Central retinal venous pressure is higher than intraocular pressure during amateur trumpet playing.
Identifieur interne : 000016 ( Main/Exploration ); précédent : 000015; suivant : 000017Central retinal venous pressure is higher than intraocular pressure during amateur trumpet playing.
Auteurs : Egbert Matthé [Allemagne] ; Marie-Caroline Schlief [Allemagne] ; Sylvana Georgii [Allemagne] ; Richard Stodtmeister [Allemagne] ; Lutz E. Pillunat [Allemagne] ; Hans-Christian Jabusch [Allemagne]Source :
- Graefe's archive for clinical and experimental ophthalmology = Albrecht von Graefes Archiv fur klinische und experimentelle Ophthalmologie [ 1435-702X ] ; 2019.
Descripteurs français
- KwdFr :
- Adolescent (MeSH), Adulte (MeSH), Adulte d'âge moyen (MeSH), Facteurs de risque (MeSH), Femelle (MeSH), Glaucome (physiopathologie), Humains (MeSH), Jeune adulte (MeSH), Manoeuvre de Vasalva (physiologie), Mâle (MeSH), Pression intraoculaire (physiologie), Pression veineuse centrale (physiologie), Projets pilotes (MeSH), Rétine (physiopathologie), Tonométrie oculaire (MeSH).
- MESH :
- physiologie : Manoeuvre de Vasalva, Pression intraoculaire, Pression veineuse centrale.
- physiopathologie : Glaucome, Rétine.
- Adolescent, Adulte, Adulte d'âge moyen, Facteurs de risque, Femelle, Humains, Jeune adulte, Mâle, Projets pilotes, Tonométrie oculaire.
English descriptors
- KwdEn :
- Adolescent (MeSH), Adult (MeSH), Central Venous Pressure (physiology), Female (MeSH), Glaucoma (physiopathology), Humans (MeSH), Intraocular Pressure (physiology), Male (MeSH), Middle Aged (MeSH), Pilot Projects (MeSH), Retina (physiopathology), Risk Factors (MeSH), Tonometry, Ocular (MeSH), Valsalva Maneuver (physiology), Young Adult (MeSH).
- MESH :
- physiology : Central Venous Pressure, Intraocular Pressure, Valsalva Maneuver.
- physiopathology : Glaucoma, Retina.
- Adolescent, Adult, Female, Humans, Male, Middle Aged, Pilot Projects, Risk Factors, Tonometry, Ocular, Young Adult.
Abstract
BACKGROUND
It has been shown in the literature that the Valsalva manoeuvre influences ocular perfusion by changing intraocular pressure and central retinal venous pressure (CRVP). High-resistance wind instrument (HRWI) playing is a common situation resembling a Valsalva manoeuvre. The aim of this investigation was to explore the influence of amateur trumpet playing on CRVP.
METHODS
The left eyes of 20 healthy non-professional trumpet players (median age 26, range 19-52 years; 17 males, 3 females) were included in this investigation. Subjects, sitting at a slit lamp, were asked to play the tone b' flat with their own mouthpiece on the same trumpet for at least 30 s with moderate loudness. The following data were obtained: intraocular pressure (IOP) by applanation tonometry before and during playing, CRVP by contact lens dynamometry before and during playing, airway pressure (AirP) using a pressure sensor during playing and blood pressure and heart rate using the common cuff method before and during playing.
RESULTS
The results are presented as the medians before vs during playing: a calculated mean ophthalmic artery pressure of 66 vs 72 mmHg, heart rate of 76 vs 82 beats per minute, airway pressure of 0 vs 17 mmHg, IOP 12 vs 13 mmHg and CRVP of 24 vs 55 mmHg (Wilcoxon test: p = 0.00009), respectively. A correlation between the CRVP during playing and the height of the spontaneous CRVP is noted (Spearman rank correlation coefficient: ρ = 0.68).
CONCLUSIONS
Amateur trumpet playing increases CRVP, airway pressure and IOP. The increase in CRVP is greater than that of the intraocular pressure. The increase in CRVP seems to be more important for retinal perfusion changes during trumpet playing than the increase of IOP. It can be hypothesised that high airway pressure during playing may cause a permanent increase in CRVP, at least in a subgroup of trumpet players.
DOI: 10.1007/s00417-019-04334-x
PubMed: 31111251
Affiliations:
Links toward previous steps (curation, corpus...)
