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Sample records for heart rate conclusion

  1. CHALLENGING PROBLEMS OF HYPERTENSION MANAGEMENT: THE EFFECT OF INCREASED HEART RATE AND COMORBIDITIES ON THE CHOICE OF ANTIHYPERTENSIVE THERAPY IN PRACTICE OF CARDIOLOGIST AND THERAPIST. The Conclusion of the Expert Council

    Directory of Open Access Journals (Sweden)

    G. P. Arutyunov

    2015-09-01

    Full Text Available The conclusion of the Expert Council "Challenging problems of hypertension management: the effect of increased heart rate and comorbidities on the choice of antihypertensive therapy in practice of cardiologist and therapist" is presented. Topical issues of hypertensive patient’s treatment, the role of heart rate in hypertension and ways to influence it are considered. The possibility of treatment of hypertensive patients with trandolapril/verapamil SR fixed combination is analyzed separately. The data on the clinical efficacy and protective effects of trandolapril/verapamil SR fixed combination are presented.

  2. Heart Rate Monitors

    Science.gov (United States)

    1990-01-01

    Under a NASA grant, Dr. Robert M. Davis and Dr. William M. Portnoy came up with a new type of electrocardiographic electrode that would enable long term use on astronauts. Their invention was an insulated capacitive electrode constructed of a thin dielectric film. NASA subsequently licensed the electrode technology to Richard Charnitski, inventor of the VersaClimber, who founded Heart Rate, Inc., to further develop and manufacture personal heart monitors and to produce exercise machines using the technology for the physical fitness, medical and home markets. Same technology is on both the Home and Institutional Model VersaClimbers. On the Home Model an infrared heart beat transmitter is worn under exercise clothing. Transmitted heart rate is used to control the work intensity on the VersaClimber using the heart rate as the speedometer of the exercise. This offers advantages to a full range of users from the cardiac rehab patient to the high level physical conditioning of elite athletes. The company manufactures and markets five models of the 1*2*3 HEART RATE monitors that are used wherever people exercise to accurately monitor their heart rate. Company is developing a talking heart rate monitor that works with portable headset radios. A version of the heart beat transmitter will be available to the manufacturers of other aerobic exercise machines.

  3. Conclusion

    Directory of Open Access Journals (Sweden)

    Georgina Holt

    2007-04-01

    Full Text Available Articles of this special issue highlighted several different but complementary aspects linked to local and locally made products. The first part of the conclusion is directly oriented towards the concept of local food, its use and definition: local food is obviously a pluri-dimensional concept. The second part looks at the conceptual frameworks employed to deconstruct and understand the meaning of local food by various authors. In the third and final part we look again at the impact on and in...

  4. Conclusion

    DEFF Research Database (Denmark)

    Sandøy, Helge; Kristiansen, Tore

    communities in the Nordic area. The peak of openness to foreign influence is to be found in “the middle”, i.e. in Denmark and Sweden, with gradually diminishing openness as we move towards the periphery, be it either westwards across Norway and The Faroes to Iceland or eastwards across Swedish-speaking...... Finland to Finnish-speaking Finland. In this conclusion to the volume, we will summarize the empirical findings presented in the volume, findings for use and attitudes alike, and compare them with the mountain peak model. That way, we may be able to estimate the nature of the cross-national ideological...

  5. All about Heart Rate (Pulse)

    Science.gov (United States)

    ... result of taking a drug such as a beta blocker . A lower heart rate is also common for people who get ... Childhood • Cholesterol • Congenital Heart Defects • Diabetes • Heart Attack • Heart Failure (HF) • Heart Valve Problems and Disease • High Blood ...

  6. Heart Rate Variability and Heart Rate Recovery as prognostic factors

    Directory of Open Access Journals (Sweden)

    Cosmin Grad

    2015-07-01

    Full Text Available Background Heart rate (HR can appear static and regular at a time at rest, during exercise or recovery after exercise. However, HR is constantly adjusted due to factors such as breathing, blood pressure control, thermoregulation and the renin-angiotensin system, leading to a more dynamic response that can be quantified using HRV (heart rate variability . HRV is defined as the deviation in time between successive normal heart beat and is a noninvasive method to measure the total variation in a number of HR interval. HRV can serve as measure of autonomic activity of sino atrial node . The aim of the study was to determine the influence of certain clinical and paraclinical parameters on heart rate recovery after exercise in patients with ischemic heart disease and the relation with HRV using 24 h Holter monitoring.MethodsThe study included 46 patients who were subjected to cardiovascular exercise stress test and also to 24 h Holter EKG monitoring. Subjects had a mean age of 56.2±11,2 years, with a minimum of 25 and a maximum of 79 years. The study included 22 (47,8% men and 24 (52,2% women.  Statistical analysis was performed using MedCalc software version 14.8.1. Multivariate analysis consisted of the construction of several multiple linear regression models. A p value of 0.05 was considered statistically significant.ResultsThe HRV values (time domain were all lower in the IHD compared with the group without coronary heart disease, even if the difference is not statistically significant. Also rest and maximal HR values were similar  but during the test varies in the sense that  those with IHD had higher values of rest and maximal  HR and lower HRR, but not statistically significant.ConclusionsHRV is a very easy and safe method if there is an available device and it is used for evaluation of the autonomic nervous system in many cardiovascular diseases, but also in other pathologies.In uncomplicated ischemic heart disease HRV is depressed, but not significant. HRR, which is also considered an indicator of the parasympathetic activityafter exercise termination, is also non-significantlly decreased in ischemic patients and the correlation between them is weak. Both HRV and HRR parameters can be easily measured, but the best algorythm of this issue requires further studies, conducted in larger patient populations. Although HRR and HRV are tools to measure the autonomic nervous system activity the relation between them need more studies to be able to quantify the arrhythmogenic risk.

  7. Tachycardia | Fast Heart Rate

    Science.gov (United States)

    ... you who have suffered a heart attack, a heart event or stroke. Learn what to do after the hospital discharges you and life after an attack or stroke Yes, make my day! Sign Me Up So I can survive and thrive! American Heart Association Learn and Live Local Info Languages Careers ...

  8. Heart rates during competitive orienteering.

    OpenAIRE

    Bird, S.R.; Bailey, R; Lewis, J.

    1993-01-01

    This study investigated the heart rate profiles of 16 experienced, competitive orienteers (aged 15-62 years) during three competitive events. Each competitor was assessed over three different types of course which were classified as: fast run (FR), slow run (SR) and highly physical (HP). The results showed that all subjects recorded heart rates that were between 140 and 180 beats min-1 for the majority of each event (irrespective of age or course type). The heart rate data indicated that the ...

  9. Target Heart Rates

    Science.gov (United States)

    ... American Heart area Search by State SELECT YOUR LANGUAGE Espaol (Spanish) ???? (Traditional Chinese) ???? (Simplified Chinese) ... Hey Kids, Learn About Blood Sugar and Diabetes Teaching Gardens Teaching Gardens Supporters Teaching Gardens-See Our ...

  10. Target Heart Rates

    Science.gov (United States)

    ... American Heart area Search by State SELECT YOUR LANGUAGE Español (Spanish) 简体中文 (Traditional Chinese) 繁体中文 (Simplified Chinese) ... Hey Kids, Learn About Blood Sugar and Diabetes Teaching Gardens Teaching Garden Videos Teaching Gardens-See Our ...

  11. Heart rate response to breathing

    DEFF Research Database (Denmark)

    Mehlsen, J; Pagh, K; Nielsen, J S; Sestoft, L; Nielsen, S L

    1987-01-01

    Heart rate responses to stepwise and periodic changes in lung volume were studied in seven young healthy males. Stepwise inspiration and expiration both resulted in an increase in heart rate followed by a rapid decrease in heart rate. The fastest heart rate was reached in 1.6 +/- 0.5 s and in 3.......6 +/- 1.4 s in response to inspiration and expiration, respectively (P less than 0.01). The slowest heart rate was reached in 4.8 +/- 1.0 s and in 7.6 +/- 1.9 s in response to inspiration and expiration, respectively (P less than 0.01). Following this biphasic change the heart rate returned to a steady...... level. The difference between the fastest and the slowest heart rates was significantly larger in response to inspiration (21.7 +/- 7.3 beats per minute) than in response to expiration (12.0 +/- 7.3 beats per minute; P less than 0.01). Periodic changes in lung volume were performed with frequencies from...

  12. Heart rate variability in healthy population

    International Nuclear Information System (INIS)

    Background: Heart rate variability has been considered as an indicator of autonomic status. Little work has been done on heart rate variability in normal healthy volunteers. We aimed at evolving the reference values of heart rate variability in our healthy population. Methods: Twenty-four hour holter monitoring of 37 healthy individuals was done using Holter ECG recorder 'Life card CF' from 'Reynolds Medical'. Heart rate variability in both time and frequency domains was analysed with 'Reynolds Medical Pathfinder Digital/700'. Results: The heart rate variability in normal healthy volunteers of our population was found in time domain using standard deviation of R-R intervals (SDNN), standard deviation of average NN intervals (SDANN), and Square root of the mean squared differences of successive NN intervals (RMSSD). Variation in heart rate variability indices was observed between local and foreign volunteers and RMSSD was found significantly increased (p<0.05) in local population. Conclusions: The values of heart rate variability (RMSSD) in healthy Pakistani volunteers were found increased compared to the foreign data reflecting parasympathetic dominance in our population. (author)

  13. Heart rate response to hypoxic exercise

    DEFF Research Database (Denmark)

    Lundby, C; Møller, P; Kanstrup, I L; Olsen, Niels Vidiendal

    2001-01-01

    This study examined the effects of dopamine D(2)-receptor blockade on the early decrease in maximal heart rate at high altitude (4559 m). We also attempted to clarify the time-dependent component of this reduction and the extent to which it is reversed by oxygen breathing. Twelve subjects performed...... progressively decreased the maximal heart rate from day 1 and onwards; also, hypoxia by itself increased plasma noradrenaline levels after maximal exercise. Domperidone further increased maximal noradrenaline concentrations, but had no effect on maximal heart rate. On each study day at altitude, oxygen...... breathing completely reversed the decrease in maximal heart rate to values not different from those at sea level. In conclusion, dopamine D(2)-receptor blockade with domperidone demonstrates that hypoxic exercise in humans activates D(2)-receptors, resulting in a decrease in circulating levels of...

  14. HEART RATE VARIABILITY AND 24-HOUR MINIMUM HEART RATE

    Science.gov (United States)

    Heart rate variability (HRV) indices based on 24-hour electrocardiograph recordings have been used in clinical research studies to assess the aggregate activity of the autonomic nervous system. While 24-hour HRV is generally considered non-invasive, use in research protocols typically involves cons...

  15. High readmission rate after heart valve surgery

    DEFF Research Database (Denmark)

    Sibilitz, K L; Berg, S K; Thygesen, L C; Hansen, T B; Køber, L; Hassager, C; Zwisler, A-D

    BACKGROUND: After heart valve surgery, knowledge on long-term self-reported health status and readmission is lacking. Thus, the optimal strategy for out-patient management after surgery remains unclear. METHODS: Using a nationwide survey with linkage to Danish registers with one year follow-up, we...... included all adults 6-12months after heart valve surgery irrespective of valve procedure, during Jan-June 2011 (n=867). Participants completed a questionnaire regarding health-status (n=742), and answers were compared with age- and sex-matched healthy controls. Readmission rates and mortality were...... after surgery (3.2 (1.2-8.9)) predicted mortality. CONCLUSIONS: 6-12months after heart valve surgery the readmission rate is high and the self-reported health status is low. Readmission is associated with low self-reported health. Therefore, targeted follow-up strategies post-surgery are needed....

  16. Wearable sensor for heart rate detection

    Science.gov (United States)

    Shi, Cong; Liu, Xiaohua; Kong, Lingqin; Wu, Jizhe; Liu, Ming; Dong, Liquan; Hui, Mei; Zhao, Yuejin

    2015-08-01

    In recent years heart and blood vessel diseases kill more people than everything else combined. The daily test of heart rate for the prevention and treatment of the heart head blood-vessel disease has the vital significance. In order to adapt the transformation of medical model and solve the low accuracy problem of the traditional method of heart rate measuring, we present a new method to monitor heart rate in this paper. The heart rate detection is designed for daily heart rate detection .The heart rate signal is collected by the heart rate sensor. The signal through signal processing circuits converts into sine wave and square wave in turn. And then the signal is transmitted to the computer by data collection card. Finally, we use LABVIEW and MATLAB to show the heart rate wave and calculate the heart rate. By doing contrast experiment with medical heart rate product, experimental results show that the system can realize rapidly and accurately measure the heart rate value. A measurement can be completed within 10 seconds and the error is less than 3beat/min. And the result shows that the method in this paper has a strong anti-interference ability. It can effectively suppress the movement interference. Beyond that the result is insensitive to light.

  17. Periodic heart rate decelerations in premature infants

    OpenAIRE

    Flower, Abigail A.; Moorman, J. Randall; Lake, Douglas E.; Delos, John B.

    2010-01-01

    The pacemaking system of the heart is complex; a healthy heart constantly integrates and responds to extracardiac signals, resulting in highly complex heart rate patterns with a great deal of variability. In the laboratory and in some pathological or age-related states, however, dynamics can show reduced complexity that is more readily described and modeled. Reduced heart rate complexity has both clinical and dynamical significance – it may provide warning of impending illness or clues about ...

  18. Scale Invariant Properties in Heart Rate Signals

    International Nuclear Information System (INIS)

    The rate of heart beat is controlled by autonomic nervous system: accelerated by the sympathetic system and slowed by the parasympathetic system. Scaling properties in heart rate are usually related to the intrinsic dynamics of this physiological regulatory system. The two packages calculating local exponent spectra: Wavelet Transform Modulus Maxima and Multifractal Detrended Fluctuation Analysis (accessible from Physionet home page http://circ.ahajournals.org/cgi/content/full/101/23/e215) are tested, and then used to investigate the spectrum of singularity exponents in series of heart rates obtained from patients suffering from reduced left ventricle systolic function. It occurs that this state of a heart could be connected to some perturbation in the regulatory system, because the heart rate appears to be less controlled than in a healthy human heart. The multifractality in the heart rate signal is weakened: the spectrum is narrower and moved to higher values what indicate the higher activity of the sympatethic nervous system. (author)

  19. A continuous representation of heart rate

    OpenAIRE

    Han, Kedu; Nagel, Joachim H.; Schneiderman, Neil

    1992-01-01

    Analysis of heart rate variability (HRV) often requires a continuous representation of the inherently discrete heart rate measurement. In combination with a suitable cardiac pacemaker model, e.g. the integral pulse frequency modulator (IPFM), the cardiac event series can be considered as an irregular sampling of a continuous input to the pacemaker model, m(t). Continuous representation of heart rate can thus be achieved by a reconstruction of the input function m(t) from the cardiac event ser...

  20. Bluetooth Heart Rate Monitors for Spaceflight

    Science.gov (United States)

    Buxton, R. E.; West, M. R.; Kalogera, K. L.; Hanson, A. M.

    2016-01-01

    Heart rate monitoring is required for crewmembers during exercise aboard the International Space Station (ISS) and will be for future exploration missions. The cardiovascular system must be sufficiently stressed throughout a mission to maintain the ability to perform nominal and contingency/emergency tasks. High quality heart rate data are required to accurately determine the intensity of exercise performed by the crewmembers and show maintenance of VO2max. The quality of the data collected on ISS is subject to multiple limitations and is insufficient to meet current requirements. PURPOSE: To evaluate the performance of commercially available Bluetooth heart rate monitors (BT HRM) and their ability to provide high quality heart rate data to monitor crew health aboard the ISS and during future exploration missions. METHODS: Nineteen subjects completed 30 data collection sessions of various intensities on the treadmill and/or cycle. Subjects wore several BT HRM technologies for each testing session. One electrode-based chest strap (CS) was worn, while one or more optical sensors (OS) were worn. Subjects were instrumented with a 12-lead ECG to compare the heart rate data from the Bluetooth sensors. Each BT HRM data set was time matched to the ECG data and a +/-5bpm threshold was applied to the difference between the 2 data sets. Percent error was calculated based on the number of data points outside the threshold and the total number of data points. RESULTS: The electrode-based chest straps performed better than the optical sensors. The best performing CS was CS1 (1.6% error), followed by CS4 (3.3% error), CS3 (6.4% error), and CS2 (9.2% error). The OS resulted in 10.4% error for OS1 and 14.9% error for OS2. CONCLUSIONS: The highest quality data came from CS1, but unfortunately it has been discontinued by the manufacturer. The optical sensors have not been ruled out for use, but more investigation is needed to determine how to obtain the best quality data. CS2 will be used in an ISS Bluetooth validation study, because it simultaneously transmits magnetic pulse that is integrated with existing exercise hardware on ISS. The simultaneous data streams allow for beat-to-beat comparison between the current ISS standard and CS2. Upon Bluetooth validation aboard ISS, the research team will down select a new BT HRM for operational use.

  1. Heart Rates of Elite Synchronized Swimmers.

    Science.gov (United States)

    Gemma, Karen Erickson; Wells, Christine L.

    1987-01-01

    Heart rates were recorded by radiotelemetry in ten elite and national-class synchronized swimmers as they performed competitive figures of high degrees of difficulty. The focus was on changes in heart rates and electrocardiogram patterns for each body position, especially those requiring facial immersion and breath-holding. (Author/MT)

  2. Peak heart rates at extreme altitudes

    DEFF Research Database (Denmark)

    Lundby, C; Van Hall, Gerrit

    2001-01-01

    We have measured maximal heart rate during a graded maximal bicycle exercise test to exhaustion in five healthy climbers before and during an expedition to Mt. Everest. Maximal heart rates at sea level were 186 (177-204) beats/min(-1) at sea level and 170 (169-182) beats/min(-1) with acute hypoxi...

  3. Metaiodobenzylguanidine and heart rate variability in heart failure

    International Nuclear Information System (INIS)

    It is assumed that the low-frequency power (LF) of heart rate variability (HRV) increases with progress of congestive heart failure (CHF), therefore positively correlating with cardiac 123I-metaiodobenzylguanidine (MIBG) washout. It is demonstrated here that HRV, including normalized LF, correlated inversely with MIBG washout and positively with the ratio of heart-to-mediastinum MIBG activity in controls and CHF patients, whereas these correlations were not observed within CHF patients. Thus MIBG washout may increase and HRV including normalized LF may decrease with CHF, although the HRV and MIBG measures may not similarly change in proportion to the severity of the cardiac autonomic dysfunction in CHF. (author)

  4. FPGA Implementation of Heart Rate Monitoring System.

    Science.gov (United States)

    Panigrahy, D; Rakshit, M; Sahu, P K

    2016-03-01

    This paper describes a field programmable gate array (FPGA) implementation of a system that calculates the heart rate from Electrocardiogram (ECG) signal. After heart rate calculation, tachycardia, bradycardia or normal heart rate can easily be detected. ECG is a diagnosis tool routinely used to access the electrical activities and muscular function of the heart. Heart rate is calculated by detecting the R peaks from the ECG signal. To provide a portable and the continuous heart rate monitoring system for patients using ECG, needs a dedicated hardware. FPGA provides easy testability, allows faster implementation and verification option for implementing a new design. We have proposed a five-stage based methodology by using basic VHDL blocks like addition, multiplication and data conversion (real to the fixed point and vice-versa). Our proposed heart rate calculation (R-peak detection) method has been validated, using 48 first channel ECG records of the MIT-BIH arrhythmia database. It shows an accuracy of 99.84%, the sensitivity of 99.94% and the positive predictive value of 99.89%. Our proposed method outperforms other well-known methods in case of pathological ECG signals and successfully implemented in FPGA. PMID:26643079

  5. Heart Rate Sensor for Freshwater Mussels

    Science.gov (United States)

    Just, C. L.; Vial, D. P.; Kruger, A.; Niemeier, J. J.; Lee, H. W.; Schroer, H. W.

    2014-12-01

    Researchers have long been interested the cardiac activity of mollusks. First, it is important as a basic measure of the animal's metabolism. Further, activities such as feeding and burrowing affect heart rate, as do environmental factors such as water salinity, water temperature, exposure, and predation. We have developed a small, noninvasive sensor for measuring freshwater mussel heart rate. Its working principle is as follows. An infrared (IR) light-emitting diode is placed in contact with the mussel shell. Some of the IR penetrates through the shell, reflects off internal organs, and traverses back. A photodetector detects this IR, and electronics condition the signal. The heartbeat of the animal modulates the IR, allowing one to measure the heart rate. The technique is widely-used in finger heart-rate monitors in humans. The sensors do not have to be positioned above the heart and several locations on the mussel shell work well. The sensor is small (8 mm × 10 mm) and consumes less than 1 mA, and has a simple one-wire interface that allows for easy integration into data acquisition hardware. We present heart rate measurements for the common pocketbook (lampsilis cardium) freshwater mussel.

  6. Resting heart rate, heart rate variability and functional decline in old age

    DEFF Research Database (Denmark)

    Ogliari, Giulia; Mahinrad, Simin; Stott, David J; Jukema, J Wouter; Mooijaart, Simon P; Macfarlane, Peter W; Clark, Elaine N; Kearney, Patricia M; Westendorp, Rudi G J; de Craen, Anton J M; Sabayan, Behnam

    2015-01-01

    BACKGROUND: Heart rate and heart rate variability, markers of cardiac autonomic function, have been linked with cardiovascular disease. We investigated whether heart rate and heart rate variability are associated with functional status in older adults, independent of cardiovascular disease. METHODS...... variability was defined as the standard deviation of normal-to-normal RR intervals (SDNN). Functional status in basic (ADL) and instrumental (IADL) activities of daily living was measured using Barthel and Lawton scales, at baseline and during follow-up. RESULTS: The mean age of the study population was 75......, independent of cardiovascular disease. This study provides insight into the role of cardiac autonomic function in the development of functional decline....

  7. Heart rate recovery in patients with ischemic heart disease - risk factors

    Directory of Open Access Journals (Sweden)

    Cosmin Grad

    2014-12-01

    Full Text Available Background and aim. Central nervous system dysfunction is associated with mortality and morbidity in patients with cardiovascular disease, post-workout recovery and faster heart rate being mediated by the dynamic interaction between the sympathetic nervous system (SNS and the parasympathetic nervous system (PNS, as components of the autonomic nervous system. Heart rate recovery is the decline in heart rate after exercise. The aim of the study was to determine the influence of certain clinical and paraclinical parameters on heart rate recovery after exercise in patients with ischemic heart disease. Methods. The study included 260 patients who were subjected to cardiovascular stress test. The following parameters were measured in each patient: blood pressure and pulse rate prior to exercise, during exercise and at protocol-established time intervals, as well as 1 and 3 minutes after the end of the stress test. Statistical analysis was performed usingMedCalc software version 14.8.1 Results. Elderly patients had slower heart rate recovery at 1 minute after effort. Female patients have recovered significantly better the heart rate, at 1 minute and 3 minutes after effort compared to the males. This difference was maintained in multivariate analysis, independent of age or comorbidities of patients. The presence of ischemic heart disease was the most important factor independently associated with HRR1.Triglyceride values were negatively correlated with both HRR3 and HRR1 and independent of other factors present in the multivariate analysis. Conclusions. Autonomic dysfunction is involved in the development of cardiovascular risk factors like hypertension, diabetes, dyslipidemia and was directly correlated with morbidity and mortality caused by coronary heart disease.

  8. Heart Rate Recovery in Patients with Ischemic Heart Disease - Risk Factors

    Science.gov (United States)

    GRAD, COSMIN; ZDRENGHEA, DUMITRU

    2014-01-01

    Background and aim. Central nervous system dysfunction is associated with mortality and morbidity in patients with cardiovascular disease, post-workout recovery and faster heart rate being mediated by the dynamic interaction between the sympathetic nervous system (SNS) and the parasympathetic nervous system (PNS), as components of the autonomic nervous system. Heart rate recovery is the decline in heart rate after exercise. The aim of the study was to determine the influence of certain clinical and paraclinical parameters on heart rate recovery after exercise in patients with ischemic heart disease. Methods. The study included 260 patients who were subjected to cardiovascular stress test. The following parameters were measured in each patient: blood pressure and pulse rate prior to exercise, during exercise and at protocol-established time intervals, as well as 1 and 3 minutes after the end of the stress test. Statistical analysis was performed using MedCalc software version 14.8.1 Results. Elderly patients had slower heart rate recovery at 1 minute after effort. Female patients have recovered significantly better the heart rate, at 1 minute and 3 minutes after effort compared to the males. This difference was maintained in multivariate analysis, independent of age or comorbidities of patients. The presence of ischemic heart disease was the most important factor independently associated with HRR1. Triglyceride values were negatively correlated with both HRR3 and HRR1 and independent of other factors present in the multivariate analysis. Conclusions. Autonomic dysfunction is involved in the development of cardiovascular risk factors like hypertension, diabetes, dyslipidemia and was directly correlated with morbidity and mortality caused by coronary heart disease. PMID:26528028

  9. The clinical significance of detection to heart rate deceleration capacity and heart rate variability in patients with chronic heart failure

    Directory of Open Access Journals (Sweden)

    Jiang-rong Zhou

    2015-01-01

    Full Text Available Objective: To study the change of heart rate deceleration capacity ( DC and heart rate variability in patients with chronic heart failure (CHF and its relationship with left ventricular ejection fraction (LVEF. Methods: DC, LVEF, time and frequency domain parameters of HRV were measured in 66 patients with CHF and 34 healthy adults (control group by using 24h Holter recordings and Echocardiography. The standard deviation of normal R-R intervals( SDNN, squares of differences between adjacent NN intervals ( RMSSD,low frequency power( LFn and high frequency power( HFn and the changes of LVEF were compared between  the two groups,the relationship between DC,LVEF and HRV were studied in patients with CHF. Results: The median value of DC in the patients with CHF was significantly lower than that in control group( 3.1 ± 2.4 ms vs 7.2 ± 1.3 ms,P <0.01.Incidence of abnormal DC in the CHF group was 57.5%,which was significantly higher than that in the control group (P <0.01.The HRV index, including SDNN、RMSSD、LFn、HFn, in the CHF group was significantly lower than that in normal control group (P < 0.01. Significant positive correlation between HRV index and LVEF were confirmed (P < 0.01. Conclusions: DC and HRV index are lower in patients with CHF and have a good correlation with the left ventricular ejection fraction.

  10. Heart Rate Variability - A Historical Perspective

    Directory of Open Access Journals (Sweden)

    GeorgeEBillman

    2011-11-01

    Full Text Available Heart rate variability (HRV, the beat-to-beat variation in either heart rate or the duration of the R-R interval the heart period, has become a popular clinical and investigational tool. The temporal fluctuations in heart rate exhibit a marked synchrony with respiration (increasing during inspiration and decreasing during expiration the so called respiratory sinus arrhythmia, RSA and are widely believed to reflect changes in cardiac autonomic regulation. Although the exact contributions of the parasympathetic and the sympathetic divisions of the autonomic nervous system to this variability are controversial and remain the subject of active investigation and debate, a number of time and frequency domain techniques have been developed to provide insight into cardiac autonomic regulation in both health and disease. It is the purpose of this essay to provide an historical overview of the evolution in the concept of heart rate variability. Briefly, pulse rate was first measured by ancient Greek physicians and scientists. However, it was not until the invention of the Physicians Pulse Watch (a watch with a second hand that could be stopped in 1707 that changes in pulse rate could be accurately assessed. The Rev. Stephen Hales (1733 was the first to note that pulse varied with respiration and in 1847 Carl Ludwig was the first to record RSA. With the measurement of the ECG (1895 and advent of digital signal processing techniques in the 1960s, investigation of HRV and its relationship to health and disease has exploded. This essay will conclude with a brief description of time domain, frequency domain, and non-linear dynamic analysis techniques (and their limitations that are commonly used to measure heart rate variability.

  11. Heart Rate Variability Analysis in General Medicine

    Directory of Open Access Journals (Sweden)

    Yi Gang

    2003-01-01

    Full Text Available Autonomic nervous system plays an integral role in homeostasis. Autonomic modulation can frequently be altered in patients with cardiac disorders as well as in patients with other critical illnesses or injuries. Assessment of heart rate variability is based on analysis of consecutive normal R-R intervals and may provide quantitative information on the modulation of cardiac vagal and sympathetic nerve input. The hypothesis that depressed heart rate variability may occur over a broad range of illness and injury, and may inversely correlated with disease severity and outcome has been tested in various clinical settings over the last decade. This article reviews recent literature concerning the potential clinical implications and limitations of heart rate variability assessment in general medicine.

  12. Lessons from the Heart: Individualizing Physical Education with Heart Rate Monitors.

    Science.gov (United States)

    Kirkpatrick, Beth; Birnbaum, Burton H.

    Learning about the relationship between heart rate and physical activity is an important aspect of fitness education. Use of a heart rate monitor (HRM) helps a student to understand how stretching and large muscle movements gradually increase the heart rate and blood flow, and enables students to measure their exercise heart rates and set goals

  13. Ear Acupressure, Heart Rate, and Heart Rate Variability in Patients with Insomnia

    OpenAIRE

    Lu Wang; Weiping Cheng; Zhongren Sun; Yangyang Xu; Guangyu Cheng; Ingrid Gaischek; Haixue Kuang; Gerhard Litscher

    2013-01-01

    This high-tech “teleacupuncture study” describes a neurovegetative ear acupressure effect in patients with chronic insomnia by using heart rate variability analysis. Heart rate (HR) and heart rate variability (HRV) measurements in 31 patients (mean age ± SD: 54.3 ± 10.6 years) were performed under standardized conditions in Harbin, China, and the data analysis was performed in Graz, Austria. Similar to our previous clinical and basic teleacupuncture research works, the electrocardiograms (ECG...

  14. Music determines heart rate variability of singers

    Directory of Open Access Journals (Sweden)

    RebeckaJörnsten

    2013-07-01

    Full Text Available Choir singing is known to promote wellbeing. One reason for this may be that singing demands a slower than normal respiration which may in turn affect heart activity. Coupling of heart rate variability (HRV to respiration is called Respiratory sinus arrhythmia (RSA. This coupling has a subjective as well as a biologically soothing effect, and it is beneficial for cardiovascular function. RSA is seen to be more marked during slow-paced breathing and at lower respiration rates (0.1 Hz and below. In this study, we investigate how singing, which is a form of guided breathing, affects HRV and RSA. The study comprises a group of healthy 18 year olds of mixed gender. The subjects are asked to; (1 hum a single tone and breathe whenever they need to; (2 sing a hymn with free, unguided breathing; and (3 sing a slow mantra and breathe solely between phrases. Heart rate (HR is measured continuously during the study. The study design makes it possible to compare above three levels of song structure. In a separate case study, we examine five individuals performing singing tasks (1-(3. We collect data with more advanced equipment, simultaneously recording HR, respiration, skin conductance and finger temperature. We show how song structure, respiration and heart rate are connected. Unison singing of regular song structures makes the hearts of the singers accelerate and decelerate simultaneously. Implications concerning the effect on wellbeing and health are discussed as well as the question how this inner entrainment may affect perception and behavior.

  15. Heart Rate, Life Expectancy and the Cardiovascular System: Therapeutic Considerations.

    Science.gov (United States)

    Boudoulas, Konstantinos Dean; Borer, Jeffrey S; Boudoulas, Harisios

    2015-01-01

    It has long been known that life span is inversely related to resting heart rate in most organisms. This association between heart rate and survival has been attributed to the metabolic rate, which is greater in smaller animals and is directly associated with heart rate. Studies have shown that heart rate is related to survival in apparently healthy individuals and in patients with different underlying cardiovascular diseases. A decrease in heart rate due to therapeutic interventions may result in an increase in survival. However, there are many factors regulating heart rate, and it is quite plausible that these may independently affect life expectancy. Nonetheless, a fast heart rate itself affects the cardiovascular system in multiple ways (it increases ventricular work, myocardial oxygen consumption, endothelial stress, aortic/arterial stiffness, decreases myocardial oxygen supply, other) which, in turn, may affect survival. In this brief review, the effects of heart rate on the heart, arterial system and survival will be discussed. PMID:26305771

  16. Effects of aerobic training on heart rate

    OpenAIRE

    Almeida Marcos B.; Araújo Claudio Gil S.

    2003-01-01

    Regular physical exercise is an important factor to reduce the indexes of cardiovascular and all causes morbimortality. However, there is, apparently, additional and independent benefits of the regular practice of physical exercise and the improvement of the level of aerobic condition. Heart rate (HR) is mediated primarily by the direct activity of the autonomic nervous system (ANS), specifically through the sympathetic and parasympathetic branches activities over the sinus node autorhythmici...

  17. Periodic Limb Movements and Heart Rate Changes

    OpenAIRE

    Oksenberg, Arie; Gadoth, Natan

    2012-01-01

    Periodic limb movements (PLM) during sleep are believed to be under the control of the sympathetic nervous system and may cause interrupted sleep and daytime sleepiness. The present case highlights the close relationship between PLM and significant heart rate changes independent of the presence of arousals. Thus, in addition to the already known deleterious effect on sleep continuity, moderate-severe PLM may also affect cardiovascular health.

  18. Clustering fetal heart rate tracings by compression

    OpenAIRE

    Santos, C. Costa; Bernardes, J.; Vitanyi, P.; Antunes, L

    2006-01-01

    Fetal heart rate (FHR) monitoring, before and during labor, is a very important medical practice in the detection of fetuses in danger. We clustered FHR tracings by compression in order to identify abnormal ones. We use a recently introduced approach based on algorithmic information theory, a theoretical, rigorous and well-studied notion of information content in individual objects. The new method can mine patterns in completely different areas, there are no domain-specific parameters to set,...

  19. Multiscale power analysis for heart rate variability

    Science.gov (United States)

    Zeng, Peng; Liu, Hongxing; Ni, Huangjing; Zhou, Jing; Xia, Lan; Ning, Xinbao

    2015-06-01

    We first introduce multiscale power (MSP) method to assess the power distribution of physiological signals on multiple time scales. Simulation on synthetic data and experiments on heart rate variability (HRV) are tested to support the approach. Results show that both physical and psychological changes influence power distribution significantly. A quantitative parameter, termed power difference (PD), is introduced to evaluate the degree of power distribution alteration. We find that dynamical correlation of HRV will be destroyed completely when PD>0.7.

  20. Doppler Radar for Heartbeat Rate and Heart Rate Variability Extraction

    OpenAIRE

    Obeid, Dany; Sadek, Sawsan; Zaharia, Gheorghe; El Zein, Ghaïs

    2011-01-01

    This paper presents a Doppler radar system used to detect the heartbeat signal from a d√istance of one meter. The proposed system is based on using a vector network analyzer and two antennas. Measurements are performed at 16 GHz for different power levels between 0 and -25 dBm. Both heartbeat rate and heart rate variability are extracted and compared to a simultaneous ECG signal.

