scholarly journals Respiratory Sinus Arrhythmia as an Index of Cardiac Vagal Control in Mitral Valve Prolapse

2020 ◽  
pp. S163-S169
Author(s):  
L. Bona Olexova ◽  
N. Sekaninova ◽  
A. Jurko ◽  
Z. Visnovcova ◽  
M. Grendar ◽  
...  
Keyword(s):  
Heart Rate ◽  
Cardiovascular Risk ◽  
Mitral Valve ◽  
Respiratory Sinus Arrhythmia ◽  
Mitral Valve Prolapse ◽  
Sinus Arrhythmia ◽  
Rr Interval ◽  
Vagal Control ◽  
Cardiac Vagal Control ◽  
And Gender

Respiratory sinus arrhythmia (RSA), i.e. heart rate (HR) variations during inspiration and expiration, is considered as a noninvasive index of cardiac vagal control. Mitral valve prolapse (MVP) could be associated with increased cardiovascular risk; however, the studies are rare particularly at adolescent age. Therefore, we aimed to study cardiac vagal control indexed by RSA in adolescent patients suffering from MVP using short-term heart rate variability (HRV) analysis. We examined 12 adolescents (girls) with MVP (age 15.9±0.5 years) and 12 age and gender matched controls. Resting ECG was continuously recorded during 5 minutes. Evaluated HRV indices were RR interval (ms), rMSSD (ms), pNN50 (%), log HF (ms2), peak HF (Hz) and respiratory rate (breaths/min). RR interval was significantly shortened in MVP group compared to controls (p=0.004). HRV parameters-rMSSD, pNN50 and log HF were significantly lower in MVP compared to controls (p=0.017, p=0.014, p= 0.015 respectively). Our study revealed reduced RSA magnitude indicating impaired cardiac vagal control in MVP already at adolescent age that could be crucial for early diagnosis of cardiovascular risk in MVP.

Assessment of parasympathetic control of heart rate by a noninvasive method

1984 ◽  
Vol 246 (6) ◽  
pp. H838-H842 ◽  
Author(s):  
F. M. Fouad ◽  
R. C. Tarazi ◽  
C. M. Ferrario ◽  
S. Fighaly ◽  
C. Alicandri
Keyword(s):  
Heart Rate ◽  
Respiratory Sinus Arrhythmia ◽  
Separate Group ◽  
Noninvasive Method ◽  
Sinus Arrhythmia ◽  
Beta Adrenergic ◽  
Normal Volunteers ◽  
Vagal Control ◽  
Parasympathetic Control ◽  
The Relationship

The degree of parasympathetic control of heart rate was assessed by the abolition of respiratory sinus arrhythmia with atropine. Peak-to-peak variations in heart periods (VHP) before atropine injection correlated significantly (r = 0.90, P less than 0.001) with parasympathetic control, indicating that VHP alone may be used as a noninvasive indicator of the parasympathetic control of heart rate. Pharmacologic blockade of beta-adrenergic supply in a separate group of normal volunteers did not alter the relationship between VHP and parasympathetic control, indicating that the condition of the experiment (complete rest in a quiet atmosphere) allows the use of VHP alone without pharmacologic interventions to characterize the vagal control of heart rate in humans.

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):  
Lourenço Gallo, Jr. ◽  
José Morelo-Filho ◽  
Benedito C. Maciel ◽  
José 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

scholarly journals Respiratory Sinus Arrhythmia in Children—Predictable or Random?

2021 ◽  
Vol 8 ◽  
Author(s):  
Paulina Lubocka ◽  
Robert Sabiniewicz
Keyword(s):  
Blood Pressure ◽  
Heart Rate ◽  
Respiratory Sinus Arrhythmia ◽  
Interval Length ◽  
Healthy Children ◽  
Sinus Arrhythmia ◽  
Rr Intervals ◽  
Rr Interval ◽  
The Difference

