A case of bilateral medial medullary infarction. Circadian variation of blood pressure.:Circadian variation of blood pressure
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A patient (51-year-old man) with bilateral medullary infarction wore an ambulatory blood pressure monitoring device in the chronic phase to observe his circadian variations of blood pressure. The decline in blood pressure normally observed during sleep disappeared, but his heart rate fell during sleep. The diminished nocturnal blood pressure decline could be explained by assuming that the information from higher centers governing the sleep-wakefulness rhythm did not reach the primary circulatory center in the medulla as a result of medullary damage. These findings suggest that vasomotor integration with the sleep mechanism in the lower brainstem may be responsible for the nocturnal blood pressure decline.
- 一般社団法人 日本脳卒中学会の論文
一般社団法人 日本脳卒中学会 | 論文
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