  1. Heart rate and physical activity patterns in persons with profound intellectual and multiple disabilities.

    Science.gov (United States)

    Waninge, Aly; van der Putten, Annette A J; Stewart, Roy E; Steenbergen, Bert; van Wijck, Ruud; van der Schans, Cees P

    2013-11-01

    Because physical fitness and health are related to physical activity, it is important to gain an insight into the physical activity levels of persons with profound intellectual and multiple disabilities (PIMD). The purpose of this study was to examine heart rate patterns to measure the activity levels of persons with PIMD and to analyze these heart rate patterns according to participant characteristics, observed level of activity, days, and time of day. The heart rate patterns of 24 participants with PIMD were measured continuously using a heart rate monitor for 8 h d for a period of 6 days. Physical activity levels were measured with questionnaires. Data were analyzed using multilevel analysis. The results indicate that the participants use only 32% of their heart rate reserve over 6 days. The intensity of heart rate reserve ranged from 1 to 62%. On a given day, wide ranges in heart rates between participants and within persons were observed. Between days, only small ranges in the heart rate were found. The participants could be grouped into 4 classes according to their heart rate. In addition, factors such as time of day, physical activity, and age are significantly related to heart rate patterns. In conclusion, this study is an important first step in exploring activity patterns based on heart rate patterns in persons with PIMD. The participants used relatively small fractions of their heart rate reserves. Time of day and age appear to have a considerable influence on heart rate patterns. The observed classes in heart rate patterns suggest that other probably more personal and psychosocial factors have significant influences on heart rate patterns, as well. PMID:23442278

  2. Intermittency in Human Heart Rate Variability

    International Nuclear Information System (INIS)

    Intermittency in time series of the time intervals between heart beats (RR intervals) extracted from 24 hour (portable) ECG is found for some cases of humans with arrhythmia. Laminar phases are found by sweeping a short (5 intervals) time window through the time series and calculating the standard deviation of the series in each window. 8 of the 18 arrhythmia cases studied had a bimodal distribution of the standard deviation values indicating some kind of intermittency. The distribution of lengths of the laminar phases identifies the intermittency obtained in human heart rate variability as Type 1 in the Pomeau and Manneville classification. Although the arrhythmia cases studied were medically very different - in those instances that intermittency did occur the probability distributions of laminar phase lengths were strikingly similar. (author)

  3. Adaptation of autonomic heart rate regulation in astronauts after spaceflight

    Science.gov (United States)

    Vandeput, Steven; Widjaja, Devy; Aubert, Andre E.; Van Huffel, Sabine

    2013-01-01

    Background Spaceflight causes changes in the cardiovascular control system. The aim of this study was to evaluate postflight recovery of linear and nonlinear neural markers of heart rate modulation, with a special focus on day-night variations. Material/Methods Twenty-four-hour Holter ECG recordings were obtained in 8 astronauts participating in space missions aboard the International Space Station (ISS). Data recording was performed 1 month before launch, and 5 and 30 days after return to Earth from short- and long-term flights. Cardiovascular control was inferred from linear and nonlinear heart rate variability (HRV) parameters, separately during 2-hour day and 2-hour night recordings. Results No remarkable differences were found in the postflight recovery between astronauts from short- and long-duration spaceflights. Five days after return to Earth, vagal modulation was significantly decreased compared to the preflight condition (day: p=0.001; night: p=0.019), while the sympathovagal balance was strongly increased, but only at night (p=0.017). A few nonlinear parameters were reduced early postflight compared to preflight values, but these were not always statistically significant. No significant differences remained after 30 days of postflight recovery. Conclusions Our results show that 5 days after return from both short- and long-duration space missions, neural mechanisms of heart rate regulation are still disturbed. After 1 month, autonomic control of heart rate recovered almost completely. PMID:23291736

  4. Transfer entropy analysis of maternal and fetal heart rate coupling.

    Science.gov (United States)

    Marzbanrad, Faezeh; Kimura, Yoshitaka; Endo, Miyuki; Palaniswami, Marimuthu; Khandoker, Ahsan H

    2015-08-01

    Although evidence of the short term relationship between maternal and fetal heart rates has been found in previous model-based studies, knowledge about the mechanism and patterns of the coupling during gestation is still limited. In this study, a model-free method based on Transfer Entropy (TE) was applied to quantify the maternal-fetal heart rate couplings in both directions. Furthermore, analysis of the lag at which TE was maximum and its changes throughout gestation, provided more information about the mechanism of coupling and its latency. Experimental results based on fetal electrocardiograms (fECGs) and maternal ECG showed the evidence of coupling for 62 out of 65 healthy mothers and fetuses in each direction, by statistically validating against the surrogate pairs. The fetuses were divided into three gestational age groups: early (16-25 weeks), mid (26-31 weeks) and late (32-41 weeks) gestation. The maximum TE from maternal to fetal heart rate significantly increased from early to mid gestation, while the coupling delay on both directions decreased significantly from mid to late gestation. These changes occur concomitant with the maturation of the fetal sensory and autonomic nervous systems with advancing gestational age. In conclusion, the application of TE with delays revealed detailed information about the changes in fetal-maternal heart rate coupling strength and latency throughout gestation, which could provide novel clinical markers of fetal development and well-being. PMID:26738115

  5. Circadian Variation of Heart Rate Variability Across Sleep Stages

    Science.gov (United States)

    Boudreau, Philippe; Yeh, Wei-Hsien; Dumont, Guy A.; Boivin, Diane B.

    2013-01-01

    Study Objectives: Nocturnal cardiovascular events are more frequent at the beginning and end of the night. It was proposed that this pattern reflects the nocturnal distribution of sleep and sleep stages. Using heart rate variability (HRV), we recently showed an interaction between the circadian system and vigilance states on the regulation of cardiac rhythmicity. Here, we further investigate this interaction in order to clarify the specific effects of sleep stages on the regulation of the heart. Design: Participants underwent a 72-h ultradian sleep-wake cycle procedure in time isolation consisting of alternating 60-min wake episodes in dim light and 60-min nap opportunities in total darkness. Setting: Time isolation suite. Patients or participants: Fifteen healthy young participants; two were subsequently excluded. Interventions: N/A. Measurements and Results: The current study revealed that sleep onset and progression to deeper sleep stages was associated with a shift toward greater parasympathetic modulation, whereas rapid eye movement (REM) sleep was associated with a shift toward greater sympathetic modulation. We found a circadian rhythm of heart rate (HR) and high-frequency power during wakefulness and all non-REM sleep stages. A significant circadian rhythm of HR and sympathovagal balance of the heart was also observed during REM sleep. During slow wave sleep, maximal parasympathetic modulation was observed at ∼02:00, whereas during REM sleep, maximal sympathetic modulation occurred in the early morning. Conclusion: The circadian and sleep stage-specific effects on heart rate variability are clinically relevant and contribute to the understanding of the degree of cardiovascular vulnerability during sleep. Citation: Boudreau P; Yeh WH; Dumont GA; Boivin DB. Circadian variation of heart rate variability across sleep stages. SLEEP 2013;36(12):1919-1928. PMID:24293767

  6. Time Domain Measures Of Heart Rate Variability In Heavy Workers

    Directory of Open Access Journals (Sweden)

    Taskina Ali

    2011-12-01

    Full Text Available Background: Physical inactivity and low resting heart rate variability (HRV are associated with increased incidence of coronary heart disease. Heavy physical activity is associated with higher heart rate variability and reduces the risk of coronary heart diseaseObjective: To assess some time domain measures of HRV in order to compare Cardiac Autonomic Function between sedentary and heavy workers.Methods: This cross sectional study was carried out in the Department of Physiology, Bangabandhu Sheikh Mujib Medical University between 1st July 2008 to 30th June 2009 on 30 apparently healthy heavy workers aged 28-50 years from low socioeconomic condition (study group. For comparison 30 age, sex, BMI and socioeconomic status matched apparently healthy sedentary subjects (group A were also studied. The study subjects were selected among rickshaw-pullers living in the slum areas nearby BSMMU, Dhaka and the controls were from fourth class employee of BSMMU, Dhaka. Heart Rate Variability were assessed by a Polygraph. Several time domain measures of HRV such as mean R-R interval, mean HR, SDNN, RMSSD were analyzed. For statistical analysis, Independent-Samples t-test, and Pearson’s correlation coefficient tests were done as applicable.Results: Resting mean heart rate (P<0.01, SDNN (P<0.01 and RMSSD (P<0.001 were significantly lower but mean R-R interval (P<0.001 was significantly higher in heavy workers than those of sedentary control. The mean R-R interval (P<0.05 showed significant positive correlation in heavy workers but significant negative correlation in sedentary workers with BMI.Conclusion: Cardiac autonomic nerve function status may be higher with parasympathetic dominance by increased physical activity.

  7. Influence of heavy cigarette smoking on heart rate variability and heart rate turbulence parameters

    DEFF Research Database (Denmark)

    Cagirci, Goksel; Cay, Serkan; Karakurt, Ozlem; Eryasar, Neslihan; Kaya, Veli; Canga, Aytun; Yesilay, Asuman Bicer; Kilic, Harun; Topaloglu, Serkan; Aras, Dursun; Demir, Ahmet; Akdemir, Ramazan

    2009-01-01

    BACKGROUND: Cigarette smoking increases the risk of cardiovascular events related with several mechanisms. The most suggested mechanism is increased activity of sympathetic nervous system. Heart rate variability (HRV) and heart rate turbulence (HRT) has been shown to be independent and powerful...... than control group (23 vs 10, P = 0.006). TO was correlated with the number of cigarettes smoked per day (r = 0.235, P = 0.004). While LF and LF/HF ratio were significantly higher, standard deviation of all NN intervals (SDNN), standard deviation of the 5-minute mean RR intervals (SDANN), root mean...

  8. Interaction Between Heart Rate Variability and Heart Rate in Pediatric Population

    OpenAIRE

    G?sior, Jakub S.; Sacha, Jerzy; Jele?, Piotr J.; Paw?owski, Mariusz; Werner, Bo?ena; D?browski, Marek J.

    2015-01-01

    Background: Heart rate variability (HRV) is primarily heart rate (HR) dependent, and therefore, different HR may exert different impact on HRV. The objectives of the study were to evaluate the effect of HR on HRV in children and to determine whether HRV indices normalized to HR are sex- and age-related. Methods: Short-term ECG recordings were performed in 346 healthy children. Standard time and frequency domain HRV parameters and HR were analyzed in four age subgroups (67, 89, 1011, and...

  9. Heart rate turbulence analysis in female patients with fibromyalgia

    Scientific Electronic Library Online (English)

    Huseyin, Dursun; Ersel, Onrat; Emine, Ercan; Umit Secil, Demirdal; Alaettin, Avsar; Umit, Dundar; Ozlem, Solak; Hasan, Toktas.

    2015-04-01

    Full Text Available OBJECTIVE: Fibromyalgia is characterized by diffuse musculoskeletal pain and discomfort. There are several reports regarding autonomic nervous system dysfunction in patients with fibromyalgia. Heart rate turbulence is expressed as ventriculophasic sinus arrhythmia and has been considered to reflect [...] cardiac autonomic activity. Heart rate turbulence has been shown to be an independent and powerful predictor of sudden cardiac death in various cardiac abnormalities. The aim of this study is to determine whether heart rate turbulence is changed in female patients with fibromyalgia compared with healthy controls. METHODS: Thirty-seven female patients (mean age, 4011 years) with fibromyalgia, and 35 age- and sex-matched healthy female control subjects (mean age, 429 years) were included. Twenty-four hours of ambulatory electrocardiography recordings were collected for all subjects, and turbulence onset and turbulence slope values were automatically calculated. RESULTS: The baseline clinical characteristics of the two groups were similar. There were no significant differences in turbulence onset and turbulence slope measures between patients and control subjects (turbulence onset: ?1.6481.568% vs. ?1.5821.436%, p???0.853; turbulence slope: 12.9335.693 ms/RR vs. 13.6392.505 ms/RR, p???0.508). Although body mass index was negatively correlated with turbulence slope (r????0.258, p???0.046), no significant correlation was found between body mass index and turbulence onset (r???0.228, p???0.054). CONCLUSION: To the best of our knowledge, this is the first study to evaluate heart rate turbulence in patients with fibromyalgia. It appears that heart rate turbulence parameters reflecting cardiac autonomic activity are not changed in female patients with fibromyalgia.

  10. Heart rate awareness in patients with chronic stable heart failure. A multi-center observational study.

    LENUS (Irish Health Repository)

    Moran, D

    2014-08-23

    We assessed adherence to European Society of Cardiology heart rate guidelines (i.e. heart rates less than 70bpm) in patients with chronic stable heart failure. We also investigated the percent of patients on target doses of rate controlling drugs.

  11. HEART RATE DURING SLEEP: IMPLICATIONS FOR MONITORING TRAINING STATUS

    Directory of Open Access Journals (Sweden)

    Miriam R. Waldeck

    2003-12-01

    Full Text Available Resting heart rate has sometimes been used as a marker of training status. It is reasonable to assume that the relationship between heart rate and training status should be more evident during sleep when extraneous factors that may influence heart rate are reduced. Therefore the aim of the study was to assess the repeatability of monitoring heart rate during sleep when training status remained unchanged, to determine if this measurement had sufficient precision to be used as a marker of training status. The heart rate of ten female subjects was monitored for 24 hours on three occasions over three weeks whilst training status remained unchanged. Average, minimum and maximum heart rate during sleep was calculated. The average heart rate of the group during sleep was similar on each of the three tests (65 9, 63 6 and 67 7 beatsmin-1 respectively. The range in minimum heart rate variation during sleep for all subjects over the three testing sessions was from 0 to 10 beatsmin-1 (mean = 5 3 beatsmin-1 and for maximum heart rate variation was 2 to 31 beatsmin-1 (mean = 13 9 beatsmin-1. In summary it was found that on an individual basis the minimum heart rate during sleep varied by about 8 beatsmin-1. This amount of intrinsic day-to-day variation needs to be considered when changes in heart rate that may occur with changes in training status are interpreted

  12. Gender differences of heart rate variability in healthy volunteers

    International Nuclear Information System (INIS)

    Objective: To identify the basic values of heart rate variability in Pakistani population and to verify our hypothesis that there are gender differences in cardiovascular autonomic modulation. Methods: The descriptive cross sectional study based on convenience probability sampling was conducted at Armed Forces Institute of Cardiology/National Institute of Heart Diseases (AFIC/NIHD) Pakistan. The duration of the study was from December 2009 to July 2010. It involved 24-hour holter monitoring of 45 healthy individuals using holter electrocardiography (ECG) recorder. Heart rate variability was analysed in time (SDNN, SDANN, SDNNi, rMSSD, pNN50) and frequency domains (power, VLF, LF, and HF). Results: The time domain indices; SDNN (male=140 +- 36 ms vs. females=122 +- 33 ms; p =0.09), SDANN (male=123 +- 34 ms vs. females=111+- 34 ms; P= 0.23), SDNNi (male=64 +-19 ms vs. females=52 +- 14 ms; P= 0.03), and pNN50 (male=14 +- 10 ms vs. females=12 +- 7 ms; P= 0.43) were decreased in female volunteers when compared with males. Comparison of frequency domain indices; Total power (male=4041 +- 3150 ms/sup 2/ vs. females=2750 +- 1439 ms/sup 2/; P= 0.07), VLF (male=291 2675 ms/sup 2/ vs. females=1843 +- 928 ms/sup 2/; P= 0.06), LF (male=788 +- 397 ms/sup 2/ vs. females=556 +- 346 ms/sup 2/; P= 0.04) and HF (male=318 +- 251 ms/sup 2/ vs. females=31 277 ms/sup 2/; P= 0.94) amongst males and females showed attenuated heart rate variability in females. Of all the observed values, SDNNi and LF were found significantly (p <0.05) decreased in women. Conclusion: In healthy population, heart rate variability is low in women than men. It reflects sympathetic dominance in women in our population. (author)

  13. Heart Rate Changes in Electroacupuncture Treated Polycystic Ovary in Rats

    Science.gov (United States)

    Ramadoss, Mukilan; Subbiah, Angelie Jessica; Natrajan, Chidambaranathan

    2016-01-01

    Introduction Polycystic Ovary Syndrome (PCOS) is a common metabolic disorder, it affects both humans and animals. It may induce coronary heart disease, obesity and hyperandrogenism. Previous studies show that Low frequency Electroacupuncture (EA) have an effect on PCOS, however the exact pathway is unclear. Aim To find the effect of EA on autonomic activity of the heart in Estradiol Valerate (EV) induced PCOS rats. Materials and Methods Heart rate variability (HRV) was assessed in 3 groups: 1) Control; 2) PCOS rats; and 3) PCOS rats after EA treatment (n=8 in each group). From the time domain analysis and frequency domain analysis (linear measures) HRV analysis was done. EA stimulation was given at low frequency of 2Hz for 15 min on alternate days for 4-5 weeks. Collected data were statistically analysed using One-Way Analysis of Variance with the application of multiple comparisons of Tukey test. Results EA treatment group shows significant reduction in Heart Rate (HR) and low frequency, high frequency ratio (LF/HF); and increase in RR interval, Total Power (TP) when compared to PCOS group. Conclusion The study concludes that EA treatment has a significant effect on reducing sympathetic tone and decreasing HR in PCOS.

  14. Effect of Yoga Therapy on Heart Rate, Blood Pressure and Cardiac Autonomic Function in Heart Failure

    OpenAIRE

    Krishna, Bandi Hari; Pal, Pravati; G.K., Pal; J, Balachander; E., Jayasettiaseelon; Y, Sreekanth; M.G., Sridhar; G.S., Gaur

    2014-01-01

    Background and Objective: It is well known that a hall mark of heart failure is adverse changes in autonomic function. Elevated blood pressure is a powerful predictor of congestive heart failure and other Cardiovascular Disease (CVD) outcomes. In this study, we planned to examine the effects of a 12 week yoga therapy on blood pressure, heart rate, heart rate variability, and rate pressure product (RPP).

  15. The heart rate VO2 relationship of aerobic dance: a comparison of target heart rate methods.

    Science.gov (United States)

    Scharff-Olson, M; Williford, H N; Smith, F H

    1992-12-01

    The purpose of this study was to examine the relationship between heart rate (HR) and oxygen consumption (VO2) for aerobic dance exercise. Therefore, eleven females completed 20 minutes of aerobic dance with continuous monitoring of HR and VO2. These physiological responses were analyzed with correlation/regression techniques. The results showed that for aerobic dance to produce a response in excess of 50% of VO2 max, the target HR must be approximately 80% of the age-predicted HR max or greater. In contrast, previously reported data for treadmill running shows that 50% of VO2 max is achieved at approximately 65% of age-predicted HR max in females. The maximum heart rate reserve (Karvonen) method was also found to underestimate the actual VO2 of AD. With the Karvonen method, the target heart rate must approximate 65% of maximum HR reserve in order to elicit a VO2 response which is representative of 50% of VO2 max. These data support recent research which illustrates that target heart rate prescriptions derived from treadmill testing may fail to accurately place AD participants in the recommended training zone. PMID:1293420

  16. Fighter pilots' heart rate, heart rate variation and performance during an instrument flight rules proficiency test.

    Science.gov (United States)

    Mansikka, Heikki; Virtanen, Kai; Harris, Don; Simola, Petteri

    2016-09-01

    Increased task demand will increase the pilot mental workload (PMWL). When PMWL is increased, mental overload may occur resulting in degraded performance. During pilots' instrument flight rules (IFR) proficiency test, PMWL is typically not measured. Therefore, little is known about workload during the proficiency test and pilots' potential to cope with higher task demands than those experienced during the test. In this study, fighter pilots' performance and PMWL was measured during a real IFR proficiency test in an F/A-18 simulator. PMWL was measured using heart rate (HR) and heart rate variation (HRV). Performance was rated using Finnish Air Force's official rating scales. Results indicated that HR and HRV differentiate varying task demands in situations where variations in performance are insignificant. It was concluded that during a proficiency test, PMWL should be measured together with the task performance measurement. PMID:27109324

  17. Erythropoietin, Heart Disease and Global Rate

    OpenAIRE

    Viroj Wiwanitkit

    2013-01-01

    In medicine, the relationship between erythropoietin and heart disease is sometimes mentioned. An attempt to demonstrate connection between erythropoietin and heart failure is very interesting. The attempt is based on the interrelationship among erythropoietin disturbance, anemia and heart disorder. However, the factors that can affect the endemic pattern must be considered

  18. Poincare indices for analyzing meditative heart rate signals

    Directory of Open Access Journals (Sweden)

    Atefeh Goshvarpour

    2015-06-01

    Full Text Available Background: Poincare plots are commonly used to study the nonlinear behavior of physiologic signals. The aim of this study is to evaluate the Poincare plot indices of human heart rate signals during meditation. Methods: For this purpose, heart rate time series of eight Chi meditators available in Physionet database were used. Poincare plots with lags of 1 and 6 were constructed, and the ratio of the minor axis to major axis (SD1/SD2 and the area of Poincare plots were calculated for each lag. Results: The results show that the SD1/SD2 ratio increased significantly during meditation compared to that before meditation, especially the index measured from Poincare plots reconstructed with a lag of 6 (p < 0.05. In addition, in both lags, the area of Poincare plots decreased significantly during meditation compared to before meditation (p < 0.05. Conclusion: The comparative dynamic measures of the Poincare plot indices during and before meditation give more insight of the heart rate signals in a specific psychophysiological state.

  19. Heart Rate Variability in Patients with Rheumatoid Arthritis

    Directory of Open Access Journals (Sweden)

    Kawser Jahan, Noorzahan Begum, Sultana Ferdousi

    2012-12-01

    Full Text Available Background: Altered cardiovascular autonomic nerve function with impaired sympathovagal balance is found in rheumatoid arthritis (RA. Heart Rate Variability (HRV analysis is an important tool for assessment of autonomic nerve activity.Objective: To assess cardiac autonomic nerve function status in patients with Rheumatoid arthritis (RA by time domain measures of HRV.Methods: This cross sectional study was conducted in the Department of Physiology, Bangabandhu Sheikh Mujib Medical University (BSMMU, Dhaka from January to December 2010. Sixty female RA patients, age range 18-50 years were constituted study group enrolled from the Out- patient Rheumatology Wing, Department of Medicine, BSMMU. Age matched thirty apparently healthy females were studied as control. Time domain measures of Heart Rate Variability (HRV such as Mean RR intervals, Mean HR, SDNN, RMSSD, NN50% and PNN 50% were recorded for 5 minutes by a Polygraph machine to observe cardiac autonomic nerve function activity. Data were analyzed by independent sample t test.Results: Mean R-R interval, SDNN, RMSSD, PNN50%, NN50% were significantly lower (p<0.001 but heart rate was significantly (P<0.001 higher in rheumatoid arthritis patients.Conclusion: Cardiac autonomic nerve function is impaired and characterized by reduced resting parasympathetic activity in female Rheumatoid Arthritis patients.

  20. Temperature to heart rate relationship in the neonate

    OpenAIRE

    Nora Hofer; Wilhelm Müller; Bernhard Resch

    2012-01-01

    In neonatal intensive care, measurement of heart rate is part of every clinical examination and it is used for monitoring hemodynamic status. However, it is influenced by some exogenous and endogenous factors, such as medication, pain, and stress. (1) Similarly, an increased heart rate is a normal physiological response to fever. Heart rate is known to increase by 10 beats per minute (bpm) per degree centigrade increase in body temperature in children. (2) In order to allow physicians to iden...

  1. Randomised controlled trial of intrapartum fetal heart rate monitoring.

    OpenAIRE

    Mahomed, K.; Nyoni, R.; Mulambo, T.; Kasule, J.; Jacobus, E.

    1994-01-01

    OBJECTIVE--To compare effectiveness of different methods of monitoring intrapartum fetal heart rate. DESIGN--Prospective randomised controlled trial. SETTING--Referral maternity hospital, Harare, Zimbabwe. SUBJECTS--1255 women who were 37 weeks or more pregnant with singleton cephalic presentation and normal fetal heart rate before entry into study. INTERVENTIONS--Intermittent monitoring of fetal heart rate by electronic monitoring, Doppler ultrasound, use of Pinard stethoscope by a research ...

  2. Heart Rate Variability Interventions for Concussion and Rehabilitation

    OpenAIRE

    RobertLakeConder; AlannaA.Conder

    2014-01-01

    The study of Heart Rate Variability (HRV) has emerged as an essential component of cardiovascular health, as well as a physiological mechanism by which one can increase the interactive communication between the cardiac and the neurocognitive systems (i.e., the body and the brain). It is well-established that lack of heart rate variability implies cardiopathology, morbidity, reduced quality-of-life, and precipitous mortality. On the positive, optimal heart rate variability has been associated ...

  3. Critical Scale-invariance in Healthy Human Heart Rate

    OpenAIRE

    Kiyono, Ken; Struzik, Zbigniew R.; Aoyagi, Naoko; Sakata, Seiichiro; Hayano, Junichiro; Yamamoto, Yoshiharu

    2004-01-01

    We demonstrate the robust scale-invariance in the probability density function (PDF) of detrended healthy human heart rate increments, which is preserved not only in a quiescent condition, but also in a dynamic state where the mean level of heart rate is dramatically changing. This scale-independent and fractal structure is markedly different from the scale-dependent PDF evolution observed in a turbulent-like, cascade heart rate model. These results strongly support the view that healthy huma...

  4. Loss of lag-response curvilinearity of indices of heart rate variability in congestive heart failure

    Directory of Open Access Journals (Sweden)

    Smith Michael L

    2006-06-01

    Full Text Available Abstract Background Heart rate variability (HRV is known to be impaired in patients with congestive heart failure (CHF. Time-domain analysis of ECG signals traditionally relies heavily on linear indices of an essentially non-linear phenomenon. Poincaré plots are commonly used to study non-linear behavior of physiologic signals. Lagged Poincaré plots incorporate autocovariance information and analysis of Poincaré plots for various lags can provide interesting insights into the autonomic control of the heart. Methods Using Poincaré plot analysis, we assessed whether the relation of the lag between heart beats and HRV is altered in CHF. We studied the influence of lag on estimates of Poincaré plot indices for various lengths of beat sequence in a public domain data set (PhysioNet of 29 subjects with CHF and 54 subjects with normal sinus rhythm. Results A curvilinear association was observed between lag and Poincaré plot indices (SD1, SD2, SDLD and SD1/SD2 ratio in normal subjects even for a small sequence of 50 beats (p value for quadratic term 3 × 10-5, 0.002, 3.5 × 10-5 and 0.0003, respectively. This curvilinearity was lost in patients with CHF even after exploring sequences up to 50,000 beats (p values for quadratic term > 0.5. Conclusion Since lagged Poincaré plots incorporate autocovariance information, these analyses provide insights into the autonomic control of heart rate that is influenced by the non-linearity of the signal. The differences in lag-response in CHF patients and normal subjects exist even in the face of the treatment received by the CHF patients.

  5. Critical Scale Invariance in a Healthy Human Heart Rate

    Science.gov (United States)

    Kiyono, Ken; Struzik, Zbigniew R.; Aoyagi, Naoko; Sakata, Seiichiro; Hayano, Junichiro; Yamamoto, Yoshiharu

    2004-10-01

    We demonstrate the robust scale-invariance in the probability density function (PDF) of detrended healthy human heart rate increments, which is preserved not only in a quiescent condition, but also in a dynamic state where the mean level of the heart rate is dramatically changing. This scale-independent and fractal structure is markedly different from the scale-dependent PDF evolution observed in a turbulentlike, cascade heart rate model. These results strongly support the view that a healthy human heart rate is controlled to converge continually to a critical state.

  6. Heart rate turbulence and variability in patients with ventricular arrhythmias

    Directory of Open Access Journals (Sweden)

    Diego Tarricone

    2009-08-01

    Full Text Available Background: To evaluate the changes in autonomic neural control mechanisms before malignant ventricular arrhythmias, we measured heart rate variability (HRV and heart rate turbulence (HRT in patients with ventricular tachycardia or fibrillation (Group I; n=6, non sustained ventricular tachycardia (Group II; n=32, frequent premature ventricular beats (Group III; n=26 and with ICD implantation (Group IV; n=11. Methods: Time domain parameters of HRV and turbulence onset (TO and slope (TS were calculated on 24 hour Holter recordings. Normal values were: SDNN > 70 msec for HRV, TO <0% and TS >2.5 msec/RR-I for HRT. Results: Whereas SDNN was within normal range and similar in all study groups, HRT parameters were significantly different in patients who experienced VT/VF during Holter recording. Abnormal TO and/or TS were present in 100% of Group I patients and only in about 50% of Group II and IV. On the contrary, normal HRT parameters were present in 40-70% of Group II, III and IV patients and none of Group I. Conclusions: These data suggest that HRT analysis is more suitable than HRV to detect those transient alterations in autonomic control mechanisms that are likely to play a major trigger role in the genesis of malignant cardiac arrhythmias. (Heart International 2007; 3: 51-7

  7. Study Heart Rate by Tools from Complex Networks

    International Nuclear Information System (INIS)

    Heart rate measured as beat-to-beat time intervals varies in time. It is believed that time intervals between subsequent normal heart contractions carry information about the regulatory system of the heart. How to quantify such signals is not clear and because of that heart rate variability is still apart from the clinic routine. In the following, we propose a method for representing a heart rate signal as a directed network. Then we study the signal properties by complex network tools. The signals to study were collected from patients recovering after the heart transplantation. The aim is to classify the progress of adapting of the new heart - graft. Moreover, it is expected that the method allows for visual classification. Our investigations are preliminary, however the obtained results are promising. (authors)

  8. Ivabradine: Cardioprotection By and Beyond Heart Rate Reduction.

    Science.gov (United States)

    Heusch, Gerd; Kleinbongard, Petra

    2016-05-01

    Ivabradine inhibits hyperpolarization-activated cyclic nucleotide-gated channels in the sinus node, thereby reducing heart rate, and heart rate reduction improves regional myocardial blood flow and contractile function in ischemic myocardium. Accordingly, ivabradine reduces anginal symptoms in patients with stable coronary artery disease but does not improve their clinical outcome. Heart rate reduction with ivabradine in patients with symptomatic heart failure reduces symptoms, attenuates remodeling, and improves clinical outcome. In pigs and mice, ivabradine reduces infarct size from myocardial ischemia/reperfusion, even when heart rate reduction is abrogated by atrial pacing. Improved viability is also observed in isolated ventricular cardiomyocytes subjected to simulated ischemia/reperfusion. These beneficial effects are attributed to reduced reactive oxygen species formation from the mitochondria. There is also evidence for a heart rate-independent benefit from ivabradine in the vasculature of mice and humans, and in left ventricular contractile function of pigs. Finally, in mice, ivabradine also has anti-aging potential. PMID:27041289

  9. Heart rate variability reproducibility during exercise

    International Nuclear Information System (INIS)

    The use of heart rate variability (HRV) parameters during exercise is not supported by appropriate reliability studies. In 80 healthy adults, ECG was recorded during three 6 min bouts of exercise, separated by 6 min of unloaded cycling. Two bouts were at a moderate intensity while the final bout was at a heavy exercise intensity. This protocol was repeated under the same conditions on three occasions, with a controlled start time (pre-determined at the first visit). Standard time and frequency domain indices of HRV were derived. Reliability was assessed by Bland–Altman plots, 95% limits of agreement and intraclass correlation coefficients (ICC). The sample size required to detect a mean difference ≥30% of the between-subject standard deviation was also estimated. There was no systematic change between days. All HRV parameters demonstrated a high degree of reproducibility during baseline (ICC range: 0.58–0.75), moderate (ICC: 0.58–0.85) and heavy intensity exercise (ICC range: 0.40–0.76). The reproducibility was slightly diminished during heavy intensity exercise relative to both unloaded baseline cycling and moderate exercise. This study indicates that HRV parameters can be reliably determined during exercise, and it underlines the importance of standardizing exercise intensity with regard to fitness levels if HRV is to be reliably determined. (paper)

  10. [Fetal heart rate monitoring during maternal swimming].

    Science.gov (United States)

    Sasaki, J; Nabeshima, Y; Inaba, J; Mesaki, N

    1993-02-01

    Fetal physiology during swimming in pregnancy has remained unclear. To assess the fetal status, the fetal heart rate (FHR) was measured during maternal swimming. We studied individually a group of seventeen women in normal pregnancy (during their third trimester, 35-38th week) who participated in a maternal swimming class. We adapted the Doppler ultra-sound transducer for underwater use and attached it to the mothers' abdomen. FHR was recorded before, during and after swimming. The group swam from 375 to 750 meters in 33 to 41 minutes. During swimming, motion artifacts interfered with the FHR signal and we were only able to detect FHR in eleven in the group. The mean FHR rose significantly during swimming in eight of eleven women compared to the FHR recorded before the exercise. The FHR pattern was reactive and baseline variability was preserved in all cases. No pathological deceleration was seen. It is concluded that maternal swimming under such class conditions is safe for the fetus. PMID:8429252

  11. Bluetooth(Registered Trademark) Heart Rate Monitors for Spaceflight

    Science.gov (United States)

    Buxton, Roxanne E.; West, Michael R.; Kalogera, Kent L.; Hanson, Andrea M.

    2016-01-01

    Heart rate monitoring is required during exercise for crewmembers aboard the International Space Station (ISS) and will be for future exploration missions. The cardiovascular system must be sufficiently stressed throughout a mission to maintain the ability to perform nominal and contingency/emergency tasks. High quality heart rate data is required to accurately determine the intensity of exercise performed by the crewmembers and show maintenance of VO2max. The quality of the data collected on ISS is subject to multiple limitations and is insufficient to meet current requirements. PURPOSE: To evaluate the performance of commercially available Bluetooth® heart rate monitors (BT_HRM) and their ability to provide high quality heart rate data to monitor crew health on board ISS and during future exploration missions. METHODS: Nineteen subjects completed 30 data collection sessions of various intensities on the treadmill and/or cycle. Subjects wore several BT_HRM technologies for each testing session. One electrode-based chest strap (CS) was worn, while one or more optical sensors (OS) was worn. Subjects were instrumented with a 12-lead ECG to compare the heart rate data from the Bluetooth sensors. Each BT_RHM data set was time matched to the ECG data and a +/-5bpm threshold was applied to the difference between the two data sets. Percent error was calculated based on the number of data points outside the threshold and the total number of data points. REULTS: The electrode-based chest straps performed better than the optical sensors. The best performing CS was CS1 (1.6%error), followed by CS4 (3.3%error), CS3 (6.4%error), and CS2 (9.2%error). The OS resulted in 10.4% error for OS1 and 14.9% error for OS2. CONCLUSIONS: The highest quality data came from CS1, unfortunately it has been discontinued by the manufacturer. The optical sensors have not been ruled out for use, but more investigation is needed to determine how to get the best quality data. CS2 will be used in an ISS Bluetooth validation study, because it simultaneously transmits Magnetic Pulse which is integrated with existing exercise hardware on ISS. The simultaneous data streams allow for beat to beat comparison between the current ISS standard and CS2.Upon Bluetooth(Registered Trademark) validation aboard ISS, down select of a new BT_HRM for operational use will be made.

  12. Effect of Cardiac Rehabilitation Program on Heart Rate Recovery in Coronary Heart Disease

    Directory of Open Access Journals (Sweden)

    Leila Mahdavi Anari

    2015-12-01

    Full Text Available Background: It has been suggested that the autonomic system function and the metabolic syndrome can significantly affect patients' survival. The aim of the current study was to investigate the impact of the cardiac rehabilitation program on the autonomic system balance in patients with coronary artery disease.Methods: Patients with a previous diagnosis of coronary artery disease who were referred to the Cardiovascular Rehabilitation Center of Afshar Hospital (Yazd, Iran between March and November 2011 were enrolled. All the patients participated in rehabilitation sessions 3 times a week for 12 weeks. Heart rate recovery (HRR was measured as an indicator of the autonomic system balance. In order to calculate HRR, the maximum heart rate during the exercise test was recorded. At the end of the exercise test, the patients were asked to sit down without having a cooldown period and their heart rate was recorded again after 1 minute. The difference between these 2 measurements was considered as HRR.Results: A total of 108 patients, including 86 (79.6% men and 22 (20.4% women, completed the rehabilitation course. The mean age of the study participants was 58.25 ± 9.83 years. A statistically significant improvement was observed in HRR (p value = 0.040. Significant declines were also observed in the patients' waist circumference (p value < 0.001 and systolic and diastolic blood pressures (p value = 0.018 and 0.003, respectively. A decreasing trend was observed in the patients' body mass index, but it failed to reach statistical significance (p value = 0.063. No statistically meaningful changes were noted in fasting blood glucose (p value = 0.171, high-density lipoprotein (p value = 0.070, or triglyceride concentrations (p value = 0.149. Conclusion: The cardiac rehabilitation program may help to improve HRR and several components of the metabolic syndrome in patients with coronary heart disease.

