geoscience.net logo
+ Resolve Article
+ Follow Us
Follow on FacebookFollow on Facebook
Follow on TwitterFollow on Twitter

+ Translate
+ Subscribe to Site Feed
GeoScience Most Shared ContentMost Shared Content

The application of the non-invasive lung ventilation technique (CPAP therapy) for the early comprehensive rehabilitation of the patients with metabolic syndrome and "night-piker" arterial hypertension


, : The application of the non-invasive lung ventilation technique (CPAP therapy) for the early comprehensive rehabilitation of the patients with metabolic syndrome and "night-piker" arterial hypertension. Voprosy Kurortologii, Fizioterapii, i Lechebnoi Fizicheskoi Kultury: 11-14

The treatment of patients presenting with metabolic syndrome and "night-piker" arterial hypertension is a most difficult task facing modern therapy. It was shown that metabolic disorders and night-time elevation of arterial pressure in such patients are attributable to obstructive sleep apnea syndrome (OSAS). The present study included 32 patients suffering moderately severe or severe OSAS in conjunction with metabolic syndrome, and "night-piker" arterial hypertension. We tried to elucidate the role of CPAP therapy in the treatment and early rehabilitation of such patients. The study group included 17 patients and the control group was comprised of 15 subjects. The quality of sleep significantly improved in all the patients (100%) during 4 weeks of CPAP therapy; simultaneously, normalization of hemodynamics (the absence of the morning rise in AP) was documented. The morning rise in AP (up to 140/80 mmHg at awakening) persisted in 9 (60%) control patients. The mean cholesterol level decreased by 28.65% and 25.89% in the study and control groups respectively (p>0.1). (all patients in both groups were treated with statins). The level of C-reactive protein decreased more significantly in the study group compared with the control one (38.22% and 15.32% respectively; p<0.05). It is concluded that CPAP therapy produces beneficial effect in the patients with OSAS suffering hypertension during the night or early in the morning. CPAP therapy during 1 month did not have an appreciable effect on metabolic parameters. At the same time, long-term CPAP therapy promoted the reduction in the level of C-reactive protein known to be a predictor of cardiac complications.

US$29.90

PMID: 24137928


Other references

Maj, M.; Pirozzi, R.; D.C.prio, E.L., 1990: Major depression with mood-congruent psychotic features: a distinct diagnostic entity or a more severe subtype of depression?. The nosological status of major depression with mood-congruent psychotic features was explored by a cross-sectional demographic, clinical and biological assessment and a 7-year prospective follow-up of 2 samples of patients fulfilling, respectivel...

Arn Kaspar; Hosein Rachel; Foellmi Karl B.; Steinmann Philipp; Aubert Dominique; Kramers Jan, 2003: Strontium isotope systematics in two glaciated crystalline catchments; Rhone and Oberaar Glaciers (Swiss Alps). We studied the strontium (Sr) isotope composition of runoff and particulate material in two glaciated catchments, the Oberaar (OA) and the Rhone (RH) in the Swiss Alps. Both areas are contained within the crystalline rocks of the Aar Massif, but a...

Karstrup, S.; Hegedüs, L.; Sehested, M., 1984: Hyperparathyroidism after neck irradiation for Hodgkin's disease. A 38-year old man developed hypercalcaemia 13 years after treatment with mantle field radiation for Hodgkin's disease. A parathyroid tumour was removed surgically. The histological diagnosis was parathyroid adenoma with marked central fibrosi...

Cowell, J.K., 1981: Chromosome abnormalities associated with salivary gland epithelial cell lines transformed in vitro and in vivo with evidence of a role for genetic imbalance in transformation. Chromosomal abnormalities associated with five in vitro-transformed male mouse salivary gland epithelial cell lines were compared with those in three cell lines derived from in vivo-induced tumors. All cell lines were hypotetraploid. Structural ch...

Herynkopf, F.; Lucchese, F.; Pereira, E.; Kalil, R.; Prates, P.; Nesralla, I.A., 1994: Aprotinin in children undergoing correction of congenital heart defects. A double-blind pilot study. Thirty children undergoing surgical repair for congenital heart defects were randomly selected for a double-blind study on the anti-hemorrhagic and blood-saving properties of aprotinin. The treatment group comprised 14 patients who received aproti...

Wright, K.D.; Shirey, J., 2003: A pain management protocol for wound care. Ostomy/Wound Management 49(5): 18-20

Necula, B.S.; Apachitei, I.; Fratila-Apachitei, L.E.; Teodosiu, C.; Duszczyk, J., 2007: Stability of nano-/microsized particles in deionized water and electroless nickel solutions. A major problem in the co-deposition of nano- and microsized particles within electroless NiP coatings is particle dispersion in the electroless nickel solution because of the strong tendency of particles toward agglomeration and sedimentation. Th...

Ul'-Ianova, Ts, 1978: Qualitative changes in vacuum-processed butter during storage. Izvestiia vysshikh uchebnykh zavedenii Pishchevaia tekhnologiia: ) 148-149

Carvalho, L.C.; Goncalves, L.C.; Rodriguez, N.M.; Rodrigues, J.A.S.; Borges, I., 1998: Hydrocyanic acid levels in nine cultivars of Sudan grass (Sorghum sudanense). Nine cultivars of Sudan grass were planted at a research station in Sete Lagoas, Minas Gerais, Brazil in January 1996. Fresh grass was collected 60 days after planting and the hydrogen cyanide content determined. HCN concentrations ranged from 0.0...

Hart, A.; Davidhizar, R., 2007: What the nurse should know about the pulmonary system. The pulmonary system is vital to life. Illnesses of the pulmonary system may be minor or life threatening. It is very important for the nurse to be constantly aware of assessing a patient's respiratory status and limitations that may be prese...