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Wiersema JM, Kamphuis AEP, Rohling JHT, Kervezee L, Akintola AA, Jansen SW, Slagboom PE, van Heemst D, van der Spoel E. The association between continuous ambulatory heart rate, heart rate variability, and 24-h rhythms of heart rate with familial longevity and aging. Aging (Albany NY) 2022; 14:7223-7239. [PMID: 35980264 PMCID: PMC9550250 DOI: 10.18632/aging.204219] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/22/2022] [Accepted: 07/27/2022] [Indexed: 11/28/2022]
Abstract
Aging is associated with changes in heart rate (HR), heart rate variability (HRV), and 24-h rhythms in HR. Longevity has been linked to lower resting HR, while a higher resting HR and a decreased HRV were linked to cardiovascular events and increased mortality risk. HR and HRV are often investigated during a short electrocardiogram (ECG) measurement at a hospital. In this study, we aim to investigate the relationship between HR parameters with familial longevity and chronological age derived from continuous ambulatory ECG measurements collected over a period of 24 to 90 hours. We included 73 middle-aged participants (mean (SD) age: 67.0 (6.16) years), comprising 37 offspring of long-lived families, 36 of their partners, and 35 young participants (22.8 (3.96) years). We found no association with familial longevity, but middle-aged participants had lower 24-h HR (average and maximum HR, not minimum HR), lower amplitudes, and earlier trough and peak times than young participants. Associations in HR with chronological age could be caused by the aging process or by differences in environmental factors. Interestingly, middle-aged participants had a less optimal HRV during long-term recordings in both the sleep and awake periods, which might indicate that their heart is less adaptable than that of young participants. This could be a first indication of deteriorated cardiovascular health in middle-aged individuals.
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Affiliation(s)
- Janneke M Wiersema
- Section Gerontology and Geriatrics, Department of Internal Medicine, Leiden University Medical Center, Leiden, The Netherlands
| | - Annelies E P Kamphuis
- Section Gerontology and Geriatrics, Department of Internal Medicine, Leiden University Medical Center, Leiden, The Netherlands
| | - Jos H T Rohling
- Department of Cell and Chemical Biology, Leiden University Medical Center, Leiden, The Netherlands
| | - Laura Kervezee
- Department of Cell and Chemical Biology, Leiden University Medical Center, Leiden, The Netherlands
| | - Abimbola A Akintola
- Section Gerontology and Geriatrics, Department of Internal Medicine, Leiden University Medical Center, Leiden, The Netherlands
| | - Steffy W Jansen
- Section Gerontology and Geriatrics, Department of Internal Medicine, Leiden University Medical Center, Leiden, The Netherlands.,Department of Geriatric Medicine, Catharina Hospital, Eindhoven, The Netherlands
| | - P Eline Slagboom
- Section Molecular Epidemiology, Department of Biomedical Data Sciences, Leiden University Medical Center, Leiden, The Netherlands
| | - Diana van Heemst
- Section Gerontology and Geriatrics, Department of Internal Medicine, Leiden University Medical Center, Leiden, The Netherlands
| | - Evie van der Spoel
- Section Gerontology and Geriatrics, Department of Internal Medicine, Leiden University Medical Center, Leiden, The Netherlands
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Yu X, Hoog Antink C, Leonhardt S, Bollheimer LC, Laurentius T. Non-Contact Measurement of Heart Rate Variability in Frail Geriatric Patients: Response to Early Geriatric Rehabilitation and Comparison with Healthy Old Community-Dwelling Individuals - A Pilot Study. Gerontology 2021; 68:707-719. [PMID: 34569531 DOI: 10.1159/000518628] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/12/2021] [Accepted: 07/21/2021] [Indexed: 11/19/2022] Open
Abstract
INTRODUCTION Frailty is a central geriatric syndrome characterized by a state of increased physiological vulnerability. As the key components of frailty are difficult to capture in their entirety, easily measurable and reliable surrogate parameters are desirable. Since frailty influences heart rate variability (HRV), HRV may be such a surrogate parameter. HRV is typically acquired by an ECG, which, however, may not be tolerated by all patients; in some, it may even trigger delirium. Therefore, we sought to measure HRV in a non-contact and unobtrusive way through photoplethysmography imaging (PPGI). Using our previously presented HRV estimation algorithm for PPGI, we investigated whether PPGI could reveal (1) HRV differences between frail and non-frail individuals