scholarly journals Assessment of autonomic function by long-term heart rate variability: beyond the classical framework of LF and HF measurements

2021 ◽  
Vol 40 (1) ◽  
Author(s):  
Junichiro Hayano ◽  
Emi Yuda
Keyword(s):  
Heart Rate ◽  
Heart Rate Variability ◽  
Autonomic Function ◽  
Low Frequency ◽  
Frequency Component ◽  
High Frequency Component ◽  
Short Term ◽  
Heart Rate Turbulence ◽  
Free Running

AbstractIn the assessment of autonomic function by heart rate variability (HRV), the framework that the power of high-frequency component or its surrogate indices reflects parasympathetic activity, while the power of low-frequency component or LF/HF reflects sympathetic activity has been used as the theoretical basis for the interpretation of HRV. Although this classical framework has contributed greatly to the widespread use of HRV for the assessment of autonomic function, it was obtained from studies of short-term HRV (typically 5‑10 min) under tightly controlled conditions. If it is applied to long-term HRV (typically 24 h) under free-running conditions in daily life, erroneous conclusions could be drawn. Also, long-term HRV could contain untapped useful information that is not revealed in the classical framework. In this review, we discuss the limitations of the classical framework and present studies that extracted autonomic function indicators and other useful biomedical information from long-term HRV using novel approaches beyond the classical framework. Those methods include non-Gaussianity index, HRV sleep index, heart rate turbulence, and the frequency and amplitude of cyclic variation of heart rate.

scholarly journals Changes in Heart Rate Variability of Depressed Patients after Electroconvulsive Therapy

2012 ◽  
Vol 2012 ◽  
pp. 1-8 ◽  
Author(s):  
Erica B. Royster ◽  
Lisa M. Trimble ◽  
George Cotsonis ◽  
Brian Schmotzer ◽  
Amita Manatunga ◽  
...  
Keyword(s):  
Heart Rate ◽  
Heart Rate Variability ◽  
Depressive Symptoms ◽  
Electroconvulsive Therapy ◽  
Low Frequency ◽  
Frequency Component ◽  
High Frequency Component ◽  
Acute Changes ◽  
The Impact

Objective. As few, small studies have examined the impact of electroconvulsive therapy (ECT) upon the heart rate variability of patients with major depressive disorder (MDD), we sought to confirm whether ECT-associated improvement in depressive symptoms would be associated with increases in HRV linear and nonlinear parameters. Methods. After providing consent, depressed study participants (n=21) completed the Beck Depression Index (BDI), and 15-minute Holter monitor recordings, prior to their 1st and 6th ECT treatments. Holter recordings were analyzed for certain HRV indices: root mean square of successive differences (RMSSD), low-frequency component (LF)/high-frequency component (HF) and short-(SD1) versus long-term (SD2) HRV ratios. Results. There were no significant differences in the HRV indices of RMSDD, LF/HF, and SD1/SD2 between the patients who responded, and those who did not, to ECT. Conclusion. In the short term, there appear to be no significant improvement in HRV in ECT-treated patients whose depressive symptoms respond versus those who do not. Future studies will reveal whether diminished depressive symptoms with ECT are reliably associated with improved sympathetic/parasympathetic balance over the long-term, and whether acute changes in sympathetic/parasympathetic balance predict improved mental- and cardiac-related outcomes.

scholarly journals Heart Rate Variability in HIV Patients, Diabetics, and Controls: The AGATAA Study

2011 ◽  
Vol 2011 ◽  
pp. 1-8 ◽  
Author(s):  
Isabela M. Benseñor ◽  
Margareth Eira ◽  
Egídio Lima Dorea ◽  
Eduardo M. Dantas ◽  
José Geraldo Mill ◽  
...  
Keyword(s):  
Heart Rate ◽  
Heart Rate Variability ◽  
Highly Active Antiretroviral Therapy ◽  
Autonomic Function ◽  
Low Frequency ◽  
Frequency Component ◽  
High Frequency Component ◽  
Cardiac Autonomic Function ◽  
Hiv Patients ◽  
Highly Active

