Cardiorespiratory Regulation in Migraine. Results in Children and Adolescents and Review of the Literature

Cephalalgia ◽  
2006 ◽  
Vol 26 (3) ◽  
pp. 295-309 ◽  
Author(s):  
F Ebinger ◽  
M Kruse ◽  
U Just ◽  
D Rating
Keyword(s):  
Heart Rate ◽  
Children And Adolescents ◽  
Learned Helplessness ◽  
Valsalva Manoeuvre ◽  
Tilt Table Test ◽  
Review Of The Literature ◽  
Tilt Table ◽  
Passive Coping ◽  
Cardiorespiratory Function ◽  
Autonomic Tests

To investigate autonomic regulation in juvenile migraine we studied 70 children and adolescents with migraine during the headache-free period and 81 healthy controls by cardiorespiratory function tests. Heart rate variability was analysed with time and frequency domain indices during spontaneous breathing at rest and during metronomic breathing. Changes of heart rate and blood pressure were studied during tilt-table test, active standing, Valsalva manoeuvre and sustained handgrip. We found significant differences in metronomic breathing, tilt-table test and Valsalva manoeuvre. We interpret our findings and results reported in the literature as pointing to a restricted ability of the system to rest, which supports therapies intending to further this ability. In autonomic tests, hyperreactivity in juvenile migraineurs changes to hyporeactivity and passive coping in adults. This might be explained by disturbances of raphe nuclei and the periaqueductal grey. It corresponds to psychological findings in juvenile migraineurs reporting hypersensitivity and repressed aggression and claiming learned helplessness.

scholarly journals Postural orthostatic tachycardia syndrome in primary care: diagnosis, treatment and a case of African-American man presenting with POTS

2019 ◽  
Vol 12 (9) ◽  
pp. e229824
Author(s):  
Andrew T Del Pozzi ◽  
Michael Enechukwu ◽  
Svetlana Blitshteyn
Keyword(s):  
Heart Rate ◽  
Differential Diagnosis ◽  
African American ◽  
Clinical Features ◽  
Orthostatic Intolerance ◽  
Treatment Options ◽  
Postural Orthostatic Tachycardia Syndrome ◽  
Tilt Table Test ◽  
Tilt Table ◽  
Caucasian Women

Postural orthostatic tachycardia syndrome (POTS) is a heterogeneous autonomic disorder characterised by orthostatic intolerance and a rise in heart rate by at least 30 bpm or an absolute heart rate value of at least 120 bpm within 10 min of standing or during a tilt table test. Overwhelmingly, POTS affects young Caucasian women, which can lead physicians to miss the diagnosis in men or non-white patients. We describe a case of 29-year-old African-American man who developed lightheadedness, generalised weakness, tachycardia and palpitations and was subsequently diagnosed with POTS. We review its clinical features, differential diagnosis, pathophysiology and treatment options. We also emphasise that POTS should be considered as a differential diagnosis in any patient presenting with typical clinical features, who may not be in the usual demographics of the disorder.

scholarly journals The Diagnostic Value of Cardiac Deceleration Capacity in Vasovagal Syncope

2020 ◽  
Vol 13 (12) ◽  
Author(s):  
Lihui Zheng ◽  
Wei Sun ◽  
Shangyu Liu ◽  
Erpeng Liang ◽  
Zhongpeng Du ◽  
...  
Keyword(s):  
Heart Rate ◽  
Vasovagal Syncope ◽  
Diagnostic Value ◽  
Control Group ◽  
Vagal Activity ◽  
Tilt Table Test ◽  
Tilt Table ◽  
Good Tool ◽  
Deceleration Capacity ◽  
Vagal Control