and (2) the influences of early geriatric rehabilitation on HRV. METHODS The study involved 10 frail geriatric inpatients undergoing early geriatric rehabilitation and 10 healthy community-dwelling older adults. All participants underwent a comprehensive geriatric assessment. HRV measurements using a PPGI system and a reference ECG were made at the beginning and the end of the rehabilitation. HRV in terms of LF/HF ratio was analysed for both intra-individual changes during the geriatric rehabilitation and differences between frail geriatric patients and healthy community-dwelling individuals. RESULTS Across all geriatric patients, the median LF/HF ratio obtained with PPGI was found to be reduced by 0.178 (24.8%) during early geriatric rehabilitation. The assessment at the end of the rehabilitation revealed a simultaneous improvement of the functional state. Moreover, frail geriatric patients had a higher LF/HF ratio than their community-dwelling counterparts. Both observations in PPGI-based HRV were confirmed by the reference. The capability of PPGI to track intra-individual HRV changes was also analysed; a Spearman correlation of ρ = 1.0 between PPGI-based HRV and reference was achieved for 58.8% of the participants. CONCLUSION Early geriatric rehabilitation improves the functional state, which is associated with an increased HRV. PPGI is capable of detecting HRV changes/trends in that age group. While the tracking of intra-individual HRV changes is also possible, its reliability needs improvement. Nevertheless, the capabilities demonstrated in our study and the non-contact measurement principle of PPGI emphasize its potential for application in geriatric medicine.
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Affiliation(s)
- Xinchi Yu
- Department of Geriatric Medicine (Medical Clinic VI), RWTH Aachen University Hospital, Aachen, Germany.,Chair for Medical Information Technology, RWTH Aachen University, Aachen, Germany
| | - Christoph Hoog Antink
- Chair for Medical Information Technology, RWTH Aachen University, Aachen, Germany.,Biomedical Engineering, KIS*MED, TU Darmstadt, Darmstadt, Germany
| | - Steffen Leonhardt
- Chair for Medical Information Technology, RWTH Aachen University, Aachen, Germany
| | - Leo Cornelius Bollheimer
- Department of Geriatric Medicine (Medical Clinic VI), RWTH Aachen University Hospital, Aachen, Germany
| | - Thea Laurentius
- Department of Geriatric Medicine (Medical Clinic VI), RWTH Aachen University Hospital, Aachen, Germany
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Goyal M, Goel A, Singh R, Chowdhury N, Verma N, Tiwari S, Deepak KK. Circadian rhythm of airways caliber and its autonomic modulation. Chronobiol Int 2020; 37:845-855. [PMID: 32077322 DOI: 10.1080/07420528.2020.1731525] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/25/2022]
Abstract
The autonomic nervous system (ANS) is one of the effector pathways for circadian variation of many physiological parameters. Autonomic tone and airways caliber have been reported to exhibit circadian variation in separate studies. A simultaneous investigation of heart rate variability (HRV) and airway caliber might ascertain how airway caliber is modulated by autonomic tone. This study was planned to identify the variations in airway caliber and autonomic function tone during a 24-hour span. A total of 56 healthy male subjects with almost similar daily routines were studied. Time domain, frequency domain and nonlinear analysis of R-R interval from 5 min electrocardiogram (ECG) was done seven times during the daytime wake span at 3-hour intervals starting at 05:00 h in the morning until 23:00 h in the night. Simultaneously peak expiratory flow rate (PEFR) was determined using a mini Wright's peak flow meter. Rhythmometric analysis was done for PEFR and HRV parameters. Significant circadian variation in low frequency (LF) and high frequency (HF) variance was identified in this group of healthy subjects. The circadian rhythm of LF variance was characterized by a gradual increase and corresponding reciprocal change in HF variance from morning until night. The LF/HF ratio and SD2/SD1 ratio reflecting sympatho-vagal balance showed low to high values from morning to evening. The acrophase of the PEFR temporal pattern is similar to that of LF power and almost opposite in phase to that of HF power. PEFR is positively correlated with LF power. The circadian rhythm of airway caliber co-varies with cardiac autonomic tone. It appears that the temporal pattern of cardiac autonomic tone precedes in time that of airways caliber, thereby suggesting the latter operates under the modulatory effect of the 24-hour pattern in sympatho-vagal balance.
