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.

scholarly journals Heart Rate Variability of Children with Mitral Valve Prolapse in Orthostatic Test

2021 ◽  
Vol 6 (3) ◽  
pp. 293-299
Author(s):  
T. M. Krainyk ◽  
◽  
S. H. Starodubtsev ◽  
O. V. Petrenko ◽  
O. V. Dovgan ◽  
...  
Keyword(s):  
Heart Rate ◽  
Nervous System ◽  
Mitral Valve ◽  
Mitral Valve Prolapse ◽  
Sinus Node ◽  
Low Frequency ◽  
Control Group ◽  
Orthostatic Test ◽  
Very Low Frequency ◽  
Mode Amplitude

The purpose of the research was to study the state of autonomic regulation in prepubertal children with mitral valve prolapse during an orthostatic test Materials and methods. The study involved 2 groups: the main – 26 children aged 10-11 years with mitral valve prolapse, and a control group – 22 relatively healthy children. The adaptive mechanisms were monitored by analyzing heart rate variability. All children participated in a cardiorhythmic examination at rest lying down and during an active orthostatic test. Results and discussion. Among the indicators that had significant differences, the indicators of regulatory process adequacy index and mode amplitude should be noted. In the group of children with mitral valve prolapse, an increase of the regulatory process adequacy index indicated the predominance of the functioning of the sinus node over the activity of the sympathetic division of the autonomic nervous system. An increase in the adequacy index and mode amplitude indicates the connection of the central structures of rhythm control (subcortical rhythms) during a change in body position. Stress index also increased. This index of tension of regulatory systems shows the activity of the mechanisms of sympathetic regulation, the state of central regulation. Children in the control group had a well-coordinated response of the sympathetic nervous system to the orthostatic test: the low frequency spectrum and very low frequency indicators increased. While in main group, the value of low frequency spectrum (the work of the sinus node) increased, the value of very low frequency (the reaction of the central structures of the nervous system) decreased. This indicates dysfunction of the most important reactions, which also affects the daily activities of children, increases the risk of mitral valve prolapse complications. Conclusion. In children with mitral valve prolapse, the absence of a pronounced typical reaction to an ortho test is a reflection of an adaptive-regulatory overstrain in conditions of morphological determinacy of connective tissue dysplasia, which are trying to ensure the adequacy of intracardiac hemodynamics. The data obtained will be useful for predicting the reaction of the body of children with mitral valve prolapse to physical activity of varying intensity

scholarly journals Analysis of heart rate variability in corn snakes (Pantherophis guttatus)

2021 ◽  
Vol 10 (11) ◽  
pp. e294101119781
Author(s):  
Antonio Gomes da Silva Neto ◽  
Daniel Souza Ferreira Magalhães ◽  
Raduan Hage ◽  
Laurita dos Santos ◽  
José Carlos Cogo
Keyword(s):  
Heart Rate ◽  
Heart Rate Variability ◽  
Nervous System ◽  
Autonomic Nervous System ◽  
Low Frequency ◽  
Autonomic Nervous ◽  
Rr Interval ◽  
Diagnosis And Prognosis ◽  
Frequency Domains ◽  
The Time Domain

The assessment of heart rate variability (HRV) by linear methods in conjunction with Poincaré plots can be useful for evaluating cardiac regulation by the autonomic nervous system and for the diagnosis and prognosis of heart disease in snakes. In this report, we describe an analysis of HRV in conscious adult corn snakes Pantherophis guttatus (P. guttatus).  The electrocardiogram (ECG) parameters were determined in adult corn snakes (8 females, 13 males) and used for HRV analysis, and the RR interval was analyzed by linear methods in the time and frequency domains. There was no sex-related difference in heart rate. However, significant differences were seen in the duration of the P, PR, and T waves and QRS complex; there was no difference in the QT interval. The values for the RR interval varied by 15.3% and 18.8% in male and female snakes, respectively, and there was considerable variation in the values for the high and low frequency domains. The changes in the time domain were attributed to regulation by the parasympathetic branch of the autonomic nervous system, in agreement with variations in the high and low frequency domains. The values for standard deviations 1 and 2 in Poincaré plots, as well as the values of the frequency domain, provide useful parameters for future studies of cardiac function in P. guttatus.

