scholarly journals Screening of Pathophysiological Mechanisms and Psychological and Occupational Factors, Determining Risk of Cardiovascular Diseases in High-Risk Professions

2020 ◽  
Vol 47 (4) ◽  
pp. 5-10
Author(s):  
R. Nikolova ◽  
S. Danev ◽  
T. Kundurjiev ◽  
N. Madjarov
Keyword(s):  
Cardiovascular Diseases ◽  
Frequency Domain ◽  
Cardiovascular Control ◽  
Control Mechanisms ◽  
Physiological Control ◽  
Work Activity ◽  
Occupational Factors ◽  
Pathophysiological Mechanisms ◽  
Significant Difference ◽  
Autonomic Cardiovascular Control

AbstractCardiovascular diseases (CVD) are among the most significant and common chronic non-communicable diseases in Bulgaria. Screening, identification and registration of pathophysiological mechanisms and psychological and occupational factors related to CVD should be implemented in the diagnostic work-up. Job analysis contributes to the implementation of screening and identification of the most significant psychological and professional factors related to the work activity.Aim: The aim of our study is to examine the pathophysiological mechanisms of autonomic cardiovascular control and psychological and occupational factors determining the risk of CVD.Materials and methods: The following groups of individuals were examined: 83 physicians, 54 nurses, 23 employees and 40 militaries. The autonomic cardiovascular control was studied through the time-and frequency-domain based measures of the Analysis of Heart Rate Variability (HRV).Results: The results of the ANOVA test showed that there was a statistically significant difference in the time-domain and frequency-domain based HRV measures between the compared groups: X [F (4; 225) = 4.455, p = 0.001]; SDNN [F (4; 225) = 3.876, p = 0.005]; SDNN5 [F (4; 225) = 3.083, p = 0.01]; pNN50 [F (4; 225) = 8.303, p < 0.001]; rMSSD [F (4; 225) = 8.711, p < 0.001]; SDSD [F (4; 225) = 8.323, p < 0.001; VLF [F (4; 225) = 1.204, p = 0.31]; LF [F (4; 225) = 3.874, p = 0.005]; HF [F (4; 225) = 7.790, p < 0.001] and LF/HF [F (4; 225) = 8.601, p < 0.001]. The results of our study revealed that occupational stress and cognitive workload in physicians, nurses, and employees induced a process of reciprocally combined inhibition of the parasympathetic branch of the autonomic nervous system (ANS) (SDNN, SDNN5, pNN50, rMSSD, and HF) and activation of the sympathetic branch of ANS (LF), while in military personnel they cause a process of co-activation of the parasympathetic and sympathetic branches of the ANS (rMSSD, SDNN, SDNN5, pNN50 and LF/HF).Conclusion: Stress-induced dysfunctional autonomic cardiovascular regulation, patho-physiological control mechanisms, psychological and occupational factors determine the risk of CVD. Their identification could contribute to the diagnostics and prevention of CVD.

Autonomic control of blood pressure in mice: basic physiology and effects of genetic modification

2002 ◽  
Vol 282 (6) ◽  
pp. R1545-R1564 ◽  
Author(s):  
Ben J. A. Janssen ◽  
Jos F. M. Smits
Keyword(s):  
Blood Pressure ◽  
Genetic Modification ◽  
Mouse Genome ◽  
Cardiovascular Control ◽  
Autonomic Nerves ◽  
Control Mechanisms ◽  
Hemodynamic State ◽  
Autonomic Cardiovascular Control ◽  
Made In

Control of blood pressure and of blood flow is essential for maintenance of homeostasis. The hemodynamic state is adjusted by intrinsic, neural, and hormonal mechanisms to optimize adaptation to internal and environmental challenges. In the last decade, many studies showed that modification of the mouse genome may alter the capacity of cardiovascular control systems to respond to homeostatic challenges or even bring about a permanent pathophysiological state. This review discusses the progress that has been made in understanding of autonomic cardiovascular control mechanisms from studies in genetically modified mice. First, from a physiological perspective, we describe how basic hemodynamic function can be measured in conscious conditions in mice. Second, we focus on the integrative role of autonomic nerves in control of blood pressure in the mouse, and finally, we depict the opportunities and insights provided by genetic modification in this area.