Le document en format XML
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Klinikum Carl Gustav Carus, Fetscherstrasse 74, 01307, Dresden, Germany.</nlm:affiliation><country xml:lang="fr">Allemagne</country><wicri:regionArea>Department of Ophthalmology, University Hospital Carl Gustav Carus, TU Dresden, Augenklinik, Univ. Klinikum Carl Gustav Carus, Fetscherstrasse 74, 01307, Dresden</wicri:regionArea><placeName><region type="land" nuts="1">Saxe (Land)</region><region type="district" nuts="2">District de Dresde</region><settlement type="city">Dresde</settlement></placeName></affiliation></author><author><name sortKey="Schlief, Marie Caroline" sort="Schlief, Marie Caroline" uniqKey="Schlief M" first="Marie-Caroline" last="Schlief">Marie-Caroline Schlief</name><affiliation wicri:level="3"><nlm:affiliation>Department of Ophthalmology, University Hospital Carl Gustav Carus, TU Dresden, Augenklinik, Univ. Klinikum Carl Gustav Carus, Fetscherstrasse 74, 01307, Dresden, Germany.</nlm:affiliation><country xml:lang="fr">Allemagne</country><wicri:regionArea>Department of Ophthalmology, University Hospital Carl Gustav Carus, TU Dresden, Augenklinik, Univ. Klinikum Carl Gustav Carus, Fetscherstrasse 74, 01307, Dresden</wicri:regionArea><placeName><region type="land" nuts="1">Saxe (Land)</region><region type="district" nuts="2">District de Dresde</region><settlement type="city">Dresde</settlement></placeName></affiliation></author><author><name sortKey="Georgii, Sylvana" sort="Georgii, Sylvana" uniqKey="Georgii S" first="Sylvana" last="Georgii">Sylvana Georgii</name><affiliation wicri:level="3"><nlm:affiliation>Department of Ophthalmology, University Hospital Carl Gustav Carus, TU Dresden, Augenklinik, Univ. Klinikum Carl Gustav Carus, Fetscherstrasse 74, 01307, Dresden, Germany.</nlm:affiliation><country xml:lang="fr">Allemagne</country><wicri:regionArea>Department of Ophthalmology, University Hospital Carl Gustav Carus, TU Dresden, Augenklinik, Univ. Klinikum Carl Gustav Carus, Fetscherstrasse 74, 01307, Dresden</wicri:regionArea><placeName><region type="land" nuts="1">Saxe (Land)</region><region type="district" nuts="2">District de Dresde</region><settlement type="city">Dresde</settlement></placeName></affiliation></author><author><name sortKey="Stodtmeister, Richard" sort="Stodtmeister, Richard" uniqKey="Stodtmeister R" first="Richard" last="Stodtmeister">Richard Stodtmeister</name><affiliation wicri:level="3"><nlm:affiliation>Department of Ophthalmology, University Hospital Carl Gustav Carus, TU Dresden, Augenklinik, Univ. Klinikum Carl Gustav Carus, Fetscherstrasse 74, 01307, Dresden, Germany. Stodtmeister@t-online.de.</nlm:affiliation><country xml:lang="fr">Allemagne</country><wicri:regionArea>Department of Ophthalmology, University Hospital Carl Gustav Carus, TU Dresden, Augenklinik, Univ. Klinikum Carl Gustav Carus, Fetscherstrasse 74, 01307, Dresden</wicri:regionArea><placeName><region type="land" nuts="1">Saxe (Land)</region><region type="district" nuts="2">District de Dresde</region><settlement type="city">Dresde</settlement></placeName></affiliation></author><author><name sortKey="Pillunat, Lutz E" sort="Pillunat, Lutz E" uniqKey="Pillunat L" first="Lutz E" last="Pillunat">Lutz E. Pillunat</name><affiliation wicri:level="3"><nlm:affiliation>Department of Ophthalmology, University Hospital Carl Gustav Carus, TU Dresden, Augenklinik, Univ. Klinikum Carl Gustav Carus, Fetscherstrasse 74, 01307, Dresden, Germany.</nlm:affiliation><country xml:lang="fr">Allemagne</country><wicri:regionArea>Department of Ophthalmology, University Hospital Carl Gustav Carus, TU Dresden, Augenklinik, Univ. Klinikum Carl Gustav Carus, Fetscherstrasse 74, 01307, Dresden</wicri:regionArea><placeName><region type="land" nuts="1">Saxe (Land)</region><region type="district" nuts="2">District de Dresde</region><settlement type="city">Dresde</settlement></placeName></affiliation></author><author><name sortKey="Jabusch, Hans Christian" sort="Jabusch, Hans Christian" uniqKey="Jabusch H" first="Hans-Christian" last="Jabusch">Hans-Christian Jabusch</name><affiliation wicri:level="3"><nlm:affiliation>Institute of Musicians' Medicine, Dresden University of Music Carl Maria von Weber, Dresden, Germany.