Evaluation of the Autonomic Nervous System of the Heart in Male Patients with Mitral Valve Prolapse Syndrome Using Respiratory Sinus Arrhythmia and Dynamic Exercise

Cardiology ◽  
1989 ◽  
Vol 76 (6) ◽  
pp. 433-441 ◽  
Author(s):  
Louren&ccedil;o Gallo, Jr. ◽  
Jos&eacute; Morelo-Filho ◽  
Benedito C. Maciel ◽  
Jos&eacute; A. Marin-Neto ◽  
Luiz E.B. Martins ◽  
...  
Keyword(s):  
Nervous System ◽  
Autonomic Nervous System ◽  
Mitral Valve ◽  
Respiratory Sinus Arrhythmia ◽  
Mitral Valve Prolapse ◽  
Dynamic Exercise ◽  
Sinus Arrhythmia ◽  
Autonomic Nervous ◽  
Male Patients

Effect of Acupuncture on Heart Rate Variability in Primary Dysmenorrheic Women

2011 ◽  
Vol 39 (02) ◽  
pp. 243-249 ◽  
Author(s):  
Eunsook Kim ◽  
Jung-Hoon Cho ◽  
Woo Sang Jung ◽  
Sanghoon Lee ◽  
Sok Cheon Pak
Keyword(s):  
Heart Rate ◽  
Heart Rate Variability ◽  
Nervous System ◽  
Autonomic Nervous System ◽  
Low Frequency ◽  
Acupuncture Points ◽  
Primary Dysmenorrhea ◽  
Autonomic Nervous ◽  
Real Acupuncture ◽  
Late Luteal Phase

Primary dysmenorrhea is a common gynecological complaint among young women that is related to an autonomic nervous system (ANS) disturbance. Acupuncture is one of several therapeutic approaches for primary dysmenorrhea, since it can modulate ANS function. The heart rate variability (HRV) parameters such as high frequency (HF), low frequency (LF) and LF/HF ratio are generally accepted tools to assess ANS activity. The purpose of this study was to investigate the effects of acupuncture applied at Hegu (LI4) and Sanyinjiao (SP6) points on HRV of women with primary dysmenorrhea during the late luteal phase. The experimental design was a crossover and patient-blinded procedure. All subjects participated in Sham (SA) and Real Acupuncture (RA) procedure, separated by one month, in a crossover sequence. The participants included 38 women (mean age 22.3 years; weight 53.8 kg; height 162.6 cm). HRV measurement was 15 min before and 15 min after an acupuncture procedure. The RA procedure was performed at two bilateral acupoints, but needles were inserted subcutaneously to the acupuncture points for the SA procedure. The RA induced a significant decrease in LF/HF ratio and a significant increase in the HF power, while SA treatment caused a significant increase only in the HF power. Manual acupuncture at bilateral acupoints of LI4 and SP6 may play a role in dysmenorrhea treatment with autonomic nervous system involvement.

scholarly journals Biomedical Teleacupuncture between China and Austria Using Heart Rate Variability—Part 2: Patients with Depression

2012 ◽  
Vol 2012 ◽  
pp. 1-5 ◽  
Author(s):  
Gerhard Litscher ◽  
Guangyu Cheng ◽  
Lu Wang ◽  
Weiping Cheng ◽  
Hang Su ◽  
...  
Keyword(s):  
Heart Rate ◽  
Heart Rate Variability ◽  
Nervous System ◽  
Autonomic Nervous System ◽  
Frequency Domain ◽  
Chinese Patients ◽  
Clinical Effects ◽  
Autonomic Nervous ◽  
The Third ◽  
Stimulation Period

It has been shown in previous studies that the autonomic nervous system can be affected by acupuncture. Within this study, teleacupuncture between China and Austria is used for quantifying the effects of heart rate (HR) and heart rate variability (HRV) in 33 Chinese patients (27 females, 6 males; mean age ± SD49.5±13.1years; range 22–72 years) suffering from depression. Electrocardiographic signals before, during, and after acupuncture at the acupoint Baihui (GV20) were recorded in Harbin and analyzed in Graz using teleacupuncture. HRV data were analyzed in the time and frequency domain. Mean HR decreased significantly (P<0.05) during and after acupuncture, whereas total HRV increased significantly after the third acupuncture stimulation period (P<0.05) and also 5–10 minutes after (P<0.05) acupuncture. The study shows that HRV could be a useful parameter for quantifying clinical effects of acupuncture on the autonomic nervous system.

scholarly journals Maturation of the Autonomic Nervous System in Premature Infants: Estimating Development Based on Heart-Rate Variability Analysis

2021 ◽  
Vol 11 ◽  
Author(s):  
Mario Lavanga ◽  
Elisabeth Heremans ◽  
Jonathan Moeyersons ◽  
Bieke Bollen ◽  
Katrien Jansen ◽  
...  
Keyword(s):  
Heart Rate ◽  
Heart Rate Variability ◽  
Nervous System ◽  
Autonomic Nervous System ◽  
Premature Infants ◽  
Low Frequency ◽  
Absolute Error ◽  
Heart Rate Variability Analysis ◽  
Autonomic Nervous ◽  
Comparable Performance

