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PMID- 29252405
OWN - NLM
STAT- In-Process
LR  - 20171218
IS  - 1537-7385 (Electronic)
IS  - 0894-9115 (Linking)
VI  - 97
IP  - 1
DP  - 2018 Jan
TI  - Cardiovascular Monitoring During Video Urodynamic Studies in Persons With Spinal 
      Cord Injury.
PG  - 1-6
LID - 10.1097/PHM.0000000000000839 [doi]
AB  - OBJECTIVE: The aims of the study were to observe cardiovascular responses during 
      video urodynamic studies and to identify correlations between autonomic
      dysreflexia events and video urodynamic study findings in spinal cord injuries.
      DESIGN: Thirty-four persons with spinal cord injury were enrolled and
      investigated using continuous cardiovascular monitoring during video urodynamic
      studies. Associations between cardiovascular responses and video study variables 
      were analyzed. RESULTS: Bladder type-specific cardiovascular responses occurred
      during the study. The incidence of overactive detrusor during urodynamic study
      and bladder trabeculation on voiding cystourethrogram was significantly higher in
      autonomic dysreflexia persons with spinal cord injury (P < 0.05). Systolic blood 
      pressure changes showed moderate negative correlation (r = -0.402, P = 0.020)
      with bladder compliance and high positive correlation (r = 0.810, P = 0.000) with
      maximum detrusor pressure. However, no significant differences in neurological
      level of injury, injury completeness, autonomic dysreflexia symptoms, and voiding
      type were found. Spinal cord injury increase at each section was significantly
      higher in overactive detrusor group (P < 0.05). Significant bradycardia or
      tachycardia correlating with autonomic dysreflexia during urodynamic studies was 
      not observed. CONCLUSIONS: Unpredictable cardiovascular reactions during
      urodynamic study should be considered carefully in persons with a spinal cord
      injury above T6. TO CLAIM CME CREDITS: Complete the self-assessment activity and 
      evaluation online at http://www.physiatry.org/JournalCME CME OBJECTIVES: Upon
      completion of this article, the reader should be able to: (1) Describe
      limitations of previous cardiovascular monitoring during urodynamic study to
      observe changes in cardiovascular responses; (2) Identify factors contributing to
      autonomic dysreflexia during urodynamic testing; and (3) Discuss the effect of
      morphologic features in voiding cystourethrogram including trabeculation and
      vesicourethral reflux on autonomic dysreflexia. LEVEL: Advanced ACCREDITATION:
      The Association of Academic Physiatrists is accredited by the Accreditation
      Council for Continuing Medical Education to provide continuing medical education 
      for physicians.The Association of Academic Physiatrists designates this
      Journal-based CME activity for a maximum of 0.5 AMA PRA Category 1 Credit(s).
      Physicians should only claim credit commensurate with the extent of their
      participation in the activity.
FAU - Yoon, Jin A
AU  - Yoon JA
AD  - From the Department of Rehabilitation Medicine, Pusan National University School 
      of Medicine and Biomedical Research Institute, Pusan National University
      Hospital, Busan, Republic of Korea (JAY, YBS, MJS); and Department of
      Rehabilitation Medicine, Pusan National University School of Medicine, Research
      Institute of Convergence for Biomedical Science and Technology, Pusan National
      University Yangsan Hospital, Yangsan, Republic of Korea (MSK, H-YK).
FAU - Shin, Yong Beom
AU  - Shin YB
FAU - Shin, Myung Jun
AU  - Shin MJ
FAU - Kang, Mi Sun
AU  - Kang MS
FAU - Ko, Hyun-Yoon
AU  - Ko HY
LA  - eng
PT  - Journal Article
PL  - United States
TA  - Am J Phys Med Rehabil
JT  - American journal of physical medicine & rehabilitation
JID - 8803677
EDAT- 2017/12/19 06:00
MHDA- 2017/12/19 06:00
CRDT- 2017/12/19 06:00
PHST- 2017/12/19 06:00 [entrez]
PHST- 2017/12/19 06:00 [pubmed]
PHST- 2017/12/19 06:00 [medline]
AID - 10.1097/PHM.0000000000000839 [doi]
AID - 00002060-201801000-00001 [pii]
PST - ppublish
SO  - Am J Phys Med Rehabil. 2018 Jan;97(1):1-6. doi: 10.1097/PHM.0000000000000839.