Heart Rate Variability as A Predictor of Hypotension Following Spinal Anesthesia for Elective Caesarian Section in Preeclamptic Parturients: A Descriptive Observational Study

Jehan Helmy Shehata; Ahmed Ibrahim El Sakka; Amina Omran; Mahmoud Abdeltawab Mahmoud Atia Gbre; Ahmed Abdalla Mohamed; Ahmed Mohamed Fetouh; Abdelrahman Ahmed Aly Hassan Abourhama; Mohamed Ibrahim Belita

doi:10.3889/oamjms.2019.703

Heart Rate Variability as A Predictor of Hypotension Following Spinal Anesthesia for Elective Caesarian Section in Preeclamptic Parturients: A Descriptive Observational Study

Open Access Maced J Med Sci. 2019 Dec 11;7(23):4043-4047. doi: 10.3889/oamjms.2019.703. eCollection 2019 Dec 15.

Authors

Jehan Helmy Shehata¹, Ahmed Ibrahim El Sakka², Amina Omran¹, Mahmoud Abdeltawab Mahmoud Atia Gbre¹, Ahmed Abdalla Mohamed¹, Ahmed Mohamed Fetouh², Abdelrahman Ahmed Aly Hassan Abourhama³, Mohamed Ibrahim Belita¹

Affiliations

¹ Department of Anesthesiology & ICU, Faculty of Medicine, Cairo University, Cairo, Egypt.
² Anesthesiology Department, Faculty of Medicine, Cairo University, Cairo, Egypt.
³ Department of Andrology, Sexology and STIs, Faculty of Medicine, Cairo University, Cairo, Egypt.

Abstract

Aim: In this study we aimed to find out the heart rate variability measuring using electrical cardiometry is not reliable as a predictor for hypotension following spinal anesthesia in preeclamptic parturients undergoing elective cesarean section.

Methods: Electrical Cardiometry system was used to measure Heart rate variability (HRV) at five different time points before fluid loading (T0, baseline), after fluid loading (T1), 5 min after spinal anaesthesia (T2), 15 min after spinal anaesthesia (T3) and 30 min after spinal anaesthesia (T4). Traditional HRV measurement was determined using time-domain analysis. This Observational descriptive cohort study was conducted in Kasr Al-Ainy Hospital, Faculty of Medicine, Cairo University from February 2018 till June 2019, after approval of the Ethical Committee and written patients consent.

Results: The main finding of the current study is that heart rate variability measuring using electrical cardiometry is not reliable as a predictor for hypotension following spinal anaesthesia in preeclamptic parturients undergoing elective cesarean section.

Conclusion: Heart rate variability cannot be used as a predictor for hypotension following spinal anaesthesia in preeclamptic patients undergoing elective caesarean section using electrical cardiometry.

Keywords: Cardiometry; Cesarean section; Heart rate variability; Preeclamptic parturients; Spinal anaesthesia.

Copyright: © 2019 Jehan Helmy Shehata, Ahmed Ibrahim El Sakka, Amina Omran, Mahmoud Abdeltawab Mahmoud Atia Gbre, Ahmed Abdalla Mohamed, Ahmed Mohamed Fetouh, Abdelrahman Ahmed Aly Hassan Abourhama, Mohamed Ibrahim Belita.