scholarly journals The prevalence of neurocirculatory astheniaamong adolescents and young men of military age with bradyarrhythmia based on the results of screening diagnostics

2018 ◽  
Vol 9 (4) ◽  
pp. 73-80
Author(s):  
Inna A. Klubkova ◽  
Marina V. Avdeeva ◽  
Larisa V. Shcheglova ◽  
Dina R. Kiryanova ◽  
Marina Yu. Erina
Keyword(s):  
Nervous System ◽  
Autonomic Nervous System ◽  
Functional State ◽  
Sinus Bradycardia ◽  
Cardiac Activity ◽  
Young Men ◽  
Heart Rhythm ◽  
Severe Form ◽  
Compensatory Mechanisms ◽  
Autonomic Nervous

The article presents the results of clinical and instrumental examination of adolescents and young men of military age with bradyarrhythmia. The study involved 2067 people (mean age19,7 ± 2,7 years), subject to conscription (from 17 to 27 years) and potential conscripts (16-year-olds). According to the results of the screening ECG, bradyarrhythmia (sinus bradycardia, sinus bradyarrhythmia, rhythm and conduction disorders) was diagnosed in 630 adolescents and young men of military age. We studied the functional status of the autonomic nervous system on the device “Cardiometry-MT” (Russia). The functional state of the autonomic nervous system was studied on the basis of cardiointervalography and correlation rhythmography. Evaluation of the functional state of the autonomic nervous system was carried out according to three parameters: the type of vegetative regulation of the heart rhythm (normotonic, vagotonic, sympathicotonic); reactivity of the sympathetic and parasympathetic parts of the autonomic nervous system (normal reactivity, hyperreactivity, low reactivity, and paradoxical reactions); nature of vegetative maintenance of cardiac activity (normal vegetative maintenance of cardiac activity, vegetative maintenance with adaptation, vegetative maintenance with disadaptation). According to the results of respiratory samples from 81,9% of adolescents and young men of military age with bradyarrhythmia diagnosed neurocirculatory asthenia, of whom 63,6% – light, while 18,3% – severe degree. With a mild form of neurocirculatory asthenia, compensatory mechanisms are connected, so vegetative homeostasis is not generally disturbed and the heart rhythm responds adequately to the effect of physiological stimuli. Severe form of neurocirculatory asthenia is characte rized by disadaptation of vegetative maintenance of cardiac activity. Such patients need regular follow-up because they are at risk for developing cardiovascular diseases.

scholarly journals Altered Autonomic Nervous System Reactivity to Pain in Trigeminal Neuralgia

2015 ◽  
Vol 42 (2) ◽  
pp. 125-131 ◽  
Author(s):  
Guillaume Léonard ◽  
Philippe Chalaye ◽  
Philippe Goffaux ◽  
David Mathieu ◽  
Isabelle Gaumond ◽  
...  
Keyword(s):  
Heart Rate ◽  
Nervous System ◽  
Autonomic Nervous System ◽  
Trigeminal Neuralgia ◽  
Cold Pressor Test ◽  
Cardiac Activity ◽  
Cold Pressor ◽  
Healthy Controls ◽  
P Values ◽  
Autonomic Nervous

AbstractBackground: In the past two decades, there has been increasing evidence to suggest that trigeminal neuralgia (TN) may be linked to a dysfunction of the autonomic nervous system (ANS). The aim of the present study was to formally test this hypothesis by comparing the reactivity of the ANS to experimental pain in a population of TN patients and healthy controls. Methods: Twelve patients diagnosed with classical TN and 12 healthy controls participated in the study. Cardiac activity was assessed while participants were instructed to rest and again during a cold pressor test (CPT). Heart rate variability analyses were performed off-line to obtain parasympathetic (high-frequency) and sympathetic (low-frequency) indices. Results: At baseline, ANS measures did not differ between healthy controls and TN patients, and both groups showed a similar increase in heart rate during the CPT (all p values >0.05). However, TN patients showed a greater increase in cardiac sympathetic activity and a greater decrease in cardiac parasympathetic activity during CPT compared with healthy controls (all p values <0.05). Importantly, changes in sympathetic reactivity, from baseline to CPT, were negatively associated with the number of pain paroxysms experienced each day by TN patients in the preceding week (r=−.58, p<0.05). Conclusions: These results suggest that TN, like many other short-lasting, unilateral facial pain conditions, is linked to ANS alterations. Future studies are required to determine if the altered ANS response observed in TN patients is a cause or a consequence of TN pain

scholarly journals Evaluation of Autonomic Nervous System Changes Using Short-term Heart Rate Variability During Apnea

