scholarly journals Cardiac autonomic modulation in juvenile idiopathic arthritis with use of biological medication: case report

2020 ◽  
Vol 30 (1) ◽  
pp. 129-134
Author(s):  
Patrícia Merly Martinelli ◽  
Ana Carolina Gonçalves de Abreu ◽  
José Rener Cordeiro da Silva ◽  
Asami Takahara Vasconscelos ◽  
Adilson Monteiro ◽  
...  
Keyword(s):  
Heart Rate ◽  
Heart Rate Variability ◽  
Juvenile Idiopathic Arthritis ◽  
Case Report ◽  
Joint Damage ◽  
Response To Therapy ◽  
Functional Evaluation ◽  
Autonomic Modulation ◽  
Cardiac Autonomic Modulation ◽  
Non Linear

Introduction: The introduction of biological medication in Juvenile Idiopathic Arthritis (JIA) proposes better therapeutic results with decreased pain and inflammation and consequent reduction in joint damage. The autonomic state can be a predictor for verifying the response to immunomodulation therapy. Thus, measuring heart rate variability can express autonomous behavior and possibly accompany the response to therapy through the expression of the inflammatory condition. Objective: Analysis of heart rate variability in a child with Juvenile Idiopathic Arthritis using the anti-Tumor Necrosis Factor. Methods: This is a clinical case report of an 8-year-old male with a diagnosis of JIA - oligoarticular form, using etanercept, admitted to Clínica Escola de Fisioterapia UNINORTE, Acre, Brazil in 2017. We analyzed laboratory and imaging tests, kinetic-functional evaluation, examination of cardiac autonomic modulation and physiotherapeutic treatment for analgesic, anti-inflammatory purposes, gaining flexibility, strength and postural re-education, according to CARE guidelines, case report guidelines. Results: After medication administration, there was a decrease in pain and normalization of serum creatinine (0.50 mg / dL) and CRP (less than 6 mg / dL) and an increase in erythrocyte sedimentation rate (17 mm3). In the examination of heart rate variability, the linear indices in the time domain showed a predominance of parasympathetic activity (RMSSD: 35ms), with decreased sympathetic control measured through the frequency domain (LF: 27.1 un). However, non-linear methods showed low variability with little dispersion of RR intervals. Conclusion: In the present report, the linear indices showed parasympathetic predominance and in the non-linear analysis a low heart rate variability with abnormal and insufficient adaptation of the autonomic nervous system in a child with juvenile idiopathic arthritis using biological medication.

Efeito da manipulação vertebral sobre a modulação autonômica cardíaca

2016 ◽  
Vol 17 (5) ◽  
pp. 498
Author(s):  
Alyssa Conte Da Silva ◽  
Juliana Falcão Padilha ◽  
Jefferson Luiz Brum Marques ◽  
Cláudia Mirian De Godoy Marques
Keyword(s):  
Heart Rate ◽  
Heart Rate Variability ◽  
Nervous System ◽  
Autonomic Nervous System ◽  
Spinal Manipulation ◽  
Autonomic Modulation ◽  
Autonomic Nervous ◽  
Cardiac Autonomic Modulation

Introdução: Existem poucos estudos que evidenciam a manipulação vertebral relacionada à modulação autonômica cardíaca. Objetivo: Revisar a literatura sobre os efeitos da manipulação vertebral sobre a modulação autonômica cardíaca. Métodos: Foi realizada uma busca bibliográfica nas bases de dados da saúde Medline, Pubmed e Cinahl, no período correspondido entre setembro e novembro de 2014. Foram utilizados os descritores em inglês Spinal Manipulation, Cardiac Autonomic Modulation, Autonomic Nervous System, Heart Rate Variability, além de associações entre eles. Resultados: Foram encontrados 190 artigos, sendo excluídos 39 por serem repetidos, restando 151. Destes, 124 não se encaixaram nos critérios de inclusão e após leitura crítica e análise dos materiais foram selecionados 7 artigos. Grande parte dos estudos revelou que a manipulação da coluna, independente do segmento, demonstra alterações autonômicas, tanto em nível simpático quanto parassimpático. Conclusão: Existem diferentes metodologias para avaliação da modulação autonômica cardíaca, sendo a Variabilidade da Frequência cardíaca através do eletrocardiograma a mais utilizada. A manipulação vertebral exerceu influência, na maioria dos artigos, sobre a modulação autonômica cardíaca.Palavras-chave: manipulação da coluna, sistema nervoso autônomo, variabilidade da frequência cardíaca. 

scholarly journals Cortisol Levels and Autonomic Control of Heart Rate in Healthy Subjects

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 ◽  
...  
Keyword(s):  
Blood Pressure ◽  
Heart Rate ◽  
Heart Rate Variability ◽  
Salivary Cortisol ◽  
Healthy Subjects ◽  
Autonomic Control ◽  
Autonomic Modulation ◽  
Cardiac Autonomic Modulation ◽  
Cortisol Levels ◽  
Modulation Methods

