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Case study reports singing lowers patient's blood pressure prior to surgery
Date:3/30/2011

Doctors report that singing reduced the blood pressure of a 76-year-old woman who had experienced severe preoperative hypertension prior to total knee replacement surgery for osteoarthritis (OA). While the patient was unresponsive to aggressive pharmacologic interventions, the woman's blood pressure dropped dramatically when she sang several religious songs. This case-report appears in the April issue of Arthritis Care & Research, a journal published by Wiley-Blackwell on behalf of the American College of Rheumatology (ACR).

Traditional therapy for preoperative hypertension, doctors say, involves drug-based therapies that include diuretics, beta blockers, calcium-channel blockers, and angiotensin-converting enzyme (ACE) inhibitors. These medications are used to lower blood pressure to acceptable levels for surgery, however, a number of patients do not respond to these treatments. In patients unresponsive to standard therapies, as in the current case study patient, alternative hypertension interventions are needed.

Several studies suggest that listening to music can be effective in reducing blood pressure by calming or diverting patients prior to surgery, which lessens stress and anxiety," explains lead author Nina Niu, a researcher from Harvard Medical School in Boston. "Our case study expands on medical evidence by showing that producing music or singing also has potential therapeutic effects in the preoperative setting."

The current case subject was a 76-year-old woman from the Dominican Republic who had hypertension and a 15-year history of bilateral knee OA. The patient was treated with ACE inhibitors and calcium-channel blockers for high blood pressure and diclofenac, a non-steroidal anti-inflammatory drug (NSAID), for knee pain. She was accepted into Operation Walk Boston, a philanthropic program providing total join replacement to poor Dominican patients with advanced OA of the hip or knee. The case study authors serv
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Contact: Dawn Peters
healthnews@wiley.com
781-388-8408
Wiley-Blackwell
Source:Eurekalert

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