Heart Rate Variability during wake and sleep in Huntington’s Disease patients. An observational, cross-sectional, cohort study.

2021 ◽  
Author(s):  
Jessica Marotta ◽  
Carla Piano ◽  
VALERIO BRUNETTI ◽  
Danilo Genovese ◽  
Anna Rita Bentivoglio ◽  
...  
Keyword(s):  
Heart Rate ◽  
Heart Rate Variability ◽  
Huntington's Disease ◽  
Huntington’S Disease ◽  
Rem Sleep ◽  
Low Frequency ◽  
Nrem Sleep ◽  
Control Group ◽  
Cross Sectional ◽  
Mean Heart Rate

Introduction Autonomic dysfunction has been reported as one of non-motor manifestations of both pre-symptomatic and manifest Huntington’s Disease (HD). The aim of our study was to evaluate heart rate variability (HRV) during wake and sleep in a cohort of patients with manifest HD. Methods Thirty consecutive patients with manifest HD were enrolled, 14 men and 16 women, mean age 57.3±12.2 years. All patients underwent full-night attended video-polysomnography. HRV was analyzed during wake, NREM and REM sleep, in time and frequency domain. Results were compared with a control group of healthy volunteers matched for age and sex. Results During wake HD patients presented significantly higher mean heart rate than controls (72.4±9.6 vs 58.1±7.3 bpm; p<0.001). During NREM sleep, HD patients showed higher mean heart rate (65.6±11.1 vs 48.8±4.6 bpm; p<0.001) and greater Low Frequency (LF) component of HRV (52.9±22.6 vs 35.5±17.3 n.u.; p=0.004). During REM sleep, we observed lower standard deviation of the R-R interval (SDNN) in HD subjects (3.4±2.2 vs 3.7±1.3 ms; p=0.015). Conclusion Our results showed that HD patients have higher heart rate than controls, during wake and NREM, but not during REM sleep. Among HRV variability parameters, the most relevant difference regarded the LF component, which reflects, at least partially, the ortho-sympathetic output. Our results confirm the involvement of autonomic nervous system in HD and demonstrate that it is evident during both wake and sleep.

scholarly journals Effect of Acupuncture on Heart Rate Variability: A Systematic Review

2014 ◽  
Vol 2014 ◽  
pp. 1-19 ◽  
Author(s):  
Joanne W. Y. Chung ◽  
Vincent C. M. Yan ◽  
Hongwei Zhang
Keyword(s):  
Systematic Review ◽  
Heart Rate ◽  
Heart Rate Variability ◽  
High Frequency ◽  
Healthy Subjects ◽  
Keyword Search ◽  
Data Extraction ◽  
Meta Analysis ◽  
Low Frequency ◽  
Control Group

Aim.To summarize all relevant trials and critically evaluate the effect of acupuncture on heart rate variability (HRV).Method.This was a systematic review with meta-analysis. Keyword search was conducted in 7 databases for randomized controlled trials (RCTs). Data extraction and risk of bias were done.Results.Fourteen included studies showed a decreasing effect of acupuncture on low frequency (LF) and low frequency to high frequency ratio (LF/HF ratio) of HRV for nonhealthy subjects and on normalized low frequency (LF norm) for healthy subjects. The overall effect was in favour of the sham/control group for high frequency (HF) in nonhealthy subjects and for normalized high frequency (HF norm) in healthy subjects. Significant decreasing effect on HF and LF/HF ratio of HRV when acupuncture was performed on ST36 among healthy subjects and PC6 among both healthy and nonhealthy subjects, respectively.Discussion.This study partially supports the possible effect of acupuncture in modulating the LF of HRV in both healthy and nonhealthy subjects, while previous review reported that acupuncture did not have any convincing effect on HRV in healthy subjects. More published work is needed in this area to determine if HRV can be an indicator of the therapeutic effect of acupuncture.