</nlm:affiliation><country xml:lang="fr">Allemagne</country><wicri:regionArea>Institute of Musicians' Medicine, Dresden University of Music Carl Maria von Weber, Dresden</wicri:regionArea><placeName><region type="land" nuts="1">Saxe (Land)</region><region type="district" nuts="2">District de Dresde</region><settlement type="city">Dresde</settlement></placeName></affiliation></author></analytic><series><title level="j">Graefe's archive for clinical and experimental ophthalmology = Albrecht von Graefes Archiv fur klinische und experimentelle Ophthalmologie</title><idno type="eISSN">1435-702X</idno><imprint><date when="2019" type="published">2019</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Adolescent (MeSH)</term><term>Adult (MeSH)</term><term>Central Venous Pressure (physiology)</term><term>Female (MeSH)</term><term>Glaucoma (physiopathology)</term><term>Humans (MeSH)</term><term>Intraocular Pressure (physiology)</term><term>Male (MeSH)</term><term>Middle Aged (MeSH)</term><term>Pilot Projects (MeSH)</term><term>Retina (physiopathology)</term><term>Risk Factors (MeSH)</term><term>Tonometry, Ocular (MeSH)</term><term>Valsalva Maneuver (physiology)</term><term>Young Adult (MeSH)</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Adolescent (MeSH)</term><term>Adulte (MeSH)</term><term>Adulte d'âge moyen (MeSH)</term><term>Facteurs de risque (MeSH)</term><term>Femelle (MeSH)</term><term>Glaucome (physiopathologie)</term><term>Humains (MeSH)</term><term>Jeune adulte (MeSH)</term><term>Manoeuvre de Vasalva (physiologie)</term><term>Mâle (MeSH)</term><term>Pression intraoculaire (physiologie)</term><term>Pression veineuse centrale (physiologie)</term><term>Projets pilotes (MeSH)</term><term>Rétine (physiopathologie)</term><term>Tonométrie oculaire (MeSH)</term></keywords><keywords scheme="MESH" qualifier="physiologie" xml:lang="fr"><term>Manoeuvre de Vasalva</term><term>Pression intraoculaire</term><term>Pression veineuse centrale</term></keywords><keywords scheme="MESH" qualifier="physiology" xml:lang="en"><term>Central Venous Pressure</term><term>Intraocular Pressure</term><term>Valsalva Maneuver</term></keywords><keywords scheme="MESH" qualifier="physiopathologie" xml:lang="fr"><term>Glaucome</term><term>Rétine</term></keywords><keywords scheme="MESH" qualifier="physiopathology" xml:lang="en"><term>Glaucoma</term><term>Retina</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Adolescent</term><term>Adult</term><term>Female</term><term>Humans</term><term>Male</term><term>Middle Aged</term><term>Pilot Projects</term><term>Risk Factors</term><term>Tonometry, Ocular</term><term>Young Adult</term></keywords><keywords scheme="MESH" xml:lang="fr"><term>Adolescent</term><term>Adulte</term><term>Adulte d'âge moyen</term><term>Facteurs de risque</term><term>Femelle</term><term>Humains</term><term>Jeune adulte</term><term>Mâle</term><term>Projets pilotes</term><term>Tonométrie oculaire</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><p><b>BACKGROUND</b></p><p>It has been shown in the literature that the Valsalva manoeuvre influences ocular perfusion by changing intraocular pressure and central retinal venous pressure (CRVP). High-resistance wind instrument (HRWI) playing is a common situation resembling a Valsalva manoeuvre. The aim of this investigation was to explore the influence of amateur trumpet playing on CRVP.</p></div><div type="abstract" xml:lang="en"><p><b>METHODS</b></p><p>The left eyes of 20 healthy non-professional trumpet players (median age 26, range 19-52 years; 17 males, 3 females) were included in this investigation. Subjects, sitting at a slit lamp, were asked to play the tone b' flat with their own mouthpiece on the same trumpet for at least 30 s with moderate loudness. The following data were obtained: intraocular pressure (IOP) by applanation tonometry before and during playing, CRVP by contact lens dynamometry before and during playing, airway pressure (AirP) using a pressure sensor during playing and blood pressure and heart rate using the common cuff method before and during playing.</p></div><div type="abstract" xml:lang="en"><p><b>RESULTS</b></p><p>The results are presented as the medians before vs during playing: a calculated mean ophthalmic artery pressure of 66 vs 72 mmHg, heart rate of 76 vs 82 beats per minute, airway pressure of 0 vs 17 mmHg, IOP 12 vs 13 mmHg and CRVP of 24 vs 55 mmHg (Wilcoxon test: p = 0.00009), respectively. A correlation between the CRVP during playing and the height of the spontaneous CRVP is noted (Spearman rank correlation coefficient: ρ = 0.68).