2020 ◽  
Author(s):  
Baolin He ◽  
Wenyu Li ◽  
Xiaotong Zhang ◽  
Yanan Wu ◽  
Jing Liu ◽  
...  
Keyword(s):  
Heart Rate ◽  
Heart Rate Variability ◽  
Nervous System ◽  
Autonomic Nervous System ◽  
Physiological State ◽  
Cardiac Activity ◽  
Normal Function ◽  
Short Term ◽  
Autonomic Nervous ◽  
Respiratory State

Abstract Background: Frequent cessations of respiration can greatly increase the prevalence rate of arrhythmia. It has been confirmed that cardiac activity is regulated by autonomic nervous system (ANS). And heart rate variability (HRV) is widely used as a method to evaluate the function of ANS. Therefore, we analyzed whether apnea can affect the balance and normal function of ANS using short-term HRV indices. Methods: Forty-five healthy subjects were asked to breathe normally and hold their breathing to simulate 10 times apnea. Thirty-six patients from the dataset of a sleep laboratory for the diagnosis of sleep disorders with 10 times apnea were included in analysis. We calculated short-term HRV indices of subjects in normal respiratory and apneic states, respectively. Results: Compared with normal respiratory state, respiration cease would lead to the values of the mean-RR, nLF, LF/HF, and α1 were significantly increase whereas the values of rMSSD and nHF were significantly decrease. Conclusions: Cessations of respiration would lead to an imbalance in function of ANS, as well as an increase in fractal characteristics of the heart. These changes in physiological state are likely to induce and cause the occurrence of arrhythmia, which is regulated by ANS.

scholarly journals Temperature of representative areas of the breast department of the vegetative nervous system as the index of human organism functional state

2017 ◽  
Vol 23 (2) ◽  
pp. 27-33
Author(s):  
S. Goncharevskyi ◽  
M. Makarchuk ◽  
V. Martynyuk
Keyword(s):  
Myocardial Infarction ◽  
Nervous System ◽  
Autonomic Nervous System ◽  
Functional State ◽  
Human Body ◽  
The Body ◽  
Human Organism ◽  
Autonomic Nervous ◽  
Significant Difference ◽  
The Right

Almost all processes in the human body in one way or another connected with the autonomic nervous system. That's why it is real to evaluate the functional state of the person by temperature characteristics of representative points of the autonomic nervous system. Location and information of these points are confirmed by fundamental research. However, simply measuring the temperature at some points may not be sufficient to establish any systematic changes in the human body. The establishment of such changes requires systematic assessment of interdependent significant relationships between these parameters.The main aim of our research was to study effects of myocardial infarction in the thoracic region of the autonomic nervous system. The temperature of representative areas of the thoracic autonomic nervous system we measured by infrared thermometer (Medisana FTO D-53340 , with an accuracy of 0.1 degree Celsius). Statistical analysis was conducted in the packet Statistics 10. The presence of a difference in the temperature coefficients of representative areas (p<0,05). For the left side of the spine characterized by a difference in Th1–Th5 segments, which confirms their diagnosis: Th1 – 0,931,12 (control) and -0,797,49 (experiment), Th2 – 1,571,12 and -0,486,70, Th3 – 1,582611,12325 and -0,663,36, Th4 – 0,85913 0,92611 and -1,74,64, Th5 – 0,923480,75469 and-1,615,73 respectively. For the right side of the thoracic spines: Th6 – 0,850,73 (control) and -0,797,49 (experiment), Th7 – -1,000,79 and -1,370,69, Th8 – -0,960,73 and -0,990,68, Th9 – -0,120,64 and -0,380,83, Th10 – -0,921,14 and -1,031,00, Th11 – -1,691,05 and -1,861,06, Th12- -1,651,15 and -1,961,12 respectively. We found that myocardial infarction is manifested in the thoracic spine. In an experimental group there is significant difference of temperature in all segments. We can also notice asymmetry of temperatue between the right and left side of the spine. In the test group there are a deviation from the normal temperature in the first five thoracic segments on the left side, which confirms their diagnosis. On the right side of the spine there are a deviation in the last seven segments, which may indicate the compensatory mechanisms of regulation of the system. We can observe the temperature asymmetry, which in long-term exposure can negatively affect to the body.