Mind–body interactive qigong improves physical and mental aspects of quality of life in inpatients with stroke: A randomized control study

2019 ◽  
Vol 18 (8) ◽  
pp. 658-666 ◽  
Author(s):  
Ching-Hsiang Chen ◽  
Kuo-Sheng Hung ◽  
Yu-Chu Chung ◽  
Mei-Ling Yeh
Keyword(s):  
Quality Of Life ◽  
Heart Rate ◽  
Heart Rate Variability ◽  
High Frequency ◽  
Standard Care ◽  
Low Frequency ◽  
Control Group ◽  
Subacute Stroke ◽  
Interactive Exercise

Background: Stroke, a medical condition that causes physical disability and mental health problems, impacts negatively on quality of life. Post-stroke rehabilitation is critical to restoring quality of life in these patients. Objectives: This study was designed to evaluate the effect of a mind–body interactive qigong intervention on the physical and mental aspects of quality of life, considering bio-physiological and mental covariates in subacute stroke inpatients. Methods: A randomized controlled trial with repeated measures design was used. A total of 68 participants were recruited from the medical and rehabilitation wards at a teaching hospital in northern Taiwan and then randomly assigned either to the Chan-Chuang qigong group, which received standard care plus a 10-day mind–body interactive exercise program, or to the control group, which received standard care only. Data were collected using the National Institutes of Health Stroke Scale, Hospital Anxiety and Depression Scale, Short Form-12, stroke-related neurologic deficit, muscular strength, heart rate variability and fatigue at three time points: pre-intervention, halfway through the intervention (day 5) and on the final day of the intervention (day 10). Results: The results of the mixed-effect model analysis showed that the qigong group had a significantly higher quality of life score at day 10 ( p<0.05) than the control group. Among the covariates, neurologic deficit ( p=0.04), muscle strength ( p=0.04), low frequency to high frequency ratio ( p=0.02) and anxiety ( p=0.04) were significantly associated with changes in quality of life. Conversely, heart rate, heart rate variability (standard deviation of normal-to-normal intervals, low frequency and high frequency), fatigue and depression were not significantly associated with change in quality of life ( p >0.05). Conclusions: This study supports the potential benefits of a 10-day mind–body interactive exercise (Chan-Chuang qigong) program for subacute stroke inpatients and provides information that may be useful in planning adjunctive rehabilitative care for stroke inpatients.

The Comparisons of Heart Rate Variability and Perceived Exertion During Simulated Cycling with Various Viewing Devices

2008 ◽  
Vol 17 (6) ◽  
pp. 575-583 ◽  
Author(s):  
Shih-Fong Huang ◽  
Po-Yi Tsai ◽  
Wen-Hsu Sung ◽  
Chih-Yung Lin ◽  
Tien-Yow Chuang
Keyword(s):  
Heart Rate ◽  
Heart Rate Variability ◽  
Spectral Density ◽  
Power Spectral Density ◽  
Perceived Exertion ◽  
Low Frequency ◽  
Control Group ◽  
Threshold Intensity ◽  
Power Spectral ◽  
Significant Difference

Sympathovagal modulation during immersion in a virtual environment is an important influence on human performance of a task. The aim of this study is to investigate sympathovagal modulation using heart rate variability and perceived exertion during exercise in a virtual reality (VR) environment. Sixteen young healthy volunteers were tested while using a stationary bicycle and maintained at an anaerobic threshold intensity for exercise sessions of approximately 10 min duration. Four randomized viewing alternatives were provided including desktop monitor, projector, head mounted device (HMD), and no simulation display. The “no simulation display” served as the control group. A quick ramp exercise test was conducted and maintained at an anaerobic threshold intensity for each session to evaluate power spectral density and rating of perceived exertion (RPE). The sampled heart rate data were rearranged by cubic spline interpolation into power spectrums spanning the ultra-low frequency (ULF) to high frequency (HF) range. A significant difference was found between the no-display and projector groups for total power (TP) and very low frequency (VLF) components. In particular, there was a significant difference when comparing HMD and no-display exercise RPE curves within 6 min of cycling and at the termination of the exercise. A significant difference was also achieved in projector vs. control group comparison at the termination of the exercise. Our results indicate that the use of HMD and the projected VR during cycling can reduce the TP and VLF power spectral density through a proposed decrease in the renin-angiotensin system, with the implication that this humoral effect may enable anaerobic exercise for longer durations through a reduction in sympathetic tone and subsequent increased blood flow to the muscles.

