scholarly journals 224 Quantified impact of autonomic nervous system state onimmunotherapy treatment outcome in rheumatoid arthritis

Rheumatology ◽  
2018 ◽  
Vol 57 (suppl_3) ◽  
Author(s):  
Andrew J Holman ◽  
Edmund Ng
2015 ◽  
Vol 6 (1) ◽  
pp. 68-73 ◽  
Author(s):  
L. D. Korovina ◽  
T. M. Zaporozhets

The purpose of our research was to estimate the brain blood supply level by rheoencephalography method in junior students of the Medical academy and to determine the blood supply links with the autonomic regulation state, behavioural and alimentary factors. Rheo-encephalographic study, research of the autonomic nervous system state, heart rate regulation and questioning of 17–29 year-old students have been conducted. Basic hemodynamic indices were normal in all surveyed students. Increase in body weight index enhanced the probability of the brain blood supply deterioration. Adaptation mechanisms tension was accompanied by reduction of the rheographic index. Higher blood filling of the brain vessels corersponded to higher ratio “blood minute volume / due blood minute volume” defined taking into account the system arterial pressure. The quantity of links with indicators of the autonomic nervous system state was limited. Nonlinear dependence of the rheographic index on the Kerdo vegetative index was observed: the rheographic index value was the lowest in students with the autonomic balance by the Kerdo vegetative index; it was the highest in the group with the sympathetic prevalence. Risk factor of blood filling decrease was the reduction in the diet variety when foodstuffs of different groups were included into the diet less than twice a week, or they were excluded from the diet completely. Positive correlation of blood supply was observed more often with frequent consumption of fish, vegetables, and fresh fruits. Increase in the regular alcohol intake experience promoted decrease in brain blood supply and increase in asymmetries of blood supply indicators. The effect of alcohol was essential, despite young age of surveyed students and low level of alcohol consumption. Increase in the experience and intensity of smoking was accompanied by deterioration of brain blood supply indicators. Students with the best blood supply had the better academic progress. Observed multiple correlations of blood supply indicators with behavioural factors allowed to assert that reduction of risk factors (control of body weight, variety and full value of a diet, refusal of smoking, alcohol restriction even below doses which are considered safe) would allow to improve the brain blood supply.


2020 ◽  
Vol 7 ◽  
Author(s):  
Francesca Ingegnoli ◽  
Massimiliano Buoli ◽  
Flavia Antonucci ◽  
Lavinia Agra Coletto ◽  
Cecilia Maria Esposito ◽  
...  

Neuronal stimulation is an emerging field of research focused on the management and treatment of various diseases through the reestablishment of physiological homeostasis. Electrical vagus nerve stimulation has recently been proposed as a revolutionary therapeutic option for rheumatoid arthritis (RA) in combination with or even as a replacement for conventional and biological drugs. In the past few years, disruption of the autonomic system has been linked to RA onset and activity. Novel research on the link between the autonomic nervous system and the immune system (immune-autonomics) has paved the way for the development of innovative RA management strategies. Clinical evidence supports this approach. Cardiovascular involvement, in terms of reduced baroreflex sensitivity and heart rate variability-derived indices, and mood disorders, common comorbidities in patients with RA, have been linked to autonomic nervous system dysfunction, which in turn is influenced by increased levels of circulating pro-inflammatory cytokines. This narrative review provides an overview of the autonomic nervous system and RA connection, discussing most of the common cardiac and mental health-related RA comorbidities and their potential relationships to systemic and joint inflammation.


1996 ◽  
Vol 10 (4) ◽  
pp. 387-398 ◽  
Author(s):  
Wietse Kuis ◽  
Catherine C.E. de Jong-de Vos van Steenwijk ◽  
Gerben Sinnema ◽  
Annemieke Kavelaars ◽  
Berent Prakken ◽  
...  

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