scholarly journals Utilização de cardiofrequencímetros para mensuração da Variabilidade da Frequência Cardíaca no repouso: uma revisão de literatura

2021 ◽  
Vol 10 (11) ◽  
pp. e575101120026
Author(s):  
Patrícia Castro ◽  
Tainah de Paula Lima ◽  
Roberto Miranda Ramos Costa ◽  
Felipe Amorim da Cunha ◽  
Patrícia dos Santos Vigário

A Variabilidade da Frequência Cardíaca (VFC) é um método não-invasivo utilizado para estimar o controle autonômico cardíaco que pode ser mensurada através do eletrocardiograma (ECG), método padrão-ouro. Dispositivos portáteis que tragam maior praticidade e com menor custo que o ECG, como os cardiofrequencímetros, são uma alternativa mais conveniente para a mensuração da VFC na prática clínica, porém é necessário que seus resultados sejam validados em diferentes populações. Objetivo: Analisar os estudos realizados sobre a validade dos cardiofrequencímetros em comparação com o ECG para mensuração da VFC no repouso em diferentes populações. Metodologia: Trata-se de uma revisão de literatura onde foram utilizados estudos publicados na base de dados do Pubmed e Scielo, sem limite inferior da data de publicação até o ano de 2021. Foram utilizados os seguintes descritores nos idiomas inglês e português: "heart rate variability" ou "cardiac autonomic control" ou "Electrocardiography" ou "Heart Rate", sendo associados aos termos “heart rate monitor” e "reproducibility" ou “validity” ou “agreement”. Resultados e discussão: Foram encontrados 15 estudos que avaliaram a validade de diferentes modelos de cardiofrequencímetros para a mensuração da VFC no repouso, em comparação com o ECG, em diferentes populações (adultos saudáveis, atletas, idosos, crianças, adolescentes obesos, indivíduos com lesão medular e idosos), assim como sua confiabilidade no teste-reteste de alguns dispositivos. Conclusão: Os estudos demonstraram que os diferentes modelos de cardiofrequencímetro podem ser utilizados como uma alternativa ao ECG para a mensuração da VFC, mesmo em diferentes populações.

2015 ◽  
Vol 36 (4) ◽  
pp. 643-657 ◽  
Author(s):  
Dirk Cysarz ◽  
Peter Van Leeuwen ◽  
Friedrich Edelhäuser ◽  
Nicola Montano ◽  
Virend K Somers ◽  
...  

2021 ◽  
Vol 27 ◽  
Author(s):  
Patrícia Castro ◽  
Arthur de Sá Ferreira ◽  
Agnaldo José Lopes ◽  
Tainah de Paula ◽  
Roberto Miranda Ramos Costa ◽  
...  

2010 ◽  
Vol 86 (4) ◽  
pp. 213-217 ◽  
Author(s):  
Linda E. May ◽  
Alan Glaros ◽  
Hung-Wen Yeh ◽  
James F. Clapp ◽  
Kathleen M. Gustafson

PLoS ONE ◽  
2020 ◽  
Vol 15 (12) ◽  
pp. e0243441
Author(s):  
Syed Zaki Hassan Kazmi ◽  
Nazneen Habib ◽  
Rabia Riaz ◽  
Sanam Shahla Rizvi ◽  
Syed Ali Abbas ◽  
...  

Acceleration change index (ACI) is a fast and easy to understand heart rate variability (HRV) analysis approach used for assessing cardiac autonomic control of the nervous systems. The cardiac autonomic control of the nervous system is an example of highly integrated systems operating at multiple time scales. Traditional single scale based ACI did not take into account multiple time scales and has limited capability to classify normal and pathological subjects. In this study, a novel approach multiscale ACI (MACI) is proposed by incorporating multiple time scales for improving the classification ability of ACI. We evaluated the performance of MACI for classifying, normal sinus rhythm (NSR), congestive heart failure (CHF) and atrial fibrillation subjects. The findings reveal that MACI provided better classification between healthy and pathological subjects compared to ACI. We also compared MACI with other scale-based techniques such as multiscale entropy, multiscale permutation entropy (MPE), multiscale normalized corrected Shannon entropy (MNCSE) and multiscale permutation entropy (IMPE). The preliminary results show that MACI values are more stable and reliable than IMPE and MNCSE. The results show that MACI based features lead to higher classification accuracy.


2017 ◽  
Vol 17 (2) ◽  
pp. 5-14 ◽  
Author(s):  
Milana Drumond Ramos Santana ◽  
Eli Carlos Martiniano ◽  
Larissa Raylane Lucas Monteiro ◽  
Maria Do Socorro Santos De Oliveira ◽  
Vitor E. Valenti ◽  
...  

AbstractIntroduction: There is an increase in level of stress in the general population because of the social, personal and professional demands. Currently, there are only simple tools that can safely measure this stress such as levels of cortisol and heart rate variability (HRV). Objective: To analyze the relationship between salivary cortisol and the cardiac autonomic modulation. Methods: A total of fifty-one male and female subjects between 18 and 40 years old were evaluated. Saliva collection was achieved for the salivary cortisol dosage. The collection was performed through the SalivetteR tube. After this collection, the median cortisol levels (0.24 ug/dl) were analyzed and the volunteers were divided into two groups: i) cortisol below the mediane ii) cortisol above the median. After this division, each group consisted of 25 volunteers and then was verified the following information: age, gender, weight, height, body mass index (BMI), blood pressure. Shortly thereafter was assessment of cardiac autonomic modulation por meio da HRV. The Polar RS800cx heart rate receiver was placed on the chest of the volunteers, in the vicinity of the distal third of the sternum. The volunteers were instructed to remain in rest with spontaneous breathing in dorsal position for 20 minutes. HRV analysis included geometric, time and frequency domain indices. Results: There were no statistical differences for the two groups regarding systolic and diastolic blood pressure, heart rate, RR intervals or linear and frequency indices for the volunteers. In addition, also there was no correlation the cortisol with the analyzed variables (SAP, p=0.460; DAP, p = 0.270; HR, p = 0.360; RR, p = 0.380; SDNN, p = 0.510; rMSSD, p = 0.660; pNN50, p = 0.820; RRtri, p = 0.170; TINN, p = 0.470; SD1, p = 0.650; SD2, p = 0.500; LF [ms2], p = 0.880; LF [nu], p = 0.970; HF [ms2], p = 0.870; HF [nu], p = 0.960; LF/HF, p = 0.380 Conclusion: Heart rate variability autonomic control was unchanged in healthy subjects with physiological distribution of salivary cortisol levels. There was no association between normal salivary cortisol and resting autonomic regulation of heart rate.


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