scholarly journals Effects of Mentha Piperita Essential Oil Uptake or Inhalation on Heart Rate Variability and Cardiopulmonary Regulation during Exercise

2021 ◽  
Vol 10 (2) ◽  
pp. 65-72
Author(s):  
Tso-Yen Mao ◽  
◽  
Chun-Feng Huang ◽  
De-Yen Liu ◽  
Chien-Ting Chen ◽  
...  
Keyword(s):  
Carbon Dioxide ◽  
Heart Rate ◽  
Heart Rate Variability ◽  
Essential Oil ◽  
Respiratory Rate ◽  
Low Frequency ◽  
Carbon Dioxide Production ◽  
Mentha Piperita ◽  
Control Group ◽  
Frequency Area

This study compares the effects of the uptake or inhalation of 50uL Mentha piperita (MP) essential oil for 10 days on heart rate variability (HRV) and cardiopulmonary regulation during various exercise intensities. Forty-eight healthy male subjects were randomly assigned to MP uptake (MPU; n=16), MP inhalation (MPI; n=16), and control group (C; n=16). All participants were measured resting HRV, respiratory, cardiovascular, and metabolic parameters during aerobic, anaero- bic, and graded exercise tests (GXT) before and after treatment. There were significant increases in the low-frequency area (LFa; 1.8±0.1 vs 2.2±0.2 ms²), the ratio of low frequency to respiration frequency area (LFa/RFa; 0.9±0.1 vs 1.3±0.1) at resting and carbon dioxide production (VCO 2 ; 41.2±4.0 vs 49.2±6.8 mL/min -1 /kg -1 ), ventilation per minute (V E ; 80.2±4.3 vs 97.5±5.5 L/min -1 ), and respiratory rate (RR; 38.2±1.9 to 44.3±2.1 breath/min -1 ) in an anaerobic test following MPU inter- vention. In GXT, maximal carbon dioxide production (VCO 2max; 51.9±3.5 to 59.1±6.4 mL/min -1 /kg -1 ), maximal ventilation per minute (V Emax ; 126.4±6.5 to 138.4±5.4 L/min -1 ) and maximal respiratory rate (RR max ; 52.7±3.6 to 60.1±2.3 breath/min -1 ) significantly increased in MPU. The correlations of ΔLFa with ΔVCO 2max , ΔV Emax , and ΔRR max in the MPU group were signifi- cant. Continuous uptake or inhalation of 50uL MP oil for 10 days does not improve aerobic capacity and maximal exercise performance, but 10 days’ uptake of MP essential oil increased sympathetic activity at rest and may relate to respiratory regulation under high-intensity exercise.

scholarly journals Resting heart rate variability in regular yoga practitioners - A cross-sectional study

2020 ◽  
Vol 4 (2) ◽  
pp. 12-17
Author(s):  
Selvakumar Subash ◽  
Manikandan Sathiyaseelan ◽  
Dayanalakshmi Ramachandran
Keyword(s):  
Heart Rate ◽  
Heart Rate Variability ◽  
Cross Sectional Study ◽  
Control Group ◽  
Cross Sectional ◽  
Non Invasive ◽  
Yoga Group ◽  
Increased Risk ◽  
Resting Heart Rate Variability ◽  
Yoga Practitioners

Heart rate variability (HRV) is a useful and powerful non-invasive tool for quantitative assessment of cardiac autonomic function. Recent studies have shown that low heart rate variability is an indication of increased risk for cardiac diseases and sudden cardiac death. Yoga has been associated with improved cardio-respiratory performance. Thirty male regular yoga practitioners doing yoga for more than 3 years, age between 25-45 years (yoga group) and 30 male non-yoga practitioners, age-matched (control group) were included. A computerized Niviqure ECG system with HRV software was used for heart rate variability recording. Our results show that frequency-domain parameters like LF power, LF n.u, and LF/HF ratio were significantly lower in yoga group compared to control group. Time-domain parameters like mean RR, NN50, pNN50 were significantly higher in yoga group compared to control group. We conclude that the yoga increases heart rate variability by optimizing the autonomic functions, which is a good indicator of cardiac autonomic activity during rest.

