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15th
World Congress Clinical Nutrition
19th
– 22nd September 2010 El Sokhna Resort - Egypt
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Copyright © 2010.
WCCN2010.COM
All rights reserved |
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Vascular Variability
Anomaly, VVA versus Vascular
Variability Disorder, VVD in Poland
Agnieszka Wilczynska1,
Fabien De Meester1,2,
Germaine Cornélissen3,
Ram B Singh4, Franz
Halberg3. 1Tsim-Tsoum
Inst, Krakow, Poland; 2Columbus
Paradigm Inst, Waterloo, Belgium;
3Halberg Chronobiology
Center, Univ Minnesota, MN, USA;
4Halberg Hospital &
Research Inst, Moradabad, India.
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Aim. To distinguish
physiologic responses to life events
from a disorder by
chronobiologically interpreted
C-ABPM, using the sphygmochron, a
monitoring profile over time with a
computer comparison by reference to
data from clinically healthy gender-
and age-matched peers.
Background. A
series of consensus meetings
suggested that the cuff in the care
provider's office is best replaced
by a C-ABPM at home (1, 2), if a
number of VVDs are not to be missed
in a likely considerable fraction of
the population of people already
recognized to have high blood
pressure, whether or not they are
treated for this condition which is
but one of several VVDs.
Results. Results
from self-monitoring by a 43-year
old woman based on a 6-day profile
are summarized in the sphygmochron
of Figure 1 (top), showing in bold
the diagnosis of a blood pressure
overswing. Continued monitoring was
indicated and revealed, by a
sequential test (3), the transient
nature of the condition, as
summarized in Figure 2 (bottom).
Discussion and Conclusion.
Continued monitoring for strain
assessment is indicated for everyone
in order to "Know thyself", likes
and dislikes, as well as to
ascertain that VVAs are not treated
as VVDs.
References
1. Halberg F, Cornélissen G, Otsuka
K, Siegelova J, Fiser B, Dusek J,
Homolka P, Sanchez de la Peña S,
Singh RB, BIOCOS project. Extended
consensus on need and means to
detect vascular variability
disorders (VVDs) and vascular
variability syndromes (VVSs).
Geronto-Geriatrics: Int J
Gerontology-ChronomeGeriatrics 2008;
11 (14): 119-146.
2. Halberg F, Cornélissen G, Otsuka
K, Katinas GS, Schwartzkopff O,
Halpin C, Mikulecky M, Revilla M,
Siegelova J, Homolka P, Dusek J,
Fiser B, Singh RB. Chronomics* (*the
study of time structures, chronomes)
detects altered vascular
variabilities constituting risks
greater than hypertension: with an
illustrative case report. In: Mitro
P, Pella D, Rybar R, Valocik G,
editors. Proceedings, 2nd Congress
on Cardiovascular Diseases, Kosice,
Slovakia, 25-27 April 2002. Bologna:
Monduzzi Editore; 2002. p. 223-258.
3. Cornélissen G, Halberg F, Hawkins
D, Otsuka K, Henke W. Individual
assessment of antihypertensive
response by self-starting cumulative
sums. J Medical Engineering &
Technology 1997; 21: 111-120.
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