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 ◽  
...  

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.

Author(s):  
DAECHANG KIM ◽  
SEUNGBONG LEE ◽  
SUNGMIN KIM ◽  
JAEHOON JEONG

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.


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

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.


2011 ◽  
Vol 39 (02) ◽  
pp. 243-249 ◽  
Author(s):  
Eunsook Kim ◽  
Jung-Hoon Cho ◽  
Woo Sang Jung ◽  
Sanghoon Lee ◽  
Sok Cheon Pak

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.


2019 ◽  
Vol 2019 ◽  
pp. 1-9 ◽  
Author(s):  
Hongbo Ni ◽  
Ying Wang ◽  
Guoxing Xu ◽  
Ziqiang Shao ◽  
Wei Zhang ◽  
...  

Hypertension is a common and chronic disease and causes severe damage to patients’ health. Blood pressure of a human being is controlled by the autonomic nervous system. Heart rate variability (HRV) is an impact of the autonomic nervous system and an indicator of the balance of the cardiac sympathetic nerve and vagus nerve. HRV is a good method to recognize the severity of hypertension due to the specificity for prediction. In this paper, we proposed a novel fine-grained HRV analysis method to enhance the precision of recognition. In order to analyze the HRV of the patient, we segment the overnight electrocardiogram (ECG) into various scales. 18 HRV multidimensional features in the time, frequency, and nonlinear domain are extracted, and then the temporal pyramid pooling method is designed to reduce feature dimensions. Multifactor analysis of variance (MANOVA) is applied to filter the related features and establish the hypertension recognizing model with relevant features to efficiently recognize the patients’ severity. In this paper, 139 hypertension patients’ real clinical ECG data are applied, and the overall precision is 95.1%. The experimental results validate the effectiveness and reliability of the proposed recognition method in the work.


2021 ◽  
Vol 25 (2) ◽  
pp. 127-135
Author(s):  
A. S. Emelyanova ◽  
L. A. Simonyan ◽  
E. E. Stepura

Relevance. Assessment of the functional state of the body is one of the leading tasks of physiology. The article deals with the analysis of the initial vegetative status of students with different levels of motor activity. Materials and Methods. Registration and analysis of the heart rate variability was carried out with the help of a modern complex electrophysiological laboratory CONAN - 4.5. The heart activity of students engaged in physical culture within the educational process was evaluated on the basis of heart rate variability analysis. Results and Discussion. It was revealed that among the entire studied array of students (with the differentiation of the initial vegetative status calculated according to muscle tension index), normotonics are characterized by an optimal ratio between the parasympathetic and sympathetic divisions of the autonomic nervous system. At the same time, the value of the coefficient of physical activity in the studied group was determined at the level of 1.730.1. Conclusion. For vagotonics, the value of the triangular index was 2.50.2 conventional units (CU), which confirms the idea of an increase in the influence on the autonomic nervous system. The value for normotonics is 2.20.1 CU. This group was characterized by the balance between the sympathetic and parasympathetic parts of the autonomic nervous system. In sympathicotonics - 1.90.5 CU, which confirms the idea of increasing the influence of the sympathetic division of the autonomic nervous system. In hypersympathicotonics-1.10.4 CU. To ensure adequate functioning of the cardiovascular system and for normal adaptation to physical exertion in students, it is necessary to form a level of motor activity that quantitatively corresponds to a coefficient of physical activity of at least 1.75.


2014 ◽  
Vol 25 (3-4) ◽  
pp. 99-106
Author(s):  
V. V. Mizin ◽  
O. A. Isakov ◽  
M. A. Voitenko ◽  
V. P. Lyashenko

Nowaday humanity lives in a super information world, which is marked by an increase in volume of auditory and visual information, the acceleration of change in the objective and the spirit world, increase information load in the form of electromagnetic waves caused by man. This can lead to information overload, the essence of which is that the amount of useful information coming exceed the objective possibilities of perception. The singular group, which is over loaded by information – the students. The aim of the presented work was to identify the relationship between psychophysiological indices and vegetative adaptive responses of the students from the Dnepropetrovsk National University of Oles Gonchar on information overload, which may form the basis for the formation of curricula and educational work in high school and would like to offer some prognostic model of the functional state of the students in today's environment. The study involved 120 students volunteer 2–3 courses of natural specialties Dnepropetrovsk National University of Oles Gonchar. To determine the physiological features and functional state of the students the program «Psychodiagnostics» was used. For registration of heart rate variability a heart rate monitor POLAR RS800CX was used. Testing was conducted before and after the information load. Information load carried by means of tests Schulte, Bourdon and Gorbova granted in computerized form. In boys enrolled in natural specialties found high rates of properties of neural processes. Under the influence of information load indicator latent period of reaction time choosing two out of three was significantly decreased by 15 % and the rate of functional mobility of nervous processes that characterize the strength of nervous processes significantly decreased by 17 %. Mobility and balance the nervous processes when information load decreased. These changes in performance can indicate the presence of an imbalance of the autonomic nervous system stress due to information load. Resulting in uneven tasks and the lack of a clear rhythm work. Under the influence of information load significantly increased capacity is very high-frequency range (VLF, ms2) and total power (Total, ms2). Exceeding the indicator VLF, may indicate an increased influence of humoral-metabolic mechanisms regulating heart rate. There is a tendency to increase of high-capacity and low-frequency spectra, and reduce the percentage of very low-frequency (HF) range. Also, the rate of vago-sympathetic tone (LF/HF) 2 times higher than normal, which may indicate the presence sympathicotonia. Indicators spectral analysis of heart rate variability was significantly increased, the rate of the average standard deviation (SDNN) increased by 23 % and the prevalence rate of parasympathetic regulation of sympathetic link link (pNN50) by 37 %. These changes indicate activation of the sympathetic division of the autonomic nervous system and low adaptive capacities of the autonomic nervous system. Our investigations have shown that young natural specialties of Dnepropetrovsk National University of Oles Gonchar are influenced by information load significantly deteriorated physiological parameters and heart rate variability. Infringement of autonomic adaptive responses leads to a decline in physical and mental performance of boys. 


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