scholarly journals Is the algorithm used to process heart rate variability data clinically relevant? Analysis in male adolescents

2016 ◽  
Vol 14 (2) ◽  
pp. 196-201 ◽  
Author(s):  
Antonio Henrique Germano Soares ◽  
Breno Quintella Farah ◽  
Gabriel Grizzo Cucato ◽  
Carmelo José Albanez Bastos-Filho ◽  
Diego Giulliano Destro Christofaro ◽  
...  
Keyword(s):  
Heart Rate ◽  
Heart Rate Variability ◽  
Fourier Transform ◽  
Fast Fourier Transform ◽  
High Frequency ◽  
Low Frequency ◽  
Total Power ◽  
Cross Sectional ◽  
Negatively Associated ◽  
Male Adolescents

ABSTRACT Objective To analyze whether the algorithm used for the heart rate variability assessment (fast Fourier transform versus autoregressive methods) influenced its association with cardiovascular risk factors in male adolescents. Methods This cross-sectional study included 1,152 male adolescents (aged 14 to 19 years). The low frequency, high frequency components (absolute numbers and normalized units), low frequency/high frequency ratio, and total power of heart rate variability parameters were obtained using the fast Fourier transform and autoregressive methods, while the adolescents were resting in a supine position. Results All heart rate variability parameters calculated from both methods were different (p<0.05). However, a low effect size (<0.1) was found for all parameters. The intra-class correlation between methods ranged from 0.96 to 0.99, whereas the variation coefficient ranged from 7.4 to 14.8%. Furthermore, waist circumference was negatively associated with high frequency, and positively associated with low frequency and sympatovagal balance (p<0.001 for both fast Fourier transform and autoregressive methods in all associations). Systolic blood pressure was negatively associated with total power and high frequency, whereas it was positively associated with low frequency and sympatovagal balance (p<0.001 for both fast Fourier transform and autoregressive methods in all associations). Body mass index was negatively associated with high frequency, while it was positively associated with low frequency and sympatovagal balance (p values ranged from <0.001 to 0.007). Conclusion There are significant differences in heart rate variability parameters obtained with the fast Fourier transform and autoregressive methods in male adolescent; however, these differences are not clinically significant.

scholarly journals Influence of Different Types of Corticosteroids on Heart Rate Variability of Individuals with Duchenne Muscular Dystrophy—A Pilot Cross Sectional Study

Life ◽  
2021 ◽  
Vol 11 (8) ◽  
pp. 752
Author(s):  
Rodrigo Martins Dias ◽  
Rosangela Akemi Hoshi ◽  
Luiz Carlos Marques Vanderlei ◽  
Carlos Bandeira de Mello Monteiro ◽  
Mayra Priscila Boscolo Alvarez ◽  
...  
Keyword(s):  
Heart Rate ◽  
Heart Rate Variability ◽  
Duchenne Muscular Dystrophy ◽  
Muscular Dystrophy ◽  
Cross Sectional Study ◽  
Control Group ◽  
Autonomic Modulation ◽  
Sectional Study ◽  
Cross Sectional ◽  
Cardiac Autonomic Modulation

