scholarly journals The Impact of COVID-19 Pandemic and Lockdown Restrictions on Cardiac Implantable Device Recipients with Remote Monitoring

2021 ◽  
Vol 10 (23) ◽  
pp. 5626
Author(s):  
Igor Diemberger ◽  
Alessandro Vicentini ◽  
Giuseppe Cattafi ◽  
Matteo Ziacchi ◽  
Saverio Iacopino ◽  
...  
Keyword(s):  
Heart Rate ◽  
Heart Rate Variability ◽  
Negative Impact ◽  
Control Period ◽  
Cardiac Resynchronization ◽  
Infection Prevalence ◽  
Healthcare Organizations ◽  
Significant Drop ◽  
Low Prevalence ◽  
The Impact

From 2020, many countries have adopted several restrictions to limit the COVID-19 pandemic. The forced containment impacted on healthcare organizations and the everyday life of patients with heart disease. We prospectively analyzed data recorded from implantable defibrillators and/or cardiac resynchronization devices of Italian patients during the lockdown (LDP), post-lockdown period (PLDP) and a control period (CP) of the previous year. We analyzed device data of the period 9 March 2019–31 May 2020 of remotely monitored patients from 34 Italian centers. Patients were also categorized according to areas with high/low infection prevalence. Among 696 patients, we observed a significant drop in median activity in LDP as compared to CP that significantly increased in the PLDP, but well below CP (all p < 0.0001). The median day heart rate and heart rate variability showed a similar trend. This behavior was associated during LDP with a significant increase in the burden of atrial arrhythmias (p = 0.0150 versus CP) and of ventricular arrhythmias [6.6 vs. 1.5 per 100 patient-weeks in CP; p = 0.0026]; the latter decreased in PLDP [0.3 per 100 patient-weeks; p = 0.0035 vs. LDP]. No modifications were recorded in thoracic fluid levels. The high/low prevalence of COVID-19 infection had no significant impact. We found an increase in the arrhythmic burden in LDP coupled with a decrease in physical activity and heart rate variability, without significant modifications of transthoracic impedance, independent from COVID-19 infection prevalence. These findings suggest a negative impact of the COVID-19 pandemic, probably related to lockdown restrictions.

scholarly journals Influence of a 100-mile ultramarathon on heart rate and heart rate variability

2021 ◽  
Vol 7 (2) ◽  
pp. e001005
Author(s):  
Christian Paech ◽  
Simone Schrieber ◽  
Ingo Daehnert ◽  
Paul Jürgen Schmidt-Hellinger ◽  
Bernd Wolfarth ◽  
...  
Keyword(s):  
Body Mass Index ◽  
Heart Rate ◽  
Heart Rate Variability ◽  
Sympathetic Activity ◽  
Ecg Monitoring ◽  
Significant Drop ◽  
Rr Intervals ◽  
Suitable Parameter ◽  
The Status ◽  
The Impact

AimsThis study aimed to investigate the impact of an ultramarathon (UM) with a distance of 100 miles on heart rate (HR) and heart rate variability (HRV).Methods28 runners (25 men and 3 women) underwent 24-hour Holter ECG monitoring 1 week before the UM, immediately after the UM and after a week of recovery. The influence of age, body mass index (BMI), HR and HRV on the run time and recovery was investigated.ResultsA rise in the baseline HR (18.98%) immediately after the run accompanied by a significant drop in the SD of all normal RR intervals (7.12%) 1 week after. Except for the runners’ age, BMI, HR and HRV showed no influence on the competition time. Full return of HRV to the athletes’ baseline did not occur within 1 week. There were no significant differences between finishers and non-finishers in the analysed parameters.ConclusionThe present results show that a 100-mile run leads to an increase in sympathetic activity and thus to an increase in HR and a decrease in HRV. Also, HRV might be a suitable parameter to evaluate the state of recovery after a 100-mile run but does not help to quantify the status of recovery, as the damage to the tendomuscular system primarily characterises this after completing a UM.

scholarly journals Influence of a 100-mile ultramarathon on the heart rate and the heart rate variability

2020 ◽  
Author(s):  
Simone Schrieber ◽  
Christian Paech ◽  
Jan Wüstenfeld ◽  
Ingo Dähnert ◽  
Bernd Wolfarth ◽  
...  
Keyword(s):  
Body Mass Index ◽  
Heart Rate ◽  
Heart Rate Variability ◽  
Sympathetic Activity ◽  
Baseline Heart Rate ◽  
Significant Drop ◽  
Rr Intervals ◽  
Suitable Parameter ◽  
The Impact

