Linked Life Data

2030815

Source:http://linkedlifedata.com/resource/pubmed/id/2030815

Statements in which the resource exists as a subject.
PredicateObject
rdf:type
lifeskim:mentions
pubmed:issue
1-2
pubmed:dateCreated
1991-6-20
pubmed:abstractText
Cardiovascular autonomic control was studied in a patient with an incomplete high spinal cord lesion who presented with the symptoms of severe dizziness during debating and singing but not during orthostasis. The marked falls in blood pressure upon singing and orthostasis (45 degrees passive head-up tilt) were comparable in magnitude but different in time course. The fall in blood pressure upon graded Valsalva manoeuvres, however, was comparable to singing in magnitude and time course; similarly, 20 and 30 mmHg strain evoked complaints of dizziness. These differential circulatory responses upon orthostasis versus singing and Valsalva in tetraplegic patients have not been described before. We suggest that rapidly developing hypotension such as that induced by a moderate Valsalva strain represents the instantaneous mechanical effects of a raised intrathoracic pressure with lack of abdominal compression on the cardiovascular system when baroreflex vasomotor modulation is disrupted.
pubmed:language
eng
pubmed:journal
pubmed:citationSubset
IM
pubmed:status
MEDLINE
pubmed:month
Feb
pubmed:issn
0300-2977
pubmed:author
pubmed:issnType
Print
pubmed:volume
38
pubmed:owner
NLM
pubmed:authorsComplete
Y
pubmed:pagination
75-9
pubmed:dateRevised
2004-11-17
pubmed:meshHeading
pubmed:year
1991
pubmed:articleTitle
Singing-induced hypotension: a complication of a high spinal cord lesion.
pubmed:affiliation
Department of Medicine, University of Amsterdam, The Netherlands.
pubmed:publicationType
Journal Article, Case Reports