  13. Oxyntomodulin increases intrinsic heart rate through the glucagon receptor

    OpenAIRE

    Mukharji, Auyon; Drucker, Daniel J.; Charron, Maureen J.; Swoap, Steven J

    2013-01-01

    Two hormones from the gastrointestinal tract, glucagon and oxyntomodulin (OXM), vigorously elevate the intrinsic heart rate (IHR) of mice. We have previously shown that OXM influences murine heart rate (HR) independent of the glucagon-like peptide 1 (GLP-1) receptor. Here, we demonstrate using radiotelemetry in mice deficient in the glucagon receptor (Gcgr −/−) that both OXM and glucagon require the glucagon receptor for their chronotropic effects on the heart. Furthermore, we found that othe...

  14. How to Take Your Heart Rate

    Science.gov (United States)

    ... beats per minute. - If you have difficulty with math, try doubling the number twice. 25 doubled is ... from going too high. If you are taking medicine for your heart or blood pressure, check with ...

  15. Heart Rate Variability: Measures and Models

    OpenAIRE

    Teich, Malvin C.; LOWEN, STEVEN B.; Jost, Bradley M.; Vibe-Rheymer, Karin; Heneghan, Conor

    2000-01-01

    We focus on various measures of the fluctuations of the sequence of intervals between beats of the human heart, and how such fluctuations can be used to assess the presence or likelihood of cardiovascular disease. We examine sixteen such measures and their suitability for correctly classifying heartbeat records of various lengths as normal or revealing the presence of cardiac dysfunction, particularly congestive heart failure. Using receiver-operating-characteristic analysis we demonstrate th...

  16. Cycling cadence affects heart rate variability

    International Nuclear Information System (INIS)

    The purpose of this study was to examine the effect different cycling cadences have on heart rate variability (HRV) when exercising at constant power outputs. Sixteen males had ECG and respiratory measurements recorded at rest and during 8, 10 min periods of cycling at four different cadences (40, 60, 80 and 100 revs min−1) and two power outputs (0 W (unloaded) and 100 W (loaded)). The cycling periods were performed following a Latin square design. Spectral analyses of R–R intervals by fast Fourier transforms were used to quantify absolute frequency domain HRV indices (ms2) during the final 5 min of each bout, which were then log transformed using the natural logarithm (Ln). HRV indices of high frequency (HF) power were reduced when cadence was increased (during unloaded cycling (0 W) log transformed HF power decreased from a mean [SD] of 6.3 [1.4] Ln ms2 at 40 revs min−1 to 3.9 [1.3] Ln ms2 at 100 revs min−1). During loaded cycling (at 100 W), the low to high frequency (LF:HF) ratio formed a 'J' shaped curve as cadence increased from 40 revs min−1 (1.4 [0.4]) to 100 revs min−1 (1.9 [0.7]), but dipped below the 40 revs min−1 values during the 60 revs min−1 1.1 (0.3) and 80 revs min−1 1.2 (0.6) cadence conditions. Cardiac frequency (fC) and ventilatory variables were strongly correlated with frequency domain HRV indices (r = −0.80 to −0.95). It is concluded that HRV indices are influenced by both cycling cadence and power output; this is mediated by the fC and ventilatory changes that occur as cadence or exercise intensity is increased. Consequently, if HRV is assessed during exercise, both power output/exercise intensity and cadence should be standardized

  17. Depression and heart rate variability in patients with coronary heart disease

    OpenAIRE

    Robert M. Carney; Kenneth E. Freedland

    2009-01-01

    Depression is common in patients with coronary heart disease (CHD) and is a risk factor for cardiac morbidity and mortality in these patients. Depression is associated with autonomic nervous system dysfunction, which may at least partially explain this increased risk. Low heart rate variability (HRV), which reflects excessive sympathetic and/or inadequate parasympathetic modulation of heart rate, is a strong predictor of mortality in patients with CHD. Most studies—both in patients with stabl...

  18. Long‐term Cardiovascular Risks Associated With an Elevated Heart Rate: The Framingham Heart Study

    OpenAIRE

    Ho, Jennifer E.; Larson, Martin G.; Ghorbani, Anahita; Cheng, Susan; Coglianese, Erin E.; Vasan, Ramachandran S.; Wang, Thomas J

    2014-01-01

    Background Higher heart rate has been associated with an adverse prognosis, but most prior studies focused on individuals with known cardiovascular disease or examined a limited number of outcomes. We sought to examine the association of baseline heart rate with both fatal and nonfatal outcomes during 2 decades of follow‐up. Methods and Results Our study included 4058 Framingham Heart Study participants (mean age 55 years, 56% women). Cox models were performed with multivariable adjustment fo...

  19. Autonomic dysfunction in HIV patients on antiretroviral therapy: studies of heart rate variability

    DEFF Research Database (Denmark)

    Lebech, Anne-Mette; Kristoffersen, Ulrik Sloth; Mehlsen, Jesper; Wiinberg, Niels; Petersen, Claus Leth; Hesse, Birger; Gerstoft, Jan; Kjaer, Andreas

    2007-01-01

    guidelines and data reported as median (interquartile range). RESULTS: The resting heart rate was higher in HIV patients compared with controls [69 (62-74) versus 57 (52-60); P<0.001]. Total HRV measured as standard deviation of normal-to-normal (SONN) was lower in the HIV group compared with the controls...... [294 (161-602) versus 946 (711-1668) ms(2); P<0.01]. High frequency power as well as systolic and diastolic blood pressure did not differ between the groups. CONCLUSIONS: The HIV patients in ART have increased resting heart rate and decreased short-term heart rate variability indicating parasympathetic...

  20. Learning by Heart: Students Use Heart Rate Patterns To Identify Nervous System Imbalances.

    Science.gov (United States)

    Ackerly, Spafford C.

    2001-01-01

    Introduces a science unit on heart rate variability (HVR) patterns. Uses spectral analysis to determine the effects of environmental stimulants such as music and emotional stress on heart rate. Observes relaxation techniques and their effects on the autonomous nervous system. (Contains 12 references.) (YDS)

  1. Predictive value of casual ECG-based resting heart rate compared with resting heart rate obtained from Holter recording

    DEFF Research Database (Denmark)

    Carlson, Nicholas; Dixen, Ulrik; Marott, Jacob L; Jensen, Magnus T; Jensen, Gorm B

    2014-01-01

    BACKGROUND: Elevated resting heart rate (RHR) is associated with cardiovascular mortality and morbidity. Assessment of heart rate (HR) from Holter recording may afford a more precise estimate of the effect of RHR on cardiovascular risk, as compared to casual RHR. Comparative analysis was carried...

  2. The Effect of Heart Rate on the Heart Rate Variability Response to Autonomic Interventions

    Directory of Open Access Journals (Sweden)

    GeorgeEBillman

    2013-08-01

    Full Text Available Heart rate variability (HRV, the beat-to-beat variation in either heart rate (HR or heart period (R-R interval, has become a popular clinical and investigational tool to quantify cardiac autonomic regulation. However, it is not widely appreciated that, due to the inverse curvilinear relationship between HR and R-R interval, HR per se can profoundly influence HRV. It is, therefore, critical to correct HRV for the prevailing HR particularly, as HR changes in response to autonomic neural activation or inhibition. The present study evaluated the effects of HR on the HRV response to autonomic interventions that either increased (submaximal exercise, n = 25 or baroreceptor reflex activation, n = 20 or reduced (pharmacological blockade: ?-adrenergic receptor, muscarinic receptor antagonists alone and in combination, n = 25, or bilateral cervical vagotomy, n = 9 autonomic neural activity in a canine model. Both total (RR interval standard deviation, RRSD and the high frequency variability (HF, 0.2 to 1.04 Hz were determined before and in response to an autonomic intervention. All interventions that reduced or abolished cardiac parasympathetic regulation provoked large reductions in HRV even after HR correction [division by mean RRsec or (mean RRsec2 for RRSD and HF, respectively] while interventions that reduced HR yielded mixed results. ?-adrenergic receptor blockade reduced HRV (RRSD but not HF while both RRSD and HF increased in response to increases in arterial blood (baroreceptor reflex activation even after HR correction. These data suggest that the physiological basis for HRV is revealed after correction for prevailing HR and, further, that cardiac parasympathetic activity is responsible for a major portion of the HRV in the dog.

  3. The effect of metaprolol alone and metaprolol plus bromazepam on heart rate and heart rate variability during multislice computed tomography angiography

    International Nuclear Information System (INIS)

    Objective: The purpose of this study was to determine the effect of metaprolol alone and metaprolol plus bromazepam on heart rate and heart rate variability during multi slice computed tomography (MSCT) angiography. Methodology: This was a Double blind randomized controlled trial was conducted at AFIC/NIHD, Rawalpindi, from May 2011 to November 2011. Patients undergoing first MSCT angiography meeting inclusion criteria with heart rates (HR) more than 80 beats/min were included. Patients were randomized in to two groups using random numbers table. Group 1 was administered metaprolol plus placebo while group 2 was administered metaprolol plus bromazepam one hour before the scan. Both groups had scans under strictly similar conditions. HR before and during scan along with heart rate variability (HRV) were recorded. Results: A total of 80 patients were included. Patients mean age was 49 + 13, 57 % were males while 43 % were females. Risk factor profile was similar in both groups. HR reduction in group 1 was 15+ 6.0 and in group 2, was 21+9.0 (p= 0.002). HRV in group 1 was 3.9 + 1.32 and in group 2 was 2.3 + 1.0 (p= 0.003). Group 2 had significantly lower HR and significantly less HRV as compared with group 1. Conclusion: Combination of bromazepam and metaprolol results in significant and further reduction in heart rate and heart rate variability than metaprolol alone. Both drugs can be used together for a better control of heart rate and heart rate variability during MSCT angiography for improving the quality of images. (author)

  4. Effect of heart rate on hemodynamics in mitral stenosis

    International Nuclear Information System (INIS)

    Objective: To assess the effect of heart rate (HR) on haemodynamic parameters in patients with Mitral Stenosis (MS). Methodology: The study was conducted at Cardiology department, Lady Reading Hospital, Peshawar from November 2010 to April 2011. Patients with MS, regardless of severity, were included. Patients with severe heart failure, other valvular or structural heart disease were excluded. Echocardiographic parameters were recorded at slow and fast HR. Patients with tachycardia were given a-blockers and patients with bradycardia were given parenteral Atropine. Results: A total of 60 patients were included, females were 57 (78%). Mean age was 31+- 9 years. Mean slow and fast HR was 77+-12 bpm and 110+-13 bpm, respectively. Peak mitral valve gradient (PMVG) slow vs. fast HR was 12.8+-4.80 and 14.93+-7.18 mm Hg (p=0.000). Mean mitral valve gradient (MMVG) at slow vs. fast HR was 6.62+-3.29 and 8.15+-4.88 mm of Hg (p=0.000). E pulse Doppler (E) at slow vs. fast HR was 168+-35 and 181+-40 cm/s (p=0.013), / while E tissue Doppler (E ) velocity was 10.47+-2.81 and 10.97+-2.38 cm/s/ (P=0.098), respectively. E/E ratio for slow and fast HR was 17+-5.63 vs.17+-5.41 (P=0.792). Right ventricular systolic pressure (RVSP) at slow vs. fast HR was 44+-16 vs.49+-17.05 mm of Hg (P=0.001). The above parameters had insignificant change with the HR when there was accompanying more than mild MR. Conclusion: Slowing HR in patients with MS significantly decreased PMVG, MMVG and RVSP. LV function did not change significantly with HR. Rate control drugs may be used in preference to improve symptoms in moderate and severe MS. (author)

  5. Heart rate and respiratory rhythm dynamics on ascent to high altitude

    Science.gov (United States)

    Lipsitz, L. A.; Hashimoto, F.; Lubowsky, L. P.; Mietus, J.; Moody, G. B.; Appenzeller, O.; Goldberger, A. L.

    1995-01-01

    OBJECTIVE--To investigate the alterations in autonomic control of heart rate at high altitude and to test the hypothesis that hypoxaemic stress during exposure to high altitude induces non-linear, periodic heart rate oscillations, similar to those seen in heart failure and the sleep apnoea syndrome. SUBJECTS--11 healthy subjects aged 24-64. MAIN OUTCOME MEASURES--24 hour ambulatory electrocardiogram records obtained at baseline (1524 m) and at 4700 m. Simultaneous heart rate and respiratory dynamics during 2.5 hours of sleep by fast Fourier transform analysis of beat to beat heart rate and of an electrocardiographically derived respiration signal. RESULTS--All subjects had resting hypoxaemia at high altitude, with an average oxyhaemoglobin saturation of 81% (5%). There was no significant change in mean heart rate, but low frequency (0.01-0.05 Hz) spectral power was increased (P < 0.01) at high altitude. Time series analysis showed a complex range of non-linear sinus rhythm dynamics. Striking low frequency (0.04-0.06 Hz) heart rate oscillations were observed during sleep in eight subjects at high altitude. Analysis of the electrocardiographically derived respiration signal indicated that these heart rate oscillations correlated with low frequency respiratory oscillations. CONCLUSIONS--These data suggest (a) that increased low frequency power during high altitude exposure is not simply attributable to increased sympathetic modulation of heart rate, but relates to distinctive cardiopulmonary oscillations at approximately 0.05 Hz and (b) that the emergence of periodic heart rate oscillations at high altitude is consistent with an unstable cardiopulmonary control system that may develop on acute exposure to hypoxaemic stress.

  6. Phase Transition in a Healthy Human Heart Rate

    Science.gov (United States)

    Kiyono, Ken; Struzik, Zbigniew R.; Aoyagi, Naoko; Togo, Fumiharu; Yamamoto, Yoshiharu

    2005-07-01

    A healthy human heart rate displays complex fluctuations which share characteristics of physical systems in a critical state. We demonstrate that the human heart rate in healthy individuals undergoes a dramatic breakdown of criticality characteristics, reminiscent of continuous second order phase transitions. By studying the germane determinants, we show that the hallmark of criticality—highly correlated fluctuations—is observed only during usual daily activity, and a breakdown of these characteristics occurs in prolonged, strenuous exercise and sleep. This finding is the first reported discovery of the dynamical phase transition phenomenon in a biological control system and will be a key to understanding the heart rate control system in health and disease.

  7. Scaling Behaviour and Memory in Heart Rate of Healthy Human

    Science.gov (United States)

    Cai, Shi-Min; Peng, Hu; Yang, Hui-Jie; Zhou, Tao; Zhou, Pei-Ling; Wang, Bing-Hong

    2007-10-01

    We investigate a set of complex heart rate time series from healthy human in different behaviour states with the detrended fluctuation analysis and diffusion entropy (DE) method. It is proposed that the scaling properties are influenced by behaviour states. The memory detected by DE exhibits an approximately same pattern after a detrending procedure. Both of them demonstrate the long-range strong correlations in heart rate. These findings may be helpful to understand the underlying dynamical evolution process in the heart rate control system, as well as to model the cardiac dynamic process.

  8. Accurate heart rate estimation from camera recording via MUSIC algorithm.

    Science.gov (United States)

    Fouladi, Seyyed Hamed; Balasingham, Ilangko; Ramstad, Tor Audun; Kansanen, Kimmo

    2015-08-01

    In this paper, we propose an algorithm to extract heart rate frequency from video camera using the Multiple SIgnal Classification (MUSIC) algorithm. This leads to improved accuracy of the estimated heart rate frequency in cases the performance is limited by the number of samples and frame rate. Monitoring vital signs remotely can be exploited for both non-contact physiological and psychological diagnosis. The color variation recorded by ordinary cameras is used for heart rate monitoring. The orthogonality between signal space and noise space is used to find more accurate heart rate frequency in comparison with traditional methods. It is shown via experimental results that the limitation of previous methods can be overcome by using subspace methods. PMID:26738015

  9. Heart Rate Variability Measures and Models

    CERN Document Server

    Teich, M C; Jost, B M; Vibe-Rheymer, K; Heneghan, C; Teich, Malvin C.; Lowen, Steven B.; Jost, Bradley M.; Vibe-Rheymer, Karin; Heneghan, Conor

    2001-01-01

    We focus on various measures of the fluctuations of the sequence of intervals between beats of the human heart, and how such fluctuations can be used to assess the presence or likelihood of cardiovascular disease. We examine sixteen such measures and their suitability for correctly classifying heartbeat records of various lengths as normal or revealing the presence of cardiac dysfunction, particularly congestive heart failure. Using receiver-operating-characteristic analysis we demonstrate that scale-dependent measures prove substantially superior to scale-independent ones. The wavelet-transform standard deviation at a scale near 32 heartbeat intervals, and its spectral counterpart near 1/32 cycles/interval, turn out to provide reliable results using heartbeat records just minutes long. We further establish for all subjects that the human heartbeat has an underlying stochastic origin rather than arising from a chaotic attractor. Finally, we develop a mathematical point process that emulates the human heartbea...

  10. Change of Diurnal Heart Rate Patterns During Pregnancy and Lactation in Dogs (Canis familiaris

    Directory of Open Access Journals (Sweden)

    Häggström J

    2003-09-01

    Full Text Available Pregnancy and lactation involve great demands on the cardiovascular system. The purpose of this study was to investigate how the heart rate and diurnal heart rate pattern change when dogs become pregnant or lactate. Five clinically healthy female beagle dogs were mated, and delivered three to seven healthy puppies. The heart rate was investigated with 24-h ECG (Holter once during anoestrus, at 3, 5, 7 and 9 weeks of pregnancy, and at week 4 postpartum (lactation. However, at 9 weeks, the ECG could not be recorded for the fully 24 h in 4 of 5 dogs, because labour started and the dogs then appeared disturbed by the recordings. The results at this date are not included in the statistical comparison. The heart rate increased progressively during pregnancy and was still elevated at 4 weeks of lactation. During late pregnancy the difference in heart rates between daytime and nighttime became smaller, but the heart rate was significantly higher in daytime in all periods. In conclusion, the increased heart rates during pregnancy and lactation reflect increased demands on the cardiovascular system and may be important to consider in clinical practice.

  11. Changes in Heart Rate Variability in a Premature Infant with Hydrocephalus

    Directory of Open Access Journals (Sweden)

    Zuzana Uhrikova

    2012-11-01

    Full Text Available Objective - To define changes of heart rate variability in premature infant with hydrocephalus before and after drainage procedure. Study Design - The authors report a case of a premature infant with hydrocephalus with analysis of heart rate variability before and after drainage procedure. Three subsequent recordings of the electrocardiography and heart rate variability were done: the first at the age of 22 days before insertion of ventriculoperitoneal shunt, the second at the age of 36 days with functional shunt, the third at the age of 71 days (before discharge. Results - Before drainage operation, there was reduced heart rate variability in time and spectral domains, and sympathetic activity was dominant. After surgery, an increase in heart rate variability parameters was found, particularly with spectral analysis. The ratio of low-frequency/high-frequency band and relative power of the low-frequency band decreased, reflecting enhanced parasympathetic activity. Conclusion - Results of the heart rate variability analysis in a preterm infant with hydrocephalus before and after drainage procedure showed marked improvement in chronotropic cardiac regulation. Evaluation of heart rate variability in premature infants with hydrocephalus with increased intracranial pressure can be an additional method for monitoring of cardiac dysregulation and improvement of the cardiovascular control after successful drainage procedure.

  12. Heart rate, heart rate variability, and arrhythmias in dogs with myxomatous mitral valve disease

    DEFF Research Database (Denmark)

    Rasmussen, Caroline Elisabeth; Falk, Bo Torkel; Zois, Nora Elisabeth; Moesgaard, Sophia Gry; Häggström, J.; Pedersen, H. D.; Åblad, B.; Nilsen, H. Y.; Olsen, Lisbeth Høier

    2012-01-01

    Autonomic modulation of heart rhythm is thought to influence the pathophysiology of myxomatous mitral valve disease (MMVD).......Autonomic modulation of heart rhythm is thought to influence the pathophysiology of myxomatous mitral valve disease (MMVD)....

  13. Statistical analysis of heart rate and heart rate variability monitoring through the use of smart phone cameras.

    Science.gov (United States)

    Bolkhovsky, Jeffrey B; Scully, Christopher G; Chon, Ki H

    2012-01-01

    Video recordings of finger tips made using a smartphone camera contain a pulsatile component caused by the cardiac pulse equivalent to that present in a photoplethysmographic signal. By performing peak detection on the pulsatile signal it is possible to extract a continuous heart rate signal. We performed direct comparisons between 5-lead electrocardiogram based heart rate variability measurements and those obtained from an iPhone 4s and Motorola Droid derived pulsatile signal to determine the accuracy of heart rate variability measurements obtained from the smart phones. Monitoring was performed in the supine and tilt positions for independent iPhone 4s (2 min recordings, n=9) and Droid (5 min recordings, n=13) experiments, and the following heart rate and heart rate variability parameters were estimated: heart rate, low frequency power, high frequency power, ratio of low to high frequency power, standard deviation of the RR intervals, and root mean square of successive RR-differences. Results demonstrate that accurate heart rate variability parameters can be obtained from smart phone based measurements. PMID:23366214

  14. Algorithms for Computerized Fetal Heart Rate Diagnosis with Direct Reporting

    Directory of Open Access Journals (Sweden)

    Kazuo Maeda

    2015-06-01

    Full Text Available Aims: Since pattern classification of fetal heart rate (FHR was subjective and enlarged interobserver difference, objective FHR analysis was achieved with computerized FHR diagnosis. Methods: The computer algorithm was composed of an experts’ knowledge system, including FHR analysis and FHR score calculation, and also of an objective artificial neural network system with software. In addition, a FHR frequency spectrum was studied to detect ominous sinusoidal FHR and the loss of baseline variability related to fetal brain damage. The algorithms were installed in a central-computerized automatic FHR monitoring system, which gave the diagnosis rapidly and directly to the attending doctor. Results: Clinically perinatal mortality decreased significantly and no cerebral palsy developed after introduction of the centralized system. Conclusion: The automatic multichannel FHR monitoring system improved the monitoring, increased the objectivity of FHR diagnosis and promoted clinical results.

  15. Decreased heart rate variability in surgeons during night shifts

    DEFF Research Database (Denmark)

    Amirian, Ilda; Toftegrd Andersen, Lrke; Rosenberg, Jacob; Ggenur, Ismail

    2014-01-01

    BACKGROUND: Heart rate variability (HRV) has been used as a measure of stress and mental strain in surgeons. Low HRV has been associated with death and increased risk of cardiac events in the general population. The aim of this study was to clarify the effect of a 17-hour night shift on surgeons......-177 ms2, p < 0.001). The low-frequency:high-frequency (LF:HF) ratio was lower precall (median 2.7, IQR 1.9-3.9) than on call (median 4.9, IQR 3.7-6.5, p < 0.001). We found no correlation between the LF:HF ratio and performance in laparoscopic simulation. CONCLUSION: Surgeons working night shifts had a...

  16. Behaviour, heart rate, and heart rate variability in pigs exposed to novelty

    Directory of Open Access Journals (Sweden)

    Manja Zupan

    2016-03-01

    Full Text Available ABSTRACT In the present study, we investigated behavioural responses and determined parameters of heart rate variability (HRV to elucidate a relative activation of autonomic nervous system (ANS during baseline (10 min and in response to potentially stressful situations (10 min in two pig breeds and sexes. Gilts (n = 21 and barrows (n = 9 of the Landrace × Yorkshire (LY; n = 15 and Landrace/Yorkshire × Landrace/Duroc (LYLD; n = 15 breeds were subjected to a novel object test (NOT and a novel arena test (NAT. Basal ANS state differed in pigs across breeds but not sexes. Landrace × Yorkshire pigs had a significantly lower basal heart rate (HR and low-frequency band (LF with a higher root mean square of successive interbeat intervals (RMSSD and high-frequency band (HF than LYLD pigs. In the NOT, despite having similar cardiac responses, gilts had a longer duration of contact with a novel object, higher lying and standing duration, and a lower duration of walking compared with barrows. In the NAT, we found similar behaviour across sexes but a different degree of ANS state, with barrows having a significantly higher increase in LF/HF (power of the low frequency component divided by the power of the high-frequency band compared with gilts. Landrace/Yorkshire × Landrace/Duroc pigs showed longer duration of contact with a novel object in the NOT accompanied by less lying and standing than LY pigs in both tests. No difference in ANS activation between breeds was found in the NOT. In the NAT, HR increased more from baseline to testing in LY pigs than in LYLD pigs. There is a complex and often contradictory nature of relationships between behaviour and cardiac responses to novelty in pigs of different breeds and sexes.

  17. Heart rate measurement as a tool to quantify sedentary behavior.

    Science.gov (United States)

    Åkerberg, Anna; Koshmak, Gregory; Johansson, Anders; Lindén, Maria

    2015-01-01

    Sedentary work is very common today. The aim of this pilot study was to attempt to differentiate between typical work situations and to investigate the possibility to break sedentary behavior, based on physiological measurement among office workers. Ten test persons used one heart rate based activity monitor (Linkura), one pulse oximeter device (Wrist) and one movement based activity wristband (Fitbit Flex), in different working situations. The results showed that both heart rate devices, Linkura and Wrist, were able to detect differences in heart rate between the different working situations (resting, sitting, standing, slow walk and medium fast walk). The movement based device, Fitbit Flex, was only able to separate differences in steps between slow walk and medium fast walk. It can be concluded that heart rate measurement is a promising tool for quantifying and separating different working situations, such as sitting, standing and walking. PMID:25980855

  18. The fall in the rate of death from heart diseases

    International Nuclear Information System (INIS)

    A self limiting interaction between heart disease producing factors and genetic factors is postulated. Such an interaction could be responsable for the fall in rate of death from ischemic disease observed in the United States. (Author)

  19. Monofractality in RR Heart Rate by Multifractal Tools

    International Nuclear Information System (INIS)

    Multifractal formalism is tested if it can work as a robust estimator of monofractals when scaling intervals are fixed. Intervals for scaling are selected to be consistent with known frequency bands of power spectral analysis used in estimates of heart rate variability: low frequency (LF), very low frequency (VLF), and ultra low frequency (ULF). Tests on fractional Brownian motions and a binomial cascade are performed to validate popular multifractal methods: Wavelet Transform Modulus Maxima and Multifractal Detrended Fluctuation Analysis. Then the methods are applied to identify monofractal elements of control processes driving the heart rate. A transition is found in the dynamic organization of autonomic nervous system control of the heart rate related to the change in scaling intervals. The control over the diurnal heart rate is of a multifractal type when considered in LF and of a monofractal type when observed in ULF. Additionally, this transition affects on a switch in a relation between widths of diurnal and nocturnal multifractal spectra. (author)

  20. Recurrence Plots of Heart Rate Signals during Meditation

    Directory of Open Access Journals (Sweden)

    Ateke Goshvarpour

    2012-03-01

    Full Text Available The current study analyses the dynamics of the heart rate signals during specific psychological states in order to obtain a detailed understanding of the heart rate patterns during meditation. In the proposed approach, heart rate time series available in Physionet database are used. The dynamics of the signals are then analyzed before and during meditation by examining the attractors in the phase space and recurrence quantification analysis. In general, the results reveal that the heart rate signals transit from a chaotic, highly-complex behavior before meditation to a low dimensional chaotic (and quasi-periodic motion during meditation. This can be due to decreased nonlinear interaction of variables in meditation states and may be related to increased parasympathetic activity and increase of relaxation state. The results suggest that nonlinear chaotic indices may serve as a quantitative measure for psychophysiological states.

  1. Heart rate, ischaemic heart disease, and sudden cardiac death in middle-aged British men.

    OpenAIRE

    Shaper, A.G.; Wannamethee, G.; Macfarlane, P W; Walker, M.

    1993-01-01

    OBJECTIVE--To examine the relation between resting heart rate and new major ischaemic heart disease events in middle aged men with and without pre-existing ischaemic heart disease. DESIGN--Prospective study of a cohort of men with eight years follow up for cardiovascular morbidity and mortality for all men. SETTING--General practices in 24 British towns (the British Regional Heart study). SUBJECTS--7735 men aged 40-59 years drawn at random from the age-sex registers of one general practice in...

  2. Optimization of pharmacotherapy in chronic heart failure: is heart rate adequately addressed?

    Science.gov (United States)

    Franke, Jennifer; Wolter, Jan Sebastian; Meme, Lillian; Keppler, Jeannette; Tschierschke, Ramon; Katus, Hugo A; Zugck, Christian

    2013-01-01

    The aim of the study is to evaluate the use of beta-blockers in chronic heart failure (CHF) and the extent of heart rate reduction achieved in clinical practice and to determine differences in outcome of patients who fulfilled select inclusion criteria of the SHIFT study according to resting heart rate modulated by beta-blocker therapy. We evaluated an all-comer population of our dedicated CHF outpatient clinic between 2006 and 2010. For inclusion, individually optimized doses of guideline-recommended pharmacotherapy including beta-blockers had to be maintained for at least 3 months and routine follow-up performed at our outpatient CHF-clinic thereafter. Treatment dosages of beta-blockers, and demographic and clinical profiles including resting heart rate were assessed. The outcome of patients who fulfilled select inclusion criteria of the SHIFT study (left-ventricular ejection fraction (LVEF) ≤35 %, sinus rhythm, NYHA II-IV) and were followed-up for at least 1 year was stratified according to resting heart rates: ≥75 versus beta-blockers, and demographic and clinical profiles including resting heart rate. Of the overall studied population, 443 patients fulfilled all inclusion criteria and entered outcome analysis. Median observation time of survivors was 27.5 months with 1,039.7 observation-years in total. Up-titration to at least half the evidence-based target dose of beta-blockers was achieved in 69 % and full up-titration in 29 % of these patients. Patients with increased heart rates were younger, more often male, exhibited a higher NYHA functional class and lower LVEF. The primary endpoint occurred in 21 % of patients in the ≥70 bpm group versus 9 % of patients in the group with heart rates CHF patients have inadequate heart rate control (heart rates ≥75 bpm) despite concomitant beta-blocker therapy. In this non-randomized cohort, adequate heart rate control under individually optimized beta-blocker therapy was associated with improved mid- and long-term clinical outcome up to 5 years. As further up titration of beta-blockers is not achievable in many patients, the administration of a selective heart rate lowering agent, such as ivabradine adjuvant to beta-blockers may pose an opportunity to further modulate outcome. PMID:22760479

  3. Characterization of heart rate electrodes using electrochemical impedance spectroscopy

    OpenAIRE

    Deignan, Jennifer; McBrearty, Michael; Monedero, Javier; Coyle, Shirley; O'Gorman, Donal; Diamond , Dermot

    2014-01-01

    Wearable monitoring systems have flooded the health and sports industry in recent years. Heart rate monitors have taken many forms, relying on a wide variety of different measurement techniques to measure the heart rate signal.1-3 Despite these recent advancements, commercially available systems still require improvements in many aspects, including battery life, wearability and signal acquisition to become reliable monitoring systems, that meet current inpatient monitoring.4 Standard Ag/AgCl...

  4. Heart rate and activity profile for young female soccer players

    OpenAIRE

    Barbero Álvarez, José Carlos; Gómez López, Maite; Barbero Álvarez, Verónica; Granda Vera, Juan; Castagna, Carlo

    2008-01-01

    The physical and physiological demands of high-level male soccer have been studied extensively, while few studies have investigated the demands placed on females during match-play, however, there is no information available about the heart rate and activity profile of young female soccer players during match play. Therefore, the aim of this study was to examine cardiovascular (heart-rates HR) and physical demands of young female soccer players during a match. Players were observed during a fr...

  5. Scaling behaviour and memory in heart rate of healthy human

    OpenAIRE

    Cai, Shi-Min; Peng, Hu; Yang, Hui-Jie; Zhou, Tao; Zhou, Pei-Ling; Wang, Bing-Hong

    2007-01-01

    We investigate a set of complex heart rate time series from healthy human in different behaviour states with the detrended fluctuation analysis and diffusion entropy (DE) method. It is proposed that the scaling properties are influenced by behaviour states. The memory detected by DE exhibits an approximately same pattern after a detrending procedure. Both of them demonstrate the long-range strong correlations in heart rate. These findings may be helpful to understand the underlying dynamical ...

  6. Rate Control Management of Atrial Fibrillation: May a Mathematical Model Suggest an Ideal Heart Rate?

    OpenAIRE

    Anselmino, Matteo; Scarsoglio, Stefania; Camporeale, Carlo; Saglietto, Andrea; Gaita, Fiorenzo; Ridolfi, Luca

    2015-01-01

    Background. Despite the routine prescription of rate control therapy for atrial fibrillation (AF), clinical evidence demonstrating a heart rate target is lacking. Aim of the present study was to run a mathematical model simulating AF episodes with a different heart rate (HR) to predict hemodynamic parameters for each situation. Methods. The lumped model, representing the pumping heart together with systemic and pulmonary circuits, was run to simulate AF with HR of 50, 70, 90, 110 and 130 bpm,...

  7. Age related reference ranges for respiration rate and heart rate from 4 to 16 years

    OpenAIRE

    Wallis, L; Healy, M.; Undy, M; Maconochie, I

    2005-01-01

    Background: Clinical vital signs in children (temperature, heart rate, respiration rate, and blood pressure) are an integral part of clinical assessment of degree of illness or normality. Despite this, only blood pressure and temperature have a reliable evidence base. The accepted ranges of heart and respiration rate vary widely.

  8. DETECTING CONGESTIVE HEART FAILURE USING HEART RATE SEQUENTIAL TREND ANALYSIS PLOT

    Directory of Open Access Journals (Sweden)

    SRINIVAS KUNTAMALLA,

    2010-12-01

    Full Text Available Heart rate variability analysis is gaining acceptance as a potential non-invasive means of autonomic nervous system assessment in research as well as clinical domains. In this study, a nonlinear analysis method is developed to detect congestive heart failure. The data obtained from an online and widely used public database (i.e., MIT/BIH physionet database, is used for testing the performance of the method. The method developed is based on the sequential trend analysis plot of heart rate variability and correlates well with the characteristic autonomic nervous system regulations in congestive heart failure. The proposed method can be used for screening as well as diagnosing the heart failure patients. The algorithm is computationally simple and can be implemented in a real time processing hardware. This method classifies 31 out of 32 subjects and has the highest discrimination power in terms of sensitivity, specificity and accuracy.

  9. Effect of energy drink dose on exercise capacity, heart rate recovery and heart rate variability after high-intensity exercise

    OpenAIRE

    An, Sang Min; Park, Jong Suk; Kim, Sang Ho

    2014-01-01

    [Purpose] The purpose of this research was to investigate the effects of exercise capacity, heart rate recovery and heart rate variability after high-intensity exercise on caffeine concentration of energy drink. [Methods] The volunteers for this study were 15 male university student. 15 subjects were taken basic physical examinations such as height, weight and BMI before the experiment. Primary tests were examined of VO2max per weight of each subjects by graded exercise test using Bruce proto...