This study aims at investigating the development of premature infants' autonomic nervous system (ANS) based on a quantitative analysis of the heart-rate variability (HRV) with a variety of novel features. Additionally, the role of heart-rate drops, known as bradycardias, has been studied in relation to both clinical and novel sympathovagal indices. ECG data were measured for at least 3 h in 25 preterm infants (gestational age ≤32 weeks) for a total number of 74 recordings. The post-menstrual age (PMA) of each patient was estimated from the RR interval time-series by means of multivariate linear-mixed effects regression. The tachograms were segmented based on bradycardias in periods after, between and during bradycardias. For each of those epochs, a set of temporal, spectral and fractal indices were included in the regression model. The best performing model has R2 = 0.75 and mean absolute error MAE = 1.56 weeks. Three main novelties can be reported. First, the obtained maturation models based on HRV have comparable performance to other development models. Second, the selected features for age estimation show a predominance of power and fractal features in the very-low- and low-frequency bands in explaining the infants' sympathovagal development from 27 PMA weeks until 40 PMA weeks. Third, bradycardias might disrupt the relationship between common temporal indices of the tachogram and the age of the infant and the interpretation of sympathovagal indices. This approach might provide a novel overview of post-natal autonomic maturation and an alternative development index to other electrophysiological data analysis.

scholarly journals TO STUDY THE EFFECT OF REGULAR YOGIC ACTIVITY ON THE FUNCTION OF AUTONOMIC NERVOUS SYSTEM: A COMPARATIVE STUDY.

2020 ◽  
Vol 4 (8) ◽  
Author(s):  
Abhay Choudhary ◽  
Arun Pathak ◽  
Sheela Kumari
Keyword(s):  
Blood Pressure ◽  
Heart Rate ◽  
Nervous System ◽  
Autonomic Nervous System ◽  
Systolic Blood Pressure ◽  
The Body ◽  
Relaxation Techniques ◽  
Autonomic Nervous ◽  
Hand Grip ◽  
Significant Difference

Aims: to know the influence of yoga on autonomic functions of the body. Material and Methods: The present prospective case control study was conducted among patients visited the OPD, Darbhanga Medical College and Hospital, Bihar, India. The findings were tabulated and subjected to statistical analysis. Case group (N=30): subjects who were performing regular yoga asanas and relaxation techniques for at least 5 years. Control group (N=30): age and gender matched subject who were not performing yoga asanas and relaxation techniques or were not engaged with any other type of physical exercises. Results: Amongst the sympathetic nervous system parameters, statistically significant difference existed between cases and controls for the Resting Heart Rate, Resting Diastolic Blood Pressure, Hand grip systolic blood pressure and Hand grip systolic blood pressure (p<0.05) respectively. Conclusion: yogic activity significantly alters the sympathetic activity like heart rate and blood pressure. Keywords: Autonomic Nervous system, Yoga, Heart Rate, Blood Pressure

scholarly journals Analysis of Heart Rate Variability in Response to Serious Games in Elderly People

Sensors ◽  
2021 ◽  
Vol 21 (19) ◽  
pp. 6549
Author(s):  
Chun-Ju Hou ◽  
Yen-Ting Chen ◽  
Mycel Capilayan ◽  
Yu-Sian Lin ◽  
Min-Wei Huang ◽  
...  
Keyword(s):  
Heart Rate ◽  
Heart Rate Variability ◽  
Nervous System ◽  
Autonomic Nervous System ◽  
Elderly People ◽  
Serious Games ◽  
Autonomic Nervous ◽  
Cognitive Aptitude ◽  
Age Related ◽  
Significant Difference

As the proportion of elderly people continues to grow, so does the concern about age-related cognitive decline. Serious games have been developed for cognitive training or treatment, but measuring the activity of the autonomic nervous system (ANS) has not been taken to account. However, cognitive functioning has been known to be heavily influenced by the autonomic nervous system (ANS), and ANS activity can be quantified using heart rate variability (HRV). This paper aims to analyze the physiological response in normal elderly people as they play two types of serious games using HRV features from electrocardiography (ECG). A wearable device designed in-house was used to measure ECG, and the data from this device was pre-processed using digital signal processing techniques. Ten HRV features were extracted, including time-domain, nonlinear, and frequency-domain features. The experiment proceeds as follows: rest for three minutes, play a cognitive aptitude game, rest for another three minutes, followed by two reaction time games. Data from thirty older adults (age: 65.9 ± 7.34; male: 15, female: 15) were analyzed. The statistical results show that there was a significant difference in the HRV between the two types of games. From this, it can be concluded that the type of game has a significant effect on the ANS response. This can be further used in designing games for the elderly, either for training or mood management.

scholarly journals HEART RATE VARIABILITY INDICATORS, AS PREDICTORS OF THE ADVERSE COURSE OF UNCOMPLICATED HYPERTENSIVE CRISIS

