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.