Effects of Hot Bath Immersion on Autonomic Activity and Hemodynamics : Comparison of the Elderly Patient and the Healthy Young
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概要
- 論文の詳細を見る
Hot bathing has been associated with sudden death and so the present study investigated its effects on autonomic activity and hemodynamics in the elderly patient and the healthy young by analyzing heart rate variability (HRV). Subjects were 9 elderly men (mean age, 75 years) and 9 young men (mean age, 27 years), who were immersed up to shoulder level while in a sitting position for 10 min with the bath temperature at 40℃. Blood pressure (BP) and heart rate (HR) were monitored. BP in the young decreased during bathing (p<0.01), whereas in the elderly BP had a maximum value just at the start of immersion (p<0.05) with a slight decline at 4 min after the start of immersion. Although HR in the young increased (p<0.01), in the elderly there was an abrupt increase in HR just at the start of immersion (p<0.05), followed by a decrease in HR. With regard to HRV, the high-frequency (HF) component in the young men was suppressed during immersion (p<0.01), but was unaffected in the elderly. The LF (low frequency)/HF ratio in the elderly decreased at 4 min (p<0.05). In conclusion, hypotensive syncope may cause sudden death by drowning during hot bathing, and is a consequence of the decrease in sympathetic tone that develops approximately 4 min after immersion.
- 社団法人日本循環器学会の論文
- 2001-06-20
著者
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Umetani Ken
Second Department of Infernal Medicine, Yamanashi Medical University
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Tamura Kohji
Second department of Medicine, Yamanashi Medical School
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TAMURA Kohji
2nd Department of Internal Medicine, Yamanashi Medical College
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Komori Sadayoshi
Department of Second Internal Medicine, Yamanashi Medical University
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Tamura Kohji
The Second Department of Internal Medicine, Yamanashi Medical University
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Yoshizaki Tetsuyo
Second Department Of Internal Medicine Yamanashi Medical College
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Umetani Ken
Department Of Internal Medicine Ii Interdisciplinary Graduate School Of Medicine And Engineering Uni
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Tamura Kohji
1st. Department Of Med. Niigata University
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Tamura K
The Second Department Of Internal Medicine Yamanashi Medical University
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Tamura Kohji
The 1st. Depertment Of Internal Medicine Niigata University School Of Medicine.
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Sato Mitsuko
Department Of Human Science And Fundamentals Of Nursing
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NAGASAWA Yoshinobu
Department of Pharmacology, Interdisciplinary Graduate School of Medicine and Engineering, Universit
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Komori Sadayoshi
Department Of Pediatrics The Second Department Of Internal Medicine Yamanashi Medical University
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Komori Sadayoshi
Second Department Of Internal Medicine Yamanashi Medical College
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Tsuboi Yoshiko
Department of Human Science and Fundamentals of Nursing
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Watanabe Yuichiro
Katsunuma Municipal Hospital, Yamanashi
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WATANABE Yuichirou
The Second Department of Internal Medicine, Yamanashi Medical College
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YOSHIZAKI Tetsuyo
The Second Department of Internal Medicine, Yamanashi Medical College
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Tamura Kohji
Second Department Of Internal Medicine Yamanashi Medical College
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Tamura Kohji
1st. Dept. Of Internal Medicine Niigata University School Of Medicine
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Watanabe Yuichiro
Katsunuma Municipal Hospital Yamanashi
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Tamura Kohji
The First Department Of Medicine Anatomy And Thoracic And Vascular Surgery Niigata University School
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Tamura Kohji
2nd Dept Of Medicine Yamanashi Medical University
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Nagasawa Yoshinobu
Department Of Human Science And Fundamentals Of Nursing
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TAMURA Kohji
Department of Medicine, Yamanashi Medical College
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TAMURA Kohji
Second Department of Internal Medicine, Yamanashi Medical College
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