Individuals with Duchenne Muscular Dystrophy (DMD) have an impairment of cardiac autonomic function categorized by parasympathetic reduction and sympathetic predominance. The objective of this study was to assess the cardiac autonomic modulation of individuals with DMD undergoing therapy with Prednisone/Prednisolone and Deflazacort and compare with individuals with DMD without the use of these medications and a typically developed control group. Methods: A cross-sectional study was completed, wherein 40 boys were evaluated. The four treatment groups were: Deflazacort; Prednisone/Prednisolone; no corticoid use; and typical development. Heart Rate Variability (HRV) was investigated via linear indices (Time Domain and Frequency Domain) and non-linear indices Results: The results of this study revealed that individuals with DMD undertaking pharmacotherapies with Prednisolone demonstrated HRV comparable to the Control Typically Developed (CTD) group. In contrast, individuals with DMD undergoing pharmacotherapies with Deflazacort achieved lower HRV, akin to individuals with DMD without any medications, as demonstrated in the metrics: RMSSD; LF (n.u.), HF (n.u.), LF/HF; SD1, α1, and α1/α2, and a significant effect for SD1/SD2; %DET and Ratio; Shannon Entropy, 0 V%, 2 LV% and 2 ULV%. Conclusions: Corticosteroids have the potential to affect the cardiac autonomic modulation in adolescents with DMD. The use of Prednisone/Prednisolone appears to promote improved responses in terms of sympathovagal activity as opposed to Deflazacort.

scholarly journals Integrating Breathing Techniques Into Psychotherapy to Improve HRV: Which Approach Is Best?

2021 ◽  
Vol 12 ◽  
Author(s):  
Patrick R. Steffen ◽  
Derek Bartlett ◽  
Rachel Marie Channell ◽  
Katelyn Jackman ◽  
Mikel Cressman ◽  
...  
Keyword(s):  
Blood Pressure ◽  
Heart Rate ◽  
Heart Rate Variability ◽  
Recovery Period ◽  
Low Frequency ◽  
Control Group ◽  
Critical Writing ◽  
Breathing Techniques ◽  
Randomized Controlled Experiment ◽  
Video Condition

IntroductionApproaches to improve heart rate variability and reduce stress such as breathing retraining are more frequently being integrated into psychotherapy but little research on their effectiveness has been done to date. Specifically, no studies to date have directly compared using a breathing pacer at 6 breaths per minute with compassion focused soothing rhythm breathing.Current StudyIn this randomized controlled experiment, 6 breaths per minute breathing using a pacer was compared with compassion focused soothing rhythm breathing, with a nature video being used as a control group condition.MethodsHeart rate variability (HRV) measures were assessed via electrocardiogram (ECG) and respiration belt, and an automated blood pressure machine was used to measure systolic diastolic blood pressure, and heart rate (HR). A total of 96 participants were randomized into the three conditions. Following a 5-min baseline, participants engaged in either 6 breath per minute breathing, soothing rhythm breathing, or watched a nature video for 10 min. To induce a stressful state, participants then wrote for 5 min about a time they felt intensely self-critical. Participants then wrote for 5 min about a time they felt self-compassionate, and the experiment ended with a 10-min recovery period.ResultsConditions did not significantly differ at baseline. Overall, HRV, as measured by standard deviation of NN intervals (SDNN), low frequency HRV (LF HRV), and LF/HF ratio, increased during the intervention period, decreased during self-critical writing, and then returned to baseline levels during the recovery period. High frequency HRV (HF HRV) was not impacted by any of the interventions. The participants in the 6 breath per minute pacer condition were unable to consistently breathe at that rate and averaged about 12 breaths per minute. Time by Condition analyses revealed that both the 6 breaths per minute pacer and soothing breathing rhythm conditions lead to significantly higher SDNN than the nature video condition during breathing practice but there were no significant differences between conditions in response to the self-critical and self-compassionate writing or recovery periods. The 6 breath per minute pacer condition demonstrated a higher LF HRV and LF/HF ratio than the soothing rhythm breathing condition, and both intervention conditions had a higher LF HRV and LF/HF ratio than the nature video.ConclusionsAlthough the 6 breath per minute pacer condition participants were not able to breath consistently at the low pace, both the participants attempting to breathe at 6 breaths per minute as well as those in the soothing rhythm breathing condition effectively increased HR variability as measured by SDNN, and attempting to breathe at 6 breaths per minute led to the highest LF HRV and LF/HF ratio. Both breathing approaches impacted HRV more than watching a relaxing nature video and can potentially be used as key adjuncts in psychotherapy to aid in regulating physiological functioning, although it appears that consistent breathing practice would be needed.

