SU1387972A1 - Method of determining the disturbance of hemodynamics - Google Patents

Description

(21) 3747753 / 28-14

(22) 06.06.84

(46) 04/15/88. Bul Number 14

(71) Saratov State Medical Institute

(72) N.D. Ustimova

(53) 615.475 (088.8)

(56) Handbook of functional diagnostics / Ed. And .. Ah, Kassirsky. M., 1970, p. 41-42.

(54) METHOD FOR DETERMINING HEMODYNAMIC DISORDERS

(57) The invention relates to medicine, more specifically to endocrinology, can be used in therapy, cardiology, functional diagnostics. The purpose of the invention is the differentiation of the types of hemodynamic disorders. A patient is examined on an empty stomach with blood sugar levels, blood pressure is measured in the sitting position. The glucose load is then given in the supine position and is measured in the same BP position for 5 to 60 minutes every 5 minutes. Then re-examine blood sugar levels. Blood pressure is again measured in the sit position after 75, 90, 105, 120 min, then the blood sugar level. The increase in systolic pressure is more than 10-15 mm Hg. with diastolic 90-120 mm Hg. and under hyperglycemia, the hypertonic type of hemodynamics is determined, and by a decrease in systole by 10-15 mm Hg. and more and with diastole 70-40 mm Hg and below, hypotonic hemodynamics is determined under the same conditions.

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The invention relates to medicine, namely to endocrinology, and can also be used in therapy, cardiology, and functional diagnostics.

The aim of the invention is to differentiate the types of hemodynamic disorders.

Example. Sick A., 52 years old was admitted for examination. In order to determine the state of hemodynamics and exclude diabetes mellitus, the patient is examined on an empty stomach, blood sugar level (5.28 mmol / l), blood pressure is measured in the sitting position (140/90 mm Hg) and lying down (150 / 95 mm Hg).

Then the patient is given a glucose load (75.0 g in 200 ml of water). The patient is placed on a couch on his back, blood pressure is measured in the supine position. The following results were obtained:

 Time elapsed - blood pressure, neck after glu-mmHg of goat load, min

5155/100

Ш155 / 100

15155/110

20145/90

25145/100

30140/100

35135/100

40135/100

45130/95

50150/100

60155/100

Then examine the blood sugar level (to the 60th minute) - 12.21 mmol / l. Then, in a patient in a sitting position without movement, arterial blood pressure is measured after 75 minutes (150/100 mm Hg), after 90 minutes (140/100 mm Hg), after 105 minutes (150/100 mm Hg) after 120 minutes (150/100 mm Hg). Then examine the level of sugar in blood (after 120 minutes) 9.44 mmol / l.

Thus, the pre-burned method revealed a hypertonic type of hemodynamic disturbance, since in the subject systolic pressure it increased from 140 to 155 mm Hg, i.e. by 15 mm Hg. The patient's diastolic pressure varied from 90 to ON mm Hg. Glycemia changes correlated with impaired glucose tolerance.

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PRI mme R 2. Ill J., 19 years old. Suffering from diffuse toxic, goiter Struma III Art. In order to determine the state of hemodynamics and exclude diabetes mellitus, a patient is examined on an empty stomach with blood sugar levels (2.77 mmol / l), blood pressure is measured in the f110 / 65 mm Hg position and in the supine position (120 / / 40 mm mercury.) Then the patient is given a glucose load (75.0 g in 200 ml of water). The patient is placed on a couch on his back, blood pressure is measured in the supine position. The results are as follows: Time passed, blood pressure, neck after glu-mmHg goat load, min

5100/40

10100/60

15100/50

20100/50

30110/55

40115/50

45110/50

50110/60

60100/40.

Then examines the blood sugar level (after 60 min) - 3.88 mmol / l. The patient sits down and her blood pressure is measured after 75 minutes (105 (75 mm Hg), after 90 minutes (105 / / 65 mm Hg), after 105 minutes (100 / / 55 mm Hg), after 120 min (105 / / 65 mm Hg). Then examine the blood sugar level (after 120 min) 4.99 mmol / l. .

Thus, the proposed method revealed a hypotonic type of hemodynamic disturbance, since the systolic pressure in the patient under study decreased from 110-120 to 100-105 mm Hg, i.e. more than 10-15 mm Hg The patient's diastolic pressure varied from 75-65 to 40 mm Hg. Glycemia changes were normal.

Claims (1)

Invention Formula A method for determining hemodynamic disorders by registering myocardial function before and after a sugar load, characterized in that, in order to differentiate the types of hemodynamic disturbances, fasting blood sugar levels and arteric pressure of sitting and lying are determined, and then sugar load is given every 5 minutes blood pressure is measured for one hour while lying down, and sugar level in the blood is measured for a miner., and then for another hour every 15 minutes blood pressure is measured in the sitting position without movement. , and after 120 minutes - the level of sugar in the blood and the size of the resources This systolic pressure is more than 10–15 mm Hg with a diastolic pressure of 90–120 mm Hg and in hyperglycemia conditions, the hypertonic type of hemodynamics is determined, and by reducing the systolic pressure by 10–15 mm Hg or more with diastolic a pressure of 70–40 mm Hg and below, under hypotonic hyperglycemia conditions, a hypotonic type of hemodynamics is determined.