scholarly journals CHARACTERIZATION OF HEART RATE VARIABILITY DURING TOTAL VENOUS ANESTHESIA: A CASE REPORT

2018 ◽  
Vol 2 (4) ◽  
pp. 57-70
Author(s):  
Danielly Gonçalves Sombra Lima ◽  
Ageu De Oliveira Saraiva ◽  
Cicera Yolanda Dos Santos ◽  
Sebastião Messias Ribeiro Oliveira ◽  
Rafael Pires Pereira ◽  
...  

The aim of the study was to characterize the heart rate variability in a patient with no comorbidities, submitted to buccomaxillofacial surgery under total venous anesthesia using the linear frequency and nonlinear methods in the chaos domain (Poincaré plot). Data collection was performed before, during and after the surgical procedure using a Polar V800 cardiofrequencymeter and subsequently analyzed and filtered using the Kumbios HRV 3.0 software. During propofol infusion, elevations in LF, HF, SD1 and SD2 were observed. The LF/HF ratio showed obvious changes, which were found to be maximal during extubation and submaximal during awakening under greater influence of the sympathetic nervous system. The moment of the incision has parameters similar to those of rest. Final surgery maintenance showed the lowest values of LH/HF and SD1/SD2, with lower LF and SD2 values compared to rest. During the awakening, there was a decrease in SD1 and HF, representing the moment of greatest fragility during the total venous anesthesia, being of fundamental importance future studies about their repercussions.  

Author(s):  
Somsirsa Chatterjee ◽  
Ankur Ganguly ◽  
Saugat Bhattacharya

Recent research on Heart Rate Variability (HRV) has proven that Poincare Plot is a powerful tool to mark Short Term and Long Term Heart Rate Variability. This study focuses a comprehensive characterization of HRV among the Tea Garden Workers of the Northern Hilly Regions of West Bengal. The characterization, as available from the data sets, projects the average values of SD1 characteristics, that is, Short Term HRV in females as 58.265ms and SD2 as 149.474. The SDRR shows a mean value of 87.298 with a standard deviation of 119.669 and the S Characterization as 16505.99 ms and Standard deviation of 45882.31 ms. The SDRR shows a mean value of 87.298 with a standard deviation of 119.669 and the S Characterization as 16505.99 ms and Standard deviation of 45882.31 ms. ApEn Characterization showed mean value of 0.961 and standard deviation of 0.274.


Author(s):  
Somsirsa Chatterjee ◽  
Ankur Ganguly ◽  
Saugat Bhattacharya

Recent research on Heart Rate Variability (HRV) has proven that Poincare Plot is a powerful tool to mark Short Term and Long Term Heart Rate Variability. This study focuses a comprehensive characterization of HRV among the Tea Garden Workers of the Northern Hilly Regions of West Bengal. The characterization, as available from the data sets, projects the average values of SD1 characteristics, that is, Short Term HRV in females as 58.265ms and SD2 as 149.474. The SDRR shows a mean value of 87.298 with a standard deviation of 119.669 and the S Characterization as 16505.99 ms and Standard deviation of 45882.31 ms. The SDRR shows a mean value of 87.298 with a standard deviation of 119.669 and the S Characterization as 16505.99 ms and Standard deviation of 45882.31 ms. ApEn Characterization showed mean value of 0.961 and standard deviation of 0.274.


1998 ◽  
Vol 274 (6) ◽  
pp. H1875-H1884 ◽  
Author(s):  
Dominique Sigaudo ◽  
Jacques-Olivier Fortrat ◽  
Anne-Marie Allevard ◽  
Alain Maillet ◽  
Jean-Marie Cottet-Emard ◽  
...  

