Abstract
Cardiovascular dysfunction and cognitive decline are more common in traumatic spinal cord injury (SCI). Most people with a cervical or upper-thoracic SCI usually experience conditions called orthostatic hypotension and autonomic dysreflexia, which are described by the serious changes in systemic blood pressure. To evaluate baseline heart rate (HR), baseline blood pressure (BP) and ABPM monitoring in traumatic paraplegia patients. In this study, total 36 diagnosed of paraplegia patients was based on Asia Impairment Scale (AIS), paralysed by RTA, or fall from height within 7 days of injury were included in this study. The blood pressure was monitoring for 24 hour/2 day and repeated after 12th day of first monitoring. Ambulatory blood pressure was monitored by ABPM machine at HALF hourly from 6 am – 10 pm and one hourly from 10 pm – 6 am. All the continuous variables were compared by t- test. The night dipping (Systole) and morning surge (Systole) were significantly lower at 12th days as compared to within 7 Days (p=0.002). Whereas the diurnal Index (Diastole) and diurnal Index (MAP) were comparable in between within 7 days and 12th days. The mean SBP max and SBP min were significantly lower at 12th day as compared to within 7 days. Whereas DBP max and min were comparable in between within 7 days and at 12th days. The changes in min., max and mean double product (All, active periods, and passive periods) were also not found to be statistically significant in between within 7 days and at 12th day. The traumatic paraplegic patients have altered diurnal index, morning surge, night dipping and systolic blood pressure on APBM monitoring.
Highlights
The traumatic spinal cord injury can cause sensory, motor just as autonomic weakness prompts cardiovascular system dysfunction as a result of the disturbance in the autonomic nervous pathways, leading to complications such as orthostatic hypotension (OH) and autonomic dysreflexia (AD) [1]-[3]
To these variations in blood pressure and heart rate, the deficiency of thoughtful information is connected with diminished diurnal variety in BP relying upon the level and seriousness of injury [1], [9]
Fall from height was the major mode of injury which was observed in 44.1% cases
Summary
The traumatic spinal cord injury can cause sensory, motor just as autonomic weakness prompts cardiovascular system dysfunction as a result of the disturbance in the autonomic nervous pathways, leading to complications such as orthostatic hypotension (OH) and autonomic dysreflexia (AD) [1]-[3]. The cardiovascular disease (CVD) has become a significant wellspring of morbidity and mortality in spinal cord injury individuals [4], [5]. The level of injury may increase the risk of CVD such as the impairment in autonomic regulation of cardiovascular that causes instability in blood pressure (BP) [7], [8]. To these variations in blood pressure and heart rate, the deficiency of thoughtful information is connected with diminished diurnal variety in BP relying upon the level and seriousness of injury [1], [9]. The SCI included the functional disability, loss of autonomy, mortality, morbidity, and great lifetime costs, including the criticalness of limiting the course of damage to the microenvironment around the injury [13]
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