scholarly journals Heart Rate Variability in Patients with Acute Ischemic Stroke at Different Stages of Renal Dysfunction

2017 ◽  
Vol 130 (6) ◽  
pp. 652-658 ◽  
Author(s):  
Lin Wei ◽  
Wen-Bo Zhao ◽  
Huan-Wen Ye ◽  
Yan-Hua Chen ◽  
Xiao-Pei Zhang ◽  
...  
2018 ◽  
Vol 80 (1-2) ◽  
pp. 50-54 ◽  
Author(s):  
Masafumi Nozoe ◽  
Miho Yamamoto ◽  
Miki Kobayashi ◽  
Masashi Kanai ◽  
Hiroki Kubo ◽  
...  

Autonomic dysfunction is one of the predictors of poor outcome in patients with acute ischemic stroke. We compared the heart rate variability (HRV) during early mobilization in patients with or without neurological deterioration (ND). We enrolled 7 acute ischemic patients with ND and 14 without ND and measured their HRV in the rest and mobilization by electrocardiography. There was a significant difference in sympathetic nervous activity during mobilization between the 2 groups. However, no significant differences in blood pressure, heart rate, and parasympathetic nerve activity were observed. In patients with acute ischemic stroke, it is likely that the increase in sympathetic nervous activity during mobilization is associated with ND.


2019 ◽  
Vol 22 (1) ◽  
pp. 34-44
Author(s):  
Wan-Ling Chang ◽  
Jiunn-Tay Lee ◽  
Chi-Rong Li ◽  
Amy H. T. Davis ◽  
Chia-Chen Yang ◽  
...  

Background: Autonomic dysfunction, cognitive impairment, and psychological distress are associated with poorer prognosis in patients with acute ischemic stroke (AIS). Heart rate variability (HRV) biofeedback (BF) improves autonomic dysfunction, cognitive impairment, and psychological distress in other patient populations, but its effect in patients with AIS is still unclear. Objective: This study investigated the effects of an HRVBF intervention on autonomic function, cognitive impairment, and psychological distress in patients with AIS. Method: In this randomized, controlled, single-blind trial, patients with AIS were randomly assigned to the experimental or control group. The experimental group received four HRVBF training sessions. The control group received usual care. Repeated measures of HRV, mini-mental status examination (MMSE), and Hospital Anxiety and Depression Scales (HADS) were collected prior to and at 1 and 3 months postintervention. Results: A total of 35 patients completed the study (19 experimental, 16 control). HRV and HADS significantly improved in the experimental group ( p < .001) but not in the control group. Likewise, only the experimental group showed significant improvements in HRV, MMSE, and HADS over time ( p < .05). Conclusion: HRVBF is a promising intervention for improving autonomic function, cognitive impairment, and psychological distress in patients with AIS. More studies of HRVBF interventions are needed to further optimize the effects of HRVBF on autonomic, cognitive, and psychological function in patients with AIS.


2015 ◽  
Vol 5 (1) ◽  
Author(s):  
Chih-Hao Chen ◽  
Pei-Wen Huang ◽  
Sung-Chun Tang ◽  
Jiann-Shing Shieh ◽  
Dar-Ming Lai ◽  
...  

2011 ◽  
Vol 27 (6) ◽  
pp. 215-221 ◽  
Author(s):  
Chien-Fu Chen ◽  
Chiou-Lian Lai ◽  
Hsiu-Fen Lin ◽  
Li-Min Liou ◽  
Ruey-Tay Lin ◽  
...  

2011 ◽  
Vol 29 ◽  
pp. e70
Author(s):  
B. Graff ◽  
A. Rojek ◽  
D. Gasecki ◽  
W. Kucharska ◽  
P. Boutouyrie ◽  
...  

2021 ◽  
Vol 12 ◽  
Author(s):  
Regina von Rennenberg ◽  
Thomas Krause ◽  
Juliane Herm ◽  
Simon Hellwig ◽  
Jan F. Scheitz ◽  
...  

Objectives: In patients with acute ischemic stroke, reduced heart rate variability (HRV) may indicate poor outcome. We tested whether HRV in the acute phase of stroke is associated with higher rates of mortality, recurrent stroke, myocardial infarction (MI) or functional outcome.Materials and Methods: Patients with acute mild to moderate ischemic stroke without known atrial fibrillation were prospectively enrolled to the investigator-initiated Heart and Brain interfaces in Acute Ischemic Stroke (HEBRAS) study (NCT 02142413). HRV parameters were assessed during the in-hospital stay using a 10-min section of each patient's ECG recording at day- and nighttime, calculating time and frequency domain HRV parameters. Frequency of a combined endpoint of recurrent stroke, MI or death of any cause and the respective individual events were assessed 12 months after the index stroke. Patients' functional outcome was measured by the modified Rankin Scale (mRS) at 12 months.Results: We included 308 patients (37% female, median NIHSS = 2 on admission, median age 69 years). Complete follow-up was achieved in 286/308 (93%) patients. At 12 months, 32 (9.5%), 5 (1.7%) and 13 (3.7%) patients had suffered a recurrent stroke, MI or death, respectively. After adjustment for age, sex, stroke severity and vascular risk factors, there was no significant association between HRV and recurrent stroke, MI, death or the combined endpoint. We did not find a significant impact of HRV on a mRS ≥ 2 12 months after the index stroke.Conclusion: HRV did not predict recurrent vascular events in patients with acute mild to moderate ischemic stroke.


2020 ◽  
Vol 84 (4) ◽  
pp. 656-661
Author(s):  
Qiao Han ◽  
Chunyuan Zhang ◽  
Shoujiang You ◽  
Danni Zheng ◽  
Chongke Zhong ◽  
...  

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