  10. Assessing positive emotional states in dogs using heart rate and heart rate variability.

    Science.gov (United States)

    Zupan, Manja; Buskas, Julia; Altimiras, Jordi; Keeling, Linda J

    2016-03-01

    Since most animal species have been recognized as sentient beings, emotional state may be a good indicator of welfare in animals. The goal of this study was to manipulate the environment of nine beagle research dogs to highlight physiological responses indicative of different emotional experiences. Stimuli were selected to be a more or a less positive food (meatball or food pellet) or social reward (familiar person or less familiar person). That all the stimuli were positive and of different reward value was confirmed in a runway motivation test. Dogs were tested individually while standing facing a display theatre where the different stimuli could be shown by lifting a shutter. The dogs approached and remained voluntarily in the test system. They were tested in four sessions (of 20s each) for each of the four stimuli. A test session consisted of four presentation phases (1st exposure to stimulus, post exposure, 2nd exposure, and access to reward). Heart rate (HR) and heart rate variability (HRV) responses were recorded during testing in the experimental room and also when lying resting in a quiet familiar room. A new method of 'stitching' short periods of HRV data together was used in the analysis. When testing different stimuli, no significant differences were observed in HR and LF:HF ratio (relative power in low frequency (LF) and the high-frequency (HF) range), implying that the sympathetic tone was activated similarly for all the stimuli and may suggest that dogs were in a state of positive arousal. A decrease of HF was associated with the meatball stimulus compared to the food pellet and the reward phase (interacting with the person or eating the food) was associated with a decrease in HF and RMSSD (root mean square of successive differences of inter-beat intervals) compared to the preceding phase (looking at the person or food). This suggests that parasympathetic deactivation is associated with a more positive emotional state in the dog. A similar reduction in HF and RMSSD was found in the test situation compared to the resting situation. This is congruent with the expected autonomic effects related to postural shift i.e. sympathetic activation and parasympathetic withdrawal, during standing versus lying, but it cannot explain the parasympathetic deactivation in response to the more positive stimuli since the dogs were always standing in the test situation. We discuss the systematic pattern of responses, which support that increased HR and LF:HF ratio are associated with emotional arousal, but add the new proposal that a combined decrease in RMSSD and HF may reflect a more positively valenced emotional state even when an individual is already in a positive psychological state. PMID:26631546

  11. Cuff inflation during ambulatory blood pressure monitoring and heart rate

    Directory of Open Access Journals (Sweden)

    Mia Skov-Madsen

    2008-11-01

    Full Text Available Mia Skov-Madsen, My Svensson, Jeppe Hagstrup ChristensenDepartment of Nephrology, Aarhus University Hospital, Aalborg, DenmarkIntroduction: Twenty four-hour ambulatory blood pressure monitoring is a clinically validated procedure in evaluation of blood pressure (BP. We hypothesised that the discomfort during cuff inflation would increase the heart rate (HR measured with 24-h ambulatory BP monitoring compared to a following HR measurement with a 24-h Holter monitor.Methods: The study population (n = 56 were recruited from the outpatients clinic at the Department of Nephrology, Aalborg Hospital, Aarhus University Hospital at Aalborg, Denmark. All the patients had chronic kidney disease (CKD. We compared HR measured with a 24-h Holter monitor with a following HR measured by a 24-h ambulatory BP monitoring.Results: We found a highly significant correlation between the HR measured with the Holter monitor and HR measured with 24-h ambulatory blood pressure monitoring (r = 0.77, p <0.001. Using the Bland-Altman plot, the mean difference in HR was only 0.5 beat/min during 24 hours with acceptable limits of agreement for both high and low HR levels. Dividing the patients into groups according to betablocker treatment, body mass index, age, sex, angiotensin-converting enzyme inhibitor treatment, statins treatment, diuretic treatment, or calcium channel blocker treatment revealed similar results as described above.Conclusion: The results indicate that the discomfort induced by cuff inflation during 24-h ambulatory BP monitoring does not increase HR. Thus, 24-h ambulatory BP monitoring may be a reliable measurement of the BP among people with CKD.Keywords: ambulatory blood pressure monitoring, Holter monitoring, heart rate, chronic kidney disease, hypertension

  12. Effect of slow breathing training on heart rate, spontaneous respiratory rate and pattern of breathing

    OpenAIRE

    Ritu Adhana; Moneet Agarwal; Rani Gupta; Jyoti Dvivedi

    2016-01-01

    Background: The study was performed to see the effect of slow breathing (6 breaths/minute) training on spontaneous respiratory rate, heart rate and pattern of breathing. Methods: Sixty subjects between the ages 20-50 years were included in the study. After the rest of 10-15 minutes in a comfortable sitting posture their baseline heart rate (HR), respiratory rate (RR) and pattern of breathing were recorded on digital polygraph. Then they were guided to do slow breathing maintaining rate of...

  13. Effect of physical exercise on autonomic regulation of heart rate

    OpenAIRE

    Hautala, A. (Arto)

    2004-01-01

    Abstract Regular aerobic training has been suggested to protect the heart by increasing cardiac vagal activity. The aims of this study were to evaluate the autonomic regulation of heart rate (HR) during and after exercise, during aerobic training interventions and to study the association between autonomic regulation and the training response in healthy male subjects. HR variability assessment was used to study the effects of exercise on autonomic regulation of HR. The whole study pop...

  14. Quantification of fetal heart rate regularity using symbolic dynamics

    Science.gov (United States)

    van Leeuwen, P.; Cysarz, D.; Lange, S.; Geue, D.; Groenemeyer, D.

    2007-03-01

    Fetal heart rate complexity was examined on the basis of RR interval time series obtained in the second and third trimester of pregnancy. In each fetal RR interval time series, short term beat-to-beat heart rate changes were coded in 8bit binary sequences. Redundancies of the 28 different binary patterns were reduced by two different procedures. The complexity of these sequences was quantified using the approximate entropy (ApEn), resulting in discrete ApEn values which were used for classifying the sequences into 17 pattern sets. Also, the sequences were grouped into 20 pattern classes with respect to identity after rotation or inversion of the binary value. There was a specific, nonuniform distribution of the sequences in the pattern sets and this differed from the distribution found in surrogate data. In the course of gestation, the number of sequences increased in seven pattern sets, decreased in four and remained unchanged in six. Sequences that occurred less often over time, both regular and irregular, were characterized by patterns reflecting frequent beat-to-beat reversals in heart rate. They were also predominant in the surrogate data, suggesting that these patterns are associated with stochastic heart beat trains. Sequences that occurred more frequently over time were relatively rare in the surrogate data. Some of these sequences had a high degree of regularity and corresponded to prolonged heart rate accelerations or decelerations which may be associated with directed fetal activity or movement or baroreflex activity. Application of the pattern classes revealed that those sequences with a high degree of irregularity correspond to heart rate patterns resulting from complex physiological activity such as fetal breathing movements. The results suggest that the development of the autonomic nervous system and the emergence of fetal behavioral states lead to increases in not only irregular but also regular heart rate patterns. Using symbolic dynamics to examine the cardiovascular system may thus lead to new insight with respect to fetal development.

  15. Heart Rate Detection During Sleep Using a Flexible RF Resonator and Injection-Locked PLL Sensor.

    Science.gov (United States)

    Kim, Sung Woo; Choi, Soo Beom; An, Yong-Jun; Kim, Byung-Hyun; Kim, Deok Won; Yook, Jong-Gwan

    2015-11-01

    Novel nonintrusive technologies for wrist pulse detection have been developed and proposed as systems for sleep monitoring using three types of radio frequency (RF) sensors. The three types of RF sensors for heart rate measurement on wrist are a flexible RF single resonator, array resonators, and an injection-locked PLL resonator sensor. To verify the performance of the new RF systems, we compared heart rates between presleep time and postsleep onset time. Heart rates of ten subjects were measured using the RF systems during sleep. All three RF devices detected heart rates at 0.2 to 1 mm distance from the skin of the wrist over clothes made of cotton fabric. The wrist pulse signals of a flexible RF single resonator were consistent with the signals obtained by a portable piezoelectric transducer as a reference. Then, we confirmed that the heart rate after sleep onset time significantly decreased compared to before sleep. In conclusion, the RF system can be utilized as a noncontact nonintrusive method for measuring heart rates during sleep. PMID:26057527

  16. The effect of competition on heart rate during kart driving: A field study

    Directory of Open Access Journals (Sweden)

    Yamakoshi Takehiro

    2011-09-01

    Full Text Available Abstract Background Both the act of competing, which can create a kind of mental stress, and participation in motor sports, which induces physical stress from intense g-forces, are known to increase heart rate dramatically. However, little is known about the specific effect of competition on heart rate during motor sports, particularly during four-wheel car driving. The goal of this preliminary study, therefore, was to investigate whether competition increases heart rate under such situations. Findings The participants drove an entry-level formula kart during two competitive races and during solo driving against the clock while heart rate and g-forces were measured. Analyses showed that heart rate values during the races (168.8 beats/min were significantly higher than those during solo driving (140.9 beats/min and rest (75.1 beats/min. Conclusions The results of this preliminary study indicate that competition heightens heart rate during four-wheel car driving. Kart drivers should be concerned about maintaining good health and developing physical strength.

  17. Heart Rate Variability and the Efficacy of Biofeedback in Heroin Users with Depressive Symptoms

    Science.gov (United States)

    Lin, I-Mei; Ko, Jiun-Min; Fan, Sheng-Yu; Yen, Cheng-Fang

    2016-01-01

    Objective Low heart rate variability (HRV) has been confirmed in heroin users, but the effects of heart-rate-variability–biofeedback in heroin users remain unknown. This study examined (1) correlations between depression and HRV indices; (2) group differences in HRV indices among a heroin-user group, a group with major depressive disorder but no heroin use, and healthy controls; and (3) the effects of heart-rate-variability–biofeedback on depressive symptoms, HRV indices, and respiratory rates within the heroin group. Methods All participants completed a depression questionnaire and underwent electrocardiogram measurements, and group differences in baseline HRV indices were examined. The heroin group underwent electrocardiogram and respiration rate measurements at baseline, during a depressive condition, and during a happiness condition, before and after which they took part in the heart-rate-variability–biofeedback program. The effects of heart-rate-variability–biofeedback on depressive symptoms, HRV indices, and respiration rates were examined. Results There was a negative correlation between depression and high frequency of HRV, and a positive correlation between depression and low frequency to high frequency ratio of HRV. The heroin group had a lower overall and high frequency of HRV, and a higher low frequency/high frequency ratio than healthy controls. The heart-rate-variability–biofeedback intervention increased HRV indices and decreased respiratory rates from pre-intervention to post-intervention. Conclusion Reduced parasympathetic and increased sympathetic activations were found in heroin users. Heart-rate-variability–biofeedback was an effective non-pharmacological intervention to restore autonomic balance. PMID:27121428

  18. Heart rate variability and heat sensation during CT coronary angiography: Low-osmolar versus iso-osmolar contrast media

    International Nuclear Information System (INIS)

    Background: During computed tomography coronary angiography (CTCA) unexpected changes in heart rate while scanning may affect image quality. Purpose: To evaluate whether an iso-osmolar contrast medium (IOCM, iodixanol) and a low-osmolar contrast medium (LOCM, iomeprol) affect heart rate and experienced heat sensation differently. Material and Methods: One hundred patients scheduled for CTCA were randomized to receive either iodixanol 320 mgI/ml or iomeprol 400 mgI/ml. Depending on their heart rate, the patients were assigned to one of five scanning protocols, each optimized for different heart rate ranges. During scanning the time between each heart beat (hb) was recorded, and the corresponding heart rate was calculated. For each contrast medium (CM) the average heart rate, the variation in heart rate from individual mean heart rate, and the mean deviation from the predefined scanning protocol were calculated. Experience of heat was obtained immediately after scanning by using a visual analog scale (VAS). Examination quality was rated by two radiologists on a three-point scale. Results: The mean variation in heart rate after IOCM was 1.4 hb/min and after LOCM it was 4.4 hb/min (NS). The mean deviations in heart rate from that in the predefined scanning protocol were 2.0 hb/min and 4.7 hb/min, respectively (NS). A greater number of arrhythmic hb were observed after LOCM compared with IOCM (P<0.001). There was no statistically significant difference in image quality. The LOCM group reported a stronger heat sensation after CM injection than the IOCM group (VAS =36 mm and 18 mm, P<0.05). Conclusion: At clinically used concentrations the IOCM, iodixanol 320 mgI/ml, does not increase the heart rate during CTCA and causes less heart arrhythmia and less heat sensation than the LOCM, iomeprol 400 mgI/ml

  19. The Use of Heart Rate Monitors in Physical Education

    Science.gov (United States)

    Nichols, Randall; Davis, Kathryn L.; McCord, Tim; Schmidt, Dave; Slezak, Alex M.

    2009-01-01

    The ever-rising rate of obesity and the need for increased physical activity for young children is well documented. Data suggests that today's youth are not participating in enough quality health-enhancing physical activity either in or outside of school. Heart rate monitors have been used by adult exercisers for many years to monitor and assess…

  20. A healthy heart is not a metronome: an integrative review of the heart's anatomy and heart rate variability

    OpenAIRE

    Shaffer, Fred; Mccraty, Rollin; Zerr, Christopher L.

    2014-01-01

    Heart rate variability (HRV), the change in the time intervals between adjacent heartbeats, is an emergent property of interdependent regulatory systems that operate on different time scales to adapt to challenges and achieve optimal performance. This article briefly reviews neural regulation of the heart, and its basic anatomy, the cardiac cycle, and the sinoatrial and atrioventricular pacemakers. The cardiovascular regulation center in the medulla integrates sensory information and input fr...

  1. Entropies, Partitionings and Heart Rate Variability

    Czech Academy of Sciences Publication Activity Database

    Paluš, Milan; Zebrowski, J.

    2009-01-01

    Roč. 51, č. 2 (2009), s. 65-72. ISSN 0001-7604 Institutional research plan: CEZ:AV0Z10300504 Keywords : coarse-grained entropy rate * HR variability * entropy Subject RIV: BB - Applied Statistics, Operational Research http://www.activitas.org/index.php/nervosa/article/view/25

  2. Improvement of energy expenditure prediction from heart rate during running

    International Nuclear Information System (INIS)

    We aimed to develop new equations that predict exercise-induced energy expenditure (EE) more accurately than previous ones during running by including new parameters as fitness level, body composition and/or running intensity in addition to heart rate (HR). Original equations predicting EE were created from data obtained during three running intensities (25%, 50% and 70% of HR reserve) performed by 50 subjects. Five equations were conserved according to their accuracy assessed from error rates, interchangeability and correlations analyses: one containing only basic parameters, two containing VO2max or speed at VO2max and two including running speed with or without HR. Equations accuracy was further tested in an independent sample during a 40 min validation test at 50% of HR reserve. It appeared that: (1) the new basic equation was more accurate than pre-existing equations (R2 0.809 versus. 0,737 respectively); (2) the prediction of EE was more accurate with the addition of VO2max (R2 = 0.879); and (3) the equations containing running speed were the most accurate and were considered to have good agreement with indirect calorimetry. In conclusion, EE estimation during running might be significantly improved by including running speed in the predictive models, a parameter readily available with treadmill or GPS. (paper)

  3. Heart rate variability and target organ damage in hypertensive patients

    Directory of Open Access Journals (Sweden)

    Melillo Paolo

    2012-11-01

    Full Text Available Abstract Background We evaluated the association between linear standard Heart Rate Variability (HRV measures and vascular, renal and cardiac target organ damage (TOD. Methods A retrospective analysis was performed including 200 patients registered in the Regione Campania network (aged 62.4 ± 12, male 64%. HRV analysis was performed by 24-h holter ECG. Renal damage was assessed by estimated glomerular filtration rate (eGFR, vascular damage by carotid intima-media thickness (IMT, and cardiac damage by left ventricular mass index. Results Significantly lower values of the ratio of low to high frequency power (LF/HF were found in the patients with moderate or severe eGFR (p-value  Conclusions Depressed HRV appeared to be associated with vascular and renal TOD, suggesting the involvement of autonomic imbalance in the TOD. However, as the mechanisms by which abnormal autonomic balance may lead to TOD, and, particularly, to renal organ damage are not clearly known, further prospective studies with longitudinal design are needed to determine the association between HRV and the development of TOD.

  4. Ivabradine reduces heart rate while preserving metabolic fluxes and energy status of healthy normoxic working hearts

    OpenAIRE

    Lauzier, Benjamin; Vaillant, Fanny; Gélinas, Roselle; Bouchard, Bertrand; Brownsey, Roger; Thorin, Eric; Tardif, Jean-Claude; Rosiers, Christine Des

    2011-01-01

    Heart rate reduction (HRR) is an important target in the management of patients with chronic stable angina. Most available drugs for HRR, such as β-blockers, have adverse effects, including on cardiac energy substrate metabolism, a well-recognized determinant of cardiac homeostasis. This study aimed at 1) testing whether HRR by ivabradine (IVA) alters substrate metabolism in the healthy normoxic working heart and 2) comparing the effect of IVA with that of the β-blocker metoprolol (METO). Thi...

  5. A New Method to Derive Fetal Heart Rate from Maternal Abdominal Electrocardiogram: Monitoring Fetal Heart Rate during Cesarean Section

    OpenAIRE

    Yeh, Huei-Ming; Chang, Yi-Chung; Lin, Chen; Yeh, Chien-Hung; Lee, Chien-Nan; Shyu, Ming-kwang; Hung, Ming-Hui; Hsiao, Po-Ni; Wang, Yung-Hung; Tseng, Yu-Hsin; Tsao, Jenho; Lai, Ling-Ping; Lin, Lian-Yu; Lo, Men-Tzung

    2015-01-01

    Background Monitoring of fetal heart rate (FHR) is important during labor since it is a sensitive marker to obtain significant information about fetal condition. To take immediate response during cesarean section (CS), we noninvasively derive FHR from maternal abdominal ECG. Methods We recruited 17 pregnant women delivered by elective cesarean section, with abdominal ECG obtained before and during the entire CS. First, a QRS-template is created by averaging all the maternal ECG heart beats. T...

  6. Kramers-Moyal Expansion of Heart Rate Variability

    International Nuclear Information System (INIS)

    The first six Kramers-Moyal coefficients were extracted from human heart rate variability recordings. The method requires the determination of the Markov time and of the proper conditional probability densities. We analyzed heart rate data recorded in a group of ten young, healthy subjects. We obtained non-negligible higher order Kramers-Moyal (K-M) terms in 6 h nighttime parts of the 24 h recordings. This indicates that the data is a non-Gaussian process and probably a correlated signal. The analysis yielded important new insights into the character and distribution of the stochastic processes measured in healthy group. In the night hours, the dominant oscillation in the heart rate is the so called respiratory sinus arrhythmia (RSA)-a physiological phenomenon in which respiration acts as a drive for the heart rate. Certain kinds of pathology may disrupt RSA. We compared nighttime recordings of the healthy group with those recorded in six patients with hypertrophic cardiomyopathy (HCM). HCM is generally a pathology of heart cells but abnormalities in autonomic regulation are also observed. Using the higher order Kramers-Moyal coefficients, we analyzed the skewness and kurtosis in the nighttime recordings for the normal subjects. (author)

  7. The effect of orthostatic stress on multiscale entropy of heart rate and blood pressure

    International Nuclear Information System (INIS)

    Cardiovascular control acts over multiple time scales, which introduces a significant amount of complexity to heart rate and blood pressure time series. Multiscale entropy (MSE) analysis has been developed to quantify the complexity of a time series over multiple time scales. In previous studies, MSE analyses identified impaired cardiovascular control and increased cardiovascular risk in various pathological conditions. Despite the increasing acceptance of the MSE technique in clinical research, information underpinning the involvement of the autonomic nervous system in the MSE of heart rate and blood pressure is lacking. The objective of this study is to investigate the effect of orthostatic challenge on the MSE of heart rate and blood pressure variability (HRV, BPV) and the correlation between MSE (complexity measures) and traditional linear (time and frequency domain) measures. MSE analysis of HRV and BPV was performed in 28 healthy young subjects on 1000 consecutive heart beats in the supine and standing positions. Sample entropy values were assessed on scales of 1–10. We found that MSE of heart rate and blood pressure signals is sensitive to changes in autonomic balance caused by postural change from the supine to the standing position. The effect of orthostatic challenge on heart rate and blood pressure complexity depended on the time scale under investigation. Entropy values did not correlate with the mean values of heart rate and blood pressure and showed only weak correlations with linear HRV and BPV measures. In conclusion, the MSE analysis of heart rate and blood pressure provides a sensitive tool to detect changes in autonomic balance as induced by postural change

  8. Exaggerated heart rate oscillations during two meditation techniques.

    Science.gov (United States)

    Peng, C K; Mietus, J E; Liu, Y; Khalsa, G; Douglas, P S; Benson, H; Goldberger, A L

    1999-07-31

    We report extremely prominent heart rate oscillations associated with slow breathing during specific traditional forms of Chinese Chi and Kundalini Yoga meditation techniques in healthy young adults. We applied both spectral analysis and a novel analytic technique based on the Hilbert transform to quantify these heart rate dynamics. The amplitude of these oscillations during meditation was significantly greater than in the pre-meditation control state and also in three non-meditation control groups: i) elite athletes during sleep, ii) healthy young adults during metronomic breathing, and iii) healthy young adults during spontaneous nocturnal breathing. This finding, along with the marked variability of the beat-to-beat heart rate dynamics during such profound meditative states, challenges the notion of meditation as only an autonomically quiescent state. PMID:10454297

  9. Universal structures of normal and pathological heart rate variability.

    Science.gov (United States)

    Gan-Calvo, Alfonso M; Fajardo-Lpez, Juan

    2016-01-01

    The circulatory system of living organisms is an autonomous mechanical system softly tuned with the respiratory system, and both developed by evolution as a response to the complex oxygen demand patterns associated with motion. Circulatory health is rooted in adaptability, which entails an inherent variability. Here, we show that a generalized N-dimensional normalized graph representing heart rate variability reveals two universal arrhythmic patterns as specific signatures of health one reflects cardiac adaptability, and the other the cardiac-respiratory rate tuning. In addition, we identify at least three universal arrhythmic profiles whose presences raise in proportional detriment of the two healthy ones in pathological conditions (myocardial infarction; heart failure; and recovery from sudden death). The presence of the identified universal arrhythmic structures together with the position of the centre of mass of the heart rate variability graph provide a unique quantitative assessment of the health-pathology gradient. PMID:26912108

  10. Control of skin blood flow, sweating, and heart rate - Role of skin vs. core temperature

    Science.gov (United States)

    Wyss, C. R.; Brengelmann, G. L.; Johnson, J. M.; Rowell, L. B.; Niederberger, M.

    1974-01-01

    A study was conducted to generate quantitative expressions for the influence of core temperature, skin temperature, and the rate of change of skin temperature on sweat rate, skin blood flow, and heart rate. A second goal of the study was to determine whether the use of esophageal temperature rather than the right atrial temperature as a measure of core temperature would lead to different conclusions about the control of measured effector variables.

  11. Heart Rate Variability for Quantification of Autonomic Dysfunction in Fibromyalgia

    Science.gov (United States)

    Kang, Jin Ho; Hong, Seok Hyun; Lee, Chang Hyun; Choi, Byoong Yong

    2016-01-01

    Objective To quantify autonomic dysfunction in fibromyalgia patients compared to healthy controls using heart rate variability (HRV). Methods Sixteen patients with fibromyalgia and 16 healthy controls were recruited in this case control study. HRV was measured using the time-domain method incorporating the following parameters: total heartbeats, the mean of intervals between consecutive heartbeats (R-R intervals), the standard deviation of normal to normal R-R intervals (SDNN), the square root of the mean squared differences of successive R-R intervals (RMSSD), ratio of SDNN to RMSSD (SDNN/RMSSD), and difference between the longest and shortest R-R interval under different three conditions including normal quiet breathing, rate controlled breathing, and Valsalva maneuver. The severity of autonomic symptoms in the group of patients with fibromyalgia was measured by Composite Autonomic Symptom Scale 31 (COMPASS 31). Then we analyzed the difference between the fibromyalgia and control groups and the correlation between the COMPASS 31 and aforementioned HRV parameters in the study groups. Results Patients with fibromyalgia had significantly higher SDNN/RMSSD values under both normal quiet breathing and rate controlled breathing compared to controls. Differences between the longest and shortest R-R interval under Valsalva maneuver were also significantly lower in patients with fibromyalgia than in controls. COMPASS 31 score was negatively correlated with SDNN/RMSSD values under rate controlled breathing. Conclusion SDNN/RMSSD is a valuable parameter for autonomic nervous system function and can be used to quantify subjective autonomic symptoms in patients with fibromyalgia. PMID:27152281

  12. Music structure determines heart rate variability of singers

    OpenAIRE

    Vickhoff, Björn; Malmgren, Helge; Åström, Rickard; Nyberg, Gunnar; Ekström, Seth-Reino; Engwall, Mathias; Snygg, Johan; Nilsson, Michael; Jörnsten, Rebecka

    2013-01-01

    Choir singing is known to promote wellbeing. One reason for this may be that singing demands a slower than normal respiration, which may in turn affect heart activity. Coupling of heart rate variability (HRV) to respiration is called Respiratory sinus arrhythmia (RSA). This coupling has a subjective as well as a biologically soothing effect, and it is beneficial for cardiovascular function. RSA is seen to be more marked during slow-paced breathing and at lower respiration rates (0.1 Hz and be...

  13. Thermoregulation mediated by conditioned heart-rate changes in pigeons

    OpenAIRE

    Delius, Juan; Sieland, Markus; Rautenberg, Werner; May, Bärbel

    1981-01-01

    Pigeons were subjected to an apparent heat (44 °C) or cold (30 °C) load by means of a thermode located next to their thermosensitive spinal cord. They were then able to obtain brief thermonormality (40 °C) spells if they changed their heart-rate by a preset amount above (or below) their baseline heartrate. In the final experiments the animals increased (or decreased) their heart-rate by about 25% within 12 training sessions, thereby achieving a partial thermoregulation: they were able to main...

  14. Acu-TENS lowers blood lactate levels and enhances heart rate recovery after exercise

    Directory of Open Access Journals (Sweden)

    Alice Y.M. Jones

    2014-07-01

    Conclusion: Acu-TENS lowered post-exercise blood lactate level and enhanced heart rate recovery after moderate exercise. The role of Acu-TENS in exercise performance and energy metabolism warrants further investigation. (ClinicalTrails.gov Identifier: NCT01102634

  15. Evaluation of the heart rate and arrhythmias following the Maze procedure for chronic atrial fibrillation

    Directory of Open Access Journals (Sweden)

    Bartira Cunha

    1999-05-01

    Full Text Available PURPOSE: To assess the presence and the prevalence of arrhythmias and the variability of the heart rate in the medium-term postoperative period following the maze procedure for chronic atrial fibrillation (AF. METHODS: Seventeen patients with a mean age of 51.712.9 years, who previously underwent the maze procedure without cryoablation for chronic atrial fibrillation, were evaluated with the 24 hour electrocardiogram (ECG - Holter monitoring from the 6th month after the operation. Valvular and coronary procedures were concomitantly performed. RESULTS: The mean heart rate during Holter monitoring was 828bpm; the maximal heart rate was 126 23bpm and the minimal heart rate 577bpm. Sinus rhythm was found in 10 (59% patients and atrial rhythm was found in 7 (41%. Supraventricular extrasystoles had a rate of 2.35.5% of the total number of heartbeats and occurred in 16 (94% patients. Six (35% patients showed nonsustained atrial tachycardia. Ventricular extrasystoles, with a rate of 0.80.5% of the total heartbeats, occurred in 14 (82% patients. The chronotropic competence was normal in 9 (53% patients and attenuated in 8 (47%. The atrioventricular conduction (AV was unchanged in 13 (76% patients and there were 4 (24% cases of first degree atrioventricular block (AVB. CONCLUSION: After the maze procedure, the values for the mean heart rate, AV conduction and chronotropic competence approach the normal range, although some cases show attenuation of the chronotropic response, first degree AV block or benign arrhythmias.

  16. Effects of Exercise Training on Heart Rate Variability in Chagas Heart Disease

    Directory of Open Access Journals (Sweden)

    Bruno Ramos Nascimento

    2014-09-01

    Full Text Available Background: Heart rate variability (HRV is a marker of autonomic dysfunction severity. The effects of physical training on HRV indexes in Chagas heart disease (CHD are not well established. Objective: To evaluate the changes in HRV indexes in response to physical training in CHD. Methods: Patients with CHD and left ventricular (LV dysfunction, physically inactive, were randomized either to the intervention (IG, N = 18 or control group (CG, N = 19. The IG participated in a 12-week exercise program consisting of 3 sessions/week. Results: Mean age was 49.5 ± 8 years, 59% males, mean LVEF was 36.3 ± 7.8%. Baseline HRV indexes were similar between groups. From baseline to follow-up, total power (TP: 1653 (IQ 625 - 3418 to 2794 (1617 - 4452 ms, p = 0.02 and very low frequency power: 586 (290 - 1565 to 815 (610 - 1425 ms, p = 0.047 increased in the IG, but not in the CG. The delta (post - pre HRV indexes were similar: SDNN 11.5 ± 30.0 vs. 3.7 ± 25.1 ms. p = 0.10; rMSSD 2 (6 - 17 vs. 1 (21 - 9 ms. p = 0.43; TP 943 (731 - 3130 vs. 1780 (921 - 2743 Hz. p = 0.46; low frequency power (LFP 1.0 (150 - 197 vs. 60 (111 - 146 Hz. p = 0.85; except for high frequency power, which tended to increase in the IG: 42 (133 - 92 vs. 79 (61 - 328 Hz. p = 0.08. Conclusion: In the studied population, the variation of HRV indexes was similar between the active and inactive groups. Clinical improvement with physical activity seems to be independent from autonomic dysfunction markers in CHD.

  17. Prediction of Heart Rates on a Ropes Course from Simple Physical Measures. Research Update.

    Science.gov (United States)

    Priest, Simon; Montelpare, William

    1995-01-01

    This study identified the highest heart rates attained on a ropes course for a corporate population; examined relationships between highest heart rate and other physical measures (basal heart rate, blood pressure, height, weight, body girths, cholesterol, maximum number of pushups, and heart rate after brisk walk); and developed an equation for

  18. Heart rate changes during partial seizures: A study amongst Singaporean patients

    Directory of Open Access Journals (Sweden)

    Lim Shih-Hui

    2001-09-01

    Full Text Available Abstract Introduction Studies in Europe and America showed that tachycardia, less often bradycardia, frequently accompanied partial seizures in Caucasian patients. We determine frequency, magnitude and type of ictal heart rate changes during partial seizures in non-Caucasian patients in Singapore. Methods Partial seizures recorded during routine EEGs performed in a tertiary hospital between 1995 and 1999 were retrospectively reviewed. All routine EEGs had simultaneous ECG recording. Heart rate before and during seizures was determined and correlated with epileptogenic focus. Differences in heart rate before and during seizures were grouped into 4 types: (1 >10% decrease; (2 -10 to +20% change; (3 20–50% increase; (3 >50% increase. Results Of the total of 37 partial seizures, 18 were left hemisphere (LH, 13 were right hemisphere (RH and 6 were bilateral (BL in onset. 51% of all seizures showed no significant change in heart rate (type 2, 22% had moderate sinus tachycardia (type 3, 11% showed severe sinus tachycardia (type 4, while 16% had sinus bradycardia (type 1. Asystole was recorded in one seizure. Apart from having more tachycardia in bilateral onset seizures, there was no correlation between side of ictal discharge and heart rate response. Compared to Caucasian patients, sinus tachycardia was considerably less frequent. Frequency of bradycardia was similar to those recorded in the literature. Conclusions Significant heart rate changes during partial seizures were seen in half of Singaporean patients. Although sinus tachycardia was the most common heart rate change, the frequency was considerably lower compared to Caucasian patients. This might be due to methodological and ethnic differences. Rates of bradycardia are similar to those recorded in the literature.

  19. Heart rate never lies: interventional cardiologist and Braude's quote revised

    Science.gov (United States)

    Cook, Stéphane; Stauffer, Jean-Christophe; Goy, Jean-Jacques; Graf, Denis; Puricel, Serban; Frobert, Aurélien; Muller, Olivier; Togni, Mario; Arroyo, Diego

    2016-01-01

    Background Interventional cardiologists may be immune to stress, allowing them to perform complex percutaneous interventions under pressure. Objectives To assess heart rate (HR) variations as a surrogate marker of stress of interventional cardiologists during percutaneous cardiac procedures and in every-day life. Design This is a single-centre observational study including a total of six male interventional cardiologists performing coronary interventions and pacemaker implantations. Participants were asked to record their HR with the Apple Watch Device during procedures, every-day life and control activities such as outpatient consultations, sport, marital conflicts and sexual intercourse. Results Average daily HR was 88±17 bpm. During work days, HR increased significantly during procedures (90±17 bpm) compared with days outside the cathlab (87±17 bpm, p=0.02). The average HR was higher during a regular week working (88±16 bpm) compared with weekends off (84±18 bpm, p=0.002). Complex cardiac procedures were associated with higher HR up to 122 bpm. Peak HR were higher during physical exertion. Of note, participants complained of hypersexuality and mania after night shifts. Conclusions Work and especially percutaneous cardiac procedures increase HR independently of physical exertion suggesting that interventional cardiologists experience mental stress and emotions. PMID:26835145

  20. Interchangeability between heart rate and photoplethysmography variabilities during sympathetic stimulations

    International Nuclear Information System (INIS)

    Photoplethysmography variability (PPGV) is currently considered to be a good surrogate to heart rate variability (HRV) measurements using the time between two pulse waves instead of RR intervals. Nevertheless, the interchangeability between HRV and PPGV has never been evaluated in situations with severe alterations in the autonomic nervous system (ANS). We aimed to identify the conditions for a correct utilization of PPGV in evaluating the consequences of sympathetic stimulations. Nine subjects performed three tests: active orthostatic test, slow walk and moderate and exhaustive cycling exercises in the supine position. Pulse waves at the fingertip and RR intervals were recorded at the same time. We used correlations and the Bland and Altman method to compare and evaluate interchangeability between several HRV indices. Bland and Altman analysis highlighted small discrepancies between PPGV and HRV for all HRV indices in the supine position and for LFms2, HFms2, LFpeak and RMSSD in the upright position. During the slow walk, it was impossible to detect properly PPG peaks. We observed large differences between the two methods during the cycling exercise. In conclusion, PPGV can be used instead of HRV without reserve in the supine position but only for some HRV indices in the upright position and not during slow walk and cycling exercise

  1. Decreased heart rate variability in surgeons during night shifts

    DEFF Research Database (Denmark)

    Amirian, Ilda; Toftegård Andersen, Lærke; Rosenberg, Jacob; Gögenur, Ismail

    2014-01-01

    BACKGROUND: Heart rate variability (HRV) has been used as a measure of stress and mental strain in surgeons. Low HRV has been associated with death and increased risk of cardiac events in the general population. The aim of this study was to clarify the effect of a 17-hour night shift on surgeons'...

  2. Physical activity, resting heart rate, and atrial fibrillation

    DEFF Research Database (Denmark)

    Morseth, Bente; Graff-Iversen, Sidsel; Jacobsen, Bjarne K; Jørgensen, Lone; Nyrnes, Audhild; Thelle, Dag S; Vestergaard, Peter; Løchen, Maja-Lisa

    2016-01-01

    AIMS: The objective was to examine the association of physical activity and resting heart rate (RHR) with hospital-diagnosed atrial fibrillation (AF) in a Norwegian cohort. METHODS AND RESULTS: This prospective study included 20 484 adults (50.3% men) who participated in the third Tromsø Study...