Control of Thrombin Mediated Cleavage of Protein S

1986 ◽  
Vol 56 (02) ◽  
pp. 151-154 ◽  
Author(s):  
Christina A Mitchell ◽  
Lena Hau ◽  
Hatem H Salem
Keyword(s):  
Anticoagulant Activity ◽  
Activated Protein C ◽  
Surface Protein ◽  
Protein S ◽  
Intact Protein ◽  
Control Mechanisms ◽  
Physiological Control ◽  
Endothelial Cell Surface ◽  
Thrombin Cleavage ◽  
Cofactor Activity

SummaryThrombin has been shown to cleave the vitamin K dependent cofactor protein S with subsequent loss of its cofactor activity. This study examines the control mechanisms for thrombin cleavage of protein S.The anticoagulant activity of activated protein C (APC) is enhanced fourteen fold by the addition of protein S. Thrombin cleaved protein S is seven fold less efficient than the native protein, and this loss of activity is due to reduced affinity of cleaved protein S for APC or the lipid surface compared to the intact protein.In the absence of Ca++, protein S is very sensitive to minimal concentrations of thrombin. As little as 1.5 nM thrombin results in complete cleavage of 20 nM protein S in 10 min and loss of cofactor activity. Ca++, in concentrations greater than 0.5 mM, will inhibit this cleavage and in the presence of physiological Ca++ concentrations, no cleavage of protein S could be demonstrated in spite of high concentrations of thrombin (up to 1 μM) and prolonged incubations (up to two hours). The endothelial surface protein thrombomodulin is very efficient in inhibiting the cleavage of protein S by thrombin suggesting that any thrombin formed on the endothelial cell surface is unlikely to cleave protein S, thus allowing the intact protein to act as a cofactor to APC.We conclude that the inhibitory effects of Ca++ and thrombomodulin on thrombin mediated cleavage of protein S imply that this event, by itself, is unlikely to represent a physiological control of the activity of protein S.

Short term spaceflights influence autonomic cardiovascular control

2006 ◽  
Author(s):  
Dr. Frank Beckers ◽  
Mr. Bart Verheyden ◽  
Mr. Kurt Couckuyt ◽  
Mr. Jiexin Liu ◽  
Prof. André Aubert
Keyword(s):  
Cardiovascular Control ◽  
Short Term ◽  
Autonomic Cardiovascular Control

Fit elderly men can also stand: orthostatic tolerance and autonomic cardiovascular control in elderly endurance athletes

2014 ◽  
Vol 27 (4) ◽  
pp. 499-505 ◽  
Author(s):  
Marte Rognstad Mellingsæter ◽  
Torgeir Bruun Wyller ◽  
Anette Hylen Ranhoff ◽  
Vegard Bruun Wyller
Keyword(s):  
Cardiovascular Control ◽  
Endurance Athletes ◽  
Orthostatic Tolerance ◽  
Elderly Men ◽  
Autonomic Cardiovascular Control

scholarly journals RETROSPECTIVE ANALYSIS OF EVENTS OF DEATH AT HOME AMONG PATIENTS UNDER FOLLOW-UP OBSERVATION

2018 ◽  
Vol 35 (1) ◽  
pp. 68-74
Author(s):  
Ya P Sandakov
Keyword(s):  
Cardiovascular Diseases ◽  
Medical Records ◽  
Emergency Calls ◽  
Significant Difference ◽  
Duration Of Disease ◽  
The Moment ◽  
Age Of Death ◽  
At Home

