Autonomic nervous system response to remote ischemic conditioning: heart rate variability assessment

Autor: Daniel Noronha Osório; Ricardo Viana-Soares; João Pedro Marto; Marcelo D. Mendonça; Hugo P. Silva; Cláudia Quaresma; Miguel Viana-Baptista; Hugo Gamboa; Helena L. A. Vieira
Sprache: Englisch
Veröffentlicht: 2019
Quelle: Directory of Open Access Journals: DOAJ Articles
Online Zugang: http://link.springer.com/article/10.1186/s12872-019-1181-5
https://doaj.org/toc/1471-2261
doi:10.1186/s12872-019-1181-5
1471-2261
https://doaj.org/article/a7824b7cee5e46fba99940e64dccc4d9
https://doi.org/10.1186/s12872-019-1181-5
https://doaj.org/article/a7824b7cee5e46fba99940e64dccc4d9
Erfassungsnummer: ftdoajarticles:oai:doaj.org/article:a7824b7cee5e46fba99940e64dccc4d9
id ftdoajarticles:oai:doaj.org/article:a7824b7cee5e46fba99940e64dccc4d9
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recordtype bispbase
url http://link.springer.com/article/10.1186/s12872-019-1181-5
https://doaj.org/toc/1471-2261
doi:10.1186/s12872-019-1181-5
1471-2261
https://doaj.org/article/a7824b7cee5e46fba99940e64dccc4d9
https://doi.org/10.1186/s12872-019-1181-5
https://doaj.org/article/a7824b7cee5e46fba99940e64dccc4d9
url-type primary
primary
primary
primary
primary
info
info
spelling Remote ischemic conditioning
Electrocardiography
Heart rate variability
Diseases of the circulatory (Cardiovascular) system
RC666-701
Autonomic nervous system response to remote ischemic conditioning: heart rate variability assessment
publishDate 2019
publishDate_facet 2019
baseCollectionName Directory of Open Access Journals: DOAJ Articles
baseCountry org
title Autonomic nervous system response to remote ischemic conditioning: heart rate variability assessment
spellingShingle Autonomic nervous system response to remote ischemic conditioning: heart rate variability assessment
title_short Autonomic nervous system response to remote ischemic conditioning: heart rate variability assessment
title_sort Autonomic nervous system response to remote ischemic conditioning: heart rate variability assessment
author2 Daniel Noronha Osório
Ricardo Viana-Soares
João Pedro Marto
Marcelo D. Mendonça
Hugo P. Silva
Cláudia Quaresma
Miguel Viana-Baptista
Hugo Gamboa
Helena L. A. Vieira
author_facet Daniel Noronha Osório
Ricardo Viana-Soares
João Pedro Marto
Marcelo D. Mendonça
Hugo P. Silva
Cláudia Quaresma
Miguel Viana-Baptista
Hugo Gamboa
Helena L. A. Vieira
author2-role Autor
Autor
Autor
Autor
Autor
Autor
Autor
Autor
Autor
abstract Abstract Background Remote ischemic conditioning (RIC) is a procedure applied in a limb for triggering endogenous protective pathways in distant organs, namely brain or heart. The underlying mechanisms of RIC are still not fully understood, and it is hypothesized they are mediated either by humoral factors, immune cells and/or the autonomic nervous system. Herein, heart rate variability (HRV) was used to evaluate the electrophysiological processes occurring in the heart during RIC and, in turn to assess the role of autonomic nervous system. Methods Healthy subjects were submitted to RIC protocol and electrocardiography (ECG) was used to evaluate HRV, by assessing the variability of time intervals between two consecutive heart beats. This is a pilot study based on the analysis of 18 ECG from healthy subjects submitted to RIC. HRV was characterized in three domains (time, frequency and non-linear features) that can be correlated with the autonomic nervous system function. Results RIC procedure increased significantly the non-linear parameter SD2, which is associated with long term HRV. This effect was observed in all subjects and in the senior (> 60 years-old) subset analysis. SD2 increase suggests an activation of both parasympathetic and sympathetic nervous system, namely via fast vagal response (parasympathetic) and the slow sympathetic response to the baroreceptors stimulation. Conclusions RIC procedure modulates both parasympathetic and sympathetic autonomic nervous system. Furthermore, this modulation is more pronounced in the senior subset of subjects. Therefore, the autonomic nervous system regulation could be one of the mechanisms for RIC therapeutic effectiveness.
abstract_type general
abstract_lang eng
language eng
publisher BMC
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score 13,5461235