2020 ◽  
Vol 44 (1) ◽  
pp. 41-47
Author(s):  
D. V. Leliuk
Keyword(s):  
Heart Rate ◽  
Heart Rate Variability ◽  
Nervous System ◽  
Autonomic Nervous System ◽  
Hypertensive Crisis ◽  
Medical Attention ◽  
Disease Group ◽  
Systemic Hemodynamic ◽  
Autonomic Nervous ◽  
Significant Difference

Abstract Purpose of the study. Improve the outcomes of treatment for uncomplicated hypertensive crises at the prehospital stage by studying the state of systemic hemodynamic, determining the balance of the autonomic nervous system and markers associated with the systemic inflammatory response in arterial hypertension patients in uncomplicated cases of hypertensive crisis. Materials and methods. During the 2017–2019 period, an open, prospective and comparative study was conducted and consisted of 206 patients with documented second-stage hypertension, of which 131 patients sought emergency medical attention in the «Municipal Institution Zaporizhzhya Station of Emergency (Ambulance) Medical Assistance» and 75 people who had a stable course of the disease and were examined on an out patiently on the basis of the «Primary health care Centre No 10». Practically healthy 31 people were examined on the basis of the MI «Regional medical exercises dispensary». The indices of heart rate variability in the examined persons were analyzed. All patients were examined physically, used generally clinical, instrumental and laboratory methods for ECG diagnosis were recorded according to the standard method, on a 12-channel computer-cardiographic complex «Cardiolab» (KhAI-Medika, Kharkov). The examinations were performed before the  start of emergency care and after HC relief. For the analysis of heart rate variability, a 5-minute ECG interval recorded at rest was used, and the signal was recorded in the supine position, with calm breathing. The obtained data were analyzed with the help of the Cardiolab-HRV software complex, followed by the analysis of the cardiorhythmogram according to the generally accepted method. Results. The analysis of the obtained evidence showed that the total HRV (by all indicators was significantly reduced in patients with hypertonic disease compared with healthy individuals), and with the development of hypertensive crisis in patients with hypertonic disease was even lower. In the hypertonic disease group with hypertensive crisis, activation of the sympathetic division of the autonomic nervous system (with increasing LF/HF ratio) was detected, but despite a higher LF/HF index of 2,21 (0,86–3,94) there was no significant difference against level 1,85 (1,56–2,03) in the hypertonic disease group without hypertensive crisis and a value of 1,81 (1,66–1,89) among healthy persons (p > 0,05). Conclusions. The results obtained indicate that the decrease in compensatory capacity in all HRV indicators is more pronounced in patients with hypertonic disease in the development of hypertensive crisis. Assessment of heart rate variability indicators may be a useful component of cardiovascular risk stratification, requiring further statistical analysis. Keywords: hypertension, uncomplicated hypertensive crisis, heart rate variability.

CONFIRMATION OF THE CLINICAL VALUE AND THE EFFECT OF SOUND BIOFEEDBACK ON THE AUTONOMIC NERVOUS SYSTEM THROUGH HEART RATE VARIABILITY ANALYSIS

2021 ◽  
pp. 2150036
Author(s):  
DAECHANG KIM ◽  
SEUNGBONG LEE ◽  
SUNGMIN KIM ◽  
JAEHOON JEONG
Keyword(s):  
Heart Rate ◽  
Heart Rate Variability ◽  
Nervous System ◽  
Autonomic Nervous System ◽  
Previous History ◽  
Low Frequency ◽  
Sympathetic Nerves ◽  
Heart Rate Variability Analysis ◽  
Clinical Value ◽  
Autonomic Nervous

The purpose of this study is to suggest sound biofeedback, which is a new technique of early stress relief effect by observing change in the heart rate variability (HRV). The sound biofeedback imitating heart rate of the comfortable and stress state is termed parasympathetic stimulation sound (PSS) and sympathetic stimulation sound (SSS), respectively. Twelve subjects were selected without previous history of cardiovascular diseases and mental illness, such as arrhythmia, myocardial infarction, depression and panic disorder. To confirm the changes in the low-frequency (LF), high-frequency (HF) and LF/HF values of HRV as stress evaluation indicators, the HRV of subjects was measured by photoplethysmogram. Signals were processed using the peak detect algorithm, and fast Fourier transform. Results were obtained using power specific densities. During the PSS stimulation, the LF/HF tended to decrease generally. On the other hand, during the SSS stimulation, LF/HF tended to increase. The LF/HF Mean change value ([Formula: see text]) using the PSS stimulation is similar to the effect of Transcutaneous Vagal Nerve Stimulation (tVNS). In addition, the quantitative effect of sound biofeedback was confirmed by judging changes in the parasympathetic and sympathetic nerves in the autonomic nervous system (ANS) through [Formula: see text]-score normalized data. These experimental results suggest that sound biofeedback has the same stimulation location and clinical applicability as tVNS. As a result, sound biofeedback may be used as a new method for stress reduction.

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