scholarly journals The Role of the Autonomic Nervous System on Cardiac Rhythm during the Evolution of Diabetes Mellitus Using Heart Rate Variability as a Biomarker

2019 ◽  
Vol 2019 ◽  
pp. 1-10 ◽  
Author(s):  
Alondra Albarado-Ibañez ◽  
Rosa Elena Arroyo-Carmona ◽  
Rommel Sánchez-Hernández ◽  
Geovanni Ramos-Ortiz ◽  
Alejandro Frank ◽  
...  
Keyword(s):  
Diabetes Mellitus ◽  
Heart Rate ◽  
Heart Rate Variability ◽  
Nervous System ◽  
Autonomic Nervous System ◽  
Early Diagnosis ◽  
Negative Symptoms ◽  
Heart Rhythm ◽  
Autonomic Nervous ◽  
Cardiovascular Morbidity And Mortality

Heart rate variability (HRV) is highly influenced by the Autonomic Nervous System (ANS). Several illnesses have been associated with changes in the ANS, thus altering the pattern of HRV. However, the variability of the heart rhythm is originated within the Sinus Atrial Node (SAN) which has its own variability. Still, although both oscillators produce HRV, the influence of the SAN on HRV has not yet been exhaustively studied. On the other hand, the complications of diabetes mellitus (DM), for instance, nephropathy, retinopathy, and neuropathy, increase cardiovascular morbidity and mortality. Traditionally, these complications are diagnosed only when the patient is already suffering from the negative symptoms these complications implicate. Consequently, it is of paramount importance to develop new techniques for early diagnosis prior to any deterioration on healthy patients. HRV has been proved to be a valuable, noninvasive clinical evidence for evaluating diseases and even for describing aging and behavior. In this study, several ECGs were recorded and their RR and PP intervals were analyzed to detect the interpotential interval (ii) of the SAN. Additionally, HRV reduction was quantified to identify alterations in the nervous system within the nodal tissue via measuring the SD1/SD2 ratio in a Poincaré plot. With 15 years of DM development, the data showed an age-dependent increase in HRV due to the axon retraction of ANS neurons from its effectors. In addition, these alterations modify the heart rhythm-producing fatal arrhythmias. Therefore, it is possible to avoid the consequences of DM identifying alterations in SAN previous to its symptomatic appearance. This could be used as an early diagnosis indicator.

scholarly journals Dynamics of heart rate variability analysed through nonlinear and linear dynamics is already impaired in young type 1 diabetic subjects

2016 ◽  
Vol 26 (7) ◽  
pp. 1383-1390 ◽  
Author(s):  
Naiara M. Souza ◽  
Thais R. Giacon ◽  
Francis L. Pacagnelli ◽  
Marianne P. C. R. Barbosa ◽  
Vitor E. Valenti ◽  
...  
Keyword(s):  
Diabetes Mellitus ◽  
Heart Rate ◽  
Heart Rate Variability ◽  
Type 1 Diabetes ◽  
Nervous System ◽  
Autonomic Nervous System ◽  
Type 1 Diabetes Mellitus ◽  
Autonomic Nervous ◽  
Young Subjects

AbstractBackgroundAutonomic diabetic neuropathy is one of the most common complications of type 1 diabetes mellitus, and studies using heart rate variability to investigate these individuals have shown inconclusive results regarding autonomic nervous system activation.AimsTo investigate the dynamics of heart rate in young subjects with type 1 diabetes mellitus through nonlinear and linear methods of heart rate variability.MethodsWe evaluated 20 subjects with type 1 diabetes mellitus and 23 healthy control subjects. We obtained the following nonlinear indices from the recurrence plot: recurrence rate (REC), determinism (DET), and Shanon entropy (ES), and we analysed indices in the frequency (LF and HF in ms2 and normalised units – nu – and LF/HF ratio) and time domains (SDNN and RMSSD), through analysis of 1000 R–R intervals, captured by a heart rate monitor.ResultsThere were reduced values (p<0.05) for individuals with type 1 diabetes mellitus compared with healthy subjects in the following indices: DET, REC, ES, RMSSD, SDNN, LF (ms2), and HF (ms2). In relation to the recurrence plot, subjects with type 1 diabetes mellitus demonstrated lower recurrence and greater variation in their plot, inter-group and intra-group, respectively.ConclusionYoung subjects with type 1 diabetes mellitus have autonomic nervous system behaviour that tends to randomness compared with healthy young subjects. Moreover, this behaviour is related to reduced sympathetic and parasympathetic activity of the autonomic nervous system.

scholarly journals Correlation between adipocytokine profile and heart rate variability in patients with obesity

2020 ◽  
Vol 37 (3) ◽  
pp. 12-17
Author(s):  
S. G. Shulkina ◽  
E. N. Smirnova ◽  
E. A. Laurent ◽  
N. Yu. Kolomeets ◽  
V. V. Konovalov ◽  
...  
Keyword(s):  
Heart Rate ◽  
Heart Rate Variability ◽  
Nervous System ◽  
Uric Acid ◽  
Autonomic Nervous System ◽  
Spectral Characteristics ◽  
Heart Rhythm ◽  
Control Group ◽  
Autonomic Nervous ◽  
Group 2

