2021, Number 1
Cardiometabolic vulnerability and blood pressure in short-term postpartum
Full text
Language: Spanish
References: 17
Page: 1-8
PDF size: 359.07 Kb.
ABSTRACT
Introduction: Cardiometabolic vulnerability due to body fat can be a useful indicator during pregnancy and after delivery, in the prevention of cardiovascular events.Objective: To describe possible associations of cardiometabolic vulnerability due to body adiposity with changes in blood pressure in the short-term postpartum.
Methods: A cross-sectional descriptive observational study was carried out from January 2017 to August 2018, in 119 women at Chiqui Gómez Lubián community clinic. The sustained weight test was applied, the mean and standard deviation of the calculated systolic, diastolic and mean arterial pressure were determined at rest and two minutes after the first reading. The quantitative changes in blood pressure at rest and with subsequent physical stimulation were analyzed, according to cardiometabolic vulnerability due to body fat, 18 months after delivery. These women were classified into three groups according to their vascular response to physical stimulation, evaluated by changes in blood pressure: normoreactive, hyperreactive and with a hypertensive response. The Kruskal-Wallis test was applied for the comparison of independent samples.
Results: Increase in mean blood pressure values in women with VGlobal Extrema AGA / CA (DBP, PAS_2min, DBP_2min and MAP-2min) and with VAGI (TAS and TAM). 36.4% of the women with a hyperreactive response, had VAGI and 45.5% had VAGA. The only case with a hypertensive response had VGlobal Extrema AGA/CA.
Conclusions: The early characterization of cardiometabolic vulnerability due to body adiposity can alert about changes in vascular reactivity which leads to later cardiovascular events.
REFERENCES
Rapsomaniki E, Timmis A, George J, Pujades Rodriguez M, Shah AD, Denaxas S, et al. Bloodpressure and incidence of twelve cardiovascular diseases: lifetime risks, healthy life-years lost,and age-specific associations in 1.25 million people. Lancet. 2014[acceso: 22/03/2020];383(9932).Disponible en: https://www.sciencedirect.com/ science/article/pii/S0140673614606851
Pérez Caballero MD, León Álvarez JL, Dueñas Herrera A, Alfonzo Guerra JP, Navarro DespaigneDA, de la Noval García R, et al. Guía cubana de diagnóstico, evaluación y tratamiento de lahipertensión arterial. Rev Cubana Med. 2017[acceso: 22/03/2020];56(4). Disponible en:http://scielo.sld.cu/scielo.php?pid=S0034-75232017000400001&script=sci_ arttext&tlng=en
Carey RM, Whelton PK. Prevention, detection, evaluation, and management of high bloodpressure in adults: synopsis of the 2017 American College of Cardiology/American HeartAssociation Hypertension Guideline. Ann Int Med 2018[acceso: 22/06/2020];168(5). Disponible en:https://www.acpjournals.org/doi/pdf/10.7326/M17-3203
Orozco Muñoz C, Cañizares Luna O, Sarasa Muñoz N. Estado nutricional, acumulación de tejidoadiposo y vulnerabilidad cardiometabólica en gestantes sanas de peso adecuado. Gac Méd Espirit.2018[acceso: 20/05/2020];20(2). Disponible en: http://scielo.sld.cu/scielo.php?script=sci_serial&pid=1608-8921&lng=es& nrm=iso
Orozco Muñoz C, Sarasa Muñoz NL, Hernández Díaz D, Cañizares Luna O, Álvarez Guerra E,Artiles Santana A. Indicadores antropométricos para la caracterización de la adiposidad corporalen gestantes sanas al inicio del embarazo. CorSalud. 2018[acceso: 31/05/2020];10(4). Disponibleen: http://scielo.sld.cu/scielo.php?pid=S2078-71702018000400 274&script=sci_arttext&tlng=en
Paz Basanta H, Ventura Espina JL, Rojas Rodríguez I, Rivero de la Torre JR, González Paz H,Menéndez Carrasco J. Valor de la prueba del peso sostenido para pesquizaje de hipertensiónarterial a la población. Medicentro. 1997[acceso: 03/03/2020];1(2). Disponible en:http://www.revmedicentro.sld.cu/index.php/medicentro/article/view/127/231
Vasconcelos Petribú M, Coelho Cabral P, da Silva Diniz A, Cabral de Lira P, Batista Filho M,Kruze Grande de Arruda I. Prevalencia de obesidad visceral estimada por ecuación predictiva enmujeres jóvenes Pernambucana. Arq Bras Cardiol. 2012[acceso: 27/05/2020];98(4). Disponible en:https://docplayer.es/50062551-Prevalencia-de-obesidad-visceral-estimada-por-ecuacionpredictiva-en-mujeres-jovenes-pernambucanas.html
Madeira FB, Silva AA, Veloso HF, Goldani MZ, Kac G, Cardoso VC, et al. Normal weight obesityis associated with metabolic syndrome and insulin resistance in young adults from a middle-incomecountry. PLoS One. 2013[acceso: 27/05/2020];8(3). Disponible en:http://journals.plos.org/plosone/ article?id=10.1371/journal.pone.0060673
Fiorentino TV, Marini MA, Succurro E, Andreozzi F, Sesti G. Relationships of surrogate indexesof insulin resistance with insulin sensitivity assessed by euglycemic hyperinsulinemic clamp andsubclinical vascular damage. BMJ Open Diab Res Care. 2019[acceso: 20/05/2020];7(1). Disponibleen: https://drc.bmj.com/content/bmjdrc/7/1/e000911.full.pdf
Sabán Ruiz J. El endotelio sano y enfermo. El papel estelar del óxido nítrico y de laangiotensina II. Importancia de la mitocondria. Conceptos de disfunción, síndrome y patologíaendoteliales. En: Sabán Ruiz J. Control Global del riesgo Cardiometabólico La disfunción endotelialcomo diana preferencial. España: Editorial Díaz de Santos; 2009. p. 81 -110.
León Regal M, Rodríguez Mikhail B, Brito Pérez de Corcho Y, González Otero L, de ArmasGarcía J, Miranda Alvarado L. La hiperreactividad cardiovascular y su asociación con factores deriesgo cardiovasculares. Rev Finlay. 2015[acceso: 03/04/2020];5(4). Disponible en:http://scielo.sld.cu/scielo.php?pid=S2221-24342015000400003&script=sci_ arttext&tlng=en
Ortiz Alcolea L, Cutiño Clavel I, Ramón Rizo Rodríguez RR, Lazo Herrera LA, Albarrán TorresFA, Ibarra Peso JM, et al. Regulación autonómica cardiovascular durante la prueba del pesosostenido en pacientes sanos y diabéticos tipo 2. Rev Cubana Invest Bioméd. 2020[acceso:22/05/2020];39(1). Disponible en: http://scielo.sld.cu/pdf/ibi/v39n1/ 1561-3011-ibi-39-01-e361.pdf