Kenneth M. Madden , Boris Feldman , Graydon S. Meneilly
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引用次数: 0
摘要
休克指数(SI)的升高,定义为心率(HR)/收缩压(BP),对老年人即将发生的休克没有太大的区别。我们假设压力反射功能障碍是老年人较低基线SI的潜在解释。老年人52例(女性29例,男性23例,年龄≥65岁;平均年龄(77.8±0.9岁)。在基线时测量SI、修正冲击指数(MSI, HR/mean BP)、年龄校正SI (age * SI)以及气压反射函数(使用序列法)。SI(标准化β = 0.392, p = 0.005)、MSI(标准化β = 0.385, p = 0.006)、Age * SI(标准化β = 0.431, p = 0.002)与BRSup呈显著正相关。年龄* SI与BRS也呈显著正相关(标准化β = 0.329, p = 0.019)。自主神经功能障碍与老年人低SI相关,可能掩盖循环不稳定
Baseline shock index and baroreflex function in older adults
Elevations in shock index (SI), defined as heart rate (HR)/systolic blood pressure (BP) are less discriminative of impending shock in older adults. We hypothesized baroreflex dysfunction as a potential explanation for lower baseline SI in older adults. 52 older adults (29 women, 23 men, age ≥ 65; mean age 77.8 ± 0.9 years) were recruited. SI, the modified shock index (MSI, HR/mean BP), and the age corrected SI (Age * SI) as well as baroreflex function (using the sequence method) was measured at baseline. SI (Standardized β = 0.392, p = 0.005), MSI (Standardized β = 0.385, p = 0.006) and Age * SI (Standardized β = 0.431, p = 0.002) showed significant positive associations with BRSup. Age * SI also showed a significant positive association with BRS (Standardized β = 0.329, p = 0.019). Autonomic dysfunction is associated with lower SI in older adults, potentially masking circulatory instability.