Literature DB >> 31057178

Pulse pressure findings following upper cervical care: a practice-based observational study.

Robert Kessinger1, Trevor Qualls1, John Hart1, Henri Dallies1, Michael Anderson1, Jered Wayland1, Leldon Bradshaw1.   

Abstract

INTRODUCTION: Pulse pressure is an indicator of cardiovascular health and is the difference between systolic and diastolic blood pressures. An important etiologic consideration is autonomic nervous system balance. The purpose of this study is to observe pulse pressure changes following a six-week course of care utilizing an upper cervical technique.
METHODS: One hundred and thirty patients presenting in five different clinics were separated into three groups based on initial pulse pressure groups with 40 mmHg considered as normal: low (< 40 mmHg), medium (40-49 mmHg), and high (> 49 mmHg).
RESULTS: Pulse pressure reduced by 8.9 mmHg in the high group which was statistically significant (p < 0.01) with a large effects size of 0.8. Changes in the low and medium groups were not statistically significant (p < 0.05).
CONCLUSION: In this observational study the group displaying the highest pulse pressure demonstrated statistically significant reduction in pulse pressure.

Entities:  

Keywords:  autonomic nervous system; cervical spine; chiropractic; pulse pressure

Year:  2019        PMID: 31057178      PMCID: PMC6493210     

Source DB:  PubMed          Journal:  J Can Chiropr Assoc        ISSN: 0008-3194


  43 in total

Review 1.  Pulse pressure--a review of mechanisms and clinical relevance.

Authors:  A M Dart; B A Kingwell
Journal:  J Am Coll Cardiol       Date:  2001-03-15       Impact factor: 24.094

Review 2.  The polyvagal perspective.

Authors:  Stephen W Porges
Journal:  Biol Psychol       Date:  2006-10-16       Impact factor: 3.251

3.  Arterial stiffness is related to insulin resistance in nondiabetic hypertensive older adults.

Authors:  David M Sengstock; Peter V Vaitkevicius; Mark A Supiano
Journal:  J Clin Endocrinol Metab       Date:  2005-02-22       Impact factor: 5.958

4.  Folic acid supplementation for 3 wk reduces pulse pressure and large artery stiffness independent of MTHFR genotype.

Authors:  Carolyn Williams; Bronwyn A Kingwell; Kevin Burke; Jane McPherson; Anthony M Dart
Journal:  Am J Clin Nutr       Date:  2005-07       Impact factor: 7.045

5.  Significant changes in systolic blood pressure post vectored upper cervical adjustment vs resting control groups: a possible effect of the cervicosympathetic and/or pressor reflex.

Authors:  G A Knutson
Journal:  J Manipulative Physiol Ther       Date:  2001-02       Impact factor: 1.437

6.  Is high pulse pressure a marker of preclinical cardiovascular disease?

Authors:  Giovanni de Simone; Mary J Roman; Michael H Alderman; Maurizio Galderisi; Oreste de Divitiis; Richard B Devereux
Journal:  Hypertension       Date:  2005-03-14       Impact factor: 10.190

7.  Pulse pressure not mean pressure determines cardiovascular risk in older hypertensive patients.

Authors:  J Blacher; J A Staessen; X Girerd; J Gasowski; L Thijs; L Liu; J G Wang; R H Fagard; M E Safar
Journal:  Arch Intern Med       Date:  2000-04-24

8.  Pulse pressure and risk for myocardial infarction and heart failure in the elderly.

Authors:  V Vaccarino; T R Holford; H M Krumholz
Journal:  J Am Coll Cardiol       Date:  2000-07       Impact factor: 24.094

9.  Arterial stiffness increases with deteriorating glucose tolerance status: the Hoorn Study.

Authors:  Ronald M A Henry; Piet J Kostense; Annemieke M W Spijkerman; Jacqueline M Dekker; Giel Nijpels; Robert J Heine; Otto Kamp; Nico Westerhof; Lex M Bouter; Coen D A Stehouwer
Journal:  Circulation       Date:  2003-04-14       Impact factor: 29.690

10.  Ambulatory pulse pressure, left ventricular hypertrophy and function in arterial hypertension.

Authors:  Vito Rizzo; Fernando di Maio; Federica Petretto; Marta Marziali; Gianluca Bianco; Francesco Barilla; Vincenzo Paravati; Daniele Pignata; Stefano Villatico Campbell; Giuseppe Donato; Vincenzo Bernardo; Demetrio Tallarico
Journal:  Echocardiography       Date:  2004-01       Impact factor: 1.724

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  1 in total

1.  Chiropractic care for hypertension: Review of the literature and study of biological and genetic bases.

Authors:  Stephanie Gb Sullivan; Stefano Paolacci; Aysha Karim Kiani; Matteo Bertelli
Journal:  Acta Biomed       Date:  2020-11-09
  1 in total

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