f629eb545ec4ee3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2023</creationdate><topic>Aged</topic><topic>Anesthesia, General - adverse effects</topic><topic>Blood Pressure - physiology</topic><topic>Humans</topic><topic>Hypertension - complications</topic><topic>Hypotension - etiology</topic><topic>Original</topic><topic>Prospective Studies</topic><topic>Pulse Wave Analysis</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Yılmaz, Sinan</creatorcontrib><creatorcontrib>Ömürlü, Imran Kurt</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><collection>DOAJ Directory of Open Access Journals</collection><jtitle>Annals of Saudi medicine</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Yılmaz, Sinan</au><au>Ömürlü, Imran Kurt</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Can pulse wave velocity measured preoperatively predict hypotension in hypertensive patients during anesthesia induction?</atitle><jtitle>Annals of Saudi medicine</jtitle><addtitle>Ann Saudi Med</addtitle><date>2023-05</date><risdate>2023</risdate><volume>43</volume><issue>3</issue><spage>154</spage><epage>160</epage><pages>154-160</pages><issn>0256-4947</issn><eissn>0975-4466</eissn><abstract>During the induction of general anesthesia, hemodynamic instability is a common occurrence in elderly hypertensive patients with increased arterial stiffness, which can cause undesirable complications. Pulse wave velocity (PWV) is an important indicator of arterial stiffness.
Investigate if preoperatively measured PWV is related to hemodynamic changes during induction of general anesthesia.
Prospective, case control.
University hospital.
The study was carried out between December 2018 and December 2019 in patients 50 years or older scheduled for elective otolaryngology with endotracheal intubation and who had an American Society of Anesthesiologists (ASA) score of I or II. Patients diagnosed with hypertension (HT) or receiving treatment for hypertension for systolic blood pressure (SBP) ≥140 mm Hg and/or diastolic blood pressure ≥90 mm Hg were compared with non-hypertensive patients (non-HT) of matching age and gender.
PWV values between HT and non-HT patients and hypotension rates at the 30th second of induction, the 30th second of intubation, and the 90th second of intubation between the HT and non-HT groups.
139 (95 with HT and 44 non-HT) RESULTS: PWV was higher in the HT group than in the non-HT group (
<.001). Hypotension at the 30th second of intubation in the HT group was significantly more frequent than in the non-HT group (
=.025). PWV was higher in hypotensive (n=62) than in non-hypotensive patients but the difference was statistically significant only for PWV measured at 30th second of intubation (n=77) (
=.018).
The easily and non-invasively measured preoperative PWV may be an effective means of predicting hypotension during the induction of general anesthesia at the 30th second of intubation in HT patients.
Numbers of patients in the groups were not the same, and the study was not sufficiently powered to investigate the effect of hypertensive medications on PWV and arterial stiffness.
None.</abstract><cop>Saudi Arabia</cop><pub>King Faisal Specialist Hospital and Research Centre</pub><pmid>37270679</pmid><doi>10.5144/0256-4947.2023.154</doi><tpages>7</tpages><orcidid>https://orcid.org/0000-0002-5281-137X</orcidid><oa>free_for_read</oa></addata></record> |
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| ispartof | Annals of Saudi medicine, 2023-05, Vol.43 (3), p.154-160 |
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| language | eng |
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| source | Open Access: PubMed Central |
| subjects | Aged Anesthesia, General - adverse effects Blood Pressure - physiology Humans Hypertension - complications Hypotension - etiology Original Prospective Studies Pulse Wave Analysis |
| title | Can pulse wave velocity measured preoperatively predict hypotension in hypertensive patients during anesthesia induction? |
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