Objective. The high prevalence of obesity in employable population dictates the necessity for preclinical diagnosis of diseases associated with it, including the study of the autonomic regulation of heart rhythm. The objective was to study the correlations between the adipocytokine profile and heart rate variability in patients with obesity. Materials and methods. 300 persons were examined, the average age was 46.2 6.4 years; Group 1 was metabolically unhealthy obesity phenotype (MUHOP) 90 patients; group 2 was obesity without metabolic disorders [Ob(+)MD(-)] (MHOP) 50 persons; the control group consisted of 100 healthy respondents. We studied the following indices: blood serum adipocytokines: leptin, insulin, resistin, adiponectin. Heart rate variability was studied using Poly-Spectrum Rhythm 2012 computer electrocardiograph. Results. In the course of the study, decrease in the total heart rate variability and reactivity of the parasympathetic part of the autonomic nervous system in patients from MUHOP group was found, while there were no differences with the control in the MHOP group. It was established that a decrease in the parasympathetic effect on the regulation of heart rhythm is associated with the presence of abdominal obesity, insulin resistance, and an increase in the level of TG, glucose, resistin, and uric acid. Conclusions. The received relationships between indicators of carbohydrate and lipid metabolism, the level of uric acid and adipocytokines with temporal and spectral characteristics of the autonomic nervous system confirm their contribution to the development of autonomic dysfunction in obese persons.

scholarly journals Heart rate variability in healthy volunteers

2020 ◽  
pp. 26-36
Author(s):  
Kseniya M. Liuzina ◽  
Marina V. Shinkevich
Keyword(s):  
Heart Rate ◽  
Heart Rate Variability ◽  
Nervous System ◽  
Autonomic Nervous System ◽  
Menstrual Cycle ◽  
Healthy Volunteers ◽  
Heart Rhythm ◽  
Research Results ◽  
Autonomic Nervous ◽  
The Relationship

The research results showed that the vegetative tone of the nervous system in different phases of the menstrual cycle is different. In accordance with changes in heart rate (HRV) indicators, we can talk about the predominance of tone of either the sympathetic or parasympathetic department of the autonomic nervous system in each phase of the cycle, to distinguish subgroups of students by the distribution of the tone of the autonomic nervous system during the cycle. It was possible to isolate those HRV indicators that were changed most synchronously (rhythmogram, histogram, and scatterogram indices). The spectrogram indices are distinguished by the highest asynchrony of changes; therefore, it is not very convenient to analyze changes during a cycle. Autocorrelation indicators reflect the relationship and the predominance of one of the circuits of heart rhythm regulation (central or autonomous). Despite the fact that a certain dynamic of changes can be traced, significant differences were noted only for some indicators in each of the groups. HRV indicators in accordance with the standards given in the literature should be clarified.

scholarly journals VARIABILITY OF THE HEART RHYTHM AS AN ADDITIONAL MARKER FOR DETERMINING VEGETATIVE FUNCTIONS IN PATIENTS WITH CHRONIC CEREBRAL ISCHEMIA

2018 ◽  
Vol 6 ◽  
pp. 55-60
Author(s):  
Nataliia Inhula
Keyword(s):  
Heart Rate ◽  
Heart Rate Variability ◽  
Nervous System ◽  
Autonomic Nervous System ◽  
Cerebral Ischemia ◽  
High Frequency ◽  
Low Frequency ◽  
Heart Rhythm ◽  
Chronic Cerebral Ischemia ◽  
Autonomic Nervous

Aim. Practical cardiology is in constant search for non-invasive vascular risk markers. Heart rhythm reflects the body's response to various stimuli of the external and internal environment. Heart rate variability (HRV) has a prognostic and diagnostic value and allows timely identification of conditions that threaten life. The results of an instrumental examination of heart rhythm fluctuations in patients suffering from chronic cerebral ischemia against the background of angina pectoris of different functional classes allows to evaluate the prognosis of the disease and select the appropriate treatment. Materials and methods. An assessment of the state of the mechanisms of regulation of physiological functions in patients suffering from chronic cerebral ischemia against the background of angina pectoris of different functional classes was obtained according to spectral and temporal analysis of heart rate variability using electrocardiographic monitoring. The spectral characteristics of the heart rate variability were studied: HF (high frequency), LF (low frequency), VLF (very low frequency). Results. Heart rhythm regulation in patients with chronic cerebral ischemia occurred under the influence of neurohumoral mechanisms. The imbalance of functional systems was caused by changes in the autonomic nervous system, which disrupted the normal functioning of the sympathetic and parasympathetic parts. We marked decrease in the activity of the parasympathetic autonomic nervous system, which changed the indices of spectral analysis, while the high-frequency component of the spectrum was characterized by a decrease, while the low-frequency component was characterized by an increase. The progression of stable angina of tension (SAT) in patients with chronic cerebral ischemia (CCI) occurred with disruption of the autonomic nervous system (ANS) and was associated with a shift in the physiological response towards sympathetic activity. This was particularly pronounced in patients in group 2 with CCI on the background of SAT III FC, as the regulatory mechanisms were in a critical state of tension against the background of long-term chronic ischemia, they showed a high level of humoral modulation of regulatory mechanisms, which was manifested by excessive VLF and high-frequency oscillations. Conclusions. A connection was established between the autonomic nervous system and chronic cerebral ischemia, which was expressed in the imbalance of the ANS, associated with reliable signs of the dominant sympathetic system, which was associated with the progression of stable angina of tension.

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 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.

Assessment of Autonomic Nervous System by the Analysis of Heart Rate Variability in Patients with Variant Angina

1999 ◽  
Vol 29 (6) ◽  
pp. 590 ◽  
Author(s):  
Hae Ok Jung ◽  
Ki Bae Seung ◽  
Hyo Young Lim ◽  
Dong Heon Kang ◽  
Ki Yuk Chang ◽  
...  
Keyword(s):  
Heart Rate ◽  
Heart Rate Variability ◽  
Nervous System ◽  
Autonomic Nervous System ◽  
Variant Angina ◽  
Autonomic Nervous
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