Circadian variation of cardiogenic pulmonary oedema
The result's identifiers
Result code in IS VaVaI
<a href="https://www.isvavai.cz/riv?ss=detail&h=RIV%2F00179906%3A_____%2F16%3A10324357" target="_blank" >RIV/00179906:_____/16:10324357 - isvavai.cz</a>
Alternative codes found
RIV/00216208:11150/16:10324357 RIV/00216208:11120/16:43911762
Result on the web
<a href="http://dx.doi.org/10.1016/j.ejim.2016.02.017" target="_blank" >http://dx.doi.org/10.1016/j.ejim.2016.02.017</a>
DOI - Digital Object Identifier
<a href="http://dx.doi.org/10.1016/j.ejim.2016.02.017" target="_blank" >10.1016/j.ejim.2016.02.017</a>
Alternative languages
Result language
angličtina
Original language name
Circadian variation of cardiogenic pulmonary oedema
Original language description
Introduction: Circadian variation of in-hospital acute cardiogenic pulmonary oedema (CPE) with the highest occurrence in the early morning has been reported repeatedly. However, no study evaluating circadian variation of CPE in the field has been published. Therefore, we decided to evaluate the circadian variation of CPE in the Central Bohemian Region of the Czech Republic in the patients treated by regional emergency medical service (EMS) and analyse its association with baseline blood pressure in the field. Methods: We extracted all dispatches to CPE cases from EMS database for the period from 1.11.2008 to 30.6.2014 and analysed for circadian variation. We identified the patients presenting with CPE coupled with arterial hypertension (systolic blood pressure >140 mm Hg) and hypotension (systolic blood pressure <90 mm Hg) and compared the subgroups (both subgroups include 2744 subjects). Results: In 4747 episodes of CPE, maximal occurrence was detected in the ninth hour in the morning, representing 7.7% of all CPE episodes (p < 0.05). While CPE with hypertension (2463 subjects) reached maximal occurrence also in the ninth hour (7.4% of all cases, p < 0.05), CPE with hypotension (281 patients) was most frequent in the fourteenth hour (8.6% of all cases, p < 0.05). Conclusion: The highest occurrence of CPE was observed in the ninth hour in the morning in our study. Moreover, differences in circadian variation between CPE with hypertension and hypotension were identified. Knowledge of these patterns may have an impact on the logistic of prehospital emergency care and on preventive measures in the patients who have previously undergone CPE.
Czech name
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Czech description
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Classification
Type
J<sub>x</sub> - Unclassified - Peer-reviewed scientific article (Jimp, Jsc and Jost)
CEP classification
FP - Other medical fields
OECD FORD branch
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Result continuities
Project
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Continuities
I - Institucionalni podpora na dlouhodoby koncepcni rozvoj vyzkumne organizace
Others
Publication year
2016
Confidentiality
S - Úplné a pravdivé údaje o projektu nepodléhají ochraně podle zvláštních právních předpisů
Data specific for result type
Name of the periodical
European Journal of Internal Medicine
ISSN
0953-6205
e-ISSN
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Volume of the periodical
31
Issue of the periodical within the volume
June
Country of publishing house
NL - THE KINGDOM OF THE NETHERLANDS
Number of pages
5
Pages from-to
50-54
UT code for WoS article
000376511400022
EID of the result in the Scopus database
2-s2.0-84969939826