Abstract INTRODUCTION: The aim of this study was to investigate the impact of an ultra-marathon (UM) with a distance of 100 miles on heart rate (HR) and heart rate variability (HRV). METHODS: Altogether, 28 runners (25 men and 3 women) received a 24-hour long-term ECG one week before the UM (U1), immediately after (U2) and after a week of recovery (U3). The influence of age, body mass index (BMI), HR and HRV on the run time as well as recovery were investigated. RESULTS: A rise in the baseline heart rate accompanied by a significant drop in SDNN values ​​(the standard deviation of all normal RR intervals) was found. Except for the age of the runners, BMI, HF and HRV did not predict the competition time. Full return of HRV to the athlete’s individual baseline did not occur within one week. There were no significant differences between finishers and non-finishers in analyzed parameters. CONCLUSION: The present results show that a 100-mile run leads to an increase in sympathetic activity and thus to an increase in heart rate and a decrease in HRV. In addition, HRV seems to be a suitable parameter to evaluate full recovery after a 100-mile run.

scholarly journals Influence of a 100-mile Ultramarathon on Heart Rate and Heart Rate Variability

2020 ◽  
Author(s):  
Christian Paech ◽  
Simone Schrieber ◽  
Ingo Dähnert ◽  
Paul Schmidt- Hellinger ◽  
Bernd Wolfarth ◽  
...  
Keyword(s):  
Body Mass Index ◽  
Heart Rate ◽  
Heart Rate Variability ◽  
Sympathetic Activity ◽  
Baseline Heart Rate ◽  
Ecg Monitoring ◽  
Significant Drop ◽  
Rr Intervals ◽  
Suitable Parameter ◽  
The Impact

Abstract BACKGROUND: The aim of this study was to investigate the impact of an ultra-marathon (UM) with a distance of 100 miles on heart rate (HR) and heart rate variability (HRV). METHODS: 28 runners (25 males and 3 females) underwent 24-hour Holter ECG monitoring one week before the UM (U1), immediately after (U2) the UM and after a week of recovery (U3). The influence of age, body mass index (BMI), HR and HRV on the run time as well as recovery were investigated. RESULTS: A rise in the baseline heart rate (18.98%) immediately after the run accompanied by a significant drop in the standard deviation of all normal RR intervals (SDNN) (7.12%) one week after. Except for the age of the runners, BMI, HR and HRV showed no influence on the competition time. Full return of HRV to the athletes´ individual baseline did not occur within one week. There were no significant differences between finishers and non-finishers in analysed parameters.CONCLUSION: The present results show that a 100-mile run leads to an increase in sympathetic activity and thus to an increase in heart rate and a decrease in HRV. In addition, HRV might be a suitable parameter to evaluate full recovery after a 100-mile run.

THE IMPACT OF STRESS ON HEART RATE VARIABILITY OF ON-CALL PHYSICIANS

CHEST Journal ◽  
2005 ◽  
Vol 128 (4) ◽  
pp. 277S
Author(s):  
Stavros E. Mountantonakis ◽  
Dimitrios A. Moutzouris ◽  
Craig McPherson
Keyword(s):  
Heart Rate ◽  
Heart Rate Variability ◽  
The Impact

Abstract P315: Increase in Stress May Contribute to Lower Heart Rate Variability in Healthy Young Subjects

Circulation ◽  
2012 ◽  
Vol 125 (suppl_10) ◽  
Author(s):  
Amanda C Costa ◽  
Ana Gabriela C Silva ◽  
Cibele T Ribeiro ◽  
Guilherme A Fregonezi ◽  
Fernando A Dias
Keyword(s):  
Cardiovascular Disease ◽  
Heart Rate ◽  
Heart Rate Variability ◽  
Healthy Volunteers ◽  
Perceived Stress ◽  
Low Frequency ◽  
Statistical Correlation ◽  
Total Power ◽  
The Impact ◽  
Nonparametric Correlation

