The change of blood pressure and heart rate in patients of essential hypertension combined with cervical spondylosis in head-up tilt / 中国综合临床

ABSTRACT

Objective To investigate the change of blood pressure and heart rate in patients of essential hypertension combined with cervical spondylosis in head-up tilt and its potential mechanism. Methods The hypertensive patients were divided into cervical spondylosis group(23 cases) and without cervical spondylosis group (26 cases) by clinical symptom and X-ray machine,CT.MRI and color ultrasonography,then their blood pressure, blood glucose and lipid were measured,and the changes of blood pressure and heart rate were obtained in head-up tilt. Results There was significant difference of blood pressure change between the hypertensive with and without cervical spondylosis(4(-21 ～ 14 mm Hg v. s. -9(-27～-3)mm Hg,P<0. 01),and there was also difference of heart rate change between the hypertensive with and without cervical spondylosis(2(-1 ～14) bpm v. s. 5(-2 ～11) bpm, P < 0. 01). Conclusions There is no decline in blood pressure in the hypertensive with cervical spondylosis in head-up tilt and this might be due to the exciting of sympathetic nerve.