Aim. To study the peculiarities of asking for medical care by patients from among those dead at home, who had been under follow-up observation. Materials and methods. The data, received from ambulatory medical records of 100 dead at home patients with follow-up, were analyzed using the methods of descriptive and inductive statistics. Results. A mean age of death was 74.9 ± 13.4 years, men - 65.8 ± 14.1 years, women - 79.2 ± 10.9 years. Cardiovascular diseases were the cause of follow-up observation in 78 % of cases and the cause of death in 85 %; in 30 % of patients the disease was detected while carrying out prophylactic medical examination. A mean duration of disease by the moment of death was 13.0 ± 8.0 years, among pensioners 13.7 ± 8.5 years, in able-bodied persons 9.6 ± 4.3 years. A mean duration of follow-up observation was 9.2 ± 5.8 years. An average number of planned visits was 2.8 ± 0.89, but the number of real visits during the last year of follow-up observation was 2.4 ± 1.2. Disability was registered in 77.6 % of patients, concomitant diseases - in all patients. For the last year, exacerbations were recorded in 92 % of patients, emergency calls - in 80 %, hospitalization events - 52 %, including 55.8 % - urgent ones. Conclusions. The absence of significant difference regarding the duration of disease between pensioners and able-bodied patients (т = 0.16, р = 1.43) as well as the absence of correlation between the age and duration of disease (χ2 = 0.19, p = 0.2) indirectly prove the influence of duration of disease on its outcome, but not the age. Attendance, characterizing clinical loyalty to treatment, does not depend on age (χ2 = -0.19, р = 0.18), sex (т = 1.0, р = 0.32), way of detecting disease (f = 0.9, p = 0.4), class of main disease (f = 0.91, p = 0.44), duration of disease (χ2 = -0.13, р = 0.49), exacerbations (χ2 = -0.17, р = 0.24), concomitant diseases (χ2 = 0.006, р = 0.9). The number of emergency calls, hospitalizations, urgent hospitalizations does not depend on duration of follow-up observation, regularity and number of real visits to a doctor (p > 0.05) that indicates unsatisfactory quality of follow-up observation.

scholarly journals Real-life data – a characteristic of RA in patients with cardiovascular diseases on the background of treatment with biological agents

2019 ◽  
pp. 10-17
Keyword(s):  
Cardiovascular Diseases ◽  
Real Life ◽  
Biological Agents ◽  
Mean Values ◽  
Average Value ◽  
Life Data ◽  
Real Life Data ◽  
Significant Difference ◽  
Time Average ◽  
Therapeutic Behavior

The purpose of this study is to analyze real-life data in order to characterize patients with RA and cardiovascular diseases that are treated with biological agents. Material and Methods: In a retrospective study, data from real clinical practice were analyzed in 195 patients with seropositive RA, which are being treated with biological agents. Results: In patients with existing CVD, significantly higher mean ESR values ​​(23.95 vs. 19.31, p = 0.031) and CRP (6.41 vs. 3.36, p = 0.004) were detected over the period of the study period of treatment. In contrast to the laboratory parameters, mean values of clinical parameters of RA - TJC, SJC and VAS clinical sings did not show a significant difference in patients with and without CVD. The time average value of DAS28 (ESR) during the study period was significantly higher in patients with CVD (3.7 vs. 3.39, p = 0.002) compared to those without CVD. DAS28 (CRP) shows the same trend. In patients with CVD, the time average value of the follow-up indicator was 3.21, and in patients without CVD, 2.88 (p <0.001). Conclusion: The results of this study, in PA patients conducting treatment with biological agents in the real life, outside of the clinical study conditions, demonstrate that independently of treatment, patients with CVD continue to maintain higher background inflammation. An optimization of therapeutic behavior in real life is necessary to improve the long-term prognosis of these patients.

scholarly journals Comparison of tibialis anterior and gastrocnemius muscles activation on balance training devices and hoverboard

2017 ◽  
Vol 13 (4-2) ◽  
pp. 495-500 ◽  
Author(s):  
Khairiyah Abdul Rahman ◽  
Aizreena Azaman ◽  
Hadafi Fitri Mohd Latip ◽  
Mohd Azuwan Mat Dzahir ◽  
Malarvili Balakrishnan
Keyword(s):  
Frequency Domain ◽  
Time Domain ◽  
Tibialis Anterior ◽  
Gastrocnemius Muscle ◽  
Balance Training ◽  
Domain Analysis ◽  
Median Frequency ◽  
Training Device ◽  
Emg Signal ◽  
Significant Difference

