New insight into arrhythmia onset using HRV and BPV analysis.

Annu Int Conf IEEE Eng Med Biol Soc

Escola Superior de Saúde, Universidade Atlântica, Oeiras, and Unidade de Sistema Nervoso Autónomo, Instituto de Medicina Molecular, Lisbon, Portugal.

Published: June 2012

In this paper Heart Rate Variability (HRV) and Blood Pressure Variability (BPV) were analyzed before the onset of cardiac arrhythmia in order to derive markers for short-term forecasting. The (a) coherence between systolic blood pressure (SBP) and cardiac oscillations in low-frequency (LF) and high-frequency (HF) band; (b) fluctuations of phase; (c) HRV and BPV as a LF power and HF power in frequency and time-frequency domain; (d) transfer function analysis of cardiovascular signals were analyzed. Arrhythmia was preceded by: a) lower coherence; b) increase in fluctuations of phase between signals; c) higher spectral energy associated with respiratory frequency in blood pressure signal; d) raise of sympathetic outflow to the heart; e) decreased HRV. Cardiac arrhythmia was characterized mainly by an increase in LF power of blood pressure, cardiac signal and transfer function. During self-termination of arrhythmia a larger increased in total BPV and HRV was recorded. These results suggest that important information about both neuronal cardiovascular control and risk for spontaneous arrhythmia can be provided by combined analysis of frequency, phase, and time-frequency analysis of blood pressure and cardiac oscillation.

Download full-text PDF

Source
http://dx.doi.org/10.1109/IEMBS.2011.6090739DOI Listing

Publication Analysis

Top Keywords

blood pressure
20
hrv bpv
8
cardiac arrhythmia
8
fluctuations phase
8
transfer function
8
pressure cardiac
8
hrv
5
blood
5
pressure
5
cardiac
5

Similar Publications

Rationale: Previous studies evaluating the effect of continuous positive airway pressure (CPAP) in patients with obstructive sleep apnea (OSA) on blood pressure (BP) showed variable results. Moreover, several studies recruited patients with normal or controlled BP, and compliance to antihypertensive drugs was not monitored. In addition, very few studies investigated central BP in this scenario.

View Article and Find Full Text PDF

Recent studies suggested intrathecal vasodilator administration as a therapy to mitigate post-ischemic cerebral hypoperfusion following cardiac arrest. We examined the effects of two commonly used intrathecal vasodilators, sodium nitroprusside (SNP) and nicardipine, on cerebral pial microcirculation, cortical tissue oxygen tension (PctO2), and electrocortical activity in the early post-resuscitation period using a porcine model of cardiac arrest. Thirty pigs were resuscitated after 14 min of untreated cardiac arrest.

View Article and Find Full Text PDF

Trajectory of the arterial-alveolar oxygen gradient in COPD for a decade.

PLoS One

January 2025

Department of Respiratory Medicine, Graduate School of Medicine, Kyoto University, Kyoto, Kyoto, Japan.

Background: Chronic respiratory failure (CRF) is a critical complication in patients with chronic obstructive pulmonary disease (COPD) and is characterized by an increase in the arterial-alveolar oxygen gradient (A-aDO2). The long-term trajectory and prognostic significance remain unclear. This study aimed to assess the prognostic impact of A-aDO2 and elucidate its trajectory over ten years.

View Article and Find Full Text PDF

Metabolically stable apelin analogs: development and functional role in water balance and cardiovascular function.

Clin Sci (Lond)

January 2025

Center for Interdisciplinary Research in Biology, College de France, Institut National de la Santé et de la Recherche Médicale, Paris, France.

Apelin, a (neuro) vasoactive peptide, plays a prominent role in controlling water balance and cardiovascular functions. Apelin and its receptor co-localize with vasopressin in magnocellular vasopressinergic neurons. Apelin receptors (Apelin-Rs) are also expressed in the collecting ducts of the kidney, where vasopressin type 2 receptors are also present.

View Article and Find Full Text PDF

Importance: Hypertension is the primary cardiovascular risk factor in Africa. Recently revised World Health Organization guidelines recommend starting antihypertensive dual therapy; clinical efficacy and tolerability of low-dose triple combination remain unclear.

Objectives: To compare the effect of 3 treatment strategies on blood pressure control among persons with untreated hypertension in Africa.

View Article and Find Full Text PDF

Want AI Summaries of new PubMed Abstracts delivered to your In-box?

Enter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!