HIV infection can affect cardiac autonomic function. We aimed to compare heart rate variability in 29 HIV-infected patients using highly active antiretroviral therapy (HAART), 28 naïve-treatment HIV patients, and diabetics with controls. There was no difference in time index parameters among groups. The normalized power of the low-frequency component (LF) in naïve patients of 39.9 (interquartile interval (IQ), 28.5–65.7) and diabetics of 42.9 (IQ, 14.5–57.7) were decreased compared with controls (67.5, IQ, 37.9–75.4). The normalized power of the high-frequency component (HF) in naïves of 49.7 (IQ, 30.4–64.8), and diabetics of 53.1 (IQ, 34.5–72.2) were increased compared with controls (27.0, IQ, 19.0–57.3). Naïve and diabetics also presented with lower LF/HF ratios (0.8 (IQ, 0.6–2.3), and 0.9 (IQ, 0.3–1.4),) compared with controls (2.3 (IQ, 0.8–3.3)). We can speculate that HAART improves autonomic imbalance in frequency domain indices because there was no difference between the HAART group and controls.

scholarly journals Heart Rate Variability Duration: Expanding the Ability of Wearable Technology to Improve Outpatient Monitoring?

2021 ◽  
Vol 12 ◽  
Author(s):  
David C. Sheridan ◽  
Karyssa N. Domingo ◽  
Ryan Dehart ◽  
Steven D. Baker
Keyword(s):  
Mental Health ◽  
Heart Rate ◽  
Heart Rate Variability ◽  
Time Windows ◽  
Low Frequency ◽  
Frequency Component ◽  
Wearable Technology ◽  
Mental Health Research ◽  
High Frequency Component ◽  
Frequency Domains

Heart rate variability (HRV) evaluates beat-to-beat interval (BBI) differences and is a suggested marker of the autonomic nervous system with diagnostic/monitoring capabilities in mental health; especially parasympathetic measures. The standard duration for short-term HRV analysis ranges from 24 h down to 5-min. However, wearable technology, mainly wrist devices, have large amounts of motion at times resulting in need for shorter duration of monitoring. The objective of this study was to evaluate the correlation between 1 and 5 min segments of continuous HRV data collected simultaneously on the same patient. Subjects wore a patch electrocardiograph (Cardea Solo, Inc.) over a 1–7 day period. For every consecutive hour the patch was worn, we selected a 5-min, artifact-free electrocardiogram segment. HRV metric calculation was performed to the entire 5-min segment and the first 1-min from this same 5-min segment. There were 492 h of electrocardiogram data collected allowing calculation of 492 5 min and 1 min segments. 1 min segments of data showed good correlation to 5 min segments in both time and frequency domains: root mean square of successive difference (RMSSD) (R = 0.92), high frequency component (HF) (R = 0.90), low frequency component (LF) (R = 0.71), and standard deviation of NN intervals (SDNN) (R = 0.63). Mental health research focused on parasympathetic HRV metrics, HF and RMSSD, may be accomplished through smaller time windows of recording, making wearable technology possible for monitoring.

Nocturnal Heart Rate Variability Following Supramaximal Intermittent Exercise

2009 ◽  
Vol 4 (4) ◽  
pp. 435-447 ◽  
Author(s):  
Al Haddad Hani ◽  
Paul B. Laursen ◽  
Ahmaidi Said ◽  
Buchheit Martin
Keyword(s):  
Heart Rate ◽  
Heart Rate Variability ◽  
High Efficiency ◽  
Slow Wave Sleep ◽  
Intermittent Exercise ◽  
Frequency Component ◽  
High Frequency Component ◽  
Exercise Heart Rate ◽  
Supramaximal Exercise

Purpose:To assess the effect of supramaximal intermittent exercise on long-term cardiac autonomic activity, inferred from heart rate variability (HRV).Methods:Eleven healthy males performed a series of two consecutive intermittent 15-s runs at 95% VIFT (i.e., speed reached at the end of the 30-15 Intermittent Fitness Test) interspersed with 15 s of active recovery at 45% VIFT until exhaustion. Beat-to-beat intervals were recorded during two consecutive nights (habituation night and 1st night) before, 10 min before and immediately after exercise, as well as 12 h (2nd night) and 36 h (3rd night) after supramaximal intermittent exercise. The HRV indices were calculated from the last 5 min of resting and recovery periods, and the first 10 min of the first estimated slow wave sleep period.Results:Immediate post-supramaximal exercise vagal-related HRV indices were significantly lower than immediate pre-supramaximal exercise values (P < .001). Most vagal-related indices were lower during the 2nd night compared with the 1st night (eg, mean RR intervals, P = .03). Compared with the 2nd night, vagal-related HRV indices were significantly higher during the 3rd night. Variables were not different between the 1st and 3rd nights; however, we noted a tendency (adjusted effect size, aES) for an increased normalized high-frequency component (P = .06 and aES = 0.70) and a tendency toward a decreased low-frequency component (P = .06 and aES = 0.74).Conclusion:Results confirm the strong influence of exercise intensity on short- and long-term post exercise heart rate variability recovery and might help explain the high efficiency of supramaximal training for enhancing indices of cardiorespiratory fitness.