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Affiliation(s)
- Manish Goyal
- Department of Physiology, All India Institute of Medical Sciences , Bhubaneswar, India
| | - Arun Goel
- Department of Physiology, All India Institute of Medical Sciences , Rishikesh, India
| | - Ruchi Singh
- Department of Physiology, All India Institute of Medical Sciences , Bhopal, India
| | - Nilotpal Chowdhury
- Department of Physiology, All India Institute of Medical Sciences , Rishikesh, India
| | - Narsingh Verma
- Department of Physiology, King George's Medical University , Lucknow, India
| | - Sunita Tiwari
- Department of Physiology, King George's Medical University , Lucknow, India
| | - Kishore Kumar Deepak
- Department of Physiology, All India Institute of Medical Sciences , Delhi, India
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Acute and six-month depression-related abnormalities in the sleep-wake rhythm of cardiac autonomic activity in survivors of acute coronary syndromes. ACTA ACUST UNITED AC 2017. [DOI: 10.1016/j.pmip.2017.06.001] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/13/2022]
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5
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Rocha RSB, De Oliveira Rocha LS, Pena ESM, Caldas LCP, Moreno MA. Analysis of autonomic modulation of heart rate in patients with Parkinson's disease and elderly individuals submitted to game therapy training. Geriatr Gerontol Int 2017; 18:20-25. [DOI: 10.1111/ggi.13130] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/31/2017] [Revised: 05/10/2017] [Accepted: 06/13/2017] [Indexed: 12/01/2022]
Affiliation(s)
- Rodrigo Santiago Barbosa Rocha
- Physiotherapy Course; University of Amazon - UNAMA; Belém Brazil
- Physiotherapy Course; Pará State University - UEPA; Belém Brazil
- Postgraduate Program in Sciences of Human Movement; Methodist University of Piracicaba - UNIMEP; Piracicaba Brazil
| | - Larissa Salgado De Oliveira Rocha
- Physiotherapy Course; University of Amazon - UNAMA; Belém Brazil
- Postgraduate Program in Sciences of Human Movement; Methodist University of Piracicaba - UNIMEP; Piracicaba Brazil
| | | | | | - Marlene Aparecida Moreno
- Postgraduate Program in Sciences of Human Movement; Methodist University of Piracicaba - UNIMEP; Piracicaba Brazil
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Lax P, Esquiva G, Fuentes-Broto L, Segura F, Sánchez-Cano A, Cuenca N, Pinilla I. Age-related changes in photosensitive melanopsin-expressing retinal ganglion cells correlate with circadian rhythm impairments in sighted and blind rats. Chronobiol Int 2016; 33:374-91. [DOI: 10.3109/07420528.2016.1151025] [Citation(s) in RCA: 22] [Impact Index Per Article: 2.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/25/2022]
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8
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Sepúlveda C, Palomo I, Fuentes E. Primary and secondary haemostasis changes related to aging. Mech Ageing Dev 2015; 150:46-54. [PMID: 26296601 DOI: 10.1016/j.mad.2015.08.006] [Citation(s) in RCA: 17] [Impact Index Per Article: 1.9] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/06/2015] [Revised: 08/02/2015] [Accepted: 08/11/2015] [Indexed: 12/17/2022]
Abstract
Life expectancy has increased in many countries as a result the world's population is aging. The projections indicate that the proportion of the elderly in a few decades will increase significantly. Aging carries with it a series of physiological changes; one of them is an imbalance in the hemostatic system. Thus the levels or activity of various proteins involved, such as most coagulation factors, natural anticoagulants and the fibrinolytic system are altered so that the hemostatic balance leans toward thrombosis. Also, platelet activity suggests a state of abnormal activation (P-selectin, beta thromboglobulin and platelet factor). In this review we will systematically examine the alterations in the hemostatic components that occur during aging. Therefore, understanding these hemostatic changes could contribute to developing strategies for the proper management of health in old age.
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Affiliation(s)
- Cesar Sepúlveda
- Department of Clinical Biochemistry and Immunohaematology, Faculty of Health Sciences, Interdisciplinary Excellence Research Program on Healthy Aging (PIEI-ES), Universidad de Talca, Talca, Chile
| | - Iván Palomo
- Department of Clinical Biochemistry and Immunohaematology, Faculty of Health Sciences, Interdisciplinary Excellence Research Program on Healthy Aging (PIEI-ES), Universidad de Talca, Talca, Chile; Centro de Estudios en Alimentos Procesados (CEAP), CONICYT- Regional, Gore Maule R09I2001, Chile.
| | - Eduardo Fuentes
- Department of Clinical Biochemistry and Immunohaematology, Faculty of Health Sciences, Interdisciplinary Excellence Research Program on Healthy Aging (PIEI-ES), Universidad de Talca, Talca, Chile; Centro de Estudios en Alimentos Procesados (CEAP), CONICYT- Regional, Gore Maule R09I2001, Chile.
