@misc{Głuszewska_Anna_Impact_2020,
 author={Głuszewska, Anna},
 address={Kraków},
 howpublished={online},
 year={2020},
 school={Rada Dyscypliny Nauki medyczne},
 language={pol; eng},
 abstract={The aim of the study was to assess the daily profile and variability of blood pressure as well as functional and structural vascular changes within 10 days and 6 months after surgical treatment of obesity and to evaluate the relationship of these parameters with metabolic, hormonal and inflammatory parameters. The study included patients who met the eligibility criteria for bariatric surgery. Patients underwent Roux-en-Y gastrectomy (RYGB) or sleeve gastrectomy (SG). Surveys, measurements of anthropometric parameters, office and 24-hour blood pressure, flow and nitro-glycerine mediated dilation of brachial artery, intima-media thickness of carotid artery complex, skin microcirculation flows at rest and after ischemic stimulation were carried out. Lipid profile, levels of glucose, HbA1c, insulin, leptin, adiponectin, hsCRP, HOMA-IR were assessed. Surgical treatment of obesity positively modifies the blood pressure profile and blood pressure variability as early as 10 days after surgery and the effect persists 6 months after the intervention. A decrease of mean blood pressure values in 24-hour monitoring, as well as a reduction of blood pressure variability occur mainly in patients with hypertension. Early markers of atherosclerosis are modified among extremely obese patients within 6 months after bariatric surgery. Improvement of the flow-mediated dilatation of brachial artery},
 abstract={is mainly observed in men, hypertensive patients, and patients undergoing RYGB. The reactivity of microcirculation improves half a year after surgical intervention and improvement is observed mainly in patients with hypertension.},
 title={Impact of bariatric surgery on blood pressure and blood vessels : prospective observation},
 type={Praca doktorska},
 keywords={obesity, bariatrc surgery, blood pressure, blood vessels},
}