Background: Stress is one of the risk factors for cardiovascular disease and decreased heart rate variability is associated to increased mortality in some cardiac diseases. The aim of the study was to assess the impact of perceived stress on cardiac autonomic regulation in young healthy volunteers. Methods: 35 young healthy volunteers (19 to 29 years old, 6 men) from a Brazilian population were assessed for perceived stress by the translated and validated Perceived Stress Scale (PSS, 14 questions) and had the R-R intervals recorded at rest on supine position (POLAR RS800CX) and analyzed (5 minutes, Kubius HRV software) by Fast-Fourier Transform for quantification of Heart Rate Variability (HRV). Results: Average data (±SD) for age, heart rate, BMI, waist circumference and percentage of body fat (%BF) were: 21.3±2.7 years; 65.5±7.9 bpm; 22.3±1.9 Kg/m 2 ; 76.0±6.1 cm and 32.1±6.6%; respectively. The mean score for the PSS-14 was 23.5±7.2 and for the HRV parameter as follow: SSDN=54.8±21.2ms; rMSSD=55.9±32.2ms; low-frequency (LF)= 794.8±579.7ms 2 ; High-frequency (HF)= 1508.0±1783.0 ms 2 ; LF(n.u.)= 41.1±16.2; HF(n.u.)= 58.9±16.2; LF/HF=0.89±0.80 and Total power (TP)= 3151±2570ms 2 . Spearman nonparametric correlation was calculated and there was a significant correlation of PSS-14 scores and LF (ms 2 ) (r=−0.343; p= 0.044). Other HRV variables did not shown significant correlation but also had negative values for Spearman r (TP r=−0.265, p=0.124; HF r=−0.158; SSDN r=−0.207; rMSSD r=−0.243, p=0.160). LF/HF and LF(n.u.) did not correlate to PSS-14 having Spearman r very close to zero (LF/HF r=−0.007, p=0.969; LF(n.u.) r=−0.005, p=0.976). No correlation was found for HRV parameters and BMI and there was a trend for statistical correlation of %BF and LF (ms 2 ) (r=−0.309, p=0.071). Conclusions: These data demonstrate a possible association of perceived stress level and HRV at rest. Changes in LF can be a consequence of both sympathetic and parasympathetic activity, however, analyzing the other variables HF, TP, SSDN and rMSSD (all negative Spearman r) and due to the lack of changes in LF/HF ratio and LF(n.u.) we interpret that increased stress may be associated to decrease in overall heart rate variability. These changes were seen in healthy individuals and may point out an important mechanism in cardiovascular disease development.

scholarly journals The impact of sedentarism on heart rate variability (HRV) at rest and in response to mental stress in young women

2018 ◽  
Vol 6 (18) ◽  
pp. e13873 ◽  
Author(s):  
José Robertto Zaffalon Júnior ◽  
Ariane Oliveira Viana ◽  
Gileno Edu Lameira de Melo ◽  
Kátia De Angelis
Keyword(s):  
Heart Rate ◽  
Heart Rate Variability ◽  
Young Women ◽  
Mental Stress ◽  
The Impact

scholarly journals Frequency and Intensity of Electrical Stimulation of Human Sympathetic Ganglia Affect Heart Rate Variability and Pain Threshold

2019 ◽  
Vol 9 (21) ◽  
pp. 4490 ◽  
Author(s):  
Cho
Keyword(s):  
Heart Rate ◽  
Heart Rate Variability ◽  
Electrical Stimulation ◽  
High Intensity ◽  
High Frequency ◽  
Pain Control ◽  
Pain Threshold ◽  
Control Period ◽  
Sympathetic Ganglia ◽  
Thoracic Vertebrae

The study relates to the selection of effective clinical treatments based on the changes associated with each electrical stimulation condition. The aim was to investigate the effects of electrical stimulation on the autonomic nervous system by evaluating the heart rate variability (HRV) and pain threshold in response to different interferential current conditions applied to the sympathetic ganglia. Forty five participants were randomly assigned to receive high frequency-low intensity (HF-LI), low frequency-high intensity (LF-HI), or high frequency-high intensity (HF-HI) electrical stimulation. We then used bipolar adhesive pad electrodes to stimulate the thoracic vertebrae T1–T4 for 20 min, and changes were evaluated before, immediately after and 30 min after electrical stimulation. Results revealed significant HRV immediately after HF-LI and LF-HI electrical stimulations. This present study finding of a reduction in HRV immediately after HF-HI electrical stimulation confirms HRV measurement reliability based on electrical stimulation parameters. Results revealed a significant increase in the pain threshold with HF-HI electrical stimulation than for the other conditions; there was also a shorter pain duration. The present study also showed a significant effect of the HF-LI and LF-HI conditions on the pain threshold immediately after electrical stimulation, but the results after 30 min only revealed significant changes in the LF-HI group, indicating a maintenance of the pain control period immediately and 30 min after electrical stimulation. Different conditions of electrical stimulation resulted in distinct changes in HRV and pain control duration.

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