A standard meal is a stimulus that produces a response that consists in the redistribution of blood flow to the splanchnic district, potentially, affecting systemic blood pressure, this phenomenon was studied in animal models and in critic patient. Here we report a case of a diabetic hypertensive-in-treatment woman where two significant blood pressure peaks were recorded, during lunch and dinner, over an optimal 24/h blood pressure control. In the absence of previous normal reference values in the literature, we retrieved a series of n=10 age and sex matched subjects diagnosed normotensive on the mean of 24/h Ambulatory Blood Pressure Monitoring. We finally present our considerations on the normal response to a standard meal compared to what was found in the literature and in the present case, where an impaired control of resistance is hypothesised, and on the possible mechanisms supporting.
Haemodynamic Response to a Standard Meal: Consideration on A Case of Significant Blood Pressure Peaks in a Diabetic Hypertensive Patient Treated with ARB and Comparison with Normal Age and Sex Matched Subjects / M.M. Ciulla, P. Vivona, G. Aldini. - In: ARCHIVES OF CLINICAL AND MEDICAL CASE REPORTS. - ISSN 2575-9655. - 3:6(2019 Nov 28), pp. 615-620.
|Titolo:||Haemodynamic Response to a Standard Meal: Consideration on A Case of Significant Blood Pressure Peaks in a Diabetic Hypertensive Patient Treated with ARB and Comparison with Normal Age and Sex Matched Subjects|
CIULLA, MICHELE MARIO (Primo) (Corresponding)
VIVONA, PATRIZIA (Secondo)
ALDINI, GIANCARLO (Ultimo)
|Parole Chiave:||Blood pressure; Diabetic; Cardiovascular; Essential arterial hypertension|
|Settore Scientifico Disciplinare:||Settore MED/11 - Malattie dell'Apparato Cardiovascolare|
Settore CHIM/08 - Chimica Farmaceutica
|Data di pubblicazione:||28-nov-2019|
|Data ahead of print / Data di stampa:||17-set-2019|
|Digital Object Identifier (DOI):||http://dx.doi.org/10.26502/acmcr.96550143|
|Appare nelle tipologie:||01 - Articolo su periodico|
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