Autonomic Function during Hemodialysis-Induced Collapses with Different Heart Rate Pattern

Author(s):  
G. Enzmann ◽  
F. Bianco ◽  
G. Panzetta
2021 ◽  
Vol 10 (10) ◽  
pp. 2140
Author(s):  
Piotr Bienias ◽  
Zuzanna Rymarczyk ◽  
Justyna Domienik-Karłowicz ◽  
Wojciech Lisik ◽  
Piotr Sobieraj ◽  
...  

The effects of weight loss following bariatric surgery on autonomic balance, arrhythmias and insulin resistance are still of interest. We prospectively investigated 50 patients with BMI > 40 kg/m2, aged 36.5 (18–56) years who underwent laparoscopic sleeve gastrectomy. Among other examinations, all subjects had 24-h Holter monitoring with heart rate variability (HRV) and heart rate turbulence (HRT) evaluation. After a median of 15 months, BMI decreased from 43.9 to 29.7 kg/m2, the incidence of hypertension decreased from 54 to 32% (p = 0.04) and any carbohydrate disorders decreased from 24 to 6% (p = 0.02). Fasting insulin concentration and insulin resistance index improved significantly (p < 0.001). Improvements in HRV parameters related to the sympathetic autonomic division were also observed (p < 0.001), while HRT evaluation was not conclusive. The enhancement of autonomic tone indices was correlated with reduction of BMI (SDNN-I r = 0.281 p = 0.04; SDNN r = 0.267 p = 0.05), but not with reduction of waist circumference, and it was also associated with decrease of mean heart rate (OR 0.02, 95%CI 0.0–0.1, p < 0.001). The incidence of arrhythmias was low and similar before and after follow-up. In conclusion, improvement of homeostasis of carbohydrate metabolism and autonomic function is observed in relatively young patients after weight loss due to laparoscopic sleeve gastrectomy.


1984 ◽  
Vol 64 (Supplement) ◽  
pp. 21S-25S ◽  
Author(s):  
THOMAS W. LOWE ◽  
KENNETH J. LEVENO ◽  
GERALD J. QUIRK ◽  
RIGOBERTO SANTOS-RAMOS ◽  
LYNNE M. WILLIAMS

1994 ◽  
Vol 11 (6) ◽  
pp. 381-392 ◽  
Author(s):  
P. Cugini ◽  
G. Leone ◽  
P. Lucia ◽  
F. A. Sepe ◽  
A. Pelosio ◽  
...  

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