Volume 16, Issue 3 (Autumn 2012)                   J Qazvin Univ Med Sci 2012, 16(3): 40-45 | Back to browse issues page

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Erami E, Faghih S, Feizzade B, Esmaili H, Azhdari Zarmehri H. Correlation of extracorporeal shock wave lithotripsy with mean arterial blood pressure and heart rate in patients with kidney stones. J Qazvin Univ Med Sci. 2012; 16 (3) :40-45
URL: http://journal.qums.ac.ir/article-1-1326-en.html
1- Mashhad University of Medical Sciences, Mashhad, Iran , Email: faghihs@mums.ac.ir
Abstract:   (8105 Views)


  Background: At present, although more than 90% of renal stones are treated at a success rate of 68-86% with extracorporeal shock wave lithotripsy  (ESWL), complications such as the possible occurrence of hypertension are attributed to application of this technique .

  Objective: The purpose of this study was to determine the correlation of ESWL with the mean arterial blood pressure and heart rate.

  Methods: This analytical study was performed on 75 patients with kidney stones in Mashhad using non-probability and purposeful sampling. Blood pressure was measured at three stages before, during, and after lithotripsy in the supine position . The relationship between ESWL- related hypertension and autonomic neural activity was also evaluated by heart rate spectral analysis . Data was analyzed with t-test and one-way analysis of variance .

  Findings: The mean arterial blood pressure increased from 93.30±9.73 to 98.30±12.63 in men and from 87.82±11.08 to 96.08±14.51 mmHg in women during lithotripsy and the difference was found to significant, statistically (P<0.001) . The i ncidence of diastolic pressure ≥ 100 mmHg in patients with diastolic pressure less than 90 mmHg prior to lithotripsy was 7.5%.

  Conclusion: These results indicate the risk of hypertension during lithotripsy however, the possible occurrence of hypertension following lithotripsy needs more prospective studies.





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Type of Study: Research | Subject: Nursing

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