Effects of 2-Hz and 100-Hz Electroacupuncture Stimulation on Respiratory Function and Heart Rate Variability: A Randomized Crossover Study

2021 ◽  
Author(s):  
Kazufumi Takahashi ◽  
Xiaoming Wang ◽  
Daiyu Shginohara ◽  
Kenji Imai
Keyword(s):  
Heart Rate ◽  
Heart Rate Variability ◽  
High Frequency ◽  
Respiratory Function ◽  
Low Frequency ◽  
Frequency Component ◽  
Autonomic Nerve ◽  
High Frequency Component ◽  
Respiratory Function Test ◽  
Function Test

Background: Bronchial contraction and dilation is thought to be caused by non-adrenergic non-cholinergic nerves. Objective: To investigate the effects of low-frequency (1-5 Hz) and high frequency (50-100 Hz) electric acupuncture (EA) stimulation on bronchial dilation. Design: Prospective, single-center study. Setting: Teikyo Heisei University Subjects: Seventeen healthy male adults Randomization: We randomly assigned subjects to 2-Hz EA and 100-Hz EA groups in a crossover trial. The washout period was 2 weeks. Intervention: Both groups underwent a respiratory function test, followed by a 5-minute rest, followed a 5-minute rest or EA stimulation, followed by a 5- min rest. Heart rate variability was measured at rest, followed by another respiratory function test. Acupuncture was delivered near the cervical ganglia at the level of the sixth cervical vertebra on the left side. EA stimuli were set to 2-Hz or 100-Hz, and stimulation intensity was set to a level where no pain was felt. Main outcome measures: Spirometry (forced vital capacity, forced expiratory volume in 1 s, and maximum respiratory flow), autonomic nerve activity (low-frequency component, high-frequency component, and their ratio), and heart rate variability. Results: Heart rate variability analysis showed significant differences in heart rate between the 2-Hz EA and 100-Hz EA groups. The 2-Hz EA group showed a significant increase in HF. Conclusions: 2-Hz EA stimulation resulted in decreased heart rate and increased HF during stimulation. This may be more effective for regulation of the autonomic nerves of the cardiopulmonary system than 100-Hz EA stimulation. Future studies are required to confirm our findings.

scholarly journals DYNAMICS OF HEART RATE VARIABILITY UNDER THE INFLUENCE OF COURSE YOGA BREATHING EXERCISES ON HEALTHY YOUNG PEOPLE

2019 ◽  
Vol 72 (4) ◽  
pp. 613-616 ◽  
Author(s):  
Nataliia I. Sheiko ◽  
Volodymyr P. Feketa
Keyword(s):  
Heart Rate ◽  
Heart Rate Variability ◽  
High Frequency ◽  
Cardiac Rhythm ◽  
Low Frequency ◽  
Frequency Component ◽  
High Frequency Component ◽  
Regulatory Activity ◽  
Biological Feedback ◽  
Very Low Frequency

Introduction: Heart rate variability is a highly informative non-invasive method of research not only for the functional state of the cardiovascular system and also for the integrative regulatory activity of the autonomic nervous system. The positive effect of diaphragmatic breathing is positive in the mode of biological feedback using portable devices, but there is little evidence of the use of yoga breathing gymnastics in order to influence the heart rate variability. The aim: To compare the possibilities of using courses of breathing gymnastics of yogis and diaphragmatic breathing sessions in the mode of biological feedback using a portable device. Materials and methods: The study involved 70 practically healthy foreigners, who were divided into 2 groups of 35 people. Participants of the 1st group daily engage in respiratory exercises pranayama for 15 minutes in 1 month. Participants in the 2nd group used the MyCalmBeat portable device. Heart rate variability was registered by using the computer diagnostic complex “CardioLab” (“KhAI-Medika”, Ukraine). Results: In both groups there was similar dynamics of heart rate variability indices, but its severity was different. The common integral effect was a significant growth of heart rate variability both according to statistical and spectral indicators – total power increased, as well as high-frequency component. The power of the very-low frequency waves has probably decreased only in the group with the device. In the percentage structure of the cardiac rhythm spectrum, the specific weight of very-low frequency component and the percentage of high-frequency component increased. Conclusions: Respiratory gymnastics yoga for 15 minutes daily contributes to the growth of heart rate variability through the suppression of the central link (very-low frequency component) of regulation of cardiac rhythm and increased activity of parasympathetic influences (high-frequency component), as well as the redistribution of regulatory activity of the central nervous system between the central and peripheral links of regulation of the cardiac rhythm in favor of the latter.