Changes in autonomic nervous system activity could be linked to the orthostatic intolerance (OI) that individuals suffer after a spaceflight or head-down bed rest (HDBR). We examined this possibility by assessing the sympathetic nervous system activity during 42 days of HDBR in seven healthy men. Heart rate variability was studied with the use of power spectral analysis, which provided indicators of the sympathetic (SNSi) and parasympathetic (PNSi) nervous system influences on the heart. Urinary catecholamines and the spontaneous baroreflex sensitivity were measured. Urinary catecholamines decreased by 21.3%, showing a decrease in SNSi. Heart rate variability was greatly reduced during 42 days of HDBR with a drop in PNSi but with no significant changes in SNSi. The baroreflex sensitivity was greatly reduced (30.7%) on day 42 of HDBR. These results suggest a dissociation between the catecholamine response and the SNSi of the heart rate. This dissociation could be the consequence of an increase in β-adrenergic receptor density and/or activity induced by a decrease in catecholamines during HDBR. The subjects who suffered from OI also had a greater sympathetic response and much lower baroreflex sensitivity when supine than those who finished the stand test. However, the mean response of all subjects indicated that the sympathetic activity (catecholamine excretion) was probably slightly inhibited during HDBR and could contribute to OI.


2017 ◽  
Vol 18 (3.1) ◽  
pp. 203-209
Author(s):  
A.I. Lukina

It is established hat changing of parameters of student’s electrocardiogram during the exam are shown by shortening of the intervals RR, QT, PQ, and the complex QRS, thus expressiveness of reactions dominates in sample of lefthanders and ambidexters. The values of wave parameters of heart rate variability, including spectral power of heart rate fluctuations in different frequency ranges, increase in left-handers, while ambidexterity and right handed down. The values of statistical indices of HRV, including SDNN, RMSSD and mode cardio intervals in students during the exam are reduced, and also to a greater extent, and ambidexterity for lefties. These changes corresponded to increasing trend of the index and the activity coefficient Baevsky sympathetic nervous system, indicating a greater intensity of regulatory mechanisms in individuals with left profile of motor domination.


1996 ◽  
Vol 91 (2) ◽  
pp. 201-208 ◽  
Author(s):  
Peter Walter Kamen ◽  
Henry Krum ◽  
Andrew Maxwell Tonkin

1. Time domain summary statistics and frequency domain parameters can be used to measure heart rate variability. More recently, qualitative methods including the Poincaré plot have been used to evaluate heart rate variability. The aim of this study was to validate a novel method of quantitative analysis of the Poincaré plot using conventional statistical techniques. 2. Beat-to-beat heart rate variability was measured over a relatively short period of time (10–20 min) in 12 healthy subjects aged between 20 and 40 years (mean 30 ± 7 years) during (i) supine rest, (ii) head-up tilt (sympathetic activation, parasympathetic nervous system activity withdrawal), (iii) intravenous infusion of atropine (parasympathetic nervous system activity withdrawal), and (iv) after overnight administration of low-dose transdermal scopolamine (parasympathetic nervous system augmentation). 3. The ‘width’ of the Poincaré plot, as quantified by SD delta R—R (the difference between successive R—R intervals), was determined at rest (median 48.9, quartile range 20 ms) and found to be significantly reduced during tilt (median 19.1, quartile range 13.7 ms, P < 0.01) and atropine administration (median 7.1, quartile range 5.7 ms, P < 0.01) and increased by scopolamine (median 79.3, quartile range 33 ms, P < 0.01). Furthermore, log variance of delta R—R intervals correlated almost perfectly with log high-frequency (0.15–0.4 Hz) power (r = 0.99, P < 0.01). 4. These findings strongly suggest that the ‘width’ of the Poincaré plot is a measure of parasympathetic nervous system activity. The Poincaré plot is therefore a quantitative visual tool which can be applied to the analysis of R—R interval data gathered over relatively short time periods.


2019 ◽  
Author(s):  
Hermes Melo Teixeira Batista ◽  
Rogean Rodrigues Nunes ◽  
Rodrigo Daminello Raimundo ◽  
Vítor Engracia Valenti ◽  
Italla Maria Pinheiro Bezerra ◽  
...  

