The Influence of Commonly-Encountered Participant Behaviors on Cardiovascular Indices during Testing.

IF 3.2 3区 医学 Q2 PERIPHERAL VASCULAR DISEASE American Journal of Hypertension Pub Date : 2024-11-25 DOI:10.1093/ajh/hpae146
Natalie N McLaurin, Taha Alhalimi, Andrea Ramos, George Trevino, Hirofumi Tanaka
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Abstract

Background: During laboratory testing, participants rest quietly in a supine posture with little movement. However, it is rather common for participants to display various behaviors. The extent to which these common encounters influence cardiovascular measures is unknown.

Methods: Fifty-five adults (36±15 years) were studied during the following seven randomized conditions in the supine position: 1) quiet stationary rest (control), 2) while drowsy, 3) while and 4) after talking to investigators, 5) while and 6) after cell phone use for texting, and 7) lying on the side.

Results: Heart rate was greater when the participants were talking to investigators (+4 mmHg) and texting on cell phones (+5 mmHg) compared with quiet rest. Systolic blood pressure (BP) increased by 4 mmHg and diastolic BP by 3 mmHg while talking to investigators. Systolic BP was 6 mmHg and diastolic BP was 5 mmHg lower in the 'side lying' position compared with quiet rest. In the side-lying condition, carotid-femoral pulse wave velocity (PWV) was not able to be measured in 38% (n=16) of the participants while brachial-ankle PWV was not affected. Brachial-ankle PWV was greater while (+65 cm/s) and after (+29 cm/s) the participants were talking to investigators whereas carotid-femoral PWV was not able to be measured during talking. The drowsy behavior did not influence any of the BP and PWV measures.

Conclusion: Talking during the testing period significantly increases all the cardiovascular measures but cell phone use prior to the measures does not appear to influence them.

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测试期间参与者常见行为对心血管指标的影响
背景:在实验室测试过程中,参与者会以仰卧姿势安静地休息,几乎不做任何动作。然而,参与者表现出各种行为是相当常见的。这些常见行为对心血管测量的影响程度尚不清楚:研究了 55 名成年人(36±15 岁)在以下七种随机条件下的仰卧姿势:1)安静静止休息(对照组);2)昏昏欲睡时;3)与调查人员交谈时和交谈后;5)使用手机发短信时和发短信后;7)侧卧:与安静休息时相比,参与者与调查人员交谈时(+4 毫米汞柱)和使用手机发短信时(+5 毫米汞柱)的心率更高。与调查人员交谈时,收缩压升高 4 毫米汞柱,舒张压升高 3 毫米汞柱。与安静休息时相比,"侧卧 "时的收缩压降低了 6 毫米汞柱,舒张压降低了 5 毫米汞柱。在侧卧状态下,38% 的参与者(16 人)无法测量颈动脉-股动脉脉搏波速度(PWV),而肱动脉-踝动脉脉搏波速度不受影响。在参与者与调查人员交谈时(+65 厘米/秒)和交谈后(+29 厘米/秒),肱动脉-脚踝脉搏波速度较大,而在交谈期间则无法测量颈动脉-股动脉脉搏波速度。昏昏欲睡的行为没有影响任何血压和脉搏波速度的测量:结论:测试期间通话会明显增加所有心血管测量值,但在测量前使用手机似乎不会对其产生影响。
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来源期刊
American Journal of Hypertension
American Journal of Hypertension 医学-外周血管病
CiteScore
6.90
自引率
6.20%
发文量
144
审稿时长
3-8 weeks
期刊介绍: The American Journal of Hypertension is a monthly, peer-reviewed journal that provides a forum for scientific inquiry of the highest standards in the field of hypertension and related cardiovascular disease. The journal publishes high-quality original research and review articles on basic sciences, molecular biology, clinical and experimental hypertension, cardiology, epidemiology, pediatric hypertension, endocrinology, neurophysiology, and nephrology.
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