Background: Respiratory sinus arrhythmia (RSA) is associated with better health in children.Aim: The study was conducted to analyze the trajectory of RSA in 10-year-olds.Methods: A follow-up study on 120 healthy children (62 boys) aged 10.7 ± 0.5 years consisted of a standard 12-lead electrocardiogram, measurements of height, weight and blood pressure. The protocol was repeated after 3 years. Assessment of RSA based on semi-automatic measurements of RR intervals included: the difference between the longest and shortest RR interval duration (pvRSA), the root mean square of differences between successive RR intervals (RMSSD), the standard deviation of the RR interval length (SDNN) and their equivalents corrected for heart rate (RMSSDc and SDNNc).Results: A the first visit 61.7% of children presented with RSA; 51.7% 3 years later. 23.3% of them had RSA only on the first examination; 13.3% only on the second one. The pvRSA, RMSSD, and SDNN measured in 2019 did not differ significantly from their 2016 equivalents (p > 0.05). The decline in RSA defined by RMSSD was noted in 52.5% of children and in 54.2% when defined by SDNN. The corrected values decreased in 68.3 and 64.2% of the participants for RMSSDc and SDNNc, respectively. The students with RSA at both visits had lower heart rate (p < 0.001) and systolic blood pressure (p = 0.010) compared to those with rhythmic electrocardiograms.Conclusions: RSA in children is changeable, though its measurable indices should be adjusted to heart rate.

Measures of RSA Suppression, Attentional Control, and Negative Affect Predict Self-Ratings of Executive Functions

2011 ◽  
Vol 25 (4) ◽  
pp. 164-173 ◽  
Author(s):  
Brian Healy ◽  
Aaron Treadwell ◽  
Mandy Reagan
Keyword(s):  
College Students ◽  
Heart Rate ◽  
Regression Analysis ◽  
Individual Differences ◽  
Negative Affect ◽  
Respiratory Sinus Arrhythmia ◽  
Attentional Control ◽  
Executive Processes ◽  
Sinus Arrhythmia ◽  
Low Levels

The current study was an attempt to determine the degree to which the suppression of respiratory sinus arrhythmia (RSA) and attentional control were influential in the ability to engage various executive processes under high and low levels of negative affect. Ninety-four college students completed the Stroop Test while heart rate was being recorded. Estimates of the suppression of RSA were calculated from each participant in response to this test. The participants then completed self-ratings of attentional control, negative affect, and executive functioning. Regression analysis indicated that individual differences in estimates of the suppression of RSA, and ratings of attentional control were associated with the ability to employ executive processes but only when self-ratings of negative affect were low. An increase in negative affect compromised the ability to employ these strategies in the majority of participants. The data also suggest that high attentional control in conjunction with attenuated estimates of RSA suppression may increase the ability to use executive processes as negative affect increases.

Respiratory sinus arrhythmia in the denervated human heart

1989 ◽  
Vol 67 (4) ◽  
pp. 1447-1455 ◽  
Author(s):  
L. Bernardi ◽  
F. Keller ◽  
M. Sanders ◽  
P. S. Reddy ◽  
B. Griffith ◽  
...  
Keyword(s):  
Heart Rate ◽  
Respiratory Sinus Arrhythmia ◽  
Human Heart ◽  
Normal Subjects ◽  
Respiratory Frequency ◽  
Autonomic Tone ◽  
Sinus Arrhythmia ◽  
Transplant Patients ◽  
Myocardial Wall ◽  
Analysis Technique

We performed this study to test whether the denervated human heart has the ability to manifest respiratory sinus arrhythmia (RSA). With the use of a highly sensitive spectral analysis technique (cross correlation) to define beat-to-beat coupling between respiratory frequency and heart rate period (R-R) and hence RSA, we compared the effects of patterned breathing at defined respiratory frequency and tidal volumes (VT), Valsalva and Mueller maneuvers, single deep breaths, and unpatterned spontaneous breathing on RSA in 12 normal volunteers and 8 cardiac allograft transplant recipients. In normal subjects R-R changes closely followed changes in respiratory frequency (P less than 0.001) but were little affected by changes in VT. On the R-R spectrum, an oscillation peak synchronous with respiration was found in heart transplant patients. However, the average magnitude of the respiration-related oscillations was 1.7–7.9% that seen in normal subjects and was proportionally more influenced by changes in VT. Changes in R-R induced by Valsalva and Mueller maneuvers were 3.8 and 4.9% of those seen in normal subjects, respectively, whereas changes in R-R induced by single deep breaths were 14.3% of those seen in normal subjects. The magnitude of RSA was not related to time since the heart transplantation, neither was it related to patient age or sex. Thus the heart has the intrinsic ability to vary heart rate in synchrony with ventilation, consistent with the hypothesis that changes, or rate of changes, in myocardial wall stretch might alter intrinsic heart rate independent of autonomic tone.

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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