辐射诱导的巴罗反射功能障碍:一种罕见的严重正静性低血压病例
Paolo Nikolai So1, Abdul-Rahaman Adedolapo Ottun1, Saint-Martin Allihien2
1Internal Medicine, Piedmont Athens Regional Medical Center, Athens, USA.
放射治疗可能会导致巴罗反射失效,导致严重的正静性低血压和卧底高血压. 早期识别和用德洛克西多巴和阿姆洛迪平量身定制的治疗可以改善结果.
科学领域:
- 神经学 神经学
- 心脏病学 心脏病学
- 在瘤学瘤学.
背景情况:
- 巴罗反射失效是正静性低血压的一个未被认可的原因.
- 头部放射治疗可以导致自主功能障碍.
- 位置性血压变化是一个关键的临床标志.
研究的目的:
- 为了突出辐射诱导的巴罗反射失败作为正静性低血压的原因.
- 在放射治疗后呈现早期发病的巴罗反射失败病例.
- 讨论这种情况的管理策略.
主要方法:
- 一个88岁的男性患者的病例报告.
- 综合性检查,不包括自主功能障碍的其他原因.
- 基于血压变化和缺乏HR反应的辐射诱导巴罗反射失效的临床推断.
主要成果:
- 患者在放射治疗后三周出现严重的静止性低血压和卧底性高血压.
- 排除自主功能障碍的结构性,内分泌和透性原因.
- 用德洛克西多巴,压缩疗法和定位抗高血压剂改善症状.
结论:
- 放射治疗是巴罗反射失败的潜在原因,即使发病时间比以前报告的更早.
- 在患有多血管疾病的患者中,识别辐射诱导的巴罗反射失效至关重要.
- 多方面的治疗方法可以有效地管理症状并改善静止性耐受性.
更多相关视频
09:56Implantation of Combined Telemetric ECG and Blood Pressure Transmitters to Determine Spontaneous Baroreflex Sensitivity in Conscious Mice
Published on: February 14, 2021
04:37Improved Home Blood Pressure Control by CT-guided Ozone-mediated Renal Denervation for Patients with Resistant Hypertension
Published on: June 6, 2025
相关概念视频
Disorders of the Autonomic Nervous System
Raynaud's disease, also known as Raynaud's...
Alterations in Blood Pressure
Hypertension (High blood pressure)
Hypertension occurs when blood pressure readings consistently exceed the normal range. It is diagnosed when systolic blood pressure (the top number, indicating pressure while the heart...
Neural Regulation of Blood Pressure
Baroreceptor Reflex
Baroreceptors, located in the carotid sinuses and aortic arch, detect changes in blood pressure. When blood pressure rises, these stretch-sensitive receptors...
Hypertension II: Pathophysiology
Hypertension and Regulation of Blood Pressure
Blood Pressure Imbalances and Circulatory Shock
Blood Pressure: Hypertension and Hypotension
Normal blood pressure is 120/80 mm Hg. Elevated blood pressure is 120-129/under 80 mm Hg. Hypertension, warranting treatment at 130/80 mm Hg, is often asymptomatic and can lead to severe cardiovascular events, aneurysms, peripheral arterial disease, chronic renal disease, or cardiac...