scholarly journals The nature of the course of the retention period in adolescents after orthodontic treatment depending on the state of the autonomic nervous system

2012 ◽  
Vol 93 (4) ◽  
pp. 651-653
Author(s):  
D R Singatullina ◽  
N Kh Khamitova
Keyword(s):  
Nervous System ◽  
Autonomic Nervous System ◽  
Orthodontic Treatment ◽  
Heart Rhythm ◽  
The State ◽  
Autonomic Reactivity ◽  
Autonomic Tone ◽  
Retention Period ◽  
Autonomic Nervous ◽  
Complete Adaptation

Aim. To study the condition of the autonomic nervous system in groups of adolescents in the period of retention after active orthodontic treatment with non-removable equipment. Methods. Examined were 100 adolescents aged 13-17 years in the period of retention after active orthodontic treatment. The baseline autonomic tone was assessed according to the combined table of sympathetic and parasympathetic reactions (Wayne A., 1981) in the modification of N.A. Belokon’ et al. (1986) for children and adolescents, taken into account were the heart rate, respiratory rate, systolic and diastolic blood pressure. In order to evaluate the adaptation of the organism used was a mathematical analysis of the heart rhythm (cardiointervalography), determined was the mode (Mo), the amplitude of the mode (AMo), and the variational span (ΔX). Results. Revealed were two groups of patients with different variants of the course of retention: favorable course without recurrence (53%) and unfavorable course with recurrences (47%). In the group of patients with recurrences cardiointervalography most frequently showed a asympaticotonic (41.7%) or hypersympaticotonic (58.3%) type of autonomic reactivity. In all patients of the group with recurrences noted was a disturbance of the adaptation processes. The state of adaptation is regarded as unsatisfactory in 72.6% of cases, as the complete adaptation failure - in 27.4%. Conclusion. A recurrence during the period of retention after active orthodontic treatment occurs significantly more frequently in the group of patients with high constraint and overload of the autonomic reactivity, with a mismatch of cardiac rhythm management processes, with a reduction of the adaptive capacity of the organism to the level of complete failure of adaptation; patients who have expressed sympathicotonia, are at risk for destructive periodontal disease and require special attention during the retention period.

scholarly journals INFLUENCE OF VEGETATIVE REGULATION OF HEART RHYTHM ON THE MANIFESTATION OF PHYSICAL PERFORMANCE OF QUALIFIED ATHLETES (І MESSAGE)

2020 ◽  
Author(s):  
Olena Lysenko ◽  
Svitlana Fedorchuk ◽  
Valerii Vinogradov
Keyword(s):  
Physical Activity ◽  
Heart Rate ◽  
Nervous System ◽  
Autonomic Nervous System ◽  
Physical Performance ◽  
Heart Rhythm ◽  
Respiratory Response ◽  
Cardiorespiratory System ◽  
Autonomic Nervous ◽  
Level Of Activity

Introduction. To assess the characteristics of the body’s adaptation of skilled athletes to strenuous exercise, it is most important to define how the manifestation of physical performance of athletes depend on the autonomic regulation of physiological functions of the body. Aim is to study the dependence of the autonomic regulation of heart rate on the manifestation of physical performance of qualified athletes and the reaction of the cardiorespiratory system under conditions of physical activity of different nature. Materials and methods. Determination of physical performance of qualified athletes and the reaction of the cardiorespiratory system (CRS) to test physical activity (ergospirometric complex "Oxycon Pro", treadmill LE-200 C), mathematical analysis of heart rhythm variability, mathematical and statistical methods. Results. The predominance in the regulation of heart rate activity of the parasympathetic division of the autonomic nervous system helps athletes achieve a higher level of physical performance both in terms of physical activity with a predominance of aerobic processes in energy supply and in terms of maximum realization of aerobic capacity. Increased activity of the parasympathetic division of the autonomic nervous system is combined with a reduced level of VE, which indicates the efficiency of the reaction of cattle under physical conditions, mainly aerobic (low and medium power). With increasing intensity of physical activity (starting from the threshold of aerobic metabolism), the increased level of activity of the parasympathetic division of the autonomic nervous system will increase the level of pulmonary ventilation, which characterizes the most effective response of CRS Conclusions. The higher level of activity of the parasympathetic division of the autonomic emergency in the regulation of heart rate contributed to the formation of a more economical pattern of respiratory response due to higher VT and lower fT, which under intense physical work allowed to achieve higher levels of VE and aerobic potential of the athlete. With increasing activity of the sympathetic channel of heart rate regulation, there was a decrease in the efficiency of the respiratory response. Thus, the required operating level VE was formed due to the smaller value of VT at a high level