Abstract Introduction:All anesthetic techniques act, in some way, in the Autonomic Nervous System. In spinal anesthesia this effect is well described. The administration of local anesthetics in the subarachnoid space produces sensitive and sympathetic motor block, however, with latencies and variable and independent block levels. Adjuvants administered in association with local anesthetics have the potential to prolong the duration of spinal anesthesia, increasing the incidence of side effects. The recovery of spinal anesthesia is based solely on the return of motor function and does not take into account the recovery of Autonomic Nervous System activity.Objective:To analyze the autonomic modulation of heart rate in patients undergoing surgical procedures under spinal anesthesia at the moment of recovery of motor function and to compare the autonomic function in patients who received bupivacaine in subarachnoid anesthesia with patients who recover bupivacaine associated with clonidine. Method:randomized, double-blind clinical trial. The sample consisted initially of 71 patients ASA I to III, submitted to surgery under spinal anesthesia. Patients were divided into 2 groups. Group B received only bupivacaine and group C received bupivacaine with clonidine. The Heart Rate Variability was evaluated during 10 min in three moments: (T1) rest, before the anesthesia; (T2) 20 min after the installation of the anesthetic block, and (T3) at the time of recovery of motor function. Linear methods, frequency domain and non-linear methods in the Chaos domain were used. Results:The approximate entropy in the clonidine group showed a elevation, which may suggest a protective effect on the cardiovascular system of the addition of clonidine in spinal anesthesia. Conclusion:The approximate entropy values ​​at the moment of recovery of motor function in patients receiving spinal anesthesia with bupivacaine and clonidine present a reduction when compared to the values ​​obtained at rest. This data suggests that motor and autonomic block recovery occurs at different times when clonidine is used in spinal anesthesia. This data brings a question about the safety of the discharge criteria of the post anesthetic recovery room using only the return of the motor function after spinal anesthesia.


2018 ◽  
Vol 21 (1-2) ◽  
pp. 101-104
Author(s):  
Ekaterina P. Popova ◽  
O. T Bogova ◽  
S. N Puzin ◽  
I. S Matsokin ◽  
A. A Gadzhimagomedova ◽  
...  

The use of the spectral analysis of the heart rate variability to assess the effectiveness of therapy is of great attention of researchers and doctors. This method allows you to get knowledge of the influence of the autonomic nervous system on the heart activity, which is an important factor for the manifestation of the effects of antiarrhythmic drugs. In this study, we studied the effect of antiarrhythmic drugs of class III amiodarone and sotalol on spectral indices of the heart rate variability in patients with atrial fibrillation. The power of slow frequencies prevailed in the structure of the spectrum with the introduction of amiodarone and sotalol. This suggests that the sympathetic nervous system have a predominant influence on the heart.


Diagnostics ◽  
2020 ◽  
Vol 10 (12) ◽  
pp. 1104
Author(s):  
Jakub S. Gąsior ◽  
Bartosz Hoffmann ◽  
Luiz Eduardo Virgilio Silva ◽  
Łukasz Małek ◽  
Andrew A. Flatt ◽  
...  

Monitoring of markers reflecting cardiac autonomic activity before and during stressful situations may be useful for identifying the physiological state of an athlete and may have medical or performance implications. The study aimed to determine group and individual changes in short-term (5 min) and ultra-short-term (1 min) heart rate (HR), respiratory rate (RespRate), and time-domain heart rate variability (HRV) parameters during sympathetic nervous system activity (SNSa) stimulation among professional endurance athletes. Electrocardiographic recordings were performed in stable measurement conditions (Baseline) and during SNSa stimulation via isometric handgrip in 12 elite modern pentathlonists. Significant increases in short-term HR and decreases in time-domain HRV parameters with no changes in RespRate were observed during SNSa stimulation. Significant differences were observed between Baseline (all minutes) and the last (i.e., 5th) minute of SNSa stimulation for ultra-short-term parameters. Analysis of intra-individual changes revealed some heterogeneity in responses. The study provides baseline responses of HR, RespRate, and time-domain HRV parameters to SNSa stimulation among elite pentathlonists, which may be useful for identifying abnormal responses among fatigued or injured (e.g., concussed) athletes. More attention to individual analysis seems to be necessary when assessing physiological responses to sympathetic stimuli in professional endurance athletes.


Sign in / Sign up

Export Citation Format

Share Document