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.

scholarly journals Effects of exercise on cardiac autonomic modulation in children: literature update

2015 ◽  
Vol 28 (3) ◽  
pp. 627-636 ◽  
Author(s):  
Gustavo Henrique de Oliveira Mondoni ◽  
Luiz Carlos Marques Vanderlei ◽  
Bruno Saraiva ◽  
Franciele Marques Vanderlei
Keyword(s):  
Heart Rate ◽  
Heart Rate Variability ◽  
Nervous System ◽  
Autonomic Nervous System ◽  
Parasympathetic Nervous System ◽  
Healthy Children ◽  
Autonomic Modulation ◽  
Healthy Development ◽  
Autonomic Nervous ◽  
Cardiac Autonomic Modulation

AbstractIntroduction It is known that physical exercise is beneficial and precipitates adjustments to the autonomic nervous system. However, the effect of exercise on cardiac autonomic modulation in children, despite its importance, is poorly investigated.Objective To bring together current information about the effects of exercise on heart rate variability in healthy and obese children.Methods The literature update was performed through a search for articles in the following databases; PubMed, PEDro, SciELO and Lilacs, using the descriptors “exercise” and “child” in conjunction with the descriptors “autonomic nervous system”, “sympathetic nervous system”, “parasympathetic nervous system” and also with no descriptor, but the key word of this study, “heart rate variability”, from January 2005 to December 2012.Results After removal of items that did not fit the subject of the study, a total of 9 articles were selected, 5 with healthy and 4 with obese children.Conclusion The findings suggest that exercise can act in the normalization of existing alterations in the autonomic nervous system of obese children, as well as serve as a preventative factor in healthy children, enabling healthy development of the autonomic nervous system until the child reaches adulthood.

scholarly journals A study on cardiac autonomic modulation during pregnancy by non-invasive heart rate variability measurement

2014 ◽  
Vol 4 (4) ◽  
pp. 441 ◽  
Author(s):  
PriteshHariprasad Gandhi ◽  
HemantB Mehta ◽  
AshishV Gokhale ◽  
ChetanB Desai ◽  
PradnyaA Gokhale ◽  
...  
Keyword(s):  
Heart Rate ◽  
Heart Rate Variability ◽  
Autonomic Modulation ◽  
Cardiac Autonomic Modulation ◽  
Non Invasive ◽  
Heart Rate Variability Measurement

scholarly journals Effect of physical exercise on cardiac autonomic modulation in the elderly: systematic review

2011 ◽  
Vol 10 (2) ◽  
pp. 380-386
Author(s):  
Amilton Da Cruz Santos ◽  
Adriana Sarmento De Oliveira ◽  
Maria Do Socorro Brasileiro-Santos
Keyword(s):  
Systematic Review ◽  
Heart Rate ◽  
Blood Flow ◽  
Heart Rate Variability ◽  
Physical Exercise ◽  
Muscle Blood Flow ◽  
The Elderly ◽  
Autonomic Modulation ◽  
Cardiac Autonomic Modulation ◽  
Insuficiencia Cardiaca

Objetivo: Avaliar as evidências científicas disponíveis a respeito do efeito do exercício físico sobre a resposta vasodilatadora muscular e a modulação autonômica cardíaca em idosos. Métodos: Os artigos selecionados estavam indexados nas bases PubMed/MEDLINE, SCIELO e LILACS. Foram utilizados os descritores “exercise” e “aged”, e as palavras-chaves “vasodilator response muscular”, “muscle blood flow”, “heart rate variability” e “cardiac autonomic modulation”. Resultados: Foram encontrados 1.686 textos, destes, apenas cinco foram considerados elegíveis. Todos avaliaram a modulação autonômica cardíaca e um deles avaliou a resposta vasodilatadora muscular concomitantemente. Conclusões: Esta revisão indica que o exercício físico pode ser eficaz na melhora da modulação autonômica cardíaca em idosos saudáveis e em idosos após evento cardiovascular agudo, com prognóstico favorável, com insuficiência cardíaca e com fibrilação atrial crônica. Aditivamente em idosos com insuficiência cardíaca, o exercício físico também foi eficaz na melhora da resposta vasodilatadora muscular.