  3. Heart Rate Variability Interventions for Concussion and Rehabilitation

    Directory of Open Access Journals (Sweden)

    RobertLakeConder

    2014-08-01

    Full Text Available The study of Heart Rate Variability (HRV has emerged as an essential component of cardiovascular health, as well as a physiological mechanism by which one can increase the interactive communication between the cardiac and the neurocognitive systems (i.e., the body and the brain. It is well-established that lack of heart rate variability implies cardiopathology, morbidity, reduced quality-of-life, and precipitous mortality. On the positive, optimal heart rate variability has been associated with good cardiovascular health, autonomic nervous system (ANS control, emotional regulation, and enhanced neurocognitive processing. In addition to health benefits, optimal HRV has been shown to improve neurocognitive performance by enhancing focus, visual acuity and readiness, and by promoting emotional regulation needed for peak performance. In concussed athletes and soldiers, concussions not only alter brain connectivity, but also alter cardiac functioning and impair cardiovascular performance upon exertion. Altered sympathetic and parasympathetic balance in the ANS has been postulated as a critical factor in refractory Post Concussive Syndrome (PCS. This article will review both the pathological aspects of reduced heart rate variability on athletic performance, as well as the cardiovascular and cerebrovascular components of concussion and PCS. Additionally, this article will review interventions with HRV biofeedback (HRV BFB training as a promising and underutilized treatment for sports and military-related concussion. Finally, this article will review research and promising case studies pertaining to use of HRV BFB for enhancement of cognition and performance, with applicability to concussion rehabilitation.

  4. Alpha-linolenic acid and heart rate variability

    DEFF Research Database (Denmark)

    Christensen, Jeppe Hagstrup; Christensen, MS; Toft, E; Dyerberg, J; Schmidt, Erik Berg

    2000-01-01

    relation between the content of alpha-linolenic acid in cell membranes and the risk of malignant arrhythmias as assessed by determination of heart rate variability (HRV). METHODS AND RESULTS: Patients at high risk of sudden cardiac death (52 with a previous myocardial infarction and 29 with chronic renal...

  5. Heart Rate Variability: Effect of Exercise Intensity on Postexercise Response

    Science.gov (United States)

    James, David V. B.; Munson, Steven C.; Maldonado-Martin, Sara; De Ste Croix, Mark B. A.

    2012-01-01

    The purpose of the present study was to investigate the influence of two exercise intensities (moderate and severe) on heart rate variability (HRV) response in 16 runners 1 hr prior to (-1 hr) and at +1 hr, +24 hr, +48 hr, and +72 hr following each exercise session. Time domain indexes and a high frequency component showed a significant decrease…

  6. Comparison of heart rate responses. Water walking versus treadmill walking.

    Science.gov (United States)

    Whitley, J D; Schoene, L L

    1987-10-01

    The purpose of this study was to compare heart rate responses to water walking versus treadmill walking to determine whether the responses were of sufficient magnitude to elicit cardiorespiratory training effects. The heart rates of 12 healthy, female college students were measured immediately after walking in waist-deep water and on a treadmill at the same distance, durations, and speeds (2.55, 2.77, 3.02, and 3.31 km/hr). A significant increase in heart rate with increased speeds resulted from water walking (p less than .05); from rest to the fastest speed, it was 135% (96 bpm). For treadmill walking, the increase of 19% (13 bpm) was not significant. The heart rates for the water condition were significantly higher (p less than .05) at each speed. These findings indicate that water walking could serve as an effective exercise mode, for example, for cardiorespiratory fitness for individuals who are unable to perform such weight-bearing activities as jogging, fast walking, cycling, and dancing. PMID:3659133

  7. Simplifying cardiovascular risk estimation using resting heart rate.

    LENUS (Irish Health Repository)

    Cooney, Marie Therese

    2010-09-01

    Elevated resting heart rate (RHR) is a known, independent cardiovascular (CV) risk factor, but is not included in risk estimation systems, including Systematic COronary Risk Evaluation (SCORE). We aimed to derive risk estimation systems including RHR as an extra variable and assess the value of this addition.

  8. Heart Rate Variability and Drawing Impairment in Hypoxemic COPD

    Science.gov (United States)

    Incalzi, Raffaele Antonelli; Corsonello, Andrea; Trojano, Luigi; Pedone, Claudio; Acanfora, Domenico; Spada, Aldo; D'Addio, Gianni; Maestri, Roberto; Rengo, Franco; Rengo, Giuseppe

    2009-01-01

    We studied 54 patients with hypoxemic chronic obstructive pulmonary disease (COPD). The Mini Mental State Examination and the Mental Deterioration Battery were used for neuropsychological assessment. Heart rate variability (HRV) was assessed based on 24-h Holter ECG recording. Mann-Whitney test was used to compare HRV parameters of patients

  9. Heart rate differences in small sided games in formative basketball

    Directory of Open Access Journals (Sweden)

    Fernando Gracia

    2014-03-01

    Full Text Available The aim of this study was to determine and learn the heart rate responses of basketball players in small-sided or modified games, in order to develop a more effective workout plan in the future. The study sample consisted of 19 basketball players from a National Championship Club, 12 of them in the U14 category and the remaining 7 belonging to the U16 category. Small-sided games were 3x3 and 4x4 with a duration of 4 minutes and an active break of 3 minutes. Significant differences (p<0.05 were found referring to the relations established between 3x3 without feedback and 3x3 with feedback in vigorous exercise; in 3x3 without feedback and 3x3 with feedback in moderate exercise; in 3x3 and 3x3 with average heart rate; in 4x4 and 4x4 with average heart rate and in 4x4 and 4x4 with average heart rate related to game categories.Keywords:

  10. Heart Rate Variability and Drawing Impairment in Hypoxemic COPD

    Science.gov (United States)

    Incalzi, Raffaele Antonelli; Corsonello, Andrea; Trojano, Luigi; Pedone, Claudio; Acanfora, Domenico; Spada, Aldo; D'Addio, Gianni; Maestri, Roberto; Rengo, Franco; Rengo, Giuseppe

    2009-01-01

    We studied 54 patients with hypoxemic chronic obstructive pulmonary disease (COPD). The Mini Mental State Examination and the Mental Deterioration Battery were used for neuropsychological assessment. Heart rate variability (HRV) was assessed based on 24-h Holter ECG recording. Mann-Whitney test was used to compare HRV parameters of patients…

  11. Heart Rate and Stress in a College Setting

    Science.gov (United States)

    Elwess, Nancy L.; Vogt, F. Daniel

    2005-01-01

    Conditions producing stress are present in all colleges and universities. In this paper we report on an investigation utilizing heart rate as an indicator of stress in students when participating in activities encountered in a college classroom or laboratory. The activities included presenting an oral report, taking an exam, and participating in a…

  12. Muscle metaboreflex and autonomic regulation of heart rate in humans

    DEFF Research Database (Denmark)

    Fisher, James P; Adlan, Ahmed M; Shantsila, Alena; Secher, J Frederik; Sørensen, Henrik; Secher, Niels H

    2013-01-01

    We elucidated the autonomic mechanisms whereby heart rate (HR) is regulated by the muscle metaboreflex. Eight male participants (22 ± 3 years) performed three exercise protocols: (1) enhanced metaboreflex activation with partial flow restriction (bi-lateral thigh cuff inflation) during leg cycling...

  13. Long-term prognostic importance of resting heart rate in patients with left ventricular dysfunction in connection with either heart failure or myocardial infarction: the DIAMOND study

    DEFF Research Database (Denmark)

    Moller, Daniel Vega; Fosbøl, Emil Loldrup; Seibaek, Marie; Brendorp, Bente; Møller, Daniel Vega; Thune, Jens Jakob; Gislason, Gunnar H; Torp-Pedersen, Christian; Køber, Lars

    2010-01-01

    dysfunction in connection with either heart failure (HF) or myocardial infarction (MI). METHODS: In the Danish Investigations and Arrhythmia ON Dofetilide (DIAMOND) study; patients with left ventricular dysfunction were randomized to Dofetilide (class III antiarrhythmic drug) or placebo. One part of the study...... stronger in the MI patients compared to the HF patients (P<.0001 for interaction). There was no interaction between heart rate and beta-blockade, and inclusion of beta-blockade in the model did not change the results. CONCLUSIONS: Resting heart rate was independently associated with increased risk of...

  14. Office and 24-hour heart rate and target organ damage in hypertensive patients

    Directory of Open Access Journals (Sweden)

    García-García Ángel

    2012-03-01

    Full Text Available Abstract Background We investigated the association between heart rate and its variability with the parameters that assess vascular, renal and cardiac target organ damage. Methods A cross-sectional study was performed including a consecutive sample of 360 hypertensive patients without heart rate lowering drugs (aged 56 ± 11 years, 64.2% male. Heart rate (HR and its standard deviation (HRV in clinical and 24-hour ambulatory monitoring were evaluated. Renal damage was assessed by glomerular filtration rate and albumin/creatinine ratio; vascular damage by carotid intima-media thickness and ankle/brachial index; and cardiac damage by the Cornell voltage-duration product and left ventricular mass index. Results There was a positive correlation between ambulatory, but not clinical, heart rate and its standard deviation with glomerular filtration rate, and a negative correlation with carotid intima-media thickness, and night/day ratio of systolic and diastolic blood pressure. There was no correlation with albumin/creatinine ratio, ankle/brachial index, Cornell voltage-duration product or left ventricular mass index. In the multiple linear regression analysis, after adjusting for age, the association of glomerular filtration rate and intima-media thickness with ambulatory heart rate and its standard deviation was lost. According to the logistic regression analysis, the predictors of any target organ damage were age (OR = 1.034 and 1.033 and night/day systolic blood pressure ratio (OR = 1.425 and 1.512. Neither 24 HR nor 24 HRV reached statistical significance. Conclusions High ambulatory heart rate and its variability, but not clinical HR, are associated with decreased carotid intima-media thickness and a higher glomerular filtration rate, although this is lost after adjusting for age. Trial Registration ClinicalTrials.gov: NCT01325064

  15. Effect of partial sports massage on blood pressure and heart rate

    Directory of Open Access Journals (Sweden)

    Pystupa T.D.

    2013-12-01

    Full Text Available With the growing popularity and demand for different types of massages (including sports is a growing need for research on specific forms. There is also a need to study the advantages and effects on various body functions. The objective was to study the effect of partial sports massage on blood pressure and heart rate in both men and women. Material and methods. Research has been extended 80 healthy men and women are physically active (age 20-25 years. Blood pressure and heart rate were made on the left arm automatic digital device (model HEM - 907. The device is intended to measure blood pressure. It is established that it is possible to verify the existing beliefs. This promotes more efficient use of massage therapy. Conclusions . Sports massage has an effect on hemodynamic changes, the increase (decrease in blood pressure acceleration (deceleration of the heart rate. It depends on what part of the body exposed to the massage procedure.

  16. Heart rate slowing versus other pharmacological antianginal strategies.

    Science.gov (United States)

    Diaz, Ariel; Tardif, Jean-Claude

    2006-01-01

    Relieving the symptoms of angina and improving the quality of life and functional status are important objectives in the management of patients with chronic stable angina. A high heart rate induces or exacerbates myocardial ischemia and angina because it both increases oxygen demand and decreases myocardial perfusion. Beta-Blockers are effective at reducing anginal symptoms largely by decreasing heart rate. Physician use and patient compliance may be limited by the side effects of Beta-blockers which include fatigue, depression and sexual dysfunction. Heart rate reduction can also be obtained by the calcium antagonists verapamil and diltiazem and by the new selective heart-rate-reducing agent ivabradine. Ivabradine (Procoralan) is a selective and specific I(f) inhibitor that acts on one of the most important ionic currents for the regulation of the pacemaker activity of sinoatrial node cells. Ivabradine has demonstrated dosedependent anti-ischemic and antianginal effects in a placebo-controlled study. The INITIATIVE trial is a large multicenter trial in which 939 patients with stable angina were randomized to ivabradine or atenolol. The noninferiority of ivabradine was shown in the INITIATIVE trial at all doses and for all criteria including time to limiting angina. The number of angina attacks per week was decreased by two thirds with both ivabradine and atenolol. In another trial of 1,195 patients, time to 1mm ST segment depression was increased by 45 s with ivabradine 7.5 mg b.i.d. and by 40 s with amlodipine 10 mg daily. Unlike beta-blockers, ivabradine is devoid of intrinsic negative inotropic effects and does not affect coronary vasomotion. A whole range of patients with angina may benefit from exclusive heart rate reduction with ivabradine, including those with contraindications or intolerance to the use of beta-blockers and patients that are insufficiently controlled by beta-blockers or calcium channel blockers. PMID:16936473

  17. Thermal Acclimation of Heart Rates in Reptilian Embryos

    OpenAIRE

    Du, Wei-Guo; Ye, Hua; ZHAO, BO; Warner, Daniel A; Shine, Richard

    2010-01-01

    In many reptiles, the thermal regimes experienced by eggs in natural nests vary as a function of ambient weather and location, and this variation has important impacts on patterns of embryonic development. Recent advances in non-invasive measurement of embryonic heart rates allow us to answer a long-standing puzzle in reptilian developmental biology: Do the metabolic and developmental rates of embryos acclimate to local incubation regimes, as occurs for metabolic acclimation by post-hatching ...

  18. Investigation of respiratory and heart rate variability in hypertensive patients

    OpenAIRE

    ALDEMİR, Ramazan; TOKMAKÇI, Mahmut

    2015-01-01

    In this paper, in order to examine the effect of respiration on heart rate variability (HRV), signal processing analyses were performed between the signal received from the periodic movement of the chest of respiration and the pulse plethysmograph (PPS) signal, providing the calculation of both the time and frequency behavior of HRV and also including pulse rate information at the same time. Respiration is used as the comparison parameter in both healthy subjects and in hypertensive patients,...

  19. The accuracy and reliability of commercial heart rate monitors.

    OpenAIRE

    Burke, M. J.; Whelan, M V

    1987-01-01

    In recent years increasing emphasis has been placed on the benefits of exercise to normal healthy adults as well as to those recovering from heart attacks and other illnesses. As an aid to exercise training many portable heart-rate monitors have been placed on the market but little appears to have been done to assess the performance of these machines. The authors have examined the performance of four such monitors both under bench-test and practical exercising conditions. When tested on the b...

  20. Omega-3 Polyunsaturated Fatty Acids and Heart Rate Variability

    OpenAIRE

    JeppeHagstrupChristensen

    2011-01-01

    Omega-3 polyunsaturated fatty acids (PUFA) may modulate autonomic control of the heart because omega-3 PUFA is abundant in the brain and other nervous tissue as well as in cardiac tissue. This might partly explain why omega-3 PUFA offer some protection against sudden cardiac death (SCD). The autonomic nervous system is involved in the pathogenesis of SCD. Heart rate variability (HRV) can be used as a non-invasive marker of cardiac autonomic control and a low HRV is a predictor for SCD and arr...

  1. Prognostic significance of heart rate in hospitalized patients presenting with myocardial infarction

    Directory of Open Access Journals (Sweden)

    Lorenzo Fácila

    2012-01-01

    Full Text Available AIM: To investigate the prognostic significance of resting heart rate in patients with acute coronary syndrome (ACS, independent of other known factors. METHODS: Patients 40 years of age or older who had been admitted with acute coronary syndrome (ACS to one of the 94 hospitals participating in the Prevalence of Peripheral Arterial Disease in Patients with Acute Coronary Syndrome (PAMISCA study were included. Patients were divided into two groups based on their resting heart rate (HR ≥ or < 70 bpm. Complications were recording during a follow-up period of 1 year. RESULTS: There were 1054 ACS patients analyzed (43.5% with ST segment elevation and 56.5% without elevation. Mean age was 66.6 ± 11.7 years, 70.6% were male and 29.4% of subjects were female. During follow-up, more patients in the HR ≥ 70 bpm group were hospitalized for heart failure and they also had a higher mortality rate. In the multivariate analysis, a heart rate of ≥ 70 bpm was independently related to overall mortality during the follow-up period (hazard ratio 2.5; 95% confidence interval, 1.26-4.97, P = 0.009. CONCLUSION: A resting heart rate ≥ 70 bpm in patients who survive an ACS is an indicator of a high risk of suffering cardiovascular events during follow-up.

  2. Ivabradine in chronic stable angina: Effects by and beyond heart rate reduction.

    Science.gov (United States)

    Camici, Paolo G; Gloekler, Steffen; Levy, Bernard I; Skalidis, Emmanouil; Tagliamonte, Ercole; Vardas, Panos; Heusch, Gerd

    2016-07-15

    Heart rate plays a major role in myocardial ischemia. A high heart rate increases myocardial performance and oxygen demand and reduces diastolic time. Ivabradine reduces heart rate by inhibiting the If current of sinoatrial-node cells. In contrast to beta-blockers, ivabradine has no negative inotropic and lusitropic effect for a comparable heart rate reduction. Consequently, diastolic duration is increased with ivabradine compared to beta-blockers. This has potential consequences on coronary blood flow since compression of the vasculature by the surrounding myocardium during systole impedes flow and coronary blood flow is mainly diastolic. Moreover, ivabradine does not unmask alpha-adrenergic vasoconstriction and, unlike beta-blockers, maintains coronary dilation during exercise. In comparison with beta-blockers, ivabradine increases coronary flow reserve and collateral perfusion promoting the development of coronary collaterals. Ivabradine attenuates myocardial ischemia and its consequences even in the absence of heart rate reduction, possibly through reduced formation of reactive oxygen species. In conclusion, ivabradine differs from other anti-anginal agents by improving coronary blood flow and by additional pleiotropic effects. These properties make ivabradine an effective anti-anginal and anti-ischemic agent for the treatment of patients with coronary artery disease. PMID:27104917

  3. Music structure determines heart rate variability of singers.

    Science.gov (United States)

    Vickhoff, Björn; Malmgren, Helge; Aström, Rickard; Nyberg, Gunnar; Ekström, Seth-Reino; Engwall, Mathias; Snygg, Johan; Nilsson, Michael; Jörnsten, Rebecka

    2013-01-01

    Choir singing is known to promote wellbeing. One reason for this may be that singing demands a slower than normal respiration, which may in turn affect heart activity. Coupling of heart rate variability (HRV) to respiration is called Respiratory sinus arrhythmia (RSA). This coupling has a subjective as well as a biologically soothing effect, and it is beneficial for cardiovascular function. RSA is seen to be more marked during slow-paced breathing and at lower respiration rates (0.1 Hz and below). In this study, we investigate how singing, which is a form of guided breathing, affects HRV and RSA. The study comprises a group of healthy 18 year olds of mixed gender. The subjects are asked to; (1) hum a single tone and breathe whenever they need to; (2) sing a hymn with free, unguided breathing; and (3) sing a slow mantra and breathe solely between phrases. Heart rate (HR) is measured continuously during the study. The study design makes it possible to compare above three levels of song structure. In a separate case study, we examine five individuals performing singing tasks (1-3). We collect data with more advanced equipment, simultaneously recording HR, respiration, skin conductance and finger temperature. We show how song structure, respiration and HR are connected. Unison singing of regular song structures makes the hearts of the singers accelerate and decelerate simultaneously. Implications concerning the effect on wellbeing and health are discussed as well as the question how this inner entrainment may affect perception and behavior. PMID:23847555

  4. Heart rate detection from an electronic weighing scale

    International Nuclear Information System (INIS)

    We propose a novel technique for beat-to-beat heart rate detection based on the ballistocardiographic (BCG) force signal from a subject standing on a common electronic weighing scale. The detection relies on sensing force variations related to the blood acceleration in the aorta, works even if wearing footwear and does not require any sensors attached to the body because it uses the load cells in the scale. We have devised an approach to estimate the sensitivity and frequency response of three commercial weighing scales to assess their capability to detect the BCG force signal. Static sensitivities ranged from 490 nV V−1 N−1 to 1670 nV V−1 N−1. The frequency response depended on the subject's mass but it was broad enough for heart rate estimation. We have designed an electronic pulse detection system based on off-the-shelf integrated circuits to sense heart-beat-related force variations of about 0.24 N. The signal-to-noise ratio of the main peaks of the force signal detected was higher than 30 dB. A Bland–Altman plot was used to compare the RR time intervals estimated from the ECG and BCG force signals for 17 volunteers. The error was ±21 ms, which makes the proposed technique suitable for short-term monitoring of the heart rate

  5. Pulse transducer with artifact signal attenuator. [heart rate sensors

    Science.gov (United States)

    Cash, W. H., Jr.; Polhemus, J. T. (Inventor)

    1980-01-01

    An artifact signal attenuator for a pulse rate sensor is described. The circuit for attenuating background noise signals is connected with a pulse rate transducer which has a light source and a detector for light reflected from blood vessels of a living body. The heart signal provided consists of a modulated dc signal voltage indicative of pulse rate. The artifact signal resulting from light reflected from the skin of the body comprises both a constant dc signal voltage and a modulated dc signal voltage. The amplitude of the artifact signal is greater and the frequency less than that of the heart signal. The signal attenuator circuit includes an operational amplifier for canceling the artifact signal from the output signal of the transducer and has the capability of meeting packaging requirements for wrist-watch-size packages.

  6. Functionality of the baroreceptor nerves in heart rate regulation

    DEFF Research Database (Denmark)

    Ottesen, Johnny T.; Olufsen, Mette

    2011-01-01

    arterial pressure. As a result both the rate and the relative level of the carotid sinus arterial pressure is sensed. Simulations with these models show that responses to step changes in pressure follow from the rate sensitivity as observed in experimental studies. Adaptation and asymmetric responses are a...... consequence of the memory encapsulated by the models, and the nonlinearity gives rise to sigmoidal response curves. The nonlinear afferent baroreceptor models are coupled with an effector model, and the coupled model has been used to predict baroreceptor feedback regulation of heart rate during postural...... change from sitting to standing and during head-up tilt. The efferent model couples the afferent nerve paths to the sympathetic and parasympathetic outflow, and subsequently predicts the build up of an action potential at the sinus knot of the heart. In this paper, we analyze the nonlinear afferent model...

  7. A new physiological method for heart rate correction of the QT interval

    OpenAIRE

    Davey, P.

    1999-01-01

    AIMTo reassess QT interval rate correction.?BACKGROUNDThe QT interval is strongly and inversely related to heart rate. To compare QT intervals between different subjects with different heart rates requires the application of a QT interval rate correction formula. To date these formulae have inappropriately assumed a fixed relation between QT interval and heart rate. An alternative method of QT interval rate correction that makes no assumptions about the QT interval-heart rate relation is ne...

  8. Rate Control Management of Atrial Fibrillation: May a Mathematical Model Suggest an Ideal Heart Rate?

    Science.gov (United States)

    Anselmino, Matteo; Scarsoglio, Stefania; Camporeale, Carlo; Saglietto, Andrea; Gaita, Fiorenzo; Ridolfi, Luca

    2015-01-01

    Background Despite the routine prescription of rate control therapy for atrial fibrillation (AF), clinical evidence demonstrating a heart rate target is lacking. Aim of the present study was to run a mathematical model simulating AF episodes with a different heart rate (HR) to predict hemodynamic parameters for each situation. Methods The lumped model, representing the pumping heart together with systemic and pulmonary circuits, was run to simulate AF with HR of 50, 70, 90, 110 and 130 bpm, respectively. Results Left ventricular pressure increased by 57%, from 33.92±37.56 mmHg to 53.15±47.56 mmHg, and mean systemic arterial pressure increased by 27%, from 82.66±14.04 mmHg to 105.3±7.6 mmHg, at the 50 and 130 bpm simulations, respectively. Stroke volume (from 77.45±8.50 to 39.09±8.08 mL), ejection fraction (from 61.10±4.40 to 39.32±5.42%) and stroke work (SW, from 0.88±0.04 to 0.58±0.09 J) decreased by 50, 36 and 34%, at the 50 and 130 bpm simulations, respectively. In addition, oxygen consumption indexes (rate pressure product – RPP, tension time index per minute – TTI/min, and pressure volume area per minute – PVA/min) increased from the 50 to the 130 bpm simulation, respectively, by 186% (from 5598±1939 to 15995±3219 mmHg/min), 56% (from 2094±265 to 3257±301 mmHg s/min) and 102% (from 57.99±17.90 to 117.4±26.0 J/min). In fact, left ventricular efficiency (SW/PVA) decreased from 80.91±2.91% at 50 bpm to 66.43±3.72% at the 130 bpm HR simulation. Conclusion Awaiting compulsory direct clinical evidences, the present mathematical model suggests that lower HRs during permanent AF relates to improved hemodynamic parameters, cardiac efficiency, and lower oxygen consumption. PMID:25764321

  9. Evaluating heart disease presciptions-filled as a proxy for heart disease prevalence rates.

    Science.gov (United States)

    Cossman, Ronald E; Cossman, Jeralynn S; James, Wesley L; Blanchard, Troy; Thomas, Richard K; Pol, Louis G; Cosby, Arthur G; Mirvis, David M

    2008-01-01

    Heart disease is the leading cause of death in the U.S. Yet, prevalence rates are not reported at the county level. Not knowing how many have the disease, and where they are, may be a knowledge barrier to effective health care interventions. We use heart disease drug prescriptions-filled as a proxy measure for prevalence of heart disease. We test the correlation to the Behavioral Risk Factor Surveillance System (BRFSS) and find positive, statistically significant correlations. Next we illustrate the geographic patterns revealed using the county-level prevalence estimate maps. This information can be used to provide a better understanding of sub-state variations in disease patterns and subsequently target the delivery of health resources to small areas in need. PMID:18236701

  10. HEART RATE AND ACTIVITY PROFILE FOR YOUNG FEMALE SOCCER

    Directory of Open Access Journals (Sweden)

    Granda, J.

    2008-07-01

    Full Text Available The physical and physiological demands of high-level male soccer have been studied extensively, while few studies have investigated the demands placed on females during match-play, however, there is no information available about the heart rate and activity profile of young female soccer players during match play. Therefore, the aim of this study was to examine cardiovascular (heart-rates HR and physical demands of young female soccer players during a match. Players were observed during a friendly competitive match (7-a-side over 2 x 25-min halves. Match activities were assessed with Global Position System technology (1Hz. Result showed that young female soccer players attain 88±4.4% and 86.3±4.8% of HRmax during the first and second half respectively (P=0.3, the average heart rate was 87%. During the first and second half, they covered 2072±197 m and 1905±144 m (P13 km/h resulted lower than that previously reported for age-matched male soccer players and elite female soccer players. This seems to indicate that gender and competitive level differences in match physical performance seem to occur mainly in the absolute match work-rate domain.

  11. Ivabradine reduces heart rate while preserving metabolic fluxes and energy status of healthy normoxic working hearts.

    Science.gov (United States)

    Lauzier, Benjamin; Vaillant, Fanny; Gélinas, Roselle; Bouchard, Bertrand; Brownsey, Roger; Thorin, Eric; Tardif, Jean-Claude; Des Rosiers, Christine

    2011-03-01

    Heart rate reduction (HRR) is an important target in the management of patients with chronic stable angina. Most available drugs for HRR, such as β-blockers, have adverse effects, including on cardiac energy substrate metabolism, a well-recognized determinant of cardiac homeostasis. This study aimed at 1) testing whether HRR by ivabradine (IVA) alters substrate metabolism in the healthy normoxic working heart and 2) comparing the effect of IVA with that of the β-blocker metoprolol (METO). This was assessed using our well-established model of ex vivo mouse heart perfusion in the working mode, which enables concomitant evaluation of myocardial contractility and metabolic fluxes using (13)C-labeled substrates. Hearts were perfused in the absence (controls; n = 10) or presence of IVA (n = 10, 3 μM) with or without atrial pacing to abolish HRR in the IVA group. IVA significantly reduced HR (35 ± 5%) and increased stroke volume (39 ± 9%) while maintaining similar cardiac output, contractility, power, and efficiency. Effects of IVA on HR and stroke volume were reversed by atrial pacing. At the metabolic level, IVA did not impact on substrate selection to citrate formation, rates of glycolysis, or tissue levels of high-energy phosphates. In contrast, METO, at concentrations up to 40 μM, decreased markedly cardiac function (flow: 25 ± 6%; stroke volume: 30 ± 10%; contractility: 31 ± 9%) as well as glycolysis (2.9-fold) but marginally affected HR. Collectively, these results demonstrate that IVA selectively reduces HR while preserving energy substrate metabolism of normoxic healthy working mouse hearts perfused ex vivo, a model that mimics to some extent the denervated transplanted heart. Our results provide the impetus for testing selective HRR by IVA on cardiac substrate metabolism in pathological models. PMID:21257916

  12. Multi-detector computed tomography to analyze in-stent-restenoses at different heart rates

    International Nuclear Information System (INIS)

    Purpose: This study was performed to evaluate the visualization of coronary in-stent restenosis by multi-detector computed tomography (MDCT). Materials and Methods: A restenosis phantom with different stented stenoses was used. The phantom was placed into a dynamic heart phantom with heart rates from 40 to 120 bpm. MDCT was performed with two scan protocols: a standard and an ultra-high resolution scan protocol. Results: Using the ultra-high resolution protocol, artifacts occurred at 0.6 mm around the stent struts (p30% was feasible up to 120 bpm. Conclusion: Multi-detector computed tomography ultra-high resolution scans allowed the assessment of a wide range of degrees of in-stent restenoses. In this experimental setup, standard protocols allowed a discrimination of low, moderate and high-grade stenoses even at heart rates above 100 bpm

  13. COMPARISON OF HEART RATE AND BLOOD PRESSURE CHANGES DURING WALKING AND RUNNING BEFORE AND AFTER TRAINING IN HEALTHY ADULT WOMEN

    Directory of Open Access Journals (Sweden)

    Kaarna Munisekhar

    2014-06-01

    Full Text Available AIM: Physical exercise has been associated with heart rate and blood pressure in observational studies and individual clinical trails. The purpose of these study was to asses heart rate and blood pressure changes in healthy adult women students before and after training during walking and running. MATERIALS and METHODS: Fourty healthy women were taken as the subjects. Heart rate and blood pressure recorded before and after training during waking and running. In these study 1600 metres track measured using PCV reel tape was used for walking and running. The durational training programme five months. Every day 15-20 minutes walking and running. RESULT: The examination at parameters BMI, Heart rate, Blood pressure, and SBP, DBP and study statistical analysis was estimated for all subjects. The data were analysed by disruptive and intervention studies. DISCUSION: The finding suggested a significant decrease in heart rate and blood pressure in healthy adult women after training as compared to before training for both during walking and running show that heart rate and blood pressure changes. CONCLUSION: The present study should that physical activity has the ability to decrease the heart rate and arterial blood pressure in healthy adult women. After training physical activity reduce the risk of heart diseases.

  14. Heart Rate Variability and Autonomic Modulations in Preeclampsia

    Science.gov (United States)

    Musa, Shaza M.; Adam, Ishag; Lutfi, Mohamed F.

    2016-01-01

    Background Although the exact pathophysiology of preeclampsia is not well understood, autonomic nervous system imbalance is suggested as one of the main factors. Aims To investigate heart rate variability (HRV) and autonomic modulations in Sudanese pregnant women with preeclampsia. Subjects and Methods A case-control study (60 women in each arm) was conducted at Omdurman Maternity Hospital—Sudan, during the period from June to August, 2014. Cases were women presented with preeclampsia and healthy pregnant women were the controls. Studied groups were matched for important determinants of HRV. Natural logarithm (Ln) of total power (TP), high frequency (HF), low frequency (LF) and very low frequency (VLF) were used to determine HRV. Normalized low and high frequencies (LF Norm and HF Norm) were used to evaluate sympathetic and parasympathetic autonomic modulations respectively. Results Patients with preeclampsia achieved significantly higher LF Norm [49.80 (16.25) vs. 44.55 (19.15), P = 0.044] and LnLF/HF [0.04 (0.68) vs. -0.28 (0.91), P = 0.023] readings, but lower HF Norm [49.08 (15.29) vs. 55.87 (19.56), P = 0.012], compared with healthy pregnant women. Although all other HRV measurements were higher in the patients with preeclampsia compared with the controls, only LnVLF [4.50 (1.19) vs. 4.01 (1.06), P = 0.017] and LnLF [4.01 (1.58) vs. 3.49 (1.23), P = 0.040] reached statistical significance. Conclusion The study adds further evidence for the dominant cardiac sympathetic modulations on patients with preeclampsia, probably secondary to parasympathetic withdrawal in this group. However, the higher LnVLF and LnLF readings achieved by preeclamptic women compared with the controls are unexpected in the view that augmented sympathetic modulations usually depresses all HRV parameters including these two measures. PMID:27043306

  15. Monitoring the fetal heart rate variability during labor.

    Science.gov (United States)

    Moslem, B; Mohydeen, A; Bazzi, O

    2015-08-01

    In respect to the main goal of our ongoing work for estimating the heart rate variability (HRV) from fetal electrocardiogram (FECG) signals for monitoring the health of the fetus, we investigate in this paper the possibility of extracting the fetal heart rate variability (HRV) directly from the abdominal composite recordings. Our proposed approach is based on a combination of two techniques: Periodic Component Analysis (PiCA) and recursive least square (RLS) adaptive filtering. The Fetal HRV of the estimated FECG signal is compared to a reference value extracted from an FECG signal recorded by using a spiral electrode attached directly to the fetal scalp. The results obtained show that the fetal HRV can be directly evaluated from the abdominal composite recordings without the need of recording an external reference signal. PMID:26737621

  16. The precision and accuracy of a portable heart rate monitor.

    Science.gov (United States)

    Seaward, B L; Sleamaker, R H; McAuliffe, T; Clapp, J F

    1990-01-01

    A device that would comfortably and accurately measure exercise heart rate during field performance could be valuable for athletes, fitness participants, and investigators in the field of exercise physiology. Such a device, a portable telemeterized microprocessor, was compared with direct EKG measurements in a laboratory setting under several conditions to assess its accuracy. Twenty-four subjects were studied at rest and during light-, moderate-, high-, and maximal-intensity endurance activities (walking, running, aerobic dancing, and Nordic Track simulated cross-country skiing. Differences between values obtained by the two measuring devices were not statistically significant, with correlation coefficient (r) values ranging from 0.998 to 0.999. The two methods proved equally reliable for measuring heart rate in a host of varied aerobic activities at varying intensities. PMID:2306564

  17. QT measurement and heart rate correction during hypoglycemia

    DEFF Research Database (Denmark)

    Christensen, Toke Folke; Randlv, Jette; Christensen, Leif Engmann; Eldrup, Ebbe; Hejlesen, Ole K.; Struijk, Johannes

    2010-01-01

    Introduction. Several studies show that hypoglycemia causes QT interval prolongation. The aim of this study was to investigate the effect of QT measurement methodology, heart rate correction, and insulin types during hypoglycemia. Methods. Ten adult subjects with type 1 diabetes had hypoglycemia...... induced by intravenous injection of two insulin types in a cross-over design. QT measurements were done using the slope-intersect (SI) and manual annotation (MA) methods. Heart rate correction was done using Bazett's (QTcB) and Fridericia's (QTcF) formulas. Results. The SI method showed significant...... prolongation at hypoglycemia for QTcB (42(6)?ms; P <.001) and QTcF (35(6)?ms; P <.001). The MA method showed prolongation at hypoglycemia for QTcB (7(2)?ms, P <.05) but not QTcF. No difference in ECG variables between the types of insulin was observed. Discussion. The method for measuring the QT interval has a...

