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A method of predicting MAGNITUDE lowering blood pressure in patients with hypertension and breathing disorders during sleep during therapy with a positive pressure in the airways

机译:预测在气道正压治疗期间睡眠期间高血压和呼吸障碍患者血压降低的方法

摘要

A method for predicting the value of lowering blood pressure in patients with essential hypertension and impaired breathing during sleep on the background of positive pressure therapy in the respiratory tract, characterized in that the patient with hypertension 2-3 tbsp. carried cardiorespiratory monitoring, including the registration of the air flow, thoracic and abdominal respiratory effort, electrocardiogram with a heart rate variability analysis and pulse oximetry method photoplethysmography to estimate the transit time of the pulse wave, and in case of detection of the apnea-hypopnea index of more than 20 events per hour in combination with minimum level of saturation less than 85%, the therapy of positive airway pressure in an automatic mode in the range 4-15 cm. water column for 12 days, those carried out repeated research cardiorespiratory and by decreasing the propagation velocity of the pulse wave more than 10% and / or power low / high frequency ratio over 15% predict a decrease in systolic blood pressure 20 or more mmHg and diastolic blood pressure by 10 mmHg and more than 6 months.
机译:一种在呼吸道正压疗法的背景下预测原发性高血压和睡眠呼吸困难的患者降低血压值的方法,其特征在于高血压患者为2-3汤匙。进行心肺监护,包括空气流量的记录,胸腔和腹部呼吸的努力,带有心率变异性分析的心电图和脉搏血氧饱和度测定法的光电容积描记法,以估计脉搏波的传播时间,并在发现呼吸暂停低通气的情况下指数每小时超过20个事件,并且最低饱和度水平小于85%,自动模式的气道正压疗法在4-15厘米范围内。水柱持续12天时,那些反复进行心肺呼吸研究并通过降低脉搏波的传播速度超过10%和/或功率低频/高频比超过15%的人预测收缩压降低20毫米汞柱以上,并且舒张压降低10 mmHg并超过6个月。

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