Balance training devices such as wobble board, basu ball and balance cushion are the tool use in balance training exercise programme in order to improve muscle strength and restore posture balance due degeneration of body function or injury. Recently, self-balancing scooter such as Segway and hover board showed a positive effects on rehabilitation. However, it is less known how these devices affect muscle physiological properties. This study aims to to measure ankle muscles activation on  difference balance training devices and hover board. Besides, a comparison between these device will be done in order to identify if hover board has a promising feature to be an alternative balance training device. In this research, surface EMG (sEMG) was used to record tibialis anterior and gastrocnemius muscle activities. Seventeen healthy subjects were required to stand on three different types of balance training device such as wobble board, balance cushion, bosu ball and a hover board. They were asked to maintain their standing position on each devices for two minutes. Both time domain and frequency domain analysis were used to identify the features of the EMG signal. Time domain analysis measurement involved average rectified value (ARV) and root mean square (RMS), meanwhile for frequency domain, median frequency (MDF) of the signal were measured. The results shows that, the RMS is differed significantly between the balance training devices (p<0.05) for tibialis anterior muscle but not gastrocnemius muscle. Meanwhile, no significant difference between the devices in the ARV and the MDF value (p>0.05). Besides, less stable devices increased muscle activity were observed. There is not much difference between hover board and the other devices in term of physiological effects of both tibialis anterior and gastrochemious muscle. It is also suggested that hover board offers a promising feature to be an alternative device for balance training device.

scholarly journals The state of response of autonomic nervous system in children with mitral valve prolapse

2021 ◽  
Vol 26 (4) ◽  
pp. 74-80
Author(s):  
І.О.  Mitiuriaeva-Korniyko ◽  
O.V. Kuleshov ◽  
Ya.A. Medrazhevska ◽  
L.O. Fik ◽  
T.D. Klets
Keyword(s):  
Heart Rate ◽  
Nervous System ◽  
Autonomic Nervous System ◽  
Mitral Valve ◽  
Frequency Domain ◽  
Mitral Valve Prolapse ◽  
Low Frequency ◽  
Very Low Frequency ◽  
Autonomic Nervous ◽  
Significant Difference

The article presents summarized materials on connective tissue dysplasia of the heart, primary mitral valve prolapse, dysfunction of the autonomic system. Aim of research: to estimate the condition of autonomic nervous system in children with primary mitral valve prolapse. We examined 106 children with mitral valve prolapse aged from 13 to 17 years old on the clinical base of city hospital “Center of mother and child” in Vinnitsya. Research included time and frequency domain (evaluation with cardiointervalography. Final results were compared with the control group records. The results showed no statistical significance among time domain parameters in the main group of children. All these indices displayed tendency to sympathetic and parasympathetic autonomic nervous system tonus increase in boys. However, sympathicotonia tendency was noted in girls only. Frequency domain parameters showed similar results, compared with the previous. Nevertheless, very low frequency parameters had statistically significant difference in both subgroups of patience with mitral valve prolapse, including males (3205.8±190.9 against 1717±154, р<0.05) and females (3280±220.1 against 1433±811, р<0.05). There were no statistically significant difference among other frequency domain parameters. Conclusions: we estimated that children with mitral valve prolapse have imbalanced autonomic homeostasis manifested by tone disturbances of both autonomic vegetative system branches with sympathetic predominance. Patients with primary mitral valve prolapse generally have increased sympathetic tone - both boys and girls - according to spectral analysis of heart rate variability indices, heart rate oscillation power of a very low frequency in particular (p<0.05). In children with mitral valve prolapse, the tone of parasympathetic nervous system is generally normal; there is a tendency to its increase in boys and decrease in girls. These children should be under close medical supervision by pediatricians and cardiologists.

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