  18. Qigong Effects on Heart Rate Variability and Peripheral Vasomotor Responses.

    Science.gov (United States)

    Chang, Mei-Ying

    2015-11-01

    Population aging is occurring worldwide, and preventing cardiovascular event in older people is a unique challenge. The aim of this study was to examine the effects of a 12-week qigong (eight-form moving meditation) training program on the heart rate variability and peripheral vasomotor response of middle-aged and elderly people in the community. This was a quasi-experimental study that included the pre-test, post-test, and nonequivalent control group designs. Seventy-seven participants (experimental group = 47; control group = 30) were recruited. The experimental group performed 30 min of eight-form moving meditation 3 times per week for 12 weeks, and the control group continued their normal daily activities. After 12 weeks, the interaction effects indicated that compared with the control group, the experimental group exhibited significantly improved heart rate variability and peripheral vasomotor responses. PMID:24869492

  19. Heart Rate Variability in Porcine Progressive Peritonitis-Induced Sepsis

    OpenAIRE

    Jarkovska, Dagmar; Valesova, Lenka; Chvojka, Jiri; Benes, Jan; Sviglerova, Jitka; Florova, Blanka; Nalos, Lukas; Matejovic, Martin; Stengl, Milan

    2016-01-01

    Accumulating evidence suggests that heart rate variability (HRV) alterations could serve as an indicator of sepsis progression and outcome, however, the relationships of HRV and major pathophysiological processes of sepsis remain unclear. Therefore, in this experimental study HRV was investigated in a clinically relevant long-term porcine model of severe sepsis/septic shock. HRV was analyzed by several methods and the parameters were correlated with pathophysiological processes of sepsis. In ...

  20. Heart rate control in hypertensive patients treated by captopril.

    OpenAIRE

    Sturani, A; Chiarini, C; Degliesposti, E; Santoro, A; Zuccalà, A; Zucchelli, P.

    1982-01-01

    1 The effect of captopril on autonomic reflex functions has been investigated in fifteen patients with essential hypertension by examining their responses to tests of baroreceptor function (Valsalva's manoeuvre and upright posture), sympathetic nervous system reactivity (cold pressor and mental stress tests) and parasympathetic reactivity (diving test) before and after 3 weeks' treatment with captopril. 2 Captopril significantly reduced arterial blood pressure and resting heart rate but did n...

  1. Heart rate variability: a tool to explore the sleeping brain?

    OpenAIRE

    Chouchou, Florian; Desseilles, Martin

    2014-01-01

    Sleep is divided into two main sleep stages: (1) non-rapid eye movement sleep (non-REMS), characterized among others by reduced global brain activity; and (2) rapid eye movement sleep (REMS), characterized by global brain activity similar to that of wakefulness. Results of heart rate variability (HRV) analysis, which is widely used to explore autonomic modulation, have revealed higher parasympathetic tone during normal non-REMS and a shift toward sympathetic predominance during normal REMS. M...

  2. Heart rate never lies: interventional cardiologist and Braude's quote revised

    OpenAIRE

    Cook, Stéphane; Stauffer, Jean-Christophe; Goy, Jean-Jacques; Graf, Denis; Puricel, Serban; Frobert, Aurélien; Muller, Olivier; Togni, Mario; Arroyo, Diego

    2016-01-01

    Background Interventional cardiologists may be immune to stress, allowing them to perform complex percutaneous interventions under pressure. Objectives To assess heart rate (HR) variations as a surrogate marker of stress of interventional cardiologists during percutaneous cardiac procedures and in every-day life. Design This is a single-centre observational study including a total of six male interventional cardiologists performing coronary interventions and pacemaker implantations. Participa...

  3. Monitoring of fetal heart rate and uterine activity

    OpenAIRE

    Graatsma, E.M.

    2010-01-01

    In this thesis a renewed monitoring technique for fetal heart rate (FHR) and uterine activity has been investigated. Through non-invasive measurements of electrical signals as recorded from the maternal abdomen, both the fetal-electrocardiogram (fECG) and uterine electrohysterogram (EHG) can be filtered for calculation of FHR and uterine contractions, respectively. This monitoring technique has been known for over 100 years, however due to technical difficulties clinical implementation has no...

  4. Heart-rate variability and precompetitive anxiety in swimmers

    OpenAIRE

    Cervantes Blásquez, Julio César; Rodas Font, Gil; Capdevila Ortís, Lluís

    2009-01-01

    The aim of this study was to test the utility of heart-rate variability (HRV) analyses as a noninvasive means of quantifying cardiac autonomic regulation during precompetitive anxiety situations in swimmers. Psychophysiological state evaluation of 10 volunteer «master» swimmers (6 women and 4 men) was obtained by comparing baseline training condition (TC) with competition condition (CC). Self-evaluation of precompetitive somatic anxiety measured by CSAI-2 showed significant increase from the ...

  5. Correlation of radiation dose and heart rate in dual-source computed tomography coronary angiography

    International Nuclear Information System (INIS)

    Background: Computed tomography coronary angiography (CTCA) has been widely used since the introduction of 64-slice scanners and dual-source CT technology, but the relatively high radiation dose remains a major concern. Purpose: To evaluate the relationship between radiation exposure and heart rate (HR), in dual-source CTCA. Material and Methods: Data from 218 CTCA examinations, performed with a dual-source 64-slices scanner, were statistically evaluated. Effective radiation dose, expressed in mSv, was calculated as the product of the dose-length product (DLP) times a conversion coefficient for the chest (mSv = DLPx0.017). Heart rate range and mean heart rate, expressed in beats per minute (bpm) of each individual during CTCA, were also provided by the system. Statistical analysis of effective dose and heart rate data was performed by using Pearson correlation coefficient and two-sample t-test. Results: Mean HR and effective dose were found to have a borderline positive relationship. Individuals with a mean HR >65 bpm observed to receive a statistically significant higher effective dose as compared to those with a mean HR =65 bpm. Moreover, a strong correlation between effective dose and variability of HR of more than 20 bpm was observed. Conclusion: Dual-source CT scanners are considered to have the capability to provide diagnostic examinations even with high HR and arrhythmias. However, it is desirable to keep the mean heart rate below 65 bpm and heart rate fluctuation less than 20 bpm in order to reduce the radiation exposure

  6. Modeling heart rate variability including the effect of sleep stages

    Science.gov (United States)

    Soliński, Mateusz; Gierałtowski, Jan; Żebrowski, Jan

    2016-02-01

    We propose a model for heart rate variability (HRV) of a healthy individual during sleep with the assumption that the heart rate variability is predominantly a random process. Autonomic nervous system activity has different properties during different sleep stages, and this affects many physiological systems including the cardiovascular system. Different properties of HRV can be observed during each particular sleep stage. We believe that taking into account the sleep architecture is crucial for modeling the human nighttime HRV. The stochastic model of HRV introduced by Kantelhardt et al. was used as the initial starting point. We studied the statistical properties of sleep in healthy adults, analyzing 30 polysomnographic recordings, which provided realistic information about sleep architecture. Next, we generated synthetic hypnograms and included them in the modeling of nighttime RR interval series. The results of standard HRV linear analysis and of nonlinear analysis (Shannon entropy, Poincaré plots, and multiscale multifractal analysis) show that—in comparison with real data—the HRV signals obtained from our model have very similar properties, in particular including the multifractal characteristics at different time scales. The model described in this paper is discussed in the context of normal sleep. However, its construction is such that it should allow to model heart rate variability in sleep disorders. This possibility is briefly discussed.

  7. Local dynamics of heart rate: detection and prognostic implications

    International Nuclear Information System (INIS)

    The original observation that reduced heart rate variability (HRV) confers poor prognosis after myocardial infarction has been followed by many studies of heart rate dynamics. We tested the hypothesis that an entropy-based local dynamics measure gave prognostic information in ambulatory patients undergoing 24-h electrocardiography. In this context, entropy is the probability that short templates will find matches in the time series. We studied RR interval time series from 24-h Holter monitors of 1564 consecutive patients over age 39. We generated histograms of the count of templates as a function of the number of templates matches in short RR interval time series, and found characteristic appearance of histograms for atrial fibrillation, sinus rhythm with normal HRV, and sinus rhythm with reduced HRV and premature ventricular contractions (PVCs). We developed statistical models to detect the abnormal dynamic phenotype of reduced HRV with PVCs and fashioned a local dynamics score (LDs) that, after controlling for age, added more prognostic information than other standard risk factors and common HRV metrics, including, to our surprise, the PVC count and the HRV of normal-to-normal intervals. Addition of the LDs to a predictive model using standard risk factors significantly increased the ROC area and the net reclassification improvement was 27%. We conclude that abnormal local dynamics of heart rate confer adverse prognosis in patients undergoing 24-h ambulatory electrocardiography. (paper)

  8. Effect of Smoking on Blood Pressure and Resting Heart Rate

    DEFF Research Database (Denmark)

    Linneberg, Allan; Jacobsen, Rikke K; Skaaby, Tea; Taylor, Amy E; Fluharty, Meg E; Jeppesen, Jørgen L; Bjørngaard, Johan H; Åsvold, Bjørn O; Gabrielsen, Maiken E; Campbell, Archie; Marioni, Riccardo E; Kumari, Meena; Marques-Vidal, Pedro; Kaakinen, Marika; Cavadino, Alana; Postmus, Iris; Ahluwalia, Tarunveer S; Wannamethee, S Goya; Lahti, Jari; Räikkönen, Katri; Palotie, Aarno; Wong, Andrew; Dalgård, Christine; Ford, Ian; Ben-Shlomo, Yoav; Christiansen, Lene; Kyvik, Kirsten O; Kuh, Diana; Eriksson, Johan G; Whincup, Peter H; Mbarek, Hamdi; de Geus, Eco J C; Vink, Jacqueline M; Boomsma, Dorret I; Davey Smith, George; Lawlor, Debbie A; Kisialiou, Aliaksei; McConnachie, Alex; Padmanabhan, Sandosh; Jukema, J Wouter; Power, Chris; Hyppönen, Elina; Preisig, Martin; Waeber, Gerard; Vollenweider, Peter; Korhonen, Tellervo; Laatikainen, Tiina; Salomaa, Veikko; Kaprio, Jaakko; Kivimäki, Mika; Smith, Blair H; Hayward, Caroline; Sørensen, Thorkild I A; Thuesen, Betina H; Sattar, Naveed; Morris, Richard W; Romundstad, Pål R; Munafò, Marcus R; Jarvelin, Marjo-Riitta; Husemoen, Lise Lotte N

    2015-01-01

    included in observational and Mendelian randomisation (MR) meta-analyses of the associations of smoking status and smoking heaviness with systolic and diastolic blood pressure (SBP, DBP), hypertension, and resting heart rate. For the MR analyses, a genetic variant rs16969968/rs1051730 was used as a proxy...... for smoking heaviness in current smokers. In observational analyses, current as compared with never smoking was associated with lower SBP, DBP, and lower hypertension risk, but with higher resting heart rate. In observational analyses amongst current smokers, one cigarette/day higher level of smoking...... heaviness was associated with higher (0.21 beats/minute; 95% CI 0.19; 0.24) resting heart rate, and slightly higher DBP (0.05 mmHg; 95% CI 0.02; 0.08) and SBP (0.08 mmHg; 95% CI 0.03; 0.13). However, in MR analyses amongst current smokers, while each smoking increasing allele of rs16969968/rs1051730 was...

  9. Electron-beam CT coronary angiography in the patients with high heart rate arrhythmia or pacemaker

    International Nuclear Information System (INIS)

    Objective: To report the clinical applicability of coronary angiography for patients with high heart rate, arrhythmia or cardiac pacing using the new-generation of electron-beam CT (e-Speed). Methods: EBCT (GE e-Speed) coronary angiography was performed in 36 eases (male 27, female 9, mean age 58), including the heart rate more than 90 bpm in 20 patients, frequent ectopic beats in 11 cases, implantation of cardiac pacemaker in 4 patients and the unacceptable MSCT image quality due to variability of interscan heart rate (from 82 bpm to 104 bpm) in 1 case. After volume data set was acquired using spiral mode with prospective ECG-gating, the reconstructions of MIP, CPR, VR and Cine were performed. The VR quality was evaluated using a five-point scale. Results: The quality of coronary imaging in all of 36 cases were acceptable. The total visualization rate of coronary artery branches was 80.0%. Left main, left anterior artery and right coronary artery were visualized in all patients and in 94.3% of all cases circumflex artery were visible. Conclusion: EBCT (e-Speed) is applicable in noninvasive coronary angiography for patients with high heart rate, arrhythmia or implanted cardiac pacemaker', and this examination can obtain satisfied diagnosis. (authors)

  10. Relationship between exercise heart rate and music tempo preference

    OpenAIRE

    Karageorghis, CI; Jones, L.; Low, DC

    2006-01-01

    The present study examined the predicted positive and linear relationship (Iwanaga, 1995a,1995b) between exercise heart rate and music tempo preference. Initially, 128 undergraduates (M 3 age = 20.0 years, SD = 0.9 years) were surveyed to establish their three favorite music artists of all time. A separate experimental group of 29 undergraduates (M age = 20.3 years, SD = 1.2 years) selected the music of a single artist from a choice of the three highest-rated artists from the earlier survey. ...

  11. Voluntary heart rate reduction following yoga using different strategies

    OpenAIRE

    Raghavendra, B.R.; Telles, S.; N K Manjunath; Deepak, K. K.; K V Naveen; P Subramanya

    2013-01-01

    Background/Aims: One month of yoga training has been shown to reduce the pulse rate voluntarily without using external cues. Hence, the present study was designed to understand the strategies used by yoga practitioners and autonomic changes associated with voluntary heart rate reduction. Materials and Methods: Fifty volunteers (group mean age ± S.D., 25.4 ± 4.8 years; 25 males) were assessed in two trials on separate days. Each trial was for 12 minutes, with a ‘pre’ state and ‘during’ state o...

  12. 256-slice CT coronary angiography in atrial fibrillation: The impact of mean heart rate and heart rate variability on image quality

    Energy Technology Data Exchange (ETDEWEB)

    Chen, Liang-Kuang [Department of Radiology, Shin Kong Wu Ho-Su Memorial Hospital, Taipei, Taiwan (China); College of Medicine, Fu Jen Catholic University, Taipei, Taiwan (China); Hsu, Shih-Ming [Department of Biomedical Imaging and Radiological Science, China Medical University, Taichung, Taiwan (China); Mok, Greta S.P. [Department of Electrical and Electronics Engineering, Faculty of Science and Technology, University of Macau, Macau (China); Law, Wei-Yip; Lu, Kun-Mu [Department of Radiology, Shin Kong Wu Ho-Su Memorial Hospital, Taipei, Taiwan (China); Yang, Ching-Ching, E-mail: g39220003@yahoo.com.tw [Department of Radiological Technology, Tzu Chi College of Technology, 880, Sec.2, Chien-kuo Rd. Hualien 970, Taiwan (China); Wu, Tung-Hsin, E-mail: tung@ym.edu.tw [Department of Biomedical Imaging and Radiological Sciences, National Yang Ming University, 155 Li-Nong St., Sec. 2, Taipei 112, Taiwan (China)

    2011-08-21

    Objective: The aim of this study was to evaluate the image quality of 256-MDCT in atrial fibrillation and to compare the findings with those among patients in sinus rhythm. Materials: All reconstructed images were evaluated by two independent experienced readers blinded to patient information, heart rate, and ECG results to assess the diagnostic quality of images of the coronary artery segments using axial images, multi-planar reformations, maximum intensity projections, and volume rendering technique. Results: No statistical significance was detected in terms of the overall image quality between patients in sinus rhythm and with atrial fibrillation. Pearson's correlation analysis showed no significant association between image quality and mean heart rate no matter for patients in sinus rhythm or with atrial fibrillation. Similarly, there was no correlation between image quality and heart rate variability for either patients in sinus rhythm or with atrial fibrillation. Our results showed that the optimal reconstruction window depends on patient's HR, and the pattern for patients in atrial fibrillation is similar to that obtained from non-atrial fibrillation patients. Conclusion: This study shows the potential of using 256-MDCT coronary angiography in patients with atrial fibrillation. Our results suggest that when appropriate reconstruction timing window is applied, patients with atrial fibrillation do not have to be excluded from MDCT coronary angiographic examinations.

  13. 256-slice CT coronary angiography in atrial fibrillation: The impact of mean heart rate and heart rate variability on image quality

    International Nuclear Information System (INIS)

    Objective: The aim of this study was to evaluate the image quality of 256-MDCT in atrial fibrillation and to compare the findings with those among patients in sinus rhythm. Materials: All reconstructed images were evaluated by two independent experienced readers blinded to patient information, heart rate, and ECG results to assess the diagnostic quality of images of the coronary artery segments using axial images, multi-planar reformations, maximum intensity projections, and volume rendering technique. Results: No statistical significance was detected in terms of the overall image quality between patients in sinus rhythm and with atrial fibrillation. Pearson's correlation analysis showed no significant association between image quality and mean heart rate no matter for patients in sinus rhythm or with atrial fibrillation. Similarly, there was no correlation between image quality and heart rate variability for either patients in sinus rhythm or with atrial fibrillation. Our results showed that the optimal reconstruction window depends on patient's HR, and the pattern for patients in atrial fibrillation is similar to that obtained from non-atrial fibrillation patients. Conclusion: This study shows the potential of using 256-MDCT coronary angiography in patients with atrial fibrillation. Our results suggest that when appropriate reconstruction timing window is applied, patients with atrial fibrillation do not have to be excluded from MDCT coronary angiographic examinations.

  14. Classifying work rate from heart rate measurements using an adaptive neuro-fuzzy inference system.

    Science.gov (United States)

    Kolus, Ahmet; Imbeau, Daniel; Dubé, Philippe-Antoine; Dubeau, Denise

    2016-05-01

    In a new approach based on adaptive neuro-fuzzy inference systems (ANFIS), field heart rate (HR) measurements were used to classify work rate into four categories: very light, light, moderate, and heavy. Inter-participant variability (physiological and physical differences) was considered. Twenty-eight participants performed Meyer and Flenghi's step-test and a maximal treadmill test, during which heart rate and oxygen consumption (V˙O2) were measured. Results indicated that heart rate monitoring (HR, HRmax, and HRrest) and body weight are significant variables for classifying work rate. The ANFIS classifier showed superior sensitivity, specificity, and accuracy compared to current practice using established work rate categories based on percent heart rate reserve (%HRR). The ANFIS classifier showed an overall 29.6% difference in classification accuracy and a good balance between sensitivity (90.7%) and specificity (95.2%) on average. With its ease of implementation and variable measurement, the ANFIS classifier shows potential for widespread use by practitioners for work rate assessment. PMID:26851475

  15. Effect of meditation on scaling behavior and complexity of human heart rate variability

    OpenAIRE

    A. Sarkar; Barat, P.

    2006-01-01

    The heart beat data recorded from samples before and during meditation are analyzed using two different scaling analysis methods. These analyses revealed that mediation severely affects the long range correlation of heart beat of a normal heart. Moreover, it is found that meditation induces periodic behavior in the heart beat. The complexity of the heart rate variability is quantified using multiscale entropy analysis and recurrence analysis. The complexity of the heart beat during mediation ...

  16. Effect of meditation on scaling behavior and complexity of human heart rate variability

    CERN Document Server

    Sarkar, A

    2006-01-01

    The heart beat data recorded from samples before and during meditation are analyzed using two different scaling analysis methods. These analyses revealed that mediation severely affects the long range correlation of heart beat of a normal heart. Moreover, it is found that meditation induces periodic behavior in the heart beat. The complexity of the heart rate variability is quantified using multiscale entropy analysis and recurrence analysis. The complexity of the heart beat during mediation is found to be more.

  17. Noise exposure and children's blood pressure and heart rate: the RANCH project.

    OpenAIRE

    van Kempen, Elise; Kamp, I.; Fischer, P; Davies, Hugh W; Houthuijs, D; Stellato, Rebecca K.; Clark, Charlotte; Stansfeld, Stephen A

    2006-01-01

    BACKGROUND: Conclusions that can be drawn from earlier studies on noise and children's blood pressure are limited due to inconsistent results, methodological problems, and the focus on school noise exposure. OBJECTIVES: To investigate the effects of aircraft and road traffic noise exposure on children's blood pressure and heart rate. METHODS: Participants were 1283 children (age 9-11 years) attending 62 primary schools around two European airports. Data were pooled and analysed using multilev...

  18. Sweet Conclusion

    Science.gov (United States)

    Shirley, Britt M.; Wooldridge, Barbara Ross; Camp, Kerri M.

    2012-01-01

    Jen Harrington is the owner and pastry chef of Sweet Conclusion, a bakery in Tampa, Florida. Most of Harrington's business comes from baking wedding cakes, but she has been attempting to attract customers to her retail bakery, where she sells cupcakes, pies, ice cream, and coffee. Nearly four years she opened Sweet Conclusion, the retail part of…

  19. Sweet Conclusion

    Science.gov (United States)

    Shirley, Britt M.; Wooldridge, Barbara Ross; Camp, Kerri M.

    2012-01-01

    Jen Harrington is the owner and pastry chef of Sweet Conclusion, a bakery in Tampa, Florida. Most of Harrington's business comes from baking wedding cakes, but she has been attempting to attract customers to her retail bakery, where she sells cupcakes, pies, ice cream, and coffee. Nearly four years she opened Sweet Conclusion, the retail part of

  20. Heart rate responses to autonomic challenges in obstructive sleep apnea.

    Science.gov (United States)

    Macey, Paul M; Kumar, Rajesh; Woo, Mary A; Yan-Go, Frisca L; Harper, Ronald M

    2013-01-01

    Obstructive sleep apnea (OSA) is accompanied by structural alterations and dysfunction in central autonomic regulatory regions, which may impair dynamic and static cardiovascular regulation, and contribute to other syndrome pathologies. Characterizing cardiovascular responses to autonomic challenges may provide insights into central nervous system impairments, including contributions by sex, since structural alterations are enhanced in OSA females over males. The objective was to assess heart rate responses in OSA versus healthy control subjects to autonomic challenges, and, separately, characterize female and male patterns. We studied 94 subjects, including 37 newly-diagnosed, untreated OSA patients (6 female, age mean ± std: 52.1 ± 8.1 years; 31 male aged 54.3 ± 8.4 years), and 57 healthy control subjects (20 female, 50.5 ± 8.1 years; 37 male, 45.6 ± 9.2 years). We measured instantaneous heart rate with pulse oximetry during cold pressor, hand grip, and Valsalva maneuver challenges. All challenges elicited significant heart rate differences between OSA and control groups during and after challenges (repeated measures ANOVA, pdelay to initial peak (2.5 s females/0.9 s males), slower mid-challenge rate-of-increase (OSA vs. control: -0.11 vs. 0.09 bpm/s in females, 0.03 vs. 0.06 bpm/s in males); for hand grip, lower initial peak (OSA vs. control: 2.6 vs. 4.6 bpm in females, 5.3 vs. 6.0 bpm in males); for Valsalva maneuver, lower Valsalva ratio (OSA vs. control: 1.14 vs. 1.30 in females, 1.29 vs. 1.34 in males), and OSA delay during phase II (0.68 s females/1.31 s males). Heart rate responses showed lower amplitude, delayed onset, and slower rate changes in OSA patients over healthy controls, and impairments may be more pronounced in females. The dysfunctions may reflect central injury in the syndrome, and suggest autonomic deficiencies that may contribute to further tissue and functional pathologies. PMID:24194842

  1. Time Domain Measures of Heart Rate Variability to Assess Autonomic Dysfunction In Irritable Bowel Syndrome

    Directory of Open Access Journals (Sweden)

    Mohammad Nayem, Noorzahan Begum, Sultana Ferdousi

    2012-12-01

    Full Text Available AbstractBackground: Autonomic nerve function impairment is related to development of Irritable Bowel Syndrome (IBS. Time domain measures of Heart rate variability (HRV is a useful tool to measure autonomic nerve function activity.Objective: To assess autonomic nerve function activity by time domain measures of heart rate variability in patients with Irritable Bowel Syndrome.Methods: This cross sectional study was conducted in the Department of Physiology, Bangabandhu Sheikh Mujib Medical University (BSMMU, Dhaka in 2011. Ninety patients aged 20-50 years of both sex with Irritable bowel syndrome were included in the study group. They were collected from the OPD of Gastroenterology in BSMMU. Age and sex matched 30 apparently healthy subjects served as control. For assessing HRV by time domain method, Mean heart rate Mean R-R interval, Max/Min R-R interval, SDNN, RMSSD, PNN50%, NN50% were recorded by a digital Polyrite. ANOVA, independent sample t-test and Pearson’s correlation coefficient tests were performed as applicable.Results: Mean heart rate were significantly higher and Mean R-R interval, Max/Min R-R interval, SDNN, RMSSD, PNN50%, NN50% were significantly lower in IBS groups compared to those of control. Correlation analysis showed negative correlations of SDNN, RMSSD, PNN50%, NN50% with duration of disease.Conclusion: This study concludes that parasympathetic activity was reduced in patients of IBS. In addition, decreased vagal modulation is inversely related to the duration IBS.

  2. Study of foetal heart rate patterns in pregnancy with intra-uterine growth restriction during antepartum period

    International Nuclear Information System (INIS)

    Objectives: To evaluate foetal heart rate pattern during antepartum period in pregnancies suffering from intra-uterine growth restriction. Methods: The case control study was conducted at the Alzahra Hospital, Tabriz, Iran from April 2008 to April 2011. It comprised 100 pregnancies with intra-uterine growth restriction and 92 normal pregnancies. The foetal heart rate pattern including basal heart rate, beat-to-beat variation, non-stress test (NST) result and acceleration and deceleration patterns of the heart rate were determined in both groups during the antepartum period. Findings were compared between the two groups and their relation with pregnancy-foetal outcomes was specified in the case group. SPSS 15 was used for statistical analysis. Results: There was no statistically significant difference between the foetus mean basal heart rate in the two groups (p <0.960). Frequency of cases with non-reactive non-stress test in the Cases was significantly higher than Controls (p <0.005). The difference in heart rate acceleration was also not statistically significant (p <0.618). Frequency of cases with low birth weight and caesarian was non-significantly but borderline higher among the Cases (p <0.081 and 0.060, respectively). Conclusion: Abnormal foetal heart rate pattern is more common in pregnancies marked by intra-uterine growth restriction and is directly associated with worse pregnancy/foetal outcomes. (author)

  3. The relationship between heart rate reserve and oxygen uptake reserve in heart failure patients on optimized and non-optimized beta-blocker therapy

    Directory of Open Access Journals (Sweden)

    Vitor Oliveira Carvalho

    2008-01-01

    Full Text Available BACKGROUND: The relationship between the percentage of oxygen consumption reserve and percentage of heart rate reserve in heart failure patients either on non-optimized or off beta-blocker therapy is known to be unreliable. The aim of this study was to evaluate the relationship between the percentage of oxygen consumption reserve and percentage of heart rate reserve in heart failure patients receiving optimized and non-optimized beta-blocker treatment during a treadmill cardiopulmonary exercise test. METHODS: A total of 27 sedentary heart failure patients (86% male, 50±12 years on optimized beta-blocker therapy with a left ventricle ejection fraction of 33±8% and 35 sedentary non-optimized heart failure patients (75% male, 47±10 years with a left ventricle ejection fraction of 30±10% underwent the treadmill cardiopulmonary exercise test (Naughton protocol. Resting and peak effort values of both the percentage of oxygen consumption reserve and percentage of heart rate reserve were, by definition, 0 and 100, respectively. RESULTS: The heart rate slope for the non-optimized group was derived from the points 0.949±0.088 (0 intercept and 1.055±0.128 (1 intercept, p<0.0001. The heart rate slope for the optimized group was derived from the points 1.026±0.108 (0 intercept and 1.012±0.108 (1 intercept, p=0.47. Regression linear plots for the heart rate slope for each patient in the non-optimized and optimized groups revealed a slope of 0.986 (almost perfect for the optimized group, but the regression analysis for the non-optimized group was 0.030 (far from perfect, which occurs at 1. CONCLUSION: The relationship between the percentage of oxygen consumption reserve and percentage of heart rate reserve in patients on optimized beta-blocker therapy was reliable, but this relationship was unreliable in non-optimized heart failure patients.

  4. Identification of heart rateassociated loci and their effects on cardiac conduction and rhythm disorders

    Science.gov (United States)

    den Hoed, Marcel; Eijgelsheim, Mark; Esko, Tnu; Brundel, Bianca J J M; Peal, David S; Evans, David M; Nolte, Ilja M; Segr, Ayellet V; Holm, Hilma; Handsaker, Robert E; Westra, Harm-Jan; Johnson, Toby; Isaacs, Aaron; Yang, Jian; Lundby, Alicia; Zhao, Jing Hua; Kim, Young Jin; Go, Min Jin; Almgren, Peter; Bochud, Murielle; Boucher, Gabrielle; Cornelis, Marilyn C; Gudbjartsson, Daniel; Hadley, David; Van Der Harst, Pim; Hayward, Caroline; Heijer, Martin Den; Igl, Wilmar; Jackson, Anne U; Kutalik, Zoltn; Luan, Jianan; Kemp, John P; Kristiansson, Kati; Ladenvall, Claes; Lorentzon, Mattias; Montasser, May E; Njajou, Omer T; OReilly, Paul F; Padmanabhan, Sandosh; Pourcain, Beate St.; Rankinen, Tuomo; Salo, Perttu; Tanaka, Toshiko; Timpson, Nicholas J; Vitart, Veronique; Waite, Lindsay; Wheeler, William; Zhang, Weihua; Draisma, Harmen H M; Feitosa, Mary F; Kerr, Kathleen F; Lind, Penelope A; Mihailov, Evelin; Onland-Moret, N Charlotte; Song, Ci; Weedon, Michael N; Xie, Weijia; Yengo, Loic; Absher, Devin; Albert, Christine M; Alonso, Alvaro; Arking, Dan E; de Bakker, Paul I W; Balkau, Beverley; Barlassina, Cristina; Benaglio, Paola; Bis, Joshua C; Bouatia-Naji, Nabila; Brage, Sren; Chanock, Stephen J; Chines, Peter S; Chung, Mina; Darbar, Dawood; Dina, Christian; Drr, Marcus; Elliott, Paul; Felix, Stephan B; Fischer, Krista; Fuchsberger, Christian; de Geus, Eco J C; Goyette, Philippe; Gudnason, Vilmundur; Harris, Tamara B; Hartikainen, Anna-liisa; Havulinna, Aki S; Heckbert, Susan R; Hicks, Andrew A; Hofman, Albert; Holewijn, Suzanne; Hoogstra-Berends, Femke; Hottenga, Jouke-Jan; Jensen, Majken K; Johansson, sa; Junttila, Juhani; Kb, Stefan; Kanon, Bart; Ketkar, Shamika; Khaw, Kay-Tee; Knowles, Joshua W; Kooner, Angrad S; Kors, Jan A; Kumari, Meena; Milani, Lili; Laiho, Pivi; Lakatta, Edward G; Langenberg, Claudia; Leusink, Maarten; Liu, Yongmei; Luben, Robert N; Lunetta, Kathryn L; Lynch, Stacey N; Markus, Marcello R P; Marques-Vidal, Pedro; Leach, Irene Mateo; McArdle, Wendy L; McCarroll, Steven A; Medland, Sarah E; Miller, Kathryn A; Montgomery, Grant W; Morrison, Alanna C; Mller-Nurasyid, Martina; Navarro, Pau; Nelis, Mari; OConnell, Jeffrey R; ODonnell, Christopher J; Ong, Ken K; Newman, Anne B; Peters, Annette; Polasek, Ozren; Pouta, Anneli; Pramstaller, Peter P; Psaty, Bruce M; Rao, Dabeeru C; Ring, Susan M; Rossin, Elizabeth J; Rudan, Diana; Sanna, Serena; Scott, Robert A; Sehmi, Jaban S; Sharp, Stephen; Shin, Jordan T; Singleton, Andrew B; Smith, Albert V; Soranzo, Nicole; Spector, Tim D; Stewart, Chip; Stringham, Heather M; Tarasov, Kirill V; Uitterlinden, Andr G; Vandenput, Liesbeth; Hwang, Shih-Jen; Whitfield, John B; Wijmenga, Cisca; Wild, Sarah H; Willemsen, Gonneke; Wilson, James F; Witteman, Jacqueline C M; Wong, Andrew; Wong, Quenna; Jamshidi, Yalda; Zitting, Paavo; Boer, Jolanda M A; Boomsma, Dorret I; Borecki, Ingrid B; Van Duijn, Cornelia M; Ekelund, Ulf; Forouhi, Nita G; Froguel, Philippe; Hingorani, Aroon; Ingelsson, Erik; Kivimaki, Mika; Kronmal, Richard A; Kuh, Diana; Lind, Lars; Martin, Nicholas G; Oostra, Ben A; Pedersen, Nancy L; Quertermous, Thomas; Rotter, Jerome I; van der Schouw, Yvonne T; Verschuren, W M Monique; Walker, Mark; Albanes, Demetrius; Arnar, David O; Assimes, Themistocles L; Bandinelli, Stefania; Boehnke, Michael; de Boer, Rudolf A; Bouchard, Claude; Caulfield, W L Mark; Chambers, John C; Curhan, Gary; Cusi, Daniele; Eriksson, Johan; Ferrucci, Luigi; van Gilst, Wiek H; Glorioso, Nicola; de Graaf, Jacqueline; Groop, Leif; Gyllensten, Ulf; Hsueh, Wen-Chi; Hu, Frank B; Huikuri, Heikki V; Hunter, David J; Iribarren, Carlos; Isomaa, Bo; Jarvelin, Marjo-Riitta; Jula, Antti; Khnen, Mika; Kiemeney, Lambertus A; van der Klauw, Melanie M; Kooner, Jaspal S; Kraft, Peter; Iacoviello, Licia; Lehtimki, Terho; Lokki, Marja-Liisa L; Mitchell, Braxton D; Navis, Gerjan; Nieminen, Markku S; Ohlsson, Claes; Poulter, Neil R; Qi, Lu; Raitakari, Olli T; Rimm, Eric B; Rioux, John D; Rizzi, Federica; Rudan, Igor; Salomaa, Veikko; Sever, Peter S; Shields, Denis C; Shuldiner, Alan R; Sinisalo, Juha; Stanton, Alice V; Stolk, Ronald P; Strachan, David P; Tardif, Jean-Claude; Thorsteinsdottir, Unnur; Tuomilehto, Jaako; van Veldhuisen, Dirk J; Virtamo, Jarmo; Viikari, Jorma; Vollenweider, Peter; Waeber, Grard; Widen, Elisabeth; Cho, Yoon Shin; Olsen, Jesper V; Visscher, Peter M; Willer, Cristen; Franke, Lude; Erdmann, Jeanette; Thompson, John R; Pfeufer, Arne; Sotoodehnia, Nona

    2013-01-01

    Elevated resting heart rate is associated with greater risk of cardiovascular disease and mortality. In a 2-stage meta-analysis of genome-wide association studies in up to 181,171 individuals, we identified 14 new loci associated with heart rate and confirmed associations with all 7 previously established loci. Experimental downregulation of gene expression in Drosophila melanogaster and Danio rerio identified 20 genes at 11 loci that are relevant for heart rate regulation and highlight a role for genes involved in signal transmission, embryonic cardiac development and the pathophysiology of dilated cardiomyopathy, congenital heart failure and/or sudden cardiac death. In addition, genetic susceptibility to increased heart rate is associated with altered cardiac conduction and reduced risk of sick sinus syndrome, and both heart rateincreasing and heart ratedecreasing variants associate with risk of atrial fibrillation. Our findings provide fresh insights into the mechanisms regulating heart rate and identify new therapeutic targets. PMID:23583979