scholarly journals Reproducibility of Heart Rate Variability Revealed by Repeated Measurements during and after Hemodialysis

2019 ◽  
Vol 49 (3) ◽  
pp. 356-363
Author(s):  
Kerstin Deussing ◽  
Ralph Wendt ◽  
Ronald Burger ◽  
Maik Gollasch ◽  
Joachim Beige
Keyword(s):  
Heart Rate ◽  
Heart Rate Variability ◽  
Real Time ◽  
High Frequency ◽  
Low Frequency ◽  
Repeated Measurements ◽  
Autonomous Nervous System ◽  
Short Term ◽  
Real Time Analysis

Background/Aims: Trajectory of heart rate variability (HRV) represents a noninvasive real-time measure of autonomous nervous system (ANS) and carries the capability of providing new insights into the hemodynamic compensation reserve during hemodialysis (HD). However, studies on HRV reproducibility during HD are scarce and did not refer to different reading periods. In this observational study, we aimed to establish the best suited and most reliable and reproducible HRV index in routine HD treatments including different reading rates. Methods: HRV was characterized by standardized mathematical variation expressions of R/R’ intervals: SD of all R/R’ intervals (ms), square root of the root mean square of the sum of all differences between adjacent R/R’ intervals (ms), percentage of consecutive R/R’ intervals that differ by >50 ms (%), low-frequency spectral analysis HRV (LF, expressing sympathetic activity), and high-frequency HRV (HF, expressing parasympathetic activity). To compare robustness of these HRV indices during HD procedures, we compared HRV indices means between different HD sessions and controlled for association with clinical parameters. Results: In 72 HD treatments of 34 patients, we detected the highest reproducibility (89%) of HRV measures when analyzing the low-frequency to high-frequency (LF/HF) ratio in long-term (3 h) readings. Long-term LF/HF was able to discriminate ­between patients with and without heart failure NYHA classes ≥3 (p = 0.009) and type 2 diabetes (p = 0.023). We were unable to study relationships between ANS and intradialytic complications because they did not appear in our cohort. Short-term readings of HRV indices did not show any significance of pattern change during HD. Conclusion: In summary, our data provide evidence for high robustness of long-term LF/HF in analyzing HRV in HD patients using future automated monitoring systems. For short-term analysis, mathematical real-time analysis must evolve.

Long Term Effects of Low Frequency (10 Hz) Vagus Nerve Stimulation on EEG and Heart Rate Variability in Crohn's Disease: A Case Report

2014 ◽  
Vol 7 (6) ◽  
pp. 914-916 ◽  
Author(s):  
Didier Clarençon ◽  
Sonia Pellissier ◽  
Valérie Sinniger ◽  
Astrid Kibleur ◽  
Dominique Hoffman ◽  
...  
Keyword(s):  
Heart Rate ◽  
Heart Rate Variability ◽  
Crohn’S Disease ◽  
Case Report ◽  
Vagus Nerve ◽  
Nerve Stimulation ◽  
Vagus Nerve Stimulation ◽  
Low Frequency ◽  
Long Term Effects

HEART RATE VARIABILITY RELATED TO N95 RESPIRATOR USE IN INTERNS DURING COVID-19 PANDEMIC

2021 ◽  
pp. 69-70
Author(s):  
Pakanati Sujana ◽  
Venkata Mahesh Gandhavalla ◽  
K. Prabhakara Rao
Keyword(s):  
Heart Rate ◽  
Heart Rate Variability ◽  
Low Frequency ◽  
Protective Equipment ◽  
Short Term ◽  
Non Invasive ◽  
Critical Components ◽  
The Individual ◽  
N95 Respirators ◽  
Respiratory Droplets