</p></div><div type="abstract" xml:lang="en"><p><b>CONCLUSIONS</b></p><p>Amateur trumpet playing increases CRVP, airway pressure and IOP. The increase in CRVP is greater than that of the intraocular pressure. The increase in CRVP seems to be more important for retinal perfusion changes during trumpet playing than the increase of IOP. It can be hypothesised that high airway pressure during playing may cause a permanent increase in CRVP, at least in a subgroup of trumpet players.</p></div></front></TEI><pubmed><MedlineCitation Status="MEDLINE" Owner="NLM"><PMID Version="1">31111251</PMID><DateCompleted><Year>2019</Year><Month>06</Month><Day>26</Day></DateCompleted><DateRevised><Year>2020</Year><Month>02</Month><Day>25</Day></DateRevised><Article PubModel="Print-Electronic"><Journal><ISSN IssnType="Electronic">1435-702X</ISSN><JournalIssue CitedMedium="Internet"><Volume>257</Volume><Issue>7</Issue><PubDate><Year>2019</Year><Month>Jul</Month></PubDate></JournalIssue><Title>Graefe's archive for clinical and experimental ophthalmology = Albrecht von Graefes Archiv fur klinische und experimentelle Ophthalmologie</Title><ISOAbbreviation>Graefes Arch Clin Exp Ophthalmol</ISOAbbreviation></Journal><ArticleTitle>Central retinal venous pressure is higher than intraocular pressure during amateur trumpet playing.</ArticleTitle><Pagination><MedlinePgn>1467-1472</MedlinePgn></Pagination><ELocationID EIdType="doi" ValidYN="Y">10.1007/s00417-019-04334-x</ELocationID><Abstract><AbstractText Label="BACKGROUND" NlmCategory="BACKGROUND">It has been shown in the literature that the Valsalva manoeuvre influences ocular perfusion by changing intraocular pressure and central retinal venous pressure (CRVP). High-resistance wind instrument (HRWI) playing is a common situation resembling a Valsalva manoeuvre. The aim of this investigation was to explore the influence of amateur trumpet playing on CRVP.</AbstractText><AbstractText Label="METHODS" NlmCategory="METHODS">The left eyes of 20 healthy non-professional trumpet players (median age 26, range 19-52 years; 17 males, 3 females) were included in this investigation. Subjects, sitting at a slit lamp, were asked to play the tone b' flat with their own mouthpiece on the same trumpet for at least 30 s with moderate loudness. The following data were obtained: intraocular pressure (IOP) by applanation tonometry before and during playing, CRVP by contact lens dynamometry before and during playing, airway pressure (AirP) using a pressure sensor during playing and blood pressure and heart rate using the common cuff method before and during playing.</AbstractText><AbstractText Label="RESULTS" NlmCategory="RESULTS">The results are presented as the medians before vs during playing: a calculated mean ophthalmic artery pressure of 66 vs 72 mmHg, heart rate of 76 vs 82 beats per minute, airway pressure of 0 vs 17 mmHg, IOP 12 vs 13 mmHg and CRVP of 24 vs 55 mmHg (Wilcoxon test: p = 0.00009), respectively. A correlation between the CRVP during playing and the height of the spontaneous CRVP is noted (Spearman rank correlation coefficient: ρ = 0.68).</AbstractText><AbstractText Label="CONCLUSIONS" NlmCategory="CONCLUSIONS">Amateur trumpet playing increases CRVP, airway pressure and IOP. The increase in CRVP is greater than that of the intraocular pressure. The increase in CRVP seems to be more important for retinal perfusion changes during trumpet playing than the increase of IOP. It can be hypothesised that high airway pressure during playing may cause a permanent increase in CRVP, at least in a subgroup of trumpet players.</AbstractText></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Matthé</LastName><ForeName>Egbert</ForeName><Initials>E</Initials><AffiliationInfo><Affiliation>Department of Ophthalmology, University Hospital Carl Gustav Carus, TU Dresden, Augenklinik, Univ. Klinikum Carl Gustav Carus, Fetscherstrasse 74, 01307, Dresden, Germany.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Schlief</LastName><ForeName>Marie-Caroline</ForeName><Initials>MC</Initials><AffiliationInfo><Affiliation>Department of Ophthalmology, University Hospital Carl Gustav Carus, TU Dresden, Augenklinik, Univ. Klinikum Carl Gustav Carus, Fetscherstrasse 74, 01307, Dresden, Germany.