  5. Identification of heart rate-associated loci and their effects on cardiac conduction and rhythm disorders.

    Science.gov (United States)

    den Hoed, Marcel; Eijgelsheim, Mark; Esko, Tnu; Brundel, Bianca J J M; Peal, David S; Evans, David M; Nolte, Ilja M; Segr, Ayellet V; Holm, Hilma; Handsaker, Robert E; Westra, Harm-Jan; Johnson, Toby; Isaacs, Aaron; Yang, Jian; Lundby, Alicia; Zhao, Jing Hua; Kim, Young Jin; Go, Min Jin; Almgren, Peter; Bochud, Murielle; Boucher, Gabrielle; Cornelis, Marilyn C; Gudbjartsson, Daniel; Hadley, David; van der Harst, Pim; Hayward, Caroline; den Heijer, Martin; Igl, Wilmar; Jackson, Anne U; Kutalik, Zoltn; Luan, Jian'an; Kemp, John P; Kristiansson, Kati; Ladenvall, Claes; Lorentzon, Mattias; Montasser, May E; Njajou, Omer T; O'Reilly, Paul F; Padmanabhan, Sandosh; St Pourcain, Beate; Rankinen, Tuomo; Salo, Perttu; Tanaka, Toshiko; Timpson, Nicholas J; Vitart, Veronique; Waite, Lindsay; Wheeler, William; Zhang, Weihua; Draisma, Harmen H M; Feitosa, Mary F; Kerr, Kathleen F; Lind, Penelope A; Mihailov, Evelin; Onland-Moret, N Charlotte; Song, Ci; Weedon, Michael N; Xie, Weijia; Yengo, Loic; Absher, Devin; Albert, Christine M; Alonso, Alvaro; Arking, Dan E; de Bakker, Paul I W; Balkau, Beverley; Barlassina, Cristina; Benaglio, Paola; Bis, Joshua C; Bouatia-Naji, Nabila; Brage, Sren; Chanock, Stephen J; Chines, Peter S; Chung, Mina; Darbar, Dawood; Dina, Christian; Drr, Marcus; Elliott, Paul; Felix, Stephan B; Fischer, Krista; Fuchsberger, Christian; de Geus, Eco J C; Goyette, Philippe; Gudnason, Vilmundur; Harris, Tamara B; Hartikainen, Anna-Liisa; Havulinna, Aki S; Heckbert, Susan R; Hicks, Andrew A; Hofman, Albert; Holewijn, Suzanne; Hoogstra-Berends, Femke; Hottenga, Jouke-Jan; Jensen, Majken K; Johansson, Asa; Junttila, Juhani; Kb, Stefan; Kanon, Bart; Ketkar, Shamika; Khaw, Kay-Tee; Knowles, Joshua W; Kooner, Angrad S; Kors, Jan A; Kumari, Meena; Milani, Lili; Laiho, Pivi; Lakatta, Edward G; Langenberg, Claudia; Leusink, Maarten; Liu, Yongmei; Luben, Robert N; Lunetta, Kathryn L; Lynch, Stacey N; Markus, Marcello R P; Marques-Vidal, Pedro; Mateo Leach, Irene; McArdle, Wendy L; McCarroll, Steven A; Medland, Sarah E; Miller, Kathryn A; Montgomery, Grant W; Morrison, Alanna C; Mller-Nurasyid, Martina; Navarro, Pau; Nelis, Mari; O'Connell, Jeffrey R; O'Donnell, Christopher J; Ong, Ken K; Newman, Anne B; Peters, Annette; Polasek, Ozren; Pouta, Anneli; Pramstaller, Peter P; Psaty, Bruce M; Rao, Dabeeru C; Ring, Susan M; Rossin, Elizabeth J; Rudan, Diana; Sanna, Serena; Scott, Robert A; Sehmi, Jaban S; Sharp, Stephen; Shin, Jordan T; Singleton, Andrew B; Smith, Albert V; Soranzo, Nicole; Spector, Tim D; Stewart, Chip; Stringham, Heather M; Tarasov, Kirill V; Uitterlinden, Andr G; Vandenput, Liesbeth; Hwang, Shih-Jen; Whitfield, John B; Wijmenga, Cisca; Wild, Sarah H; Willemsen, Gonneke; Wilson, James F; Witteman, Jacqueline C M; Wong, Andrew; Wong, Quenna; Jamshidi, Yalda; Zitting, Paavo; Boer, Jolanda M A; Boomsma, Dorret I; Borecki, Ingrid B; van Duijn, Cornelia M; Ekelund, Ulf; Forouhi, Nita G; Froguel, Philippe; Hingorani, Aroon; Ingelsson, Erik; Kivimaki, Mika; Kronmal, Richard A; Kuh, Diana; Lind, Lars; Martin, Nicholas G; Oostra, Ben A; Pedersen, Nancy L; Quertermous, Thomas; Rotter, Jerome I; van der Schouw, Yvonne T; Verschuren, W M Monique; Walker, Mark; Albanes, Demetrius; Arnar, David O; Assimes, Themistocles L; Bandinelli, Stefania; Boehnke, Michael; de Boer, Rudolf A; Bouchard, Claude; Caulfield, W L Mark; Chambers, John C; Curhan, Gary; Cusi, Daniele; Eriksson, Johan; Ferrucci, Luigi; van Gilst, Wiek H; Glorioso, Nicola; de Graaf, Jacqueline; Groop, Leif; Gyllensten, Ulf; Hsueh, Wen-Chi; Hu, Frank B; Huikuri, Heikki V; Hunter, David J; Iribarren, Carlos; Isomaa, Bo; Jarvelin, Marjo-Riitta; Jula, Antti; Khnen, Mika; Kiemeney, Lambertus A; van der Klauw, Melanie M; Kooner, Jaspal S; Kraft, Peter; Iacoviello, Licia; Lehtimki, Terho; Lokki, Marja-Liisa L; Mitchell, Braxton D; Navis, Gerjan; Nieminen, Markku S; Ohlsson, Claes; Poulter, Neil R; Qi, Lu; Raitakari, Olli T; Rimm, Eric B; Rioux, John D; Rizzi, Federica; Rudan, Igor; Salomaa, Veikko; Sever, Peter S; Shields, Denis C; Shuldiner, Alan R; Sinisalo, Juha; Stanton, Alice V; Stolk, Ronald P; Strachan, David P; Tardif, Jean-Claude; Thorsteinsdottir, Unnur; Tuomilehto, Jaako; van Veldhuisen, Dirk J; Virtamo, Jarmo; Viikari, Jorma; Vollenweider, Peter; Waeber, Grard; Widen, Elisabeth; Cho, Yoon Shin; Olsen, Jesper V; Visscher, Peter M; Willer, Cristen; Franke, Lude; Erdmann, Jeanette; Thompson, John R; Pfeufer, Arne; Sotoodehnia, Nona; Newton-Cheh, Christopher; Ellinor, Patrick T; Stricker, Bruno H Ch; Metspalu, Andres; Perola, Markus

    2013-06-01

    Elevated resting heart rate is associated with greater risk of cardiovascular disease and mortality. In a 2-stage meta-analysis of genome-wide association studies in up to 181,171 individuals, we identified 14 new loci associated with heart rate and confirmed associations with all 7 previously established loci. Experimental downregulation of gene expression in Drosophila melanogaster and Danio rerio identified 20 genes at 11 loci that are relevant for heart rate regulation and highlight a role for genes involved in signal transmission, embryonic cardiac development and the pathophysiology of dilated cardiomyopathy, congenital heart failure and/or sudden cardiac death. In addition, genetic susceptibility to increased heart rate is associated with altered cardiac conduction and reduced risk of sick sinus syndrome, and both heart rate-increasing and heart rate-decreasing variants associate with risk of atrial fibrillation. Our findings provide fresh insights into the mechanisms regulating heart rate and identify new therapeutic targets. PMID:23583979

  6. Human Fetal Heart Rate Dishabituation between Thirty and Thirty-Two Weeks Gestation.

    Science.gov (United States)

    Sandman, Curt A.; Wadhwa, Pathik; Hetrick, William; Porto, Manuel; Peeke, Harmon V. S.

    1997-01-01

    Examined the ability of 32-week human fetuses to learn and recall information. Found a significant heart rate habituation pattern for a series of vibroacoustic stimuli. After a single novel stimulus, the heart rate to stimulus 1 reemerged. Uterine contractions were not related to presentation of the novel stimulus or change in heart rate after the

  7. Heart Rates of High School Physical Education Students during Team Sports, Individual Sports, and Fitness Activities

    Science.gov (United States)

    Laurson, Kelly R.; Brown, Dale D.; Cullen, Robert W.; Dennis, Karen K.

    2008-01-01

    This study examined how activity type influenced heart rates and time spent in target heart rate zones of high school students participating in physical education classes. Significantly higher average heart rates existed for fitness (142 plus or minus 24 beats per minute [bpm]) compared to team (118 plus or minus 24 bpm) or individual (114 plus or…

  8. Making the Most of the "Daphnia" Heart Rate Lab: Optimizing the Use of Ethanol, Nicotine & Caffeine

    Science.gov (United States)

    Corotto, Frank; Ceballos, Darrel; Lee, Adam; Vinson, Lindsey

    2010-01-01

    Students commonly test the effects of chemical agents on the heart rate of the crustacean "Daphnia" magna, but the procedure has never been optimized. We determined the effects of three concentrations of ethanol, nicotine, and caffeine and of a control solution on heart rate in "Daphnia." Ethanol at 5% and 10% (v/v) reduced mean heart rate to…

  9. Dynamic analysis of heart rate may predict subsequent ventricular tachycardia after myocardial infarction

    Science.gov (United States)

    Makikallio, T. H.; Seppanen, T.; Airaksinen, K. E.; Koistinen, J.; Tulppo, M. P.; Peng, C. K.; Goldberger, A. L.; Huikuri, H. V.

    1997-01-01

    Dynamics analysis of RR interval behavior and traditional measures of heart rate variability were compared between postinfarction patients with and without vulnerability to ventricular tachyarrhythmias in a case-control study. Short-term fractal correlation of heart rate dynamics was better than traditional measures of heart rate variability in differentiating patients with and without life-threatening arrhythmias.

  10. Heart rate and estimated energy expenditure during ballroom dancing.

    Science.gov (United States)

    Blanksby, B A; Reidy, P W

    1988-06-01

    Ten competitive ballroom dance couples performed simulated competitive sequences of Modern and Latin American dance. Heart rate was telemetered during the dance sequences and related to direct measures of oxygen uptake and heart rate obtained while walking on a treadmill. Linear regression was employed to estimate gross and net energy expenditures of the dance sequences. A multivariate analysis of variance with repeated measures on the dance factor was applied to the data to test for interaction and main effects on the sex and dance factors. Overall mean heart rate values for the Modern dance sequence were 170 beats.min-1 and 173 beats.min-1 for males and females respectively. During the Latin American sequence mean overall heart rate for males was 168 beats.min-1 and 177 beats.min-1 for females. Predicted mean gross values of oxygen consumption for the males were 42.8 +/- 5.7 ml.kg-1 min-1 and 42.8 +/- 6.9 ml.kg-1 min-1 for the Modern and Latin American sequences respectively. Corresponding gross estimates of oxygen consumption for the females were 34.7 +/- 3.8 ml.kg-1 min-1 and 36.1 +/- 4.1 ml.kg-1 min-1. Males were estimated to expand 54.1 +/- 8.1 kJ.min-1 of energy during the Modern sequence and 54.0 +/- 9.6 kJ.min-1 during the Latin American sequence, while predicted energy expenditure for females was 34.7 +/- 3.8 kJ.min-1 and 36.1 +/- 4.1 kJ.min-1 for Modern and Latin American dance respectively. The results suggested that both males and females were dancing at greater than 80% of their maximum oxygen consumption. A significant difference between males and females was observed for predicted gross and net values of oxygen consumption (in L.min-1 and ml.kg-1 min-1). PMID:3167503

  11. Heart rate variability in infants with West syndrome

    DEFF Research Database (Denmark)

    Møller, Michelle Mai; Høgenhaven, Hans; Uldall, Peter; Ballegaard, Martin

    2015-01-01

    with WS the heart rate variability (HRV) was investigated by examining time- and frequency-domain parameters of HRV at the time of the diagnosis of hypsarrhythmia and compared to 22 age-matched controls. For the WS patients the same dataset was obtained and compared again at the end of the study period......, when hypsarrhythmia was no longer present. RESULTS: Compared to controls, patients with WS during hypsarrhythmia had significantly lower SDNN (the standard deviation of the NN interval, i.e. the square root of variance) (19.2ms; p=0.007, Mann-Whitney's U-Test) and total power (242ms(2); p=0.044, Mann...

  12. Heart rate variability is reduced during acute uncomplicated diverticulitis

    DEFF Research Database (Denmark)

    Huang, Chenxi; Alamili, Mahdi; Rosenberg, Jacob; Gögenur, Ismail

    2015-01-01

    BACKGROUND: The aim of the present study was to report the trajectory of heart rate variability (HRV) indices during a low-grade acute inflammation and their associations to biomarkers for infection. METHODS: Twelve patients with uncomplicated acute diverticulitis completed this observational study...... HRV indices were decreased both in time and frequency domains during acute diverticulitis compared to baseline. In particular, the indices reflecting the balance of sympathetic and parasympathetic activities were affected: standard deviation of normal-to-normal beats (P = .003), low-frequency power (P...

  13. Heart rate variability biofeedback: How and why does it work?

    Directory of Open Access Journals (Sweden)

    PaulMLehrer

    2014-07-01

    Full Text Available In recent years there has been substantial support for Heart Rate Variability Biofeedback (HRVB as a treatment for a variety of disorders and for performance enhancement (Gevirtz, 2013. Since conditions as widely varied as asthma and depression seem to respond to this form of cardiorespiratory feedback training, the issue of possible mechanisms becomes more salient. The most supported possible mechanism is the strengthening of homeostasis in the barorecptor (Vashillo, et al, 2002; Lehrer, et al, 2003. Recently, the effect on the vagal afferent pathway to the frontal cortical areas has been proposed. In this article, we review these and other possible mechanisms that might explain the positive effects of HRVB.

  14. Impact of caffeine on heart rate and blood pressure at rest and during exercise

    Directory of Open Access Journals (Sweden)

    Azam Mousavi

    2011-05-01

    Full Text Available Introduction:Several studies have evaluated the impact of caffeine consumption on athletes performance from different aspects; however, the findings are varied. The aim of this research was to evaluate the impact of caffeine consumption on some of the cardiovascular factors including heart rate and blood pressure at rest, at the end of exercise, and during the 3rd and 5th minutes of recovery. Material and Methods:The subjects of this study included 20 female athletes, voluntarily participating in the study. Two separate tests with an interval of one week were conducted. The subjects received placebo for the first test and caffeine containing capsules (5 mg/kg for the second test. The patient heart rate and blood pressure were measured at rest, at the end of the exercise and during the 3rd and 5th minutes of recovery after submaximal test. Maximal oxygen consumption (VO2max was measured using Fax submaximal cardiorespiratory test. Paired t- test was used for data analysis. Results:Caffeine consumption had no significantly effect on VO2max, resting and end exercise heart rate, and blood pressure recorded at the end of the exercise. Caffeine consumption caused a significant increase in the heart rate during 3rd and 5th minutes of recovery, and in blood pressure at rest, and during the 3rd and the 5th minutes of recovery in the athletes. Conclusion:Due to the caffeine induced increase in blood pressure and heart rate, caffeine consumption (5 mg/kg before submaximal exercise is not recommended either for those who suffer hypertension or cardiac disease nor for those who do exercise for health or athletic purposes.

  15. Deletion of neurturin impairs development of cholinergic nerves and heart rate control in postnatal mouse hearts.

    Science.gov (United States)

    Downs, Anthony M; Jalloh, Hawa B; Prater, Kayla J; Fregoso, Santiago P; Bond, Cherie E; Hampton, Thomas G; Hoover, Donald B

    2016-05-01

    The neurotrophic factor neurturin is required for normal cholinergic innervation of adult mouse heart and bradycardic responses to vagal stimulation. Our goals were to determine effects of neurturin deletion on development of cardiac chronotropic and dromotropic functions, vagal baroreflex response, and cholinergic nerve density in nodal regions of postnatal mice. Experiments were performed on postnatal C57BL/6 wild-type (WT) and neurturin knockout (KO) mice. Serial electrocardiograms were recorded noninvasively from conscious pups using an ECGenie apparatus. Mice were treated with atenolol to evaluate and block sympathetic effects on heart rate (HR) and phenylephrine (PE) to stimulate the baroreflex. Immunohistochemistry was used to label cholinergic nerves in paraffin sections. WT and KO mice showed similar age-dependent increases in HR and decreases in PR interval between postnatal days (P) 2.5 and 21. Treatment with atenolol reduced HR significantly in WT and KO pups at P7.5. PE caused a reflex bradycardia that was significantly smaller in KO pups. Cholinergic nerve density was significantly less in nodal regions of P7.5 KO mice. We conclude that cholinergic nerves have minimal influence on developmental changes in HR and PR, QRS, and QTc intervals in mouse pups. However, cholinergic nerves mediate reflex bradycardia by 1 week postnatally. Deletion of neurturin impairs cholinergic innervation of the heart and the vagal efferent component of the baroreflex early during postnatal development. PMID:27162260

  16. The predictive value of resting heart rate following osmotherapy in brain injury: back to basics

    OpenAIRE

    Mahsa Hasanpour Mir; Fardin Yousefshahi; Mohammad Abdollahi; Arezoo Ahmadi; Atabak Nadjafi; "Mojtaba Mojtahedzadeh

    2012-01-01

    Abstract Background The importance of resting heart rate as a prognostic factor was described in several studies. An elevated heart rate is an independent risk factor for adverse cardiovascular events and total mortality in patients with coronary artery disease, chronic heart failure, and the general population. Also heart rate is elevated in the Multi Organ Dysfunction Syndrome (MODS) and the mortality due to MODS is highly correlated with inadequate sinus tachycardia. To evaluate the value ...

  17. Simple and Cost-effective Heart Rate Meter Using PIC Microcontroller

    OpenAIRE

    Souvik Das

    2014-01-01

    One of the major and significant physiological parameters of human cardiovascular system is the heart rate. Heart rate is represented by the number of times the heart beats per minute. The heart rate data can reflect various physiological states such as stress at work, concentration on tasks, drowsiness, biological workload, and the active state of the autonomic nervous system. Human cardiac dynamics are driven by the complex nonlinear interactions of two competing forces: sym...

  18. Blue 405 nm laser light mediates heart rate investigations at the acupoint Neiguan (Pe.6 in Chinese adults

    Directory of Open Access Journals (Sweden)

    Gerhard Litscher

    2009-10-01

    Full Text Available Background: In previous studies, we showed that laser needle acupuncture with red and infrared light has specific effects on bio-signals of the brain and heart. Aims: In this publication we report the effect of blue laser light on heart rate and heart rate variability (HRV before, during and after acupuncture at the acupoint Neiguan (Pe.6 in Chinese adults. These are the first data published concerning heart rate and HRV, obtained with blue laser acupuncture equipment. Patients and Methods: The investigations were carried out in 13 healthy Chinese volunteers with a mean age of 31.2 7.5 years within a randomized, controlled study. Stimulation was performed with painless blue laser light (wavelength: 405 nm; activation: 10 minutes bilaterally at Pe.6. In a second session, for control reasons the laser was not activated. Results Heart rate showed a significant (p=0.008 decrease during blue laser light stimulation. In contrast, no significant changes were found when the laser was deactivated. The evaluation parameter LF/HF ratio (low frequency/high frequency ratio from the HRV spectral analysis showed a very slight increase during stimulation, however it was not significant. Conclusions: Our main conclusion is that continuous blue laser light stimulation on Neiguan significantly reduces heart rate of Chinese adults.

  19. Importance of heart rate analysis in exercise tolerance test

    Scientific Electronic Library Online (English)

    Artur Haddad, Herdy; Carlos Eduardo Schio, Fay; Christian, Bornschein; Ricardo, Stein.

    2003-08-01

    Full Text Available After many years away from the limelights, at the beginning of this century, exercise tolerance testing has earned back an important position in international medical journals. The different sorts of information derived from a variety of studies based on it have shown us that this propedeutic method [...] has a highly valuable prognostic impact. Because of its low cost and easy applicability, the exercise testing reinforces its position in the clinical practice of the cardiologist. In the early 70's, research relating the influence of the autonomic nervous system in heart rate behavior in all phases of an exercise tolerance testing began. Ever since, a number of hypotheses tried to clarify which would be the mechanisms related to the chronotropic response during effort and its performance in the recovery period. In this updating article the authors deal with an important data referring to the chronotropic deficit and the abnormal heart rate recovery, commenting on the prognostic implication of keeping the focus on the potential of its clinical impact. In other words, approaches that can be used whenever there is someone performing a monitored exercise tolerance testing.

  20. Conditioned tolerance to the heart rate effects of smoking.

    Science.gov (United States)

    Epstein, L H; Caggiula, A R; Perkins, K A; McKenzie, S J; Smith, J A

    1991-05-01

    This study extended our findings that behavioral tolerance to nicotine in animals can be influenced by conditioning to cardiovascular tolerance in humans. Subjects smoked one-half a cigarette during each of five trials. In the ten-minute intersmoking interval the contexts that preceded smoking were varied. Smokers in the Changing group attended to a different five-minute segment of a Sherlock Holmes radio mystery before each trial, while those in the Repeated group listened to the same segment of the tape. Presmoking heart rates were stable across the groups from trials 1 to 5. As predicted, heart rate for subjects who smoked in the same context showed tolerance to smoking from trials 1 to 5 (84.5 to 78 bpm), while subjects who smoked in in the same context showed tolerance to 83.9 bpm). COa levels increased equally for both groups over the five trials. The results of this study suggest tolerance to smoking can be influenced by learning. PMID:1924497

  1. Motion-compensated non-contact detection of heart rate

    Science.gov (United States)

    Yang, Lei; Liu, Ming; Dong, Liquan; Zhao, Yuejin; Liu, Xiaohua

    2015-12-01

    A new non-contact heart rate detection method based on the dual-wavelength technique is proposed and demonstrated experimentally. It is a well-known fact that the differences in the circuits of two detection modules result in different responses of two modules for motion artifacts. This poses a great challenge to compensate the motion artifacts during measurements. In order to circumvent this problem, we have proposed the amplitude spectrum and phase spectrum adaptive filter. Comparing with the time-domain adaptive filter and independent component analysis, the amplitude spectrum and phase spectrum adaptive filter can suppress the interference caused by the two circuit differences and effectively compensate the motion artifacts. To make the device is much compact and portable, a photoelectric probe is designed. The measurement distance is from several centimeters up to several meters. Moreover, the data obtained by using this non-contact detection system is compared with those of the conventional finger blood volume pulse (BVP) sensor by simultaneously measuring the heart rate of the subject. The data obtained from the proposed non-contact system are consistent and comparable with that of the BVP sensor.

  2. Human heart rate variability relation is unchanged during motion sickness

    Science.gov (United States)

    Mullen, T. J.; Berger, R. D.; Oman, C. M.; Cohen, R. J.

    1998-01-01

    In a study of 18 human subjects, we applied a new technique, estimation of the transfer function between instantaneous lung volume (ILV) and instantaneous heart rate (HR), to assess autonomic activity during motion sickness. Two control recordings of ILV and electrocardiogram (ECG) were made prior to the development of motion sickness. During the first, subjects were seated motionless, and during the second they were seated rotating sinusoidally about an earth vertical axis. Subjects then wore prism goggles that reverse the left-right visual field and performed manual tasks until they developed moderate motion sickness. Finally, ILV and ECG were recorded while subjects maintained a relatively constant level of sickness by intermittent eye closure during rotation with the goggles. Based on analyses of ILV to HR transfer functions from the three conditions, we were unable to demonstrate a change in autonomic control of heart rate due to rotation alone or due to motion sickness. These findings do not support the notion that moderate motion sickness is manifested as a generalized autonomic response.

  3. Heart rate dynamics in iNOS knockout mice.

    Science.gov (United States)

    Mani, Ali R; Ollosson, Richard; Mani, Yasaman; Ippolito, Silvia; Moore, Kevin P

    2006-09-20

    Nitric oxide has both an inhibitory and excitatory role in the regulation of pre-ganglionic sympathetic neurons, involving the iNOS and nNOS systems respectively. The aim of the present study was to examine cardiovascular autonomic activity in iNOS knockout mice using spectral analysis of heart rate variability (HRV), and to determine the role of iNOS in altered HRV in endotoxaemia. Electrocardiograms were recorded in anaesthetised mice, and the R-R intervals digitized for spectral analysis of HRV and cardiac rhythm regularity using sample entropy analysis. The basal heart rate was higher in iNOS knockout mice compared with controls (465+/-8 vs 415+/-13 beat/min Pdepression of HRV and sample entropy in both groups. Studies in isolated beating atria showed that the changes of HRV under basal or post-LPS conditions disappeared in vitro, suggesting that the autonomic system is responsible for altered HRV. We conclude that disruption of iNOS gene leads to an increase in the low frequency power of HRV consistent with increased cardiac sympathetic activity. These data also demonstrate that LPS-induced decrease of HRV is independent of iNOS. PMID:16790251

  4. Sternal Pulse Rate Variability Compared with Heart Rate Variability on Healthy Subjects

    DEFF Research Database (Denmark)

    Chreiteh, Shadi; Belhage, Bo; Hoppe, Karsten; Branebjerg, Jens; Thomsen, Erik Vilain

    2014-01-01

    The heart rate variability (HRV) is a commonly used method to quantify the sympathetic and the parasympathetic modulation of the heart rate. HRV is mainly conducted on electrocardiograms (ECG). However, the use of photoplethysmography (PPG) as a marker of the autonomic tone is emerging. In this...... study we investigated the feasibility of deriving pulse rate variability (PRV) using PPG signals recorded by a reflectance PPG sensor attached to the chest bone (sternum) and comparing it to HRV. The recordings were conducted on 9 healthy subjects being in a relaxed supine position and under forced...... respiration, where the subjects were asked to breathe following a visual scale with a rate of 27 breaths/min. HRV parameters such as the mean intervals (meanNN), the standard deviation of intervals (SDNN), the root mean square of difference of successive intervals (RMSSD), and the proportion of intervals...

  5. Effects of Vibration and G-Loading on Heart Rate, Breathing Rate, and Response Time

    Science.gov (United States)

    Godinez, Angelica; Ayzenberg, Ruthie; Liston, Dorian B.; Stone, Leland S.

    2013-01-01

    Aerospace and applied environments commonly expose pilots and astronauts to G-loading and vibration, alone and in combination, with well-known sensorimotor (Cohen, 1970) and performance consequences (Adelstein et al., 2008). Physiological variables such as heart rate (HR) and breathing rate (BR) have been shown to increase with G-loading (Yajima et al., 1994) and vibration (e.g. Guignard, 1965, 1985) alone. To examine the effects of G-loading and vibration, alone and in combination, we measured heart rate and breathing rate under aerospace-relevant conditions (G-loads of 1 Gx and 3.8 Gx; vibration of 0.5 gx at 8, 12, and 16 Hz).

  6. A Comparison of Verapamil and Digoxin for Heart Rate Control in Atrial Fibrillation

    Science.gov (United States)

    Afzali Moghadam, Mohammad; Fadaie Dashti, Maryam; Shahsavarinia, Kavous; Mahmoodpoor, Ata; Jamali, Kazem

    2012-01-01

    Purpose: Atrial fibrillation (AF) is one of the most common types of sustained dysrhythmia and there are some disagreements about its treatment. The goals of AF treatment include the control of ventricular rate, the establishment of sinus rhythm and the prevention of thromboembolic events. In this study, the effect of verapamil was compared to digoxin on heart rate control in patients with AF. Methods: This descriptive study was conducted in an emergency department (ED) in Iran. Sixty patients with a new onset AF and rapid ventricular response receiving digoxin or verapamil were included and observed. Results: Two thirty-patient groups receiving verapamil or digoxin were evaluated. The heart rate was significantly decreased in both groups (p = 0.002); however, the cardioversion was not noticed in both of them. The best rate control in verapamil and digoxin groups was observed after 5.9 mg (46.7%) and 0.6 mg (36.7%), respectively. Conclusion: Administration of verapamil in comparison with digoxin has no difference to control the heart rate in AF patients. It should be taken into consideration that prospective randomized studies should be conducted to identify the efficacy and select the best of these two drugs to treat AF patients. PMID:24312794

  7. Day-to-night time differences in the relationship between cardiorespiratory coordination and heart rate variability

    International Nuclear Information System (INIS)

    Heart rate variability (HRV) and cardiorespiratory coordination, i.e. the temporal interplay between oscillations of heartbeat and respiration, reflect information related to the cardiovascular and autonomic nervous system. The purpose of this study was to investigate the relationship between spectral measures of HRV and measures of cardiorespiratory coordination. In 127 subjects from a normal population a 24 h Holter ECG was recorded. Average heart rate (HR) and the following HRV parameters were calculated: very low (VLF), low (LF) and high frequency (HF) oscillations and LF/HF. Cardiorespiratory coordination was quantified using average respiratory rate (RespR), the ratio of heart rate and respiratory rate (HRR), the phase coordination ratio (PCR) and the extent of cardiorespiratory coordination (PP). Pearson's correlation coefficient r was used to quantify the relationship between each pair of the variables across all subjects. HR and HRR correlated strongest during daytime (r = 0.89). LF/HF and PP showed a negative correlation to a reasonable degree (r = −0.69). During nighttime sleep these correlations decreased whereas the correlation between HRR and RespR (r = −0.47) as well as between HRR and PCR (r = 0.73) increased substantially. In conclusion, HRR and PCR deliver considerably different information compared to HRV measures whereas PP is partially linked reciprocally to LF/HF

  8. Quantifying the Interactions between Maternal and Fetal Heart Rates by Transfer Entropy

    Science.gov (United States)

    Marzbanrad, Faezeh; Kimura, Yoshitaka; Palaniswami, Marimuthu; Khandoker, Ahsan H.

    2015-01-01

    Evidence of the short term relationship between maternal and fetal heart rates has been found in previous studies. However there is still limited knowledge about underlying mechanisms and patterns of the coupling throughout gestation. In this study, Transfer Entropy (TE) was used to quantify directed interactions between maternal and fetal heart rates at various time delays and gestational ages. Experimental results using maternal and fetal electrocardiograms showed significant coupling for 63 out of 65 fetuses, by statistically validating against surrogate pairs. Analysis of TE showed a decrease in transfer of information from fetus to the mother with gestational age, alongside the maturation of the fetus. On the other hand, maternal to fetal TE was significantly greater in mid (26–31 weeks) and late (32–41 weeks) gestation compared to early (16–25 weeks) gestation (Mann Whitney Wilcoxon (MWW) pmother to fetus significantly decreased (p = 0.03) from mid to late gestation, implying a decrease in fetal response time. These changes occur concomitant with the maturation of the fetal sensory and autonomic nervous systems with advancing gestational age. The effect of maternal respiratory rate derived from maternal ECG was also investigated and no significant relationship was found between breathing rate and TE at any lag. In conclusion, the application of TE with delays revealed detailed information on the fetal-maternal heart rate coupling strength and latency throughout gestation, which could provide novel clinical markers of fetal development and well-being. PMID:26701122

  9. Dynamics of spectral components of heart rate variability during changes in autonomic balance

    DEFF Research Database (Denmark)

    Højgaard, M V; Holstein-Rathlou, N H; Agner, E; Kanters, J K

    Frequency domain analysis of heart rate variability (HRV) has been proposed as a semiquantitative method for assessing activities in the autonomic nervous system. We examined whether absolute powers, normalized powers, and the low frequency-to-high frequency ratio (LF/HF) derived from the HRV power...... spectrum could detect shifts in autonomic balance in a setting with low sympathetic nervous tone. Healthy subjects were examined for 3 h in the supine position during 1) control conditions (n = 12), 2) acute beta-blockade (n = 11), and 3) chronic beta-blockade (n = 10). Heart rate fell during the first 40...... to contain the same information as powers expressed in normalized units. LF/HF detected the shift in autonomic balance induced by beta-blockade but not the change induced by supine position. In conclusion, none of the investigated measures derived from power spectral analysis comprehensively and...

  10. Unobtrusive heart rate monitor based on a fiber specklegram sensor and a single-board computer

    Science.gov (United States)

    Benevides, Alessandro B.; Frizera, Anselmo; Cotrina, Anibal; Ribeiro, Moiss. R. N.; Segatto, Marcelo E. V.; Pontes, Maria Jos

    2015-09-01

    This paper proposes a portable and unobtrusive heart rate monitor based on fiber specklegram sensors. The proposed module uses the Raspberry Pi module to perform the image acquisition and the fiber specklegram sensor, which is based on multimode plastic optical fibers. The heart rate is obtained by welch power spectral density estimate and the heart beats are identified by means of a threshold analysis.

  11. Association between the Rating Perceived Exertion, Heart Rate and Blood Lactate in Successive Judo Fights (Randori

    Directory of Open Access Journals (Sweden)

    Braulio Henrique Magnani Branco

    2013-06-01

    Full Text Available Purpose: This study aims to investigate the association between the rating of perceived exertion (RPE, heart rate (HR and the blood lactate concentration ([La] in successive judo fight simulations (randori.Methods: Ten athletes participated in the study (age: 25.6±2.1 years; stature: 1.75±0.07 m; body mass: 75.6±14.9kg; %BF: 11.5±7.8%; practice: 14.5±6.2 years and completed 4 judo fight simulations (T1 to T4 with duration of 5 min separated by 5 min passive recovery periods. Before each randori, [La] and HR were collected, and after each randori, the same measures and the RPE (CR-10 scale were collected.Results: Significant correlations were observed between: (1 CR-10 and HR (T2: r =0.70; T3: r =0.64; both, P<0.05; (2 ΔCR-10 and Δ[La] (T1-T2: r = .71, P< 0.05; T2-T3: r =0.92, P<0.01; T3-T4: r =0.73, P<0.05. Moreover, significant differences were noted in the behavior of the HR between the 2nd (T2 and 3rd (T3 judo fight simulations (P<0.05.Conclusion: The use of CR-10 in the evaluation process, as well as in deciding the load of training in judo, should be done with caution

  12. Heart failure clients' encounters with professionals and self-rated ability to return to work.

    Science.gov (United States)

    Nordgren, Lena; Sderlund, Anne

    2016-03-01

    Background People with heart failure are sick listed for long periods and disability pension is common. Healthcare professionals need knowledge about factors that can enhance their return to work processes. Aims This study focus on people on sick leave due to heart failure and their encounters with healthcare professionals/social insurance officers. Specifically, it aimed to investigate associations between: (1) encounters and socio-demographic factors and, (2) encounters and self-rated ability to return to work. Material and methods A cross-sectional study based on registry data and a postal questionnaire to people on sick leave due to heart failure (n?=?590). Bivariate correlation analyses and logistic regression analyses were used. Results Gender, income, and age were strongly associated with encounters with both social insurance officers and healthcare professionals. Self-rated ability to return to work was associated with the encounters 'Made reasonable demands', 'Gave clear and adequate information/advice' and 'Did not keep our agreements'. Conclusion and significance To enhance clients' abilities to return to work demands should be reasonable, information and advice need to be clear, and agreements should be kept. These results can be used by healthcare professionals as occupational therapists involved in vocational rehabilitation for people on sick leave due to heart failure. PMID:26337863

  13. Heart rate and ectopic prematurity in relation to sustained ventricular arrhythmias.

    OpenAIRE

    Yusuf, S; Lopez, R.; Sleight, P.

    1980-01-01

    Forty-four patients with acute myocardial infarction were studied using 24-hour electrocardiographic monitoring. A linear correlation has been shown to exist between heart rate preceding accelerated idioventricular rhythm and ventricular tachycardia and the rates of these. The prematurity index was found to be inversely related to the preceding heart rate and also to the rate of accelerated idioventricular rhythm or ventricular tachycardia. Faster heart rates preceded extrasystoles with short...