Cardiac autonomic modulation assessed by heart rate variability in children with asthma

2020 ◽  
Vol 55 (6) ◽  
pp. 1334-1339
Author(s):  
Ozeia S. Franco ◽  
Abelardo O. S. Júnior ◽  
Luis U. Signori ◽  
Silvio O. M. Prietsch ◽  
Linjie Zhang
Keyword(s):  
Heart Rate ◽  
Heart Rate Variability ◽  
Autonomic Modulation ◽  
Cardiac Autonomic Modulation ◽  
Children With Asthma

scholarly journals Poor glycemic control impacts linear and non-linear dynamics of heart rate in DM type 2

2015 ◽  
Vol 21 (4) ◽  
pp. 313-317 ◽  
Author(s):  
Daniela Bassi ◽  
Vivian Maria Arakelian ◽  
Renata Gonçalves Mendes ◽  
Flávia Cristina Rossi Caruso ◽  
José Carlos Bonjorno Júnior ◽  
...  
Keyword(s):  
Heart Rate ◽  
Glycemic Control ◽  
Autonomic Neuropathy ◽  
Fasting Glucose ◽  
Poor Glycemic Control ◽  
Cardiovascular Autonomic Neuropathy ◽  
Autonomic Modulation ◽  
Cardiac Autonomic Modulation ◽  
Non Linear

INTRODUCTION: It is well known that type 2 diabetes mellitus (T2DM) produces cardiovascular autonomic neuropathy (CAN), which may affect the cardiac autonomic modulation. However, it is unclear whether the lack of glycemic control in T2DM without CAN could impact negatively on cardiac autonomic modulation. Objective: To evaluate the relationship between glycemic control and cardiac autonomic modulation in individuals with T2DM without CAN. Descriptive, prospective and cross sectional study.METHODS: Forty-nine patients with T2DM (51±7 years) were divided into two groups according to glycosylated hemoglobin (HbA1c): G1≤7% and G2>7.0%. Resting heart rate (HR) and RR interval (RRi) were obtained and calculated by linear (Mean iRR; Mean HR; rMSSD; STD RR; LF; HF; LF/HF, TINN and RR Tri,) and non-linear (SD1; SD2; DFα1; DFα2, Shannon entropy; ApEn; SampEn and CD) methods of heart rate variability (HRV). Insulin, HOMA-IR, fasting glucose and HbA1c were obtained by blood tests.RESULTS: G2 (HbA1c≤7%) showed lower values for the mean of iRR; STD RR; RR Tri, TINN, SD2, CD and higher mean HR when compared with G1 (HbA1c > 7%). Additionally, HbA1c correlated negatively with mean RRi (r=0.28, p=0.044); STD RR (r=0.33, p=0.017); RR Tri (r=-0.35, p=0.013), SD2 (r=-0.39, p=0.004) and positively with mean HR (r=0.28, p=0.045). Finally, fasting glucose correlated negatively with STD RR (r=-0.36, p=0.010); RR Tri (r=-0.36, p=0.010); TINN (r=-0.33, p=0.019) and SD2 (r=-0.42, p=0.002).CONCLUSION: We concluded that poor glycemic control is related to cardiac autonomic modulation indices in individuals with T2DM even if they do not present cardiovascular autonomic neuropathy.

scholarly journals Influence of Different Types of Corticosteroids on Heart Rate Variability of Individuals with Duchenne Muscular Dystrophy—A Pilot Cross Sectional Study

Life ◽  
2021 ◽  
Vol 11 (8) ◽  
pp. 752
Author(s):  
Rodrigo Martins Dias ◽  
Rosangela Akemi Hoshi ◽  
Luiz Carlos Marques Vanderlei ◽  
Carlos Bandeira de Mello Monteiro ◽  
Mayra Priscila Boscolo Alvarez ◽  
...  
Keyword(s):  
Heart Rate ◽  
Heart Rate Variability ◽  
Duchenne Muscular Dystrophy ◽  
Muscular Dystrophy ◽  
Cross Sectional Study ◽  
Control Group ◽  
Autonomic Modulation ◽  
Sectional Study ◽  
Cross Sectional ◽  
Cardiac Autonomic Modulation

Individuals with Duchenne Muscular Dystrophy (DMD) have an impairment of cardiac autonomic function categorized by parasympathetic reduction and sympathetic predominance. The objective of this study was to assess the cardiac autonomic modulation of individuals with DMD undergoing therapy with Prednisone/Prednisolone and Deflazacort and compare with individuals with DMD without the use of these medications and a typically developed control group. Methods: A cross-sectional study was completed, wherein 40 boys were evaluated. The four treatment groups were: Deflazacort; Prednisone/Prednisolone; no corticoid use; and typical development. Heart Rate Variability (HRV) was investigated via linear indices (Time Domain and Frequency Domain) and non-linear indices Results: The results of this study revealed that individuals with DMD undertaking pharmacotherapies with Prednisolone demonstrated HRV comparable to the Control Typically Developed (CTD) group. In contrast, individuals with DMD undergoing pharmacotherapies with Deflazacort achieved lower HRV, akin to individuals with DMD without any medications, as demonstrated in the metrics: RMSSD; LF (n.u.), HF (n.u.), LF/HF; SD1, α1, and α1/α2, and a significant effect for SD1/SD2; %DET and Ratio; Shannon Entropy, 0 V%, 2 LV% and 2 ULV%. Conclusions: Corticosteroids have the potential to affect the cardiac autonomic modulation in adolescents with DMD. The use of Prednisone/Prednisolone appears to promote improved responses in terms of sympathovagal activity as opposed to Deflazacort.

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