Determinants of heart rate variability during deep breathing: Basic findings and clinical applications

1997 ◽  
Vol 7 (3) ◽  
pp. 131-135 ◽  
Author(s):  
R. R. Diehl ◽  
D. Linden ◽  
P. Berlit
2021 ◽  
Vol 10 (Supplement_1) ◽  
Author(s):  
D Evdokimov ◽  
SA Boldueva ◽  
VS Feoktistova ◽  
TA Baeva

Abstract Funding Acknowledgements Type of funding sources: None. Main funding source(s): North-Western State Medical University named after I.I. Mechnikov Objective to study the features of autonomic regulation of sinus rhythm features of autonomic regulation of cardiac sinus rhythm in patients with Takotsubo syndrome (TTS) during inpatient stay in hospital. Materials and methods. The study included 25 female patients (the median age 57.5 ± 28.5 years) with TTS, diagnosis was based on the InterTAK criteria. On the 5-7th day after admission, the heart rate variability (HRV) was assessed both at rest and cardiac autonomic function tests: the deep breathing test (DBT) and active orthostatic test (AOT) with the usage of a computer diagnostic system «Valenta». RESULTS According to HRV data, initially at rest, the majority of the studied patients predominantly had a parasympathetic impact on the heart rate regulation: in 70% - increased parasympathetic influence, in 17% - increased sympathetic influence, in 13% - a balanced heart rate regulation. When performing a DBT, the predominance of the parasympathetic influence on the heart rate was noted both in spectral parameters and according to the data of time analysis (HF  during DBT  increased 1.8 times  up to  489.6 ± 114.2 ms2 (p <0.05) ; LF  decreased 1.7 times  up to 254.1 ± 70.3 ms2 (p <0.05); VLF  increased 2.8 times up to 402.3 ± 101.8 ms2 (p <0, 05); TP  increased 1.4 times up to 1145.9 ± 251.3 ms2; CV increased 1.3 times up to 6.5 ± 0.7% (p <0.05); SDNN increased 1.3 times up to - 58.7 ± 6.6 ms (p <0.05). HRV measured during an AOT  showed a paradoxical  evaluation  in the parasympathetic impact on the heart rate (HF increased by 1.8 times and reached - 488.0 ± 104.7 ms2 (p <0.05); LF decreased by 1.1 times up to  408 , 4 ± 103.6 ms2; VLF increased 1.2 times  up to  166.4 ± 52.2 ms2; TP increased 1.3 times  up to 1062.8 ± 181.1 ms2 (p <0.05); CV increased 1.6 times  up to 8.0 ± 0.9% (p <0.05); SDNN increased 1.4 times  up to 62.6 ± 7.5 ms (p <0.05)). Conclusions During the index hospital inpatient stays the majority of patients with TTS have a vegetative imbalance due to increased parasympathetic influence on the heart rate, both at rest and  during a deep breathing test and an active orthostatic test. This fact is quite unexpected and requires further study.


2010 ◽  
Vol 220 (2) ◽  
pp. 107-113 ◽  
Author(s):  
Bhagyalakshmi Sridhar ◽  
Nagaraja Haleagrahara ◽  
Ramesh Bhat ◽  
Anupama Bangra Kulur ◽  
Sridhar Avabratha ◽  
...  

Biofeedback ◽  
2015 ◽  
Vol 43 (1) ◽  
pp. 27-30 ◽  
Author(s):  
Andrea Reid-Chung ◽  
Michael Thompson ◽  
Lynda Thompson

This paper discusses the clinical applications of heart rate variability (HRV) data in the treatment of clients who have experienced traumatic brain injuries (TBIs). In the authors' clinical practice, HRV data is collected at the initial assessment, at progress assessments, and again after the completion of a course of neurofeedback combined with HRV biofeedback treatment. This paper describes HRV seen in healthy individuals compared to HRV in individuals known to have experienced a TBI. Three clinical case examples are discussed that explore the changes in heart rate variability following traumatic brain injury as well as improvements noted during, and following, a course of neurofeedback combined with HRV biofeedback training. The cases illustrated in this paper demonstrate the impressive changes in heart rate variability that can occur following a traumatic brain injury and also highlight how neurofeedback combined with biofeedback training can be used to improve heart rate variability and ameliorate related cognitive symptoms.


2013 ◽  
Vol 19 (1) ◽  
pp. 16-24 ◽  
Author(s):  
Michel Silva Reis ◽  
Ross Arena ◽  
Bruno Archiza ◽  
Carlos Fischer de Toledo ◽  
Aparecida Maria Catai ◽  
...  

2019 ◽  
Vol 87 (12) ◽  
pp. 5179-5186
Author(s):  
ZEINAB M. HELMY, Ph.D.; ABEER A. FARGHALY, Ph.D. ◽  
AYMN S. GADO, M.D.; HAIDY M. EL MOSALAMY, M.Sc.

2016 ◽  
Vol 37 (2) ◽  
pp. 36-44 ◽  
Author(s):  
Ji-Hwan Kim ◽  
Hyo-Sang Bae ◽  
Seong-Sik Park

Biomedicine ◽  
2021 ◽  
Vol 41 (1) ◽  
pp. 93-98
Author(s):  
Srinath C. Galag ◽  
R Rajalakshmi ◽  
Nagaraj Desai ◽  
H Basavanagowdappa

Introduction and Aim:Obesity and metabolic syndrome increases the risk of cardiovascular diseases (CVD).The acute myocardial infarction may be associated with autonomic dysfunction and it may have a bearing on the prognosis. The objective of the study wasto examine the effect of deep breathing test on heart rate variability in obese and non-obese patients with myocardial infarction (MI).   Materials and Methods:The patients with acute myocardial infarction were confirmed by universal definition and treatment was administered. At 12 weeks of follow up, the MI patients were screened and divided into two groups. 30 patients of MI with BMI 25 to 30 kg/m2 formed the obese group.30 patients of MI with BMI 18.5 to 24.9 kg/m2 formed the non-obese group. The baseline ECG was taken for 5 minutes by using Niviqure B3 machine for HRV analysis. Then, deep breathing test (DBT) was performed in a standardized manner.   Results:The two groupswere well matched for the age (53.7±11.5 vs.55.2±9.2years).In the baseline there was a statistically significant decrease in the total power (TP) of the heart i.e., HF plus LF (2178±762ms2 vs2991±771ms2 with a ‘p’ value 0.001) in the obese group when compared to non-obese group. On DBT there was a significant decrease in heart rate (81bpm to 65bpm) in non-obese group. However, in obese group there was no significant decrease in heart rate (79bpm to 72bpm) on DBT.   Conclusion: Accordingly, we concludethat in obese patients with MI there is a reduction in respiratory vagal modulation of heart rate during DBT.  


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