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Medeiros LDA, Ramiro FMS, Lima CAA, Souza LMDA, Fortes TMV, Groppo FC. Avaliação do grau de ansiedade dos pacientes antes de cirurgias orais menores. REVISTA DE ODONTOLOGIA DA UNESP 2013. [DOI: 10.1590/s1807-25772013000500007] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/13/2023] Open
Abstract
INTRODUÇÃO: Medo e ansiedade são comuns a pacientes que requerem tratamento odontológico e, em se tratando de procedimentos cirúrgicos, a ansiedade pode tornar-se um fator complicador, a partir do momento em que a alteração dos sinais vitais do paciente pode gerar situações de emergência. OBJETIVO: Avaliar o grau de ansiedade pré-operatória dos pacientes submetidos a cirurgias orais, identificando qual procedimento cirúrgico causa mais ansiedade nos pacientes e qual o momento cirúrgico causador de maior ansiedade. MATERIAL E MÉTODO: Foram selecionados 200 pacientes que iriam se submeter a cirurgias bucais nos ambulatórios do Departamento de Odontologia da Universidade Federal de Sergipe. No dia da cirurgia, os pacientes respondiam à escala EAD, tendo sido avaliadas a frequência cardíaca (FC) e a pressão arterial sanguínea (PA), considerados dados basais dos parâmetros físicos empregados para a avaliação da ansiedade pré-operatória. RESULTADO: Não houve diferenças estatisticamente significantes (Kruskal-Wallis, p=0,6933) entre os tratamentos em relação à ansiedade. A correlação de Spearman (rS) entre os valores obtidos para a ansiedade e os valores de pressão arterial e frequência cardíaca revelou-se fraca (rS<0,2), embora significativa (p<0,05) entre os resultados. A anestesia foi o momento que produziu maior ansiedade (Kruskal-Wallis, p<0,05), em relação aos demais momentos. CONCLUSÃO: A ansiedade teve influência no aumento da frequência cardíaca e da pressão arterial sistólica, tornando-se importante o seu controle pelo cirurgião-dentista para evitar complicações no decorrer da cirurgia.
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10
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Santos MAA, Sousa ACS, Reis FP, Santos TR, Lima SO, Barreto-Filho JA. Does the aging process significantly modify the Mean Heart Rate? Arq Bras Cardiol 2013; 101:388-98. [PMID: 24029962 PMCID: PMC4081162 DOI: 10.5935/abc.20130188] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/07/2013] [Accepted: 06/07/2013] [Indexed: 12/03/2022] Open
Abstract
Background The Mean Heart Rate (MHR) tends to decrease with age. When adjusted for gender and
diseases, the magnitude of this effect is unclear. Objective To analyze the MHR in a stratified sample of active and functionally independent
individuals. Methods A total of 1,172 patients aged ≥ 40 years underwent Holter monitoring and were
stratified by age group: 1 = 40-49, 2 = 50-59, 3 = 60-69, 4 = 70-79, 5 = ≥ 80
years. The MHR was evaluated according to age and gender, adjusted for
Hypertension (SAH), dyslipidemia and non-insulin dependent diabetes mellitus
(NIDDM). Several models of ANOVA, correlation and linear regression were employed.
A two-tailed p value <0.05 was considered significant (95% CI). Results The MHR tended to decrease with the age range: 1 = 77.20 ± 7.10; 2 = 76.66 ± 7.07;
3 = 74.02 ± 7.46; 4 = 72.93 ± 7.35; 5 = 73.41 ± 7.98 (p < 0.001). Women showed
a correlation with higher MHR (p <0.001). In the ANOVA and regression models,
age and gender were predictors (p < 0.001). However, R2 and
ETA2 < 0.10, as well as discrete standardized beta coefficients
indicated reduced effect. Dyslipidemia, hypertension and DM did not influence the
findings. Conclusion The MHR decreased with age. Women had higher values of MHR, regardless of the age
group. Correlations between MHR and age or gender, albeit significant, showed the
effect magnitude had little statistical relevance. The prevalence of SAH,
dyslipidemia and diabetes mellitus did not influence the results.
