Dynamics of Blood Pressure During the
Development of Neuroleptic Cardiomyopathy
Volume 1 - Issue 2
Volkov VP*
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- Tver center of judicial examinations, Russia
*Corresponding author:
Volkov VP, Tver center of judicial examinations, 170008, Tver A Zavidov St, Russia
Received: June 26, 2018; Published: July 13, 2018
DOI: 10.32474/ACR.2018.01.000110
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Summary
The study of various clinic aspects of Neuroleptic Cardiomyopathy (NCMP) associated with the side cardiotoxic effect of
Antipsychotics (AP) is actual. With the purpose to track dynamics of the Blood Pressure (BP) in the process of development of NCMP
data about 78 died patients with schizophrenia (men - 53, women - 25) in whom NCMP is found on autopsy were retrospectively
analyzed. At the age of 50 years were 43 persons, 44 died in the first stage of the disease, 12 - in the second one, 22 - in the third one.
The conducted research allows to draw the following conclusions:
a) Frequency of this or that option the AP in all stages of NCMP doesn’t depend on the age of patients.
b) In a latent stage significantly prevail hypo and a normotony.
c) In the developed stage steadily normal and labile BP with a tendency to moderate Arterial Hypertension (AH) are equally
common.
d) In the terminal stage of NCMP at ¼ patients is observed moderate AH and at 13,6% of patients the expressed stable AH.
e) As a whole, according to own data, in the case of NCMP the frequency of AH is 37.2%.
f) Fluctuations of frequency of occurrence of this or level of BP are connected with various side effects of the AP used in the
treatment of schizophrenia.
Keywords: Neuroleptic Cardiomyopathy; Clinical current; Blood pressure
Abbreviations: AH: Arterial Hypertension; NCMP: Neuroleptic cardiomyopathy; AP: Antipsychotics BP: Blood Pressure
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