Introduction: COVID19 is caused by SARS-CoV-2 which is primarily transmitted through respiratory droplets and contact routes. WHO recommended the use of personal protective equipment (PPE) for prevention and N95 respirators are critical components of PPE. Breathing through N95 respirator will impart stress in the individual and that can be assessed by heart rate variability (HRV). HRV measures the variation in time between each heartbeat controlled by autonomic nervous system (ANS), which is a non invasive reliable index to identify the ANS imbalances. Aims And Objectives: This study is aimed at assessing the HRV of Interns working in COVID19 wards using N95 respirators. Methodology: This study included 100 interns in whom short term HRV was recorded using the standard protocol. Lead II of ECG was recorded using AD instruments (ADI) 8channel polygraph and HRV was analysed using Labchart 8pro software. The recordings were taken before and 1hour after wearing N95 respirator. Results: Overall HRV (SDRR) was found to decrease signicantly after wearing N95 respirator for 1hr (p=0.000). Similarly, indices representing the parasympathetic component ( RMSSD and HF ) were also found to decrease signicantly with the use of N95 respirator. Low frequency (LF) power and LF/HF ratio increased signicantly with N95 respirator use (p=0.000). Conclusion: We conclude that using N95 respirator increased sympathetic activity reecting decreased HRV in our subjects Hence we recommend that it is better to change the duty pattern for interns.

The use of heart rate turbulence and heart rate variability in the assessment of autonomic regulation and circadian rhythm in patients with systemic lupus erythematosus without apparent heart disease

Lupus ◽  
2017 ◽  
Vol 27 (3) ◽  
pp. 436-444 ◽  
Author(s):  
A R Poliwczak ◽  
E Waszczykowska ◽  
B Dziankowska-Bartkowiak ◽  
M Koziróg ◽  
K Dworniak
Keyword(s):  
Systemic Lupus Erythematosus ◽  
Heart Rate ◽  
Heart Rate Variability ◽  
Lupus Erythematosus ◽  
High Frequency ◽  
Autonomic Function ◽  
Disease Duration ◽  
Control Group ◽  
Systemic Lupus ◽  
Heart Rate Turbulence

Background Systemic lupus erythematosus is a progressive autoimmune disease. There are reports suggesting that patients even without overt signs of cardiovascular complications have impaired autonomic function. The aim of this study was to assess autonomic function using heart rate turbulence and heart rate variability parameters indicated in 24-hour ECG Holter monitoring. Methods Twenty-six women with systemic lupus erythematosus and 30 healthy women were included. Twenty-four hour ambulatory ECG-Holter was performed in home conditions. The basic parameters of heart rate turbulence and heart rate variability were calculated. The analyses were performed for the entire day and separately for daytime activity and night time rest. Results There were no statistically significant differences in the basic anthropometric parameters. The mean duration of disease was 11.52 ± 7.42. There was a statistically significant higher turbulence onset (To) value in patients with systemic lupus erythematosus, median To = –0.17% (minimum –1.47, maximum 3.0) versus To = –1.36% (minimum –4.53, maximum –0.41), P < 0.001. There were no such differences for turbulence slope (Ts). In the 24-hour analysis almost all heart rate variability parameters were significantly lower in the systemic lupus erythematosus group than in the healthy controls, including SDANN and r-MSSD and p50NN. Concerning the morning activity and night resting periods, the results were similar as for the whole day. In the control group, higher values in morning activity were noted for parameters that characterise sympathetic activity, especially SDANN, and were significantly lower for parasympathetic parameters, including r-MSSD and p50NN, which prevailed at night. There were no statistically significant changes for systemic lupus erythematosus patients for p50NN and low and very low frequency. There was a positive correlation between disease duration and SDNN, R = 0.417; P < 0.05 and SDANN, R = 0.464; P < 0.05, a negative correlation between low/high frequency ratio and r-MSSD, R = –0.454; P < 0.05; p50NN, R = –0.435; P < 0.05 and high frequency, R = –0.478; P < 0.05. In contrast, there was no statistically significant correlation between heart rate turbulence and other variables evaluated, including disease duration and the type of autoantibodies. Conclusion: Our study confirms the presence of autonomic disorders with respect to both heart rate variability and heart rate turbulence parameters and the presence of diurnal disturbances of sympathetic–parasympathetic balance. Further studies are required.

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