scholarly journals HEART RATE TURBULENCE INDICATORS IN CLINICAL PRACTICE

2021 ◽  
Vol 14 (5) ◽  
pp. 62-67
Author(s):  
GRIGORIY A. FADEEV ◽  
◽  
NIKOLAY A. TSIBULKIN ◽  
OLGA YU. MIKHOPAROVA ◽  
GRIGORIY G. BATYRSHIN ◽  
...  
Keyword(s):  
Heart Rate ◽  
Nervous System ◽  
Autonomic Nervous System ◽  
Sinus Rhythm ◽  
Cardiac Rhythm ◽  
Heart Rhythm ◽  
Holter Monitoring ◽  
Left Ventricular ◽  
Heart Rate Turbulence ◽  
Autonomic Nervous

Background. Heart disease is the leading cause of death in developed countries. Approximately half of these fatalities are due to sudden cardiac death. Electrocardiogram recording from the body surface allows stratification of patients according to the risk of cardiac arrest without the use of invasive methods. Arrhythmias, particularly ventricular extrasystole, can affect the sinus rhythm pattern. The change in sinus rhythm that occurs after an extrasystole is defined as heart rate turbulence. This phenomenon is not pathological, but some variants are associated with a risk of fatal arrhythmias. Aim. To analyze the indices and clinical significance of cardiac rhythm turbulence according to Holter monitoring in patients with various cardiological abnormalities at the hospital profile department. Material and methods. The study included 54 patients who were routinely treated in a cardiac hospital. Cardiac rhythm turbulence indices were obtained by Holter monitoring. Patients in severe and moderately severe clinical condition were not included in the study. Concomitant and past somatic diseases affecting the state of heart and cardiovascular system were considered. Results and discussion. Deviations in heart rhythm turbulence indices can be detected both in life- threatening arrhythmias and in benign extrasystoles. They are associated with the influence of the autonomic nervous system, but probably have different mechanisms. Deviations of heart rhythm turbulence indices were associated with left ventricular myocardial hypertrophy of concentric remodeling type and with an increased number of low-risk ventricular extrasystoles. To identify patients with arrhythmias of different risk, various threshold values of cardiac rhythm turbulence indices can be used. Conclusion. Factors likely to affect the indices of cardiac rhythm turbulence such as left ventricular myocardial remodeling and hypertrophy were revealed, as well as changes in autonomic nervous system regulatory function, including those associated with the constitutional features of the patient.

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.

Fetal monitoring in pregnant women with complicated obstetric history

2017 ◽  
pp. 111-114
Author(s):  
L.I. Vorobey ◽  
Keyword(s):  
Heart Rate ◽  
Nervous System ◽  
Autonomic Nervous System ◽  
Pregnant Women ◽  
Functional State ◽  
Fetal Heart Rate ◽  
Fetal Heart ◽  
Autonomic Nervous ◽  
Heart Rate Regulation ◽  
Significant Intensity

The objective: to establish the features of fetus functional state definition in pregnant women with perinatal losses in history. Patients and methods. 89 pregnant women with perinatal losses in history were screened. The fetus functional status evaluation was based on cardiotocography and definition of fetal heart rate variability by cardiointervalography. Results. Received data showed the decrease of SDNN, RMSSD and pNN50 in pregnant women with perinatal losses in history, indicating the prevalence of parasympathetic effects on the fetal myocardium (p<0.05). Studies of mathematical time characteristics of fetal heart rate revealed a significant overweight of the metabolic-humoral regulatory circuit in women with normal pregnancy (p<0.05). Dynamic stress index evaluation indicates the centralization of heart rate regulation and significant intensity of the fetal compensatory mechanisms in pregnant women with perinatal losses in history. The cardiotocography revealed no difference between the fetal status in women of comparative groups (p>0.05). Conclusions. In pregnant women with perinatal losses in history owing to autonomic nervous system disregulation a significant intensity of fetal regulatory systems and the centralization of fetal cardiac rhythm control were observed. The cardiotocography and cardiointervalography data with revealed signs of excessive sympathetic activation can serve as preclinical signs of gestational pathology. Key words: perinatal losses, fetal functional state evaluation, cardiotocography, cardiointervalography, autonomic nervous system.

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