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Age and Gender-Related Differences in Hypotensive and Hypertensive Responses to Stellate Ganglion Block

Age and Gender-Related Differences in Hypotensive and Hypertensive Responses to Stellate Ganglion Block

作     者:Shigeru Yokota Chikuni Taneyama Hiroshi Goto 

作者机构:Chishukai Taneyama Clinic Nagano Japan Department of Anesthesiology University of Kansas Medical Center Kansas City USA 

出 版 物:《Open Journal of Anesthesiology》 (麻醉学期刊(英文))

年 卷 期:2017年第7卷第7期

页      面:175-183页

学科分类:1002[医学-临床医学] 100201[医学-内科学(含:心血管病、血液病、呼吸系病、消化系病、内分泌与代谢病、肾病、风湿病、传染病)] 10[医学] 

主  题:Stellate Ganglion Block Hypertension Hypotension Gender Age 

摘      要:Purpose: The aim of the current study was to investigate: 1) Whether there is an association between age and changes in systolic blood pressure (SBP) after stellate ganglion block (SGB), and 2) Whether gender plays a role in hypotensive and hypertensive responses to SGB. Methods: We retrospectively reviewed SBP changes (ΔSBP) due to SGB, which were performed on 1641 subjects. SBP 30 min after SGB was compared to the baseline values. For the age study, average age of both sexes was calculated for six ranges of ΔSBP. For the gender study, the numbers of subjects (%) in various ranges of positive and negative values of ΔSBP were compared between men and women. Results: There was a significant association between age and both increasing (p Conclusions: There was an association between age and blood pressure changes after SGB and the association is most likely due to age-related alteration of cardiovascular functions. The different changes of SBP between men and women after SGB may well be attributable to gender differences of autonomic nervous regulation;sympathetic dominant man versus, parasympathetic dominant women.

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