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Circadian variability of blood pressure in patients with systolic heart failure and impact of medical treatment / Wedad Mahmoud Rafat Abousehly ; Supervised Mohammed Abdelghany , Hosam Elhosary , Ghada Reda

By: Contributor(s): Material type: TextTextLanguage: English Publication details: Cairo : Wedad Mahmoud Rafat Abousehly , 2014Description: 109 P. : facsimiles ; 25cmOther title:
  • التغيرات التى تحدث فى ضغط الدم عند مرضى ضعف عضلة القلب ومدى تأثير العلاج الدوائى على هذه التغيرات [Added title page title]
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Dissertation note: Thesis (M.Sc.) - Cairo University - Faculty of Medicine - Department of Cardiology Summary: Background: Ambulatory Blood Pressure Monitoring may improve the risk/benefit ratio of treatments in advanced systolic heart failure by detecting impact of medical treatment on circadian variability of BP. OBJECTIVE: To evaluate the circadian variability of blood pressure in patients with advanced systolic heart failure and impact of medical treatment. METHODS: Prospective controlled study. We studied 28 patients with NYHA functional class IV congestive heart failure. Twenty four hour AMBPM was performed twice (at decompensation stage NYHA class IV and compensation stage NYHA class II) and data of both readings were analyzed and detection of LV contractility by ECHO. RESULTS: .Three deaths occurred after the 1st reading and four deaths occurred after the 2nd reading. Twenty two patients (78.6%) are male. Mean age of the patients was 55.3±13.2 years, 15 patients (53.6%) are hypertensive, 12patients (42.9%) are diabetic, 18 patients (64.3%) are smoker and 10 patients (35%) have positive family history of idiopathic cardiomyopathy. Systolic BP dipping (SBP dipping) improved and became after medical treatment (1%-9%) in10 patients (55.5%) , (>9%) in 3 patients (16.6% ) and became (<1%) in 5 patients(27.7%) with improvement
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Item type Current library Home library Call number Copy number Status Barcode
Thesis Thesis قاعة الرسائل الجامعية - الدور الاول المكتبة المركزبة الجديدة - جامعة القاهرة Cai01.11.04.M.Sc.2014.We.C (Browse shelf(Opens below)) Not for loan 01010110064248000
CD - Rom CD - Rom مخـــزن الرســائل الجـــامعية - البدروم المكتبة المركزبة الجديدة - جامعة القاهرة Cai01.11.04.M.Sc.2014.We.C (Browse shelf(Opens below)) 64248.CD Not for loan 01020110064248000

Thesis (M.Sc.) - Cairo University - Faculty of Medicine - Department of Cardiology

Background: Ambulatory Blood Pressure Monitoring may improve the risk/benefit ratio of treatments in advanced systolic heart failure by detecting impact of medical treatment on circadian variability of BP. OBJECTIVE: To evaluate the circadian variability of blood pressure in patients with advanced systolic heart failure and impact of medical treatment. METHODS: Prospective controlled study. We studied 28 patients with NYHA functional class IV congestive heart failure. Twenty four hour AMBPM was performed twice (at decompensation stage NYHA class IV and compensation stage NYHA class II) and data of both readings were analyzed and detection of LV contractility by ECHO. RESULTS: .Three deaths occurred after the 1st reading and four deaths occurred after the 2nd reading. Twenty two patients (78.6%) are male. Mean age of the patients was 55.3±13.2 years, 15 patients (53.6%) are hypertensive, 12patients (42.9%) are diabetic, 18 patients (64.3%) are smoker and 10 patients (35%) have positive family history of idiopathic cardiomyopathy. Systolic BP dipping (SBP dipping) improved and became after medical treatment (1%-9%) in10 patients (55.5%) , (>9%) in 3 patients (16.6% ) and became (<1%) in 5 patients(27.7%) with improvement

Issued also as CD

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