Effect of single bout of exercise on heart rate variability in young healthy adults and its correlations with anthropometric parameters

2021 ◽  
Vol 19 (2) ◽  
pp. 05-14
Author(s):  
Deepayan Sarkar ◽  
Keyword(s):  
Heart Rate ◽  
Heart Rate Variability ◽  
Disease Risk ◽  
Low Frequency ◽  
Clinical Importance ◽  
Submaximal Exercise ◽  
Anthropometric Parameters ◽  
Cross Sectional ◽  
Single Bout ◽  
Males And Females

Background: Heart rate variability (HRV) as a measurement of autonomic function assumes great clinical importance. It is well known that particular patterns of body fat distribution increase coronary heart disease risk both in adults and children. While frank obesity is associated with reduced HRV, indicative of poorer autonomic nervous system (ANS) function, the association between body mass index (BMI) and HRV is less clear. The dynamic autonomic responses during exercise can be measured to give actionable information for training by analysis of the ECG to determine heart rate variability. While application of HRV has been applied to predict sudden cardiac death and diabetic neuropathy in assessing disease progression. The study revealed the changes in HRV in resting condition and also after a single bout of sub maximal treadmill exercise (50% of VO2 max.) among males and females in the age group of 17-25 years at rest, and the correlations between the HRV parameters at rest and after the exercise with BMI and WHR in the subjects. An observational cross sectional study was conducted in the Physiology Department of R.G.Kar Medical College, Kolkata, India on 60 subjects (n=60) of both sexes (30 males and 30 females) in the 17-25 years age, participated in this study. Their WHR and BMI were measured and HRV was recorded during rest and immediately after exercise by digital Polyrite. Result showed that the HRV of male were more than in female in resting condition. After submaximal exercise the HRV value of males were more than their respective resting HRV values though it was not significant and, in the females, post-exercise HRV was significantly more than their respective resting HRV. This study shows that females have higher parasympathetic activity than males. There is an association between WHR and BMI and HRV in healthy female persons, which shows that there is an increase in LF/HF(low frequency and high frequency) of values among males and females after a single bout of submaximal exercise though not significant in case of males but significant in case of females.

The effect of sinus node depression on heart rate variability in humans using zatebradine, a selective bradycardic agent

1998 ◽  
Vol 76 (7-8) ◽  
pp. 806-810 ◽  
Author(s):  
Yaariv Khaykin ◽  
Paul Dorian ◽  
Anthony Tang ◽  
M Green ◽  
Jan Mitchell ◽  
...  
Keyword(s):  
Heart Rate ◽  
Heart Rate Variability ◽  
Sinus Node ◽  
Isotonic Saline ◽  
Low Frequency ◽  
Structural Heart Disease ◽  
Total Power ◽  
Control Group ◽  
Bradycardic Agent ◽  
Normal Sinus

Zatebradine is a bradycardic agent with a selective effect on the pacemaker current in the sinus node. The effect of such drugs on heart rate variability is not known. Thirty-six patients without structural heart disease were randomly assigned to receive 10 mg of zatebradine i.v. (n = 24) or isotonic saline (n = 12). Heart rate variability (HRV) was recorded as power in the very low frequency (VLF, 0.003-0.040 Hz), low frequency (LF, 0.040-0.150 Hz), and high frequency (HF, 0.150-0.400 Hz) spectral bands as well as total power (TP, 0.003-0.400 Hz) during 5-min ECG acquisitions at baseline, 30, and 60 min following the start of the infusion. No change in heart rate variability was detected in the control group. Zatebradine significantly reduced heart rate variability at 60 min in all frequency bands: VLF (-12 ± 4%, p < 0.001), LF (-19 ± 4%, p < 0.001), and HF (-26 ± 5%, p < 0.001). The reduction in HRV following zatebradine is due to depression of sinus node response to all external stimuli and underscores the need for documentation of normal sinus node function in HRV research.Key words: zatebradine, sinus node, heart rate variability, HRV, autonomic nervous system.

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