SBP Is Superior to MAP to Reflect Tissue Perfusion and Hemodynamic Abnormality Perioperatively

Many articles have reported that intraoperative low mean artery pressure (MAP) or low systolic blood pressure (SBP) impacts on organs’ function and patients’ outcomes perioperatively. On the contrary, what type of blood pressure should be obtained still needs to be clarified. In our paper, we compar...

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Main Authors: Jie Sun, Jing Yuan, Bin Li
Format: Article
Language:English
Published: Frontiers Media S.A. 2021-09-01
Series:Frontiers in Physiology
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fphys.2021.705558/full
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author Jie Sun
Jing Yuan
Bin Li
author_facet Jie Sun
Jing Yuan
Bin Li
author_sort Jie Sun
collection DOAJ
description Many articles have reported that intraoperative low mean artery pressure (MAP) or low systolic blood pressure (SBP) impacts on organs’ function and patients’ outcomes perioperatively. On the contrary, what type of blood pressure should be obtained still needs to be clarified. In our paper, we compared the influencing factors of MAP and SBP, and mathematical formula, arterial pulse contour calculation, and cardiovascular physiological knowledge were adopted to discuss how blood pressure can effectively reflect tissue perfusion and hemodynamic abnormality perioperatively. We concluded that MAP can reflect cardiac output change sensitively and SBP can reflect stroke volume change sensitively. Moreover, SBP can reflect the early hemodynamic changes, organs’ perfusion, and heart systolic function. Compared with MAP, perioperative monitoring of SBP and timely detection and treatment of abnormal SBP are very important for the early detection of hemodynamic abnormalities.
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spelling doaj.art-a44ad087322e412aacd55582e8c152822022-12-21T23:30:03ZengFrontiers Media S.A.Frontiers in Physiology1664-042X2021-09-011210.3389/fphys.2021.705558705558SBP Is Superior to MAP to Reflect Tissue Perfusion and Hemodynamic Abnormality PerioperativelyJie SunJing YuanBin LiMany articles have reported that intraoperative low mean artery pressure (MAP) or low systolic blood pressure (SBP) impacts on organs’ function and patients’ outcomes perioperatively. On the contrary, what type of blood pressure should be obtained still needs to be clarified. In our paper, we compared the influencing factors of MAP and SBP, and mathematical formula, arterial pulse contour calculation, and cardiovascular physiological knowledge were adopted to discuss how blood pressure can effectively reflect tissue perfusion and hemodynamic abnormality perioperatively. We concluded that MAP can reflect cardiac output change sensitively and SBP can reflect stroke volume change sensitively. Moreover, SBP can reflect the early hemodynamic changes, organs’ perfusion, and heart systolic function. Compared with MAP, perioperative monitoring of SBP and timely detection and treatment of abnormal SBP are very important for the early detection of hemodynamic abnormalities.https://www.frontiersin.org/articles/10.3389/fphys.2021.705558/fullSBPMAP—mean arterial pressureintraoperative hypotensionorgan damagepatient outcome
spellingShingle Jie Sun
Jing Yuan
Bin Li
SBP Is Superior to MAP to Reflect Tissue Perfusion and Hemodynamic Abnormality Perioperatively
Frontiers in Physiology
SBP
MAP—mean arterial pressure
intraoperative hypotension
organ damage
patient outcome
title SBP Is Superior to MAP to Reflect Tissue Perfusion and Hemodynamic Abnormality Perioperatively
title_full SBP Is Superior to MAP to Reflect Tissue Perfusion and Hemodynamic Abnormality Perioperatively
title_fullStr SBP Is Superior to MAP to Reflect Tissue Perfusion and Hemodynamic Abnormality Perioperatively
title_full_unstemmed SBP Is Superior to MAP to Reflect Tissue Perfusion and Hemodynamic Abnormality Perioperatively
title_short SBP Is Superior to MAP to Reflect Tissue Perfusion and Hemodynamic Abnormality Perioperatively
title_sort sbp is superior to map to reflect tissue perfusion and hemodynamic abnormality perioperatively
topic SBP
MAP—mean arterial pressure
intraoperative hypotension
organ damage
patient outcome
url https://www.frontiersin.org/articles/10.3389/fphys.2021.705558/full
work_keys_str_mv AT jiesun sbpissuperiortomaptoreflecttissueperfusionandhemodynamicabnormalityperioperatively
AT jingyuan sbpissuperiortomaptoreflecttissueperfusionandhemodynamicabnormalityperioperatively
AT binli sbpissuperiortomaptoreflecttissueperfusionandhemodynamicabnormalityperioperatively