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Affiliation(s)
- Marcos Antonio Almeida Santos
- Universidade Tiradentes, Aracaju, SE – Brazil
- Universidade Federal de Sergipe, Aracaju, SE – Brazil
- Centro de Pesquisas da Clínica e Hospital São Lucas, Aracaju, SE –
Brazil
- Mailing Address: Marcos Antonio Almeida Santos, Avenida Gonçalo Prado
Rollemberg, 211, Sala 210, São José. Postal Code 49010-410 - Aracaju, SE - Brazil.
E-mail: ,
| | - Antonio Carlos Sobral Sousa
- Universidade Federal de Sergipe, Aracaju, SE – Brazil
- Centro de Pesquisas da Clínica e Hospital São Lucas, Aracaju, SE –
Brazil
| | | | | | | | - José Augusto Barreto-Filho
- Universidade Federal de Sergipe, Aracaju, SE – Brazil
- Centro de Pesquisas da Clínica e Hospital São Lucas, Aracaju, SE –
Brazil
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11
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Monda M, Messina G, Vicidomini C, Viggiano A, Mangoni C, De Luca B. Activity of autonomic nervous system is related to body weight in pre-menopausal, but not in post-menopausal women. Nutr Neurosci 2013; 9:141-5. [PMID: 17176636 DOI: 10.1080/10284150600903552] [Citation(s) in RCA: 21] [Impact Index Per Article: 1.9] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/23/2022]
Abstract
This study analyzed vegetative modulation, expressed as heart rate variability (HRV) power spectral analysis, in lean and obese women at pre-menopausal or post-menopausal age to reveal possible differences in menopause-related autonomic activity in lean and obese subjects. Sedentary women (n = 40) were divided in four groups: pre-menopausal lean and obese women, post-menopausal lean and obese subjects. The HRV-power spectrum was evaluated on a 5-min long ECG recording. The absolute values of the spectrum were summed in the following frequencies: a low-frequency (0.04-0.15 Hz; LF) and high-frequency (0.15-0.40; HF) range. LF and HF were values used to estimate the sympathetic and parasympathetic activity. LF and HF values of pre-menopausal obese women are lower than values of lean women. The menopause induced a same decrease in LF and HF values in lean and obese subjects, so that no difference was found in post-menopausal groups. This experiment indicates that modifications of autonomic modulation can be included among factors related to obesity in pre-menopausal, but not post-menopausal women.
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Affiliation(s)
- M Monda
- Department of Experimental Medicine, Section of Human Physiology, Clinical Dietetic Service, Second University of Naples, Italy.
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Sagawa Y, Kondo H, Matsubuchi N, Takemura T, Kanayama H, Kaneko Y, Kanbayashi T, Hishikawa Y, Shimizu T. Alcohol Has a Dose-Related Effect on Parasympathetic Nerve Activity During Sleep. Alcohol Clin Exp Res 2011; 35:2093-100. [DOI: 10.1111/j.1530-0277.2011.01558.x] [Citation(s) in RCA: 32] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
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Chang YT, Wann SR, Wu PL, Hsieh KH, Lin CC, Huang MS, Chang HT. Influence of age on heart rate variability during therapeutic hypothermia in a rat model. Resuscitation 2011; 82:1350-4. [PMID: 21723029 DOI: 10.1016/j.resuscitation.2011.04.031] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/29/2010] [Revised: 04/02/2011] [Accepted: 04/09/2011] [Indexed: 10/18/2022]
Abstract
OBJECTIVES To evaluate the effect of age on heart rate variability (HRV) in a rat model of therapeutic hypothermia. METHODS Thirty-six male Sprague-Dawley rats (18 were 2 months old and 18 were 18 months old) were randomized into one of three groups: normothermia (37°C), mild hypothermia (34°C), and moderate hypothermia (31°C). An electrocardiogram (ECG) was recorded at baseline and continuously for 1h once the target core body temperature was reached. Various heart rate variability measurements were calculated. RESULTS Significant effects of age were observed in respect to the ratio of standard deviation of all normal to normal R-R [NN] intervals (SDNN)/standard deviation of the differences between adjacent NN intervals (SD of delta NN) (P=0.037), low frequency (LF) power, normalized units (nu, %) (P<0.001), and the ratio of LF and high frequency (HF) (P<0.001). Significant effects of temperature were found in LF power and a significant body-temperature interaction was found in HF power. HF power was significantly lower in the young rats at mild and moderate hypothermic conditions. For the LF/HF, the ratio was significantly lower in the young animals compared to the older animals at normal body temperatures and during mild hypothermia. LF/HF increased significantly at both 34°C and 31°C in the young rats compared to the young rats at 37°C. In contrast, LF/HF was significantly lower in the older group of rats at 34°C and 31°C compared to the older group of rats maintained under normothermic conditions. CONCLUSIONS This study noted that autonomic regulation determined via HRV, primarily the ratio of LF to HF, was different between different age groups. Additional studies on this topic are needed to achieve a more detailed understanding of therapeutic hypothermia.