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Georgii</LastName><ForeName>Sylvana</ForeName><Initials>S</Initials><AffiliationInfo><Affiliation>Department of Ophthalmology, University Hospital Carl Gustav Carus, TU Dresden, Augenklinik, Univ. Klinikum Carl Gustav Carus, Fetscherstrasse 74, 01307, Dresden, Germany.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Stodtmeister</LastName><ForeName>Richard</ForeName><Initials>R</Initials><Identifier Source="ORCID">http://orcid.org/0000-0002-8689-2913</Identifier><AffiliationInfo><Affiliation>Department of Ophthalmology, University Hospital Carl Gustav Carus, TU Dresden, Augenklinik, Univ. Klinikum Carl Gustav Carus, Fetscherstrasse 74, 01307, Dresden, Germany. Stodtmeister@t-online.de.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Pillunat</LastName><ForeName>Lutz E</ForeName><Initials>LE</Initials><AffiliationInfo><Affiliation>Department of Ophthalmology, University Hospital Carl Gustav Carus, TU Dresden, Augenklinik, Univ. Klinikum Carl Gustav Carus, Fetscherstrasse 74, 01307, Dresden, Germany.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Jabusch</LastName><ForeName>Hans-Christian</ForeName><Initials>HC</Initials><AffiliationInfo><Affiliation>Institute of Musicians' Medicine, Dresden University of Music Carl Maria von Weber, Dresden, Germany.</Affiliation></AffiliationInfo></Author></AuthorList><Language>eng</Language><PublicationTypeList><PublicationType UI="D016430">Clinical Trial</PublicationType><PublicationType UI="D016428">Journal Article</PublicationType></PublicationTypeList><ArticleDate DateType="Electronic"><Year>2019</Year><Month>05</Month><Day>20</Day></ArticleDate></Article><MedlineJournalInfo><Country>Germany</Country><MedlineTA>Graefes Arch Clin Exp Ophthalmol</MedlineTA><NlmUniqueID>8205248</NlmUniqueID><ISSNLinking>0721-832X</ISSNLinking></MedlineJournalInfo><CitationSubset>IM</CitationSubset><MeshHeadingList><MeshHeading><DescriptorName UI="D000293" MajorTopicYN="N">Adolescent</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D000328" MajorTopicYN="N">Adult</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D002496" MajorTopicYN="N">Central Venous Pressure</DescriptorName><QualifierName UI="Q000502" MajorTopicYN="Y">physiology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D005260" MajorTopicYN="N">Female</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D005901" MajorTopicYN="N">Glaucoma</DescriptorName><QualifierName UI="Q000503" MajorTopicYN="Y">physiopathology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D007429" MajorTopicYN="N">Intraocular Pressure</DescriptorName><QualifierName UI="Q000502" MajorTopicYN="Y">physiology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D008297" MajorTopicYN="N">Male</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D008875" MajorTopicYN="N">Middle Aged</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D010865" MajorTopicYN="N">Pilot Projects</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D012160" MajorTopicYN="N">Retina</DescriptorName><QualifierName UI="Q000503" MajorTopicYN="Y">physiopathology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D012307" MajorTopicYN="N">Risk Factors</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D014065" MajorTopicYN="N">Tonometry, Ocular</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D014636" MajorTopicYN="N">Valsalva Maneuver</DescriptorName><QualifierName UI="Q000502" MajorTopicYN="Y">physiology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D055815" MajorTopicYN="N">Young Adult</DescriptorName></MeshHeading></MeshHeadingList><KeywordList Owner="NOTNLM"><Keyword 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uniqKey="Jabusch H" first="Hans-Christian" last="Jabusch">Hans-Christian Jabusch</name><name sortKey="Pillunat, Lutz E" sort="Pillunat, Lutz E" uniqKey="Pillunat L" first="Lutz E" last="Pillunat">Lutz E. Pillunat</name><name sortKey="Schlief, Marie Caroline" sort="Schlief, Marie Caroline" uniqKey="Schlief M" first="Marie-Caroline" last="Schlief">Marie-Caroline Schlief</name><name sortKey="Stodtmeister, Richard" sort="Stodtmeister, Richard" uniqKey="Stodtmeister R" first="Richard" last="Stodtmeister">Richard Stodtmeister</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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