Cardiometabolic vulnerability and blood pressure in short-term postpartum

Authors

Keywords:

Vulnerabilidad en salud, presión arterial, adiposidad, período posparto

Abstract

Introduction: Cardiometabolic vulnerability due to body fat can be a useful indicator during pregnancy and after delivery, in the prevention of cardiovascular events.Objective: To describe possible associations of cardiometabolic vulnerability due to body adiposity with changes in blood pressure in the short-term postpartum.Methods: A cross-sectional descriptive observational study was carried out from January 2017 to August 2018, in 119 women at Chiqui Gómez Lubián community clinic. The sustained weight test was applied, the mean and standard deviation of the calculated systolic, diastolic and mean arterial pressure were determined  at rest and two minutes after the first reading. The quantitative changes in blood pressure at rest and with subsequent physical stimulation were analyzed, according to cardiometabolic vulnerability due to body fat, 18 months after delivery. These women were classified into three groups according to their vascular response to physical stimulation, evaluated by changes in blood pressure: normoreactive, hyperreactive and with a hypertensive response. The Kruskal-Wallis test was applied for the comparison of independent samples.Results: Increase in mean blood pressure values in women with VGlobal Extrema AGA / CA (DBP, PAS_2min, DBP_2min and MAP-2min) and with VAGI (TAS and TAM). 36.4% of the women with a hyperreactive response, had VAGI and 45.5% had VAGA. The only case with a hypertensive response had VGlobal Extrema AGA / CA.Conclusions: The early characterization of cardiometabolic vulnerability due to body adiposity can alert about changes in vascular reactivity which leads to later cardiovascular events.

 

Keywords: vulnerability in health; blood pressure; adiposity; postpartum period.

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Author Biographies

Calixto Orozco Muñoz, Universidad de Ciencias Médicas de Villa Clara

Médico. Especialista de Segundo Grado en Medicina General Integral. Máster en Atención Primaria. Profesor e Investigador Auxiliar. Jefe de Dpto de MGI. Universidad de Ciencias Médicas de Villa Clara

Oscar Cañizares Luna, Universidad de Ciencias Médicas de Villa Clara

Médico. Dr. en Ciencias Médicas. Especialista de Segundo Grado en Anatomía Humana. Máster en Educación Médica y en Educación Avanzada. Profesor e Investigador Titular. Profesor Consultante

Nélida Liduvina Sarasa Muñoz, Universidad de Ciencias Médicas de Villa Clara

Médico. Dra. en Ciencias Médicas. Especialista de Segundo Grado en Anatomía Humana. Máster en Educación Médica. Profesora e Investigadora Titular. Profesora Consultante.

Elizabeth Alvarez Guerra Gonzalez, Universidad de Ciencias Médicas de Villa Clara

Médico. Especialista de Primer Grado en Medicina General Integral y Bioestadística. Profesora Asistente.

Yoel Orozco Muñoz, Universidad de Ciencias Médicas de Villa Clara

Médico. Especialista de Primer Grado en Medicina General Integral. Profesor Asistente

Luis Manuel Reyes Hernández, Cardiocentro Ernesto Guevara de la Serna, Villa Clara, Cuba.

Médico.Especialista de Primer Grado en Medicina General Integral y Cardiología. Profesor Asistente

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Published

2020-09-09

How to Cite

1.
Orozco Muñoz C, Cañizares Luna O, Sarasa Muñoz NL, Alvarez Guerra Gonzalez E, Orozco Muñoz Y, Reyes Hernández LM. Cardiometabolic vulnerability and blood pressure in short-term postpartum. Rev Cubana Med [Internet]. 2020 Sep. 9 [cited 2026 Feb. 13];60(1). Available from: https://revmedicina.sld.cu/index.php/med/article/view/1547

Issue

Vol. 60 No. 1 (2021): enero-marzo

Section

Original articles

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