Background: Increased parasympathetic activity is thought to play important roles in syncope events of patients with vasovagal syncope (VVS). However, direct measurements of the vagal control are difficult. The novel deceleration capacity (DC) of heart rate measure has been used to characterize the vagal modulation. This study aimed to assess vagal control in patients with VVS and evaluate the diagnostic value of the DC in VVS. Methods: Altogether, 161 consecutive patients with VVS (43±15 years; 62 males) were enrolled. Tilt table test was positive in 101 and negative in 60 patients. Sixty-five healthy subjects were enrolled as controls. DC and heart rate variability in 24-hour ECG, echocardiogram, and biochemical examinations were compared between the syncope and control groups. Results: DC was significantly higher in the syncope group than in the control group (9.6±3.3 versus 6.5±2.0 ms, P <0.001). DC was similarly increased in patients with VVS with a positive and negative tilt table test (9.7±3.5 and 9.4±2.9 ms, P =0.614). In multivariable logistic regression analyses, DC was independently associated with syncope (odds ratio=1.518 [95% CI, 1.301–1.770]; P =0.0001). For the prediction of syncope, the area under curve analysis showed similar values when comparing single DC and combined DC with other risk factors ( P =0.1147). From the receiver operator characteristic curves for syncope discrimination, the optimal cutoff value for the DC was 7.12 ms. Conclusions: DC>7.5 ms may serve as a good tool to monitor cardiac vagal activity and discriminate VVS, particularly in those with negative tilt table test.

Effects Of Race On Heart Rate Variability In Young Normotensives During Tilt-table Test

2005 ◽  
Vol 37 (Supplement) ◽  
pp. S426
Author(s):  
Tatiana Warren ◽  
Scott Collier ◽  
Erin Kelly ◽  
Steve Capella ◽  
Shannon Byrne ◽  
...  
Keyword(s):  
Heart Rate ◽  
Heart Rate Variability ◽  
Tilt Table Test ◽  
Tilt Table

Wavelet analysis of nonstationary heart rate variability in a head-up tilt-table test

BIOPHYSICS ◽  
2012 ◽  
Vol 57 (4) ◽  
pp. 530-543 ◽  
Author(s):  
S. V. Bozhokin ◽  
E. M. Lesova ◽  
V. O. Samoilov ◽  
P. I. Tolkachev
Keyword(s):  
Heart Rate ◽  
Heart Rate Variability ◽  
Wavelet Analysis ◽  
Tilt Table Test ◽  
Tilt Table ◽  
Head Up Tilt

scholarly journals Parameters of Heart Rate Variability Can Predict Prolonged Asystole before Head-Up Tilt Table Test

2014 ◽  
Vol 19 (5) ◽  
pp. 477-482 ◽  
Author(s):  
Erdal Gursul ◽  
Serdar Bayata ◽  
Selcen Yakar Tuluce ◽  
Rida Berilgen ◽  
Ozgen Safak ◽  
...  
Keyword(s):  
Heart Rate ◽  
Heart Rate Variability ◽  
Tilt Table Test ◽  
Tilt Table ◽  
Head Up Tilt ◽  
Prolonged Asystole

scholarly journals Assessment of Quadratic Nonlinear Cardiorespiratory Couplings During Tilt Table Test by Means of Real Wavelet Biphase

2017 ◽  
Vol 5 ◽  
Author(s):  
Spyridon Kontaxis ◽  
Jesús Lázaro ◽  
Eduardo Gil ◽  
Pablo Laguna ◽  
Raquel Bailón
Keyword(s):  
Heart Rate ◽  
Heart Rate Variability ◽  
Nervous System ◽  
Autonomic Nervous System ◽  
Tilt Table Test ◽  
Phase Coupling ◽  
Tilt Table ◽  
Autonomic Nervous ◽  
Quadratic Phase Coupling ◽  
Quadratic Phase

In this paper a method for the assessment of Quadratic Phase Coupling (QPC) between respiration and Heart Rate Variability is presented and applied to study cardiorespiratory couplings during a tilt table test. Strong QPC related to the dominant respiratory frequency is present and remains unchanged during Autonomic Nervous System changes.

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