Blood Pressure Response to the Head-Up Tilt Test in Benign Paroxysmal Positional Vertigo
The vestibular organ is involved in controlling blood pressure through vestibulosympathetic reflexes of the autonomic nervous system. This study aimed to investigate the effect of benign paroxysmal positional vertigo (BPPV) on blood pressure control by the autonomic nervous system by observing chang...
| Main Authors: | , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
MDPI AG
2023-12-01
|
| Series: | Journal of Clinical Medicine |
| Subjects: | |
| Online Access: | https://www.mdpi.com/2077-0383/12/24/7725 |
| _version_ | 1797380579779411968 |
|---|---|
| author | Moon-Jung Kim Guil Rhim |
| author_facet | Moon-Jung Kim Guil Rhim |
| author_sort | Moon-Jung Kim |
| collection | DOAJ |
| description | The vestibular organ is involved in controlling blood pressure through vestibulosympathetic reflexes of the autonomic nervous system. This study aimed to investigate the effect of benign paroxysmal positional vertigo (BPPV) on blood pressure control by the autonomic nervous system by observing changes in blood pressure before and after BPPV treatment using the head-up tilt test (HUTT). A total of 278 patients who underwent the HUTT before and after treatment were included. The HUTT measured blood pressure repeatedly on the day of diagnosis and the day of complete recovery, and the results were analyzed using repeated measures analysis of variance. Regarding the difference in the systolic blood pressure of patients with BPPV, the blood pressure at 1, 2, and 3 min in the upright position after complete recovery was significantly lower than before treatment (<i>p</i> = 0.001, <i>p</i> = 0.001, and <i>p</i> = 0.012, respectively). Blood pressure at 1 and 2 min in the diastolic blood pressure of patients with BPPV in the upright position after complete recovery was significantly lower than before treatment (<i>p</i> = 0.001 and <i>p</i> = 0.034, respectively). This study shows that BPPV increases blood pressure during the initial response to standing in the HUTT. |
| first_indexed | 2024-03-08T20:39:22Z |
| format | Article |
| id | doaj.art-ec782573815d42af9ca8a32498f6b6ca |
| institution | Directory Open Access Journal |
| issn | 2077-0383 |
| language | English |
| last_indexed | 2024-03-08T20:39:22Z |
| publishDate | 2023-12-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Journal of Clinical Medicine |
| spelling | doaj.art-ec782573815d42af9ca8a32498f6b6ca2023-12-22T14:17:34ZengMDPI AGJournal of Clinical Medicine2077-03832023-12-011224772510.3390/jcm12247725Blood Pressure Response to the Head-Up Tilt Test in Benign Paroxysmal Positional VertigoMoon-Jung Kim0Guil Rhim1Department of Laboratory Medicine, Myongji Hospital, Hanyang University Medical Center, Goyang 10475, Republic of KoreaDepartment of Otorhinolaryngology, One Otorhinolaryngology Clinic, Paju 10924, Republic of KoreaThe vestibular organ is involved in controlling blood pressure through vestibulosympathetic reflexes of the autonomic nervous system. This study aimed to investigate the effect of benign paroxysmal positional vertigo (BPPV) on blood pressure control by the autonomic nervous system by observing changes in blood pressure before and after BPPV treatment using the head-up tilt test (HUTT). A total of 278 patients who underwent the HUTT before and after treatment were included. The HUTT measured blood pressure repeatedly on the day of diagnosis and the day of complete recovery, and the results were analyzed using repeated measures analysis of variance. Regarding the difference in the systolic blood pressure of patients with BPPV, the blood pressure at 1, 2, and 3 min in the upright position after complete recovery was significantly lower than before treatment (<i>p</i> = 0.001, <i>p</i> = 0.001, and <i>p</i> = 0.012, respectively). Blood pressure at 1 and 2 min in the diastolic blood pressure of patients with BPPV in the upright position after complete recovery was significantly lower than before treatment (<i>p</i> = 0.001 and <i>p</i> = 0.034, respectively). This study shows that BPPV increases blood pressure during the initial response to standing in the HUTT.https://www.mdpi.com/2077-0383/12/24/7725benign paroxysmal positional vertigohead-up tilt testblood pressurevestibulosympathetic reflexautonomic nervous system |
| spellingShingle | Moon-Jung Kim Guil Rhim Blood Pressure Response to the Head-Up Tilt Test in Benign Paroxysmal Positional Vertigo Journal of Clinical Medicine benign paroxysmal positional vertigo head-up tilt test blood pressure vestibulosympathetic reflex autonomic nervous system |
| title | Blood Pressure Response to the Head-Up Tilt Test in Benign Paroxysmal Positional Vertigo |
| title_full | Blood Pressure Response to the Head-Up Tilt Test in Benign Paroxysmal Positional Vertigo |
| title_fullStr | Blood Pressure Response to the Head-Up Tilt Test in Benign Paroxysmal Positional Vertigo |
| title_full_unstemmed | Blood Pressure Response to the Head-Up Tilt Test in Benign Paroxysmal Positional Vertigo |
| title_short | Blood Pressure Response to the Head-Up Tilt Test in Benign Paroxysmal Positional Vertigo |
| title_sort | blood pressure response to the head up tilt test in benign paroxysmal positional vertigo |
| topic | benign paroxysmal positional vertigo head-up tilt test blood pressure vestibulosympathetic reflex autonomic nervous system |
| url | https://www.mdpi.com/2077-0383/12/24/7725 |
| work_keys_str_mv | AT moonjungkim bloodpressureresponsetotheheaduptilttestinbenignparoxysmalpositionalvertigo AT guilrhim bloodpressureresponsetotheheaduptilttestinbenignparoxysmalpositionalvertigo |