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Shehata JH, El Sakka AI, Omran A, et al. Heart Rate Variability as A Predictor of Hypotension Following Spinal Anesthesia for Elective Caesarian Section in Preeclamptic Parturients: A Descriptive Observational Study. Open Access Maced J Med Sci. 2019;7(23):4043-4047doi: 10.3889/oamjms.2019.703.
Shehata, J. H., El Sakka, A. I., Omran, A., Gbre, M. A. M. A., Mohamed, A. A., Fetouh, A. M., Abourhama, A. A. A. H., & Belita, M. I. (2019). Heart Rate Variability as A Predictor of Hypotension Following Spinal Anesthesia for Elective Caesarian Section in Preeclamptic Parturients: A Descriptive Observational Study. Open access Macedonian journal of medical sciences, 7(23), 4043-4047. https://doi.org/10.3889/oamjms.2019.703
Shehata, Jehan Helmy, et al. "Heart Rate Variability as A Predictor of Hypotension Following Spinal Anesthesia for Elective Caesarian Section in Preeclamptic Parturients: A Descriptive Observational Study." Open access Macedonian journal of medical sciences vol. 7,23 (2019): 4043-4047. doi: https://doi.org/10.3889/oamjms.2019.703
Shehata JH, El Sakka AI, Omran A, Gbre MAMA, Mohamed AA, Fetouh AM, Abourhama AAAH, Belita MI. Heart Rate Variability as A Predictor of Hypotension Following Spinal Anesthesia for Elective Caesarian Section in Preeclamptic Parturients: A Descriptive Observational Study. Open Access Maced J Med Sci. 2019 Dec 11;7(23):4043-4047. doi: 10.3889/oamjms.2019.703. eCollection 2019 Dec 15. PMID: 32165949; PMCID: PMC7061395.
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Open Access Maced J Med Sci. 2019 Dec 11;7(23):4043-4047. doi: 10.3889/oamjms.2019.703. eCollection 2019 Dec 15.

Heart Rate Variability as A Predictor of Hypotension Following Spinal Anesthesia for Elective Caesarian Section in Preeclamptic Parturients: A Descriptive Observational Study.

Open access Macedonian journal of medical sciences

Jehan Helmy Shehata, Ahmed Ibrahim El Sakka, Amina Omran, Mahmoud Abdeltawab Mahmoud Atia Gbre, Ahmed Abdalla Mohamed, Ahmed Mohamed Fetouh, Abdelrahman Ahmed Aly Hassan Abourhama, Mohamed Ibrahim Belita

Affiliations

  1. Department of Anesthesiology & ICU, Faculty of Medicine, Cairo University, Cairo, Egypt.
  2. Anesthesiology Department, Faculty of Medicine, Cairo University, Cairo, Egypt.
  3. Department of Andrology, Sexology and STIs, Faculty of Medicine, Cairo University, Cairo, Egypt.

PMID: 32165949 PMCID: PMC7061395 DOI: 10.3889/oamjms.2019.703

Abstract

AIM: In this study we aimed to find out the heart rate variability measuring using electrical cardiometry is not reliable as a predictor for hypotension following spinal anesthesia in preeclamptic parturients undergoing elective cesarean section.

METHODS: Electrical Cardiometry system was used to measure Heart rate variability (HRV) at five different time points before fluid loading (T0, baseline), after fluid loading (T1), 5 min after spinal anaesthesia (T2), 15 min after spinal anaesthesia (T3) and 30 min after spinal anaesthesia (T4). Traditional HRV measurement was determined using time-domain analysis. This Observational descriptive cohort study was conducted in Kasr Al-Ainy Hospital, Faculty of Medicine, Cairo University from February 2018 till June 2019, after approval of the Ethical Committee and written patients consent.

RESULTS: The main finding of the current study is that heart rate variability measuring using electrical cardiometry is not reliable as a predictor for hypotension following spinal anaesthesia in preeclamptic parturients undergoing elective cesarean section.

CONCLUSION: Heart rate variability cannot be used as a predictor for hypotension following spinal anaesthesia in preeclamptic patients undergoing elective caesarean section using electrical cardiometry.

Copyright: © 2019 Jehan Helmy Shehata, Ahmed Ibrahim El Sakka, Amina Omran, Mahmoud Abdeltawab Mahmoud Atia Gbre, Ahmed Abdalla Mohamed, Ahmed Mohamed Fetouh, Abdelrahman Ahmed Aly Hassan Abourhama, Mohamed Ibrahim Belita.

Keywords: Cardiometry; Cesarean section; Heart rate variability; Preeclamptic parturients; Spinal anaesthesia

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