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Affiliation(s)
- Yun-Te Chang
- Department of Emergency Medicine, Kaohsiung Veterans General Hospital, Kaohsiung, Taiwan
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Analysis of heart rate variability as an index of noncardiac surgical stress. Heart Vessels 2008; 23:53-9. [PMID: 18273547 DOI: 10.1007/s00380-007-0997-6] [Citation(s) in RCA: 20] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 12/15/2006] [Accepted: 06/08/2007] [Indexed: 01/08/2023]
Abstract
Measurement of heart rate variability (HRV) is useful in assessing the function of the autonomic nervous system and in staging of clinical diseases. The purpose of this study is to assess a feasibility of HRV for evaluating surgical stress during the noncardiac perioperative period. Standard deviation of normal-to-normal RR intervals (SDNN) and HRV triangular index derived from 24-h Holter ECC were measured in 24 patients undergoing digestive surgery. Holter ECG was performed at 1 day before operation, the first day (postoperative day 1: POD1), and the 7th day (POD7) after operation. Indices of HRV were compared with factors influencing surgical stress, such as duration of the operation and amount of blood loss during the operation, and postoperative complications. The SDNN and HRV triangular index decreased significantly on POD1 and recovered on POD7 (P < 0.05). Heart rate variability indices correlated significantly to duration and blood loss of operation (both P < 0.05). In 7 patients with postoperative complications, HRV indices were statistically lower than those in patients without complications on POD1 (P < 0.05). Our results indicate that HRV may provide useful information with respect to surgical stress.
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Tasaki H, Serita T, Ueyama C, Kitano K, Seto S, Yano K, Camm AJ. Longitudinal Age-Related Changes in 24-Hour Total Heart Beats and Premature Beats and Their Relationship in Healthy Elderly Subjects. Int Heart J 2006; 47:549-63. [PMID: 16960410 DOI: 10.1536/ihj.47.549] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/18/2022]
Abstract
The aim of this study was to conduct a longitudinal follow-up on age-related changes in 24-hour total heart beats (THBs) and total premature beats and their correlations in healthy elderly subjects. In 15 healthy elderly subjects (mean age, 70.0 +/- 4.1, age range at 1st recording, 64 to 80 years, 10 females, 5 males), we conducted Holter monitoring twice at an interval of 15 years and analysed age-related changes in THBs, atrial premature beats (APBs), and ventricular premature beats (VPBs), as well as their correlations. The results indicated that THBs, APBs, and VPBs all significantly increased with age in the healthy elderly subjects at a mean age of 70.0 +/- 4.1 (THB: 91074.1 +/- 11515.3 versus 99457.5 +/- 12131.0; P = 0.0004, APB:119.2 +/- 97.8 versus 884.4 +/- 1193.8; P = 0.0008, VPB: 15.2 +/- 53.6 versus 140.7 +/- 228.9; P = 0.0328). Moreover, we divided the subjects into increase and nonincrease groups based on the age-related changes in APB and VPB for 15 years ([n]; Inc-APB: Noninc-APB = 6 : 9, Inc-VPB: Noninc-VPB = 5 : 10). In the increase groups, premature beats tended to increase in proportion to changes in THBs with age (APB: Y = 207.488 + 0.136 X, r = 0.848, P = 0.0303; VPB: Y = -27.594 + 0.028 X, r = 0.727, P = 0.1921). In conclusion, this 15-year follow-up of Holter recordings in healthy elderly subjects revealed that THBs, APBs, and VPBs increased with age, and that the increases in premature beats, especially APBs, were in proportion to those in THBs.
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Affiliation(s)
- Hirofumi Tasaki
- Cardiovascular Medicine, Course of Medical and Dental Sciences, Graduate School of Biomedical Sciences, Nagasaki University, Nagasaki, Japan
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