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An assessment of heart rate and blood pressure asymmetry in the diagnosis of vasovagal syncope in females.

作者信息

Pawłowski Rafał, Zalewski Paweł, Newton Julia, Piątkowska Agnieszka, Koźluk Edward, Opolski Grzegorz, Buszko Katarzyna

机构信息

Department of Biostatistics and Biomedical Systems Theory, Collegium Medicum, Nicolaus Copernicus University, Bydgoszcz, Poland.

Department of Exercise Physiology and Functional Anatomy, Ludwik Rydygier Collegium Medicum in Bydgoszcz Nicolaus Copernicus University in Torun, Bydgoszcz, Poland.

出版信息

Front Physiol. 2023 Jan 9;13:1087837. doi: 10.3389/fphys.2022.1087837. eCollection 2022.


DOI:10.3389/fphys.2022.1087837
PMID:36699671
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9868761/
Abstract

Heart Rate Asymmetry (HRA) describes a phenomenon of differences between accelerations and decelerations in human heart rate. Methods used for HRA assessment can be further implemented in the evaluation of asymmetry in blood pressure variations (Blood Pressure Asymmetry-BPA). We have analyzed retrospectively the series of heartbeat intervals extracted from ECG and beat-to-beat blood pressure signals from 16 vasovagal patients (age: 32.1 ± 13.3; BMI: 21.6 ± 3.8; all female) and 19 healthy subjects (age: 34.6 ± 7.6; BMI: 22.1 ± 3.4; all female) who have undergone tilt test (70°). Asymmetry was evaluated with Poincaré plot-based methods for 5 min recordings from supine and tilt stages of the test. The analyzed biosignals were heart rate (RR), diastolic (dBP) and systolic Blood Pressure (sBP) and Pulse Pressure (PP). In the paper we explored the differences between healthy and vasovagal women. The changes of HRA indicators between supine and tilt were observed only in the control group (Porta Index = 0.026 and Guzik Index = 0.005). No significant differences in beat-to-beat variability (i.e. spread of points across the line of identity in Poincaré plot-SD1) of dBP was noted between supine and tilt in the vasovagal group ( = 0.433 in comparison to = 0.014 in healthy females). Moreover, in vasovagal patients the PP was significantly different (supine: 41.47; tilt: 39.27 mmHg) comparing to healthy subjects (supine: 35.87; tilt: 33.50 mmHg) in supine ( = 0.019) and in tilt ( = 0.014). Analysis of HRA and BPA represents a promising method for the evaluation of cardiovascular response to orthostatic stressors, however currently it is difficult to determine a subject's underlying health condition based only on these parameters.

摘要
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3a90/9868761/c83865d3aaeb/fphys-13-1087837-g006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3a90/9868761/a701c6f25ce3/fphys-13-1087837-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3a90/9868761/cb301d0fa0c2/fphys-13-1087837-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3a90/9868761/50dc79c81921/fphys-13-1087837-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3a90/9868761/f07592d168e1/fphys-13-1087837-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3a90/9868761/7b922fe746c6/fphys-13-1087837-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3a90/9868761/c83865d3aaeb/fphys-13-1087837-g006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3a90/9868761/a701c6f25ce3/fphys-13-1087837-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3a90/9868761/cb301d0fa0c2/fphys-13-1087837-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3a90/9868761/50dc79c81921/fphys-13-1087837-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3a90/9868761/f07592d168e1/fphys-13-1087837-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3a90/9868761/7b922fe746c6/fphys-13-1087837-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3a90/9868761/c83865d3aaeb/fphys-13-1087837-g006.jpg

相似文献

[1]
An assessment of heart rate and blood pressure asymmetry in the diagnosis of vasovagal syncope in females.

Front Physiol. 2023-1-9

[2]
Heart Rate Asymmetry Analysis During Head-Up Tilt Test in Healthy Men.

Front Physiol. 2021-4-13

[3]
[Clinical characteristics of orthostatic hypertension with hemodynamic response of vasovagal syncope and postural orthostatic tachycardia syndrome in children and adolescents].

Zhonghua Er Ke Za Zhi. 2016-4

[4]
[Prediction of syncope with nonlinear dynamic analysis during head-up tilt in vasovagal syncope patients].

Beijing Da Xue Xue Bao Yi Xue Ban. 2019-6-18

[5]
Heart rate and blood pressure variability in subjects with vasovagal syncope.

Clin Sci (Lond). 2004-7

[6]
Cardiovascular regulation in the period preceding vasovagal syncope in conscious humans.

J Physiol. 2003-5-15

[7]
Sensitivity to orthostatic stress and beta-receptor activation in patients with isoproterenol-induced vasovagal syncope: a case controlled study.

Pacing Clin Electrophysiol. 1999-4

[8]
Prediction of vasovagal syncope from heart rate and blood pressure trend and variability: experience in 1,155 patients.

Heart Rhythm. 2007-11

[9]
Hemodynamic Response to the Head-Up Tilt Test in Patients With Syncope as a Predictor of the Test Outcome: A Meta-Analysis Approach.

Front Physiol. 2019-3-7

[10]
Nonspecific dizziness: frequency of supine hypertension associated with hypotensive reactions on head-up tilt.

J Hum Hypertens. 2006-2

引用本文的文献

[1]
Heart rate variability and heart rate asymmetry in adolescents with major depressive disorder during nocturnal sleep period.

BMC Psychiatry. 2025-5-16

[2]
Validity of the Pneumonitor for Analysis of Short-Term Heart Rate Asymmetry Extended with Respiratory Data in Pediatric Cardiac Patients.

J Clin Med. 2024-8-8

[3]
Heart rate dynamics and asymmetry during sympathetic activity stimulation and post-stimulation recovery in ski mountaineers-a pilot exploratory study.

Front Sports Act Living. 2024-2-29

[4]
Heart Rate Asymmetry in Healthy Children.

J Clin Med. 2023-2-2

本文引用的文献

[1]
Cardioneuroablation for Reflex Syncope: Efficacy and Effects on Autonomic Cardiac Regulation-A Prospective Randomized Trial.

JACC Clin Electrophysiol. 2023-1

[2]
Cardioneuroablation for vasovagal syncope: A systematic review and meta-analysis.

Heart Rhythm. 2022-11

[3]
Poincaré Plot Is Useful for Distinguishing Vasovagal Syncope From Postural Tachycardia Syndrome in Children.

Front Pediatr. 2022-3-10

[4]
Cardiac deceleration capacity as an indicator for cardioneuroablation in patients with refractory vasovagal syncope.

Heart Rhythm. 2022-4

[5]
Lack of association between heart period variability asymmetry and respiratory sinus arrhythmia in healthy and chronic heart failure individuals.

PLoS One. 2021

[6]
Asymmetry of lagged Poincare plot in heart rate signals during meditation.

J Tradit Complement Med. 2020-1-9

[7]
The Diagnostic Value of Cardiac Deceleration Capacity in Vasovagal Syncope.

Circ Arrhythm Electrophysiol. 2020-12

[8]
Are women really more affected by vasovagal syncope than men?

J Cardiovasc Med (Hagerstown). 2021-2-1

[9]
Nonlinear heart rate variability biomarkers for gastric cancer severity: A pilot study.

Sci Rep. 2019-9-25

[10]
Testing heart rate asymmetry in long, nonstationary 24 hour RR-interval time series.

Physiol Meas. 2019-10-30

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