Background: We aimed to determine the status of the autonomic nervous system in patients with autosomal-dominant polycystic kidney disease (ADPKD) who were normotensive and had normal renal function.
Methods: A total of 28 normotensive ADPKD patients with normal renal function and 30 healthy control subjects consented to participate in the study. Heart rate recovery (HRR) indices were defined as the reduction in heart rate from the rate at peak exercise to the rate at the 1st, 2nd, 3rd and 5th minutes after the cessation of the exercise stress test; these results were indicated HRR(1), HRR(2), HRR(3) and HRR(5), respectively.
Results: The 1st- and 2nd-minute HRR indices of patients with ADPKD were significantly lower than those of the healthy control group (27.1±7.9 vs 32.0±7.9; p=0.023 and 46.9±11.5 vs 53.0±9.0; p=0.029, respectively). Similarly, HRR indices after the 3rd and 5th minutes of the recovery period were significantly lower in patients with ADPKD when compared with indices in the control group (56.7±12.0 vs 65.1±11.2; p=0.008 and 62.5±13.8 vs 76.6±15.5; p =0.001, respectively).
Conclusion: Impaired HRR index is associated with normotensive early-stage ADPKD patients. Increased renal ischemia and activation of the renin-angiotensin-aldosterone system (RAAS) may contribute to impairment in the autonomic nervous system in these patients before the development of hypertension. Even if ADPKD patients are normotensive, there appears to be an association with autonomic dysfunction and polycystic kidney disease.
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http://dx.doi.org/10.3109/08037051.2012.680691 | DOI Listing |
Health Qual Life Outcomes
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Department of Human Sciences, LUMSA University, Rome, 00193, Italy.
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Department of Statistics, Borana University, Borena, Oromia Region, Ethiopia.
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January 2025
Lab for Autonomic Neuroscience, Imaging and Cognition (LANIC), Department of Psychosomatic Medicine and Psychotherapy, Jena University Hospital, Jena, Germany.
Heart rate variability (HRV) is a key indicator of cardiac autonomic function, making reliable assessment crucial. To examine the test-retest stability of resting HRV in healthy individuals, fifty participants attended two lab sessions within a week, at the same time of day. After a 5-minute acclimatization period, electrocardiogram and respiration were recorded at rest.
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January 2025
Department of Internal Medicine, College of Medicine, The Catholic University of Korea, Seoul, Republic of Korea.
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January 2025
Department of System Engineering, University of Pannonia, H-8200, Veszprem, Hungary.
The effect of work content on workload, stress, and performance was not well addressed in the literature, due to the lack of comprehensive conceptualization, problem definition, and relevant dataset. The gap between laboratory-simulated studies and real-life working conditions delays the generalization, hindering the development of performance management and monitoring tools. Contributing to this topic, a data collection effort is organized, which considers unique work conditions and work content factors of a coffee shop, to conceptualize scenarios that better highlight their effect on human performance, thus creating the Work content Effect on BAristas (WEBA) dataset.
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