  14. Relative influence of age, resting heart rate and sedentary life style in short-term analysis of heart rate variability

    Directory of Open Access Journals (Sweden)

    E.R. Migliaro

    2001-04-01

    Full Text Available In order to assess the relative influence of age, resting heart rate (HR and sedentary life style, heart rate variability (HRV was studied in two different groups. The young group (YG consisted of 9 sedentary subjects aged 15 to 20 years (YG-S and of 9 nonsedentary volunteers (YG-NS also aged 15 to 20. The elderly sedentary group (ESG consisted of 16 sedentary subjects aged 39 to 82 years. HRV was assessed using a short-term procedure (5 min. R-R variability was calculated in the time-domain by means of the root mean square successive differences. Frequency-domain HRV was evaluated by power spectrum analysis considering high frequency and low frequency bands. In the YG the effort tolerance was ranked in a bicycle stress test. HR was similar for both groups while ESG showed a reduced HRV compared with YG. Within each group, HRV displayed a negative correlation with HR. Although YG-NS had better effort tolerance than YG-S, their HR and HRV were not significantly different. We conclude that HRV is reduced with increasing HR or age, regardless of life style. The results obtained in our short-term study agree with others of longer duration by showing that age and HR are the main determinants of HRV. Our results do not support the idea that changes in HRV are related to regular physical activity.

  15. The slope of the oxygen pulse curve does not depend on the maximal heart rate in elite soccer players

    Directory of Open Access Journals (Sweden)

    Raphael Rodrigues Perim

    2011-01-01

    Full Text Available INTRODUCTION: It is unknown whether an extremely high heart rate can affect oxygen pulse profile during progressive maximal exercise in healthy subjects. OBJECTIVE: Our aim was to compare relative oxygen pulse (adjusted for body weight curves in athletes at their maximal heart rate during treadmill cardiopulmonary exercise testing. METHODS: A total of 180 elite soccer players were categorized in quartiles according to their maximum heart rate values (n = 45. Oxygen consumption, maximum heart rate and relative oxygen pulse curves in the extreme quartiles, Q1 and Q4, were compared at intervals corresponding to 10% of the total duration of a cardiopulmonary exercise testing. RESULTS: Oxygen consumption was similar among all subjects during cardiopulmonary exercise testing; however subjects in Q1 started to exhibit lower maximum heart rate values when 20% of the test was complete. Conversely, the relative oxygen pulse was higher in this group when cardiopulmonary exercise testing was 40% complete (p<.01. Although the slopes of the lines were similar (p = .25, the regression intercepts differed (p<.01 between Q1 and Q4. During the last two minutes of testing, a flat or decreasing oxygen pulse was identified in 20% of the soccer players, and this trend was similar between subjects in Q1 and Q4. CONCLUSION: Relative oxygen pulse curve slopes, which serve as an indirect and non-invasive surrogate for stroke volume, suggest that the stroke volume is similar in young and aerobically fit subjects regardless of the maximum heart rate reached.

  16. Heart Rate and Initial Presentation of Cardiovascular Diseases (Caliber)

    Science.gov (United States)

    2013-09-17

    Abdominal Aortic Aneurysm; Coronary Heart Disease NOS; Unheralded Coronary Death; Intracerebral Haemorrhage; Heart Failure; Ischemic Stroke; Myocardial Infarction; Stroke; Peripheral Arterial Disease; Stable Angina Pectoris; Subarachnoid Haemorrhage; Transient Ischemic Attack; Unstable Angina; Cardiac Arrest, Sudden Cardiac Death

  17. Impact of heart rate and rhythm on radiation exposure in prospectively ECG triggered computed tomography

    Energy Technology Data Exchange (ETDEWEB)

    Luecke, Christian, E-mail: neep@gmx.de [University of Leipzig – Heart Center, Department of Diagnostic and Interventional Radiology, Strümpellstrasse 39, D-04289, Leipzig (Germany); Andres, Claudia; Foldyna, Borek [University of Leipzig – Heart Center, Department of Diagnostic and Interventional Radiology, Strümpellstrasse 39, D-04289, Leipzig (Germany); Nagel, Hans Dieter [Wissenschaft and Technik für die Radiologie, Buchhholz i.d.N (Germany); Hoffmann, Janine; Grothoff, Matthias; Nitzsche, Stefan; Gutberlet, Matthias; Lehmkuhl, Lukas [University of Leipzig – Heart Center, Department of Diagnostic and Interventional Radiology, Strümpellstrasse 39, D-04289, Leipzig (Germany)

    2012-09-15

    Purpose: To evaluate the influence of different heart rates and arrhythmias on scanner performance, image acquisition and applied radiation exposure in prospectively ECG triggered computed tomography (pCT). Materials and methods: An ECG simulator (EKG Phantom 320, Müller and Sebastiani Elektronik GmbH, Munich, Germany) was used to generate different heart rhythms and arrhythmias: sinus rhythm (SR) at 45, 60, 75, 90 and 120/min, supraventricular arrhythmias (e.g. sinus arrhythmia, atrial fibrillation) and ventricular arrhythmias (e.g. ventricular extrasystoles), pacemaker-ECGs, ST-changes and technical artifacts. The analysis of the image acquisition process was performed on a 64-row multidetector CT (Brilliance, Philips Medical Systems, Cleveland, USA). A prospectively triggered scan protocol as used for routine was applied (120 kV; 150 mA s; 0.4 s rotation and exposure time per scan; image acquisition predominantly in end-diastole at 75% R-R-interval, in arrythmias with a mean heart rate above 80/min in systole at 45% of the R-R-interval; FOV 25 cm). The mean dose length product (DLP) and its percentage increase from baseline (SR at 60/min) were determined. Result: Radiation exposure can increase significantly when the heart rhythm deviates from sinus rhythm. ECG-changes leading to a significant DLP increase (p < 0.05) were bifocal pacemaker (61%), pacemaker dysfunction (22%), SVES (20%), ventricular salvo (20%), and atrial fibrillation (14%). Significantly (p < 0.05) prolonged scan time (>8 s) could be observed in bifocal pacemaker (12.8 s), pacemaker dysfunction (10.7 s), atrial fibrillation (10.3 s) and sinus arrhythmia (9.3 s). Conclusion: In prospectively ECG triggered CT, heart rate and rhythm can provoke different types of scanner performance, which can significantly alter radiation exposure and scan time. These results might have an important implication for indication, informed consent and contrast agent injection protocols.

  18. Impact of heart rate and rhythm on radiation exposure in prospectively ECG triggered computed tomography

    International Nuclear Information System (INIS)

    Purpose: To evaluate the influence of different heart rates and arrhythmias on scanner performance, image acquisition and applied radiation exposure in prospectively ECG triggered computed tomography (pCT). Materials and methods: An ECG simulator (EKG Phantom 320, Müller and Sebastiani Elektronik GmbH, Munich, Germany) was used to generate different heart rhythms and arrhythmias: sinus rhythm (SR) at 45, 60, 75, 90 and 120/min, supraventricular arrhythmias (e.g. sinus arrhythmia, atrial fibrillation) and ventricular arrhythmias (e.g. ventricular extrasystoles), pacemaker-ECGs, ST-changes and technical artifacts. The analysis of the image acquisition process was performed on a 64-row multidetector CT (Brilliance, Philips Medical Systems, Cleveland, USA). A prospectively triggered scan protocol as used for routine was applied (120 kV; 150 mA s; 0.4 s rotation and exposure time per scan; image acquisition predominantly in end-diastole at 75% R-R-interval, in arrythmias with a mean heart rate above 80/min in systole at 45% of the R-R-interval; FOV 25 cm). The mean dose length product (DLP) and its percentage increase from baseline (SR at 60/min) were determined. Result: Radiation exposure can increase significantly when the heart rhythm deviates from sinus rhythm. ECG-changes leading to a significant DLP increase (p 8 s) could be observed in bifocal pacemaker (12.8 s), pacemaker dysfunction (10.7 s), atrial fibrillation (10.3 s) and sinus arrhythmia (9.3 s). Conclusion: In prospectively ECG triggered CT, heart rate and rhythm can provoke different types of scanner performance, which can significantly alter radiation exposure and scan time. These results might have an important implication for indication, informed consent and contrast agent injection protocols

  19. High-dose intravenous metoprolol usage for reducing heart rate at CT coronary angiography: Efficacy and safety

    International Nuclear Information System (INIS)

    Aim: To evaluate the usage, safety, and efficacy of high-dose intravenous metoprolol for heart rate reduction in computer tomographic (CT) coronary angiography. Materials and methods: As this was retrospective analysis of anonymous data, medical ethics committee approval was waived by the regional health research authority. Patients, who had known iodinated contrast medium allergy, contraindications to β-blockers, atrial fibrillation, and indications other than suspected coronary artery disease, were excluded from analysis. The ultimate study population of 662 were analysed with details of intravenous metoprolol doses, complications, heart rate before administration of intravenous metoprolol (resting heart rate, RHR), heart rate at acquisition of scan (acquisition heart rate, AHR), and usage of low radiation dose protocols. Results: Of the ultimate study population of 662 patients, 183 had no intravenous metoprolol with mean acquisition heart rate (AHR) of 58 beats per minute (bpm), 257 had 1–15 mg intravenous metoprolol with mean AHR of 57 bpm, 114 had 16–29 mg intravenous metoprolol with mean AHR of 62 bpm and 108 had ≥30 mg intravenous metoprolol with mean AHR of 66 bpm. In the group receiving intravenous metoprolol, average usage was 19 mg (maximum 67 mg) with average reduction in HR of 15 bpm. There were no clinical incidents in relation to the use of high-dose intravenous metoprolol. Conclusion: Higher doses of intravenous metoprolol are beneficial in achieving target heart rates to facilitate usage of low radiation dose protocols. With appropriate exclusion criteria, higher doses of intravenous metoprolol, well in excess of 15 mg, can be safely administered when carefully titrated. - Highlights: • We evaluate intravenous metoprolol usage in a mature cardiac CT imaging service. • Intravenous metoprolol is beneficial to achieve lower heart rates for CTCA. • IV metoprolol doses in excess of 15 mg is efficacious and safe with careful titration

  20. Entertainment Capture through Heart Rate Activity in Physical Interactive Playgrounds

    DEFF Research Database (Denmark)

    Yannakakis, Georgios; Hallam, John; Lund, Henrik Hautop

    predict reported entertainment preferences given HR features. These models are expressed as artificial neural networks and are demonstrated and evaluated on two Playware games and two control tasks requiring physical activity. The best network is able to correctly match expressed preferences in 64% of......An approach for capturing and modeling individual entertainment (“fun”) preferences is applied to users of the innovative Playware playground, an interactive physical playground inspired by computer games, in this study. The goal is to construct, using representative statistics computed from...... children’s physiological signals, an estimator of the degree to which games provided by the playground engage the players. For this purpose children’s heart rate (HR) signals, and their expressed preferences of how much “fun” particular game variants are, are obtained from experiments using games...

  1. [Dynamic analysis of heart rate variability based on wavelet transform].

    Science.gov (United States)

    Lu, Shan; Yang, Hao; Xiao, Dongping; Huang, Ying

    2006-10-01

    The analysis of heart rate variability (HRV) has become a tool for noninvasively detecting the cardiovascular modulation of autonomic nervous system. Traditional analysis in frequency domain mainly includes calculating the power and detecting the peak frequency of each physiological frequency band. Whether employing the classical method or AR model to estimate the spectrum, the approximate stationarity of HRV is presupposed. Only in short term analysis can data meet this condition, while in long term the nonstationarity of HRV notably appears. A dynamic analysis method based on wavelet transform was proposed in this paper, which not only can obtain the traditional indices in frequency domain, but can compute their dynamic values varying with time, called short-time power and short-time LF/HF ratio. The latter can dynamically evaluate the activity of autonomic nervous. Finally the method was applied to trace the balance of autonomic nervous in Atropin drag experiment. PMID:17121332

  2. Effect of atrioventricular conduction on heart rate variability

    KAUST Repository

    Ahmad, Talha J.

    2011-08-01

    This paper discusses the effect of atrioventricular conduction time (AVCT) on the short-term Heart Rate Variability (HRV) by computing HRV parameters using intervals between the onsets of successive P waves (PP time series) for three groups: normal, arrhythmia and sudden cardiac death (SCD) patients. A very precise wavelet transform based ECG delineator was developed to detect PP, PR and RR time series. Mean PR variation in arrhythmia and SCD group was found to be significantly high as compared to the normal group. It was observed that when PR variations in arrhythmia and SCD cases crossed a certain threshold, RR variability no longer provided a very accurate estimate of HRV. In such cases, PP variability was able to provide a better assessment of HRV. © 2011 IEEE.

  3. Heart Rate Variability Analysis Using Threshold of Wavelet Package Coefficients

    CERN Document Server

    Kheder, G; Massoued, M Ben; Samet, M

    2009-01-01

    In this paper, a new efficient feature extraction method based on the adaptive threshold of wavelet package coefficients is presented. This paper especially deals with the assessment of autonomic nervous system using the background variation of the signal Heart Rate Variability HRV extracted from the wavelet package coefficients. The application of a wavelet package transform allows us to obtain a time-frequency representation of the signal, which provides better insight in the frequency distribution of the signal with time. A 6 level decomposition of HRV was achieved with db4 as mother wavelet, and the above two bands LF and HF were combined in 12 specialized frequencies sub-bands obtained in wavelet package transform. Features extracted from these coefficients can efficiently represent the characteristics of the original signal. ANOVA statistical test is used for the evaluation of proposed algorithm.

  4. Automated Fetal Heart Rate Analysis in Labor: Decelerations and Overshoots

    International Nuclear Information System (INIS)

    Electronic fetal heart rate (FHR) recording is a standard way of monitoring fetal health in labor. Decelerations and accelerations usually indicate fetal distress and normality respectively. But one type of acceleration may differ, namely an overshoot that may atypically reflect fetal stress. Here we describe a new method for detecting decelerations, accelerations and overshoots as part of a novel system for computerized FHR analysis (OxSyS). There was poor agreement between clinicians when identifying these FHR features visually, which precluded setting a gold standard of interpretation. We therefore introduced 'modified' Sensitivity (SE deg.) and 'modified' Positive Predictive Value (PPV deg.) as appropriate performance measures with which the algorithm was optimized. The relation between overshoots and fetal compromise in labor was studied in 15 cases and 15 controls. Overshoots showed promise as an indicator of fetal compromise. Unlike ordinary accelerations, overshoots cannot be considered to be reassuring features of fetal health.

  5. Emergence of dynamical complexity related to human heart rate variability

    Science.gov (United States)

    Chang, Mei-Chu; Peng, C.-K.; Stanley, H. Eugene

    2014-12-01

    We apply the refined composite multiscale entropy (MSE) method to a one-dimensional directed small-world network composed of nodes whose states are binary and whose dynamics obey the majority rule. We find that the resulting fluctuating signal becomes dynamically complex. This dynamical complexity is caused (i) by the presence of both short-range connections and long-range shortcuts and (ii) by how well the system can adapt to the noisy environment. By tuning the adaptability of the environment and the long-range shortcuts we can increase or decrease the dynamical complexity, thereby modeling trends found in the MSE of a healthy human heart rate in different physiological states. When the shortcut and adaptability values increase, the complexity in the system dynamics becomes uncorrelated.

  6. Heart rate monitoring on the stroke unit. What does heart beat tell about prognosis? An observational study

    Directory of Open Access Journals (Sweden)

    Stypmann Jörg

    2011-04-01

    Full Text Available Abstract Background Guidelines recommend maintaining the heart rate (HR of acute stroke patients within physiological limits; data on the frequency and predictors of significant deviations from these limits are scarce. Methods Demographical data, stroke risk factors, NIH stroke scale score, lesion size and location, and ECG parameters were prospectively assessed in 256 patients with ischemic stroke. Patients were continuously monitored for at least 24 hours on a certified stroke unit. Tachycardia (HR ≥120 bpm and bradycardia (HR Results HR ≥120 bpm occurred in 39 patients (15%. Stroke severity (larger lesion size/higher NIHSS-score on admission, atrial fibrillation and HR on admission predicted its occurrence. HR Conclusions Significant tachycardia and bradycardia are frequent phenomena in acute stroke; however they do not independently predict clinical course or outcome. Continuous monitoring allows detecting rhythm disturbances in stroke patients and allows deciding whether urgent medical treatment is necessary.

  7. Predicted maximal heart rate for upper body exercise testing.

    Science.gov (United States)

    Hill, M; Talbot, C; Price, M

    2016-03-01

    Age-predicted maximal heart rate (HRMAX ) equations are commonly used for the purpose of prescribing exercise regimens, as criteria for achieving maximal exertion and for diagnostic exercise testing. Despite the growing popularity of upper body exercise in both healthy and clinical settings, no recommendations are available for exercise modes using the smaller upper body muscle mass. The purpose of this study was to determine how well commonly used age-adjusted prediction equations for HRMAX estimate actual HRMAX for upper body exercise in healthy young and older adults. A total of 30 young (age: 20 ± 2 years, height: 171·9 ± 32·8 cm, mass: 77·7 ± 12·6 kg) and 20 elderly adults (age: 66 ± 6 years, height: 162 ± 8·1 cm, mass: 65·3 ± 12·3 kg) undertook maximal incremental exercise tests on a conventional arm crank ergometer. Age-adjusted maximal heart rate was calculated using prediction equations based on leg exercise and compared with measured HRMAX data for the arms. Maximal HR for arm exercise was significantly overpredicted compared with age-adjusted prediction equations in both young and older adults. Subtracting 10-20 beats min(-1) from conventional prediction equations provides a reasonable estimate of HRMAX for upper body exercise in healthy older and younger adults. PMID:25319169

  8. The benefits of ivabradine are independent of resting heart rate.

    Science.gov (United States)

    Riccioni, Graziano

    2013-05-01

    Evaluation of: Tardif JC, Ponikowski P, Kahan T; on behalf of the ASSOCIATE investigators. Effects of ivabradine in patients with stable angina receiving beta-blockers according to baseline heart rate: an analysis of the ASSOCIATE study. Int. J. Cardiol. pii:S0167-5273(12)01385-X (2012). Chronic stable angina pectoris is the most common manifestation of coronary artery disease. A large body of evidence points to high resting heart rate (HR) as a risk factor for mortality in various populations, including patients with cardiovascular disease. Elevated HR is an important pathophysiological variable that increases myocardial oxygen demand and also limits tissue perfusion by reducing the duration of diastole, during which most myocardial perfusion occurs. Large epidemiological trials have established that elevated resting HR is a prognostic factor for cardiovascular events and mortality in healthy individuals and in patients with myocardial infarction, stable coronary artery disease and heart failure. The classical treatments for HR reduction show such negative aspects. β-blocker therapy exerts negative effects on regional myocardial blood flow and function when HR reduction is eliminated by atrial pacing. Calcium channel antagonists functionally antagonize coronary vasoconstriction mediated through α-adrenoreceptors and are thus devoid of this undesired effect, but the compounds are nevertheless negative inotrope. Ivabradine (IVA), a pure HR-lowering drug, reduces the myocardial oxygen demand of exercise and contributes to the restoration of oxygen balance, which has demonstrated a benefit in chronic cardiovascular disease. No relevant negative effects are evidenced on cardiac conduction, contractility, relaxation or repolarization, or blood pressure. In this post-hoc analysis, the authors show that IVA treatment, compared with the placebo group, had no significant impact on systolic or diastolic blood pressure at rest or during exercise and reduces HR in all stages of physical exercise and during the treatment period. These benefits are independent of baseline HR, both at rest and during physical exercise, confirming that HR reduction with IVA is beneficial in all patients, even with β-blocker therapy, if their resting HR is above 60 bpm. PMID:23668736

  9. [Heart rate and outcome in patients with acute and chronic heart failure].

    Science.gov (United States)

    Oliva, Fabrizio; Ammirati, Enrico; Campana, Carlo; Carubelli, Valentina; Cirò, Antonio; Di Tano, Giuseppe; Mortara, Andrea; Senni, Michele; Morandi, Fabrizio; Metra, Marco

    2016-03-01

    Heart rate (HR) is not only a physical sign but also a biomarker. High HR in several cardiac disorders is associated with increased mortality. In heart failure (HF), HR represents an important therapeutic target, both in the acute and chronic phase. Beta-blockers are a milestone of recommended treatments in HF patients with reduced ejection fraction. However, hemodynamic profile or intolerance may limit the use or the optimization of beta-blocker treatment, both during hospitalization and outpatient follow-up. More recently, ivabradine has become available, a drug that lowers HR by blocking the I f current in the pacemaker cells at the sinoatrial node level. In the SHIFT trial, ivabradine was shown to improve the outcome of patients with chronic HF, in sinus rhythm, with HR >70 b/min while on beta-blockers. Preliminary data have shown that this drug has a good safety profile and lowers effectively HR even during hospitalization due to worsening HF. However, further studies are warranted to understand if an earlier administration of ivabradine can lead to a better prognosis beyond symptom control and improved hemodynamics. In patients with atrial fibrillation and HF, the target is the restoration of sinus rhythm, alternatively rate control should be pursued with beta-blockers, amiodarone or digitalis, even if there is no clear evidence of an association between ventricular rate response in patients with atrial fibrillation at discharge after an HF hospitalization and major cardiovascular events. In this review, the studies that point to a role of HR both as a biomarker and a therapeutic target in patients with acute and chronic HF are described. In addition, the proportions of patients who do not reach target HR values at discharge after an acute decompensated HF episode or in the chronic phase are evaluated based on the Italian registries. PMID:27030005

  10. Deceleration and acceleration capacities of heart rate associated with heart failure with high discriminating performance

    Science.gov (United States)

    Hu, Wei; Jin, Xian; Zhang, Peng; Yu, Qiang; Yin, Guizhi; Lu, Yi; Xiao, Hongbing; Chen, Yueguang; Zhang, Dadong

    2016-01-01

    Accurate measurements of autonomic nerve regulation in heart failure (HF) were unresolved. The discriminating performance of deceleration and acceleration capacities of heart rate in HF was evaluated in 130 HF patients and 212 controls. Acceleration capacity and deceleration capacity were independent risk factors for HF in males, evaluated by multiple logistic regression analysis, with odds ratios (ORs) of 5.94 and 0.13, respectively. Acceleration capacity was also an independent risk factor for HF in females, with an OR of 8.58. Deceleration capacity was the best cardiac electrophysiological index to classify HF in males, with an area under the receiver operating characteristic curve (AUC) of 0.88. Deceleration capacity was the best classification factor of HF in females with an AUC of 0.97, significantly higher than even left ventricular ejection fraction (LVEF). Acceleration capacity also showed high performance in classifying HF in males (0.84) and females (0.92). The cut-off values of deceleration capacity for HF classification in males and females were 4.55 ms and 4.85 ms, respectively. The cut-off values of acceleration capacity for HF classification in males and females were −6.15 ms and −5.75 ms, respectively. Our study illustrates the role of acceleration and deceleration capacity measurements in the neuro-pathophysiology of HF. PMID:27005970

  11. [Heart failure in Eastern Veneto: prevalence, hospitalization rate, adherence to guidelines and social costs].

    Science.gov (United States)

    Valle, Roberto; Baccichetto, Renzo; Barro, Sabrina; Calderan, Alessandro; Carbonieri, Emanuele; Chinellato, Maura; Chiatto, Mario; D'Eri, Alessandra; Corazza, Francesco; D'Atri, Massimo; Drigo, Raffaela; Fabris, Simeone; Gelli, Giuseppe Fabris; Lo Giudice, Antonio; Noventa, Federica; Pollon, Alessandro; Santin, Paolo; Zanardi, Franco; Milani, Loredano

    2006-03-01

    Heart failure is a prominent problem of public health, requiring innovating methods of health services organization. Nevertheless, data are still not available on prevalence, hospitalization rate, adherence to Guidelines and social costs in the general Italian population. The necessity to identifying patients with heart failure derives from the efficacy of new therapeutic interventions in reducing morbidity and mortality. In this study we aimed to identify, in a subset of the Eastern Veneto population, patients with heart failure through a pharmacologic-epidemiologic survey. The study was divided in 5 phases: (1) identification of patients on furosemide in the year 2000 in the ASL 10 of Eastern Veneto general population, through an analysis of a specific pharmaceutic service database; (2) definition of the actual prevalence of heart failure in a casual sample of these patients, through data base belonging to general practitioners, cardiologists, or others. Diagnosis was based on the following criteria: (a) previous diagnosis of heart failure; (b) previous hospitalization for heart failure; (c) clinical evidence, with echocardiographic control in unclear cases; (3) survey of hospitalizations; (4) evaluation of adhesion to guidelines, through both databases and questionnaires; (5) analysis of the social costs of the disease, with a retrospective "bottom up" approach. From a total population of 198,000 subjects, we identified 4502 patients on furosemide. In a casual sample of 10,661 subjects we defined a prevalence of heart failure in Eastern Veneto of 1.1%, that increased to 7.1% in octagenarians. The prescription of life saving drugs was satisfactory, while rather poor was the indication to echocardiography and to cardiologic consultation. Hospitalization rate for DRG 127 was low: 2.1/1000 inhabitants/year in the general population and 12.5 /1000 inhabitants/year in patients >70 years of age. Yearly mortality was 10.3%. Social costs were elevated (15.394 Euros/patient/year), due to a relevant sanitary component (hospital 53%, drugs 28%) and particularly a to an indirect cost component. In conclusion, the assumption of furosemide lends itself as a good marker for identifying patients with heart failure. Patient identification is simple, cheap and cost-efficient, and can be easily reproduced in other regional areas. PMID:17125047

  12. Short- and long-term variations in non-linear dynamics of heart rate variability

    DEFF Research Database (Denmark)

    Kanters, J K; Højgaard, M V; Agner, E; Holstein-Rathlou, N H

    1996-01-01

    rate and describes mainly linear correlations. Non-linear predictability is correlated with heart rate variability measured as the standard deviation of the R-R intervals and the respiratory activity expressed as power of the high-frequency band. The dynamics of heart rate variability changes suddenly......-linear correlations between the R-R intervals. The different measures of heart rate variability (correlation dimension, average prediction error, and the standard deviation of the R-R intervals) characterize different properties of the signal, and are therefore not redundant measures. Heart rate variability cannot be......OBJECTIVES: The purpose of the study was to investigate the short- and long-term variations in the non-linear dynamics of heart rate variability, and to determine the relationships between conventional time and frequency domain methods and the newer non-linear methods of characterizing heart rate...

  13. HEART RATE AND BLOOD LACTATE RESPONSES TO CHANGQUAN AND DAOSHU FORMS OF MODERN WUSHU

    Directory of Open Access Journals (Sweden)

    Jerri Luiz Ribeiro

    2006-07-01

    Full Text Available The development of specific training designed to enhance physiological aspects of performance relies heavily on the availability of accurate and validity physiological data. In the combat sport of Wushu, katas are used to develop aerobic fitness. It is arguably important to assess and monitor heart rate (HR and lactate (La responses when designing effective training programs. The aim of this pilot study was to investigate heart rate and lactate responses to forms execution among Wushu combatants. Male elite modern Wushu athletes (n = 4 from a South Brazilian regional team participated in the study. Athletes were aged 22.5 ± 2.08 years old and had at least eight years of Wushu experience. Athletes carried out the Changquan and Daoshu forms in random order, HR and La were measured pre- and post-exercise. Results indicate that HR was 176 ± 3 and 176 ± 2 bpm and La was 4.38 ± 1.3 and 5.15 ± 1.07 mmol·l-1 for Changquan and Daoshu forms, respectively. There were no significantly differences in HR and La between the two forms. HR values represent 89.2 ± 1.1 and 89.1 ± 1.8% of age-predicted maximal heart rate and lactate was near of 4 mmol·l-1 point. In conclusion, training programs to Wushu combatants could target the range of physiological values cited above with no differences between two forms

  14. Rapid Heartbeat, But Dry Palms: Reactions of Heart Rate and Skin Conductance Levels to Social Rejection

    Directory of Open Access Journals (Sweden)

    BenjaminIffland

    2014-08-01

    Full Text Available Background: Social rejection elicits negative mood, emotional distress and neural activity in networks that are associated with physical pain. However, studies assessing physiological reactions to social rejection are rare and results of these studies were found to be ambiguous. Therefore, the present study aimed to examine and specify physiological effects of social rejection.Methods: Participants (N = 50 were assigned to either a social exclusion or inclusion condition of a virtual ball-tossing game (Cyberball. Immediate and delayed physiological (skin conductance level and heart rate reactions were recorded. In addition, subjects reported levels of affect, emotional states and fundamental needs.Results: Subjects who were socially rejected showed increased heart rates. However, social rejection had no effect on subjects skin conductance levels. Both conditions showed heightened arousal on this measurement. Furthermore, psychological consequences of social rejection indicated the validity of the paradigm.Conclusions: Our results reveal that social rejection evokes an immediate physiological reaction. Accelerated heart rates indicate that behavior activation rather than inhibition is associated with socially threatening events. In addition, results revealed gender-specific response patterns suggesting that sample characteristics such as differences in gender may account for ambiguous findings of physiological reactions to social rejection.

  15. Changes in heart-rate variability of survivors of nasopharyngeal cancer during Tai Chi Qigong practice.

    Science.gov (United States)

    Fong, Shirley S M; Wong, Janet Y H; Chung, Louisa M Y; Yam, Timothy T T; Chung, Joanne W Y; Lee, Y M; Chow, Lina P Y; Luk, W S; Ng, Shamay S M

    2015-05-01

    [Purpose] To explore the changes in heart-rate variability (HRV) of survivors of nasopharyngeal cancer (NPC) before, during, and after a Tai Chi (TC) Qigong exercise. [Subjects and Methods] Eleven survivors of NPC participated voluntarily in the study. The heart rate of each participant was measured continuously for 1 minute before the TC Qigong intervention, during the 5-minute TC Qigong intervention, and for 1 minute after the intervention, using a Polar heart-rate monitor. Spectral HRV was expressed in terms of normalised low frequency (LF) power, normalised high frequency (HF) power, and the low frequency/high frequency (LF/HF) power ratio. [Results] Both the LF-power and the HF-power components had significant time effects. However, the time effect of the LF/HF power ratio was not significant. Post hoc contrast analysis revealed a significant decrease in LF power and a concomitant increase in HF power during the 4th minute and 5th minute of the TC Qigong exercise. [Conclusion] Five minutes of TC Qigong exercise was found to improve HRV by increasing HF power and decreasing LF power, but these effects were transient. TC Qigong might be an appropriate exercise for improving the ANS function and psychological and cardiac health of survivors of NPC. PMID:26157266

  16. DIFFERENT TIMES OF THE DAY AND RECOVERY OF HEART RATE AND RESPIRATORY RATE AFTER WORKOUT A COMPARISON

    Directory of Open Access Journals (Sweden)

    James Minj

    2015-04-01

    Full Text Available This study was done to compare the amount of recovery at different times of the day i.e. Morning, Afternoon and Evening. The researcher has selected a total of five subjects purposively with the age 192 years from Jiwaji University, Gwalior. The heart rate and respiratory rate were recorded just after the finish of the specific anaerobic workout and after fixed regular subsequent intervals. The recovered heart rate and respiratory rate (from the reserved were compared with the help of one way analysis of variance. No significant differences were found in the amount of recovery at different times of the day in heart rate and respiratory rate.

  17. Post-Exercise Heart Rate Recovery Independently Predicts Clinical Outcome in Patients with Acute Decompensated Heart Failure

    Science.gov (United States)

    Youn, Jong-Chan; Lee, Hye Sun; Choi, Suk-Won; Han, Seong-Woo; Ryu, Kyu-Hyung; Shin, Eui-Cheol; Kang, Seok-Min

    2016-01-01

    Background Post-exercise heart rate recovery (HRR) is an index of parasympathetic function associated with clinical outcome in patients with chronic heart failure. However, its relationship with the pro-inflammatory response and prognostic value in consecutive patients with acute decompensated heart failure (ADHF) has not been investigated. Methods We measured HRR and pro-inflammatory markers in 107 prospectively and consecutively enrolled, recovered ADHF patients (71 male, 59 ± 15 years, mean ejection fraction 28.9 ± 14.2%) during the pre-discharge period. The primary endpoint included cardiovascular (CV) events defined as CV mortality, cardiac transplantation, or rehospitalization due to HF aggravation. Results The CV events occurred in 30 (28.0%) patients (5 cardiovascular deaths and 7 cardiac transplantations) during the follow-up period (median 214 days, 11–812 days). When the patients with ADHF were grouped by HRR according to the Contal and O’Quigley’s method, low HRR was shown to be associated with significantly higher levels of serum monokine-induced by gamma interferon (MIG) and poor clinical outcome. Multivariate Cox regression analysis revealed that low HRR was an independent predictor of CV events in both enter method and stepwise method. The addition of HRR to a model significantly increased predictability for CV events across the entire follow-up period. Conclusion Impaired post-exercise HRR is associated with a pro-inflammatory response and independently predicts clinical outcome in patients with ADHF. These findings may explain the relationship between autonomic dysfunction and clinical outcome in terms of the inflammatory response in these patients. PMID:27135610

  18. Rate Control Management of Atrial Fibrillation: May a Mathematical Model Suggest an Ideal Heart Rate?

    CERN Document Server

    Anselmino, Matteo; Camporeale, Carlo; Saglietto, Andrea; Gaita, Fiorenzo; Ridolfi, Luca

    2015-01-01

    Background. Despite the routine prescription of rate control therapy for atrial fibrillation (AF), clinical evidence demonstrating a heart rate target is lacking. Aim of the present study was to run a mathematical model simulating AF episodes with a different heart rate (HR) to predict hemodynamic parameters for each situation. Methods. The lumped model, representing the pumping heart together with systemic and pulmonary circuits, was run to simulate AF with HR of 50, 70, 90, 110 and 130 bpm, respectively. Results. Left ventricular pressure increased by 56.7%, from 33.92+-37.56 mmHg to 53.15+-47.56 mmHg, and mean systemic arterial pressure increased by 27.4%, from 82.66+-14.04 mmHg to 105.29+-7.63 mmHg, at the 50 and 130 bpm simulations, respectively. Stroke volume (from 77.45+-8.5 to 39.09+-8.08 mL), ejection fraction (from 61.1+-4.4 to 39.32+-5.42%) and stroke work (SW, from 0.88+-0.04 to 0.58+-0.09 J) decreased by 49.5, 35.6 and 34.2%, at the 50 and 130 bpm simulations, respectively. In addition, oxygen co...

  19. EFFECT OF BRONCHODILATORS ON HEART RATE VARIABILITY IN PATIENTS WITH CHRONIC OBSTRUCTIVE PULMONARY DISEASE

    Directory of Open Access Journals (Sweden)

    H. H. Shugushev

    2015-12-01

    Full Text Available Aim. To study effect of long-acting theophylline (Theotard, KRKA and combination of salmeterol and fluticasone (Seretide, GlaxoSmithKline on heart rhythm variability (HRV and number of arrhythmic episodes in patients with chronic obstructive pulmonary disease (COPD.Material and methods. 144 patients with COPD and 35 patients of control group were examined. The analysis of HRV and Holter monitoring were made f on 2th and 14th days.Results. Treatment with both drugs led to increase in power of low- and high frequencies and their ratio (LF/HF, decrease in rate of supraventricular and ventricular arrhythmias. Theophylline therapy raised in a number of single and pair supraventricular extrasystoles. Treatment with combination of salmeterol and fluticasone did not change a number of extrasystoles.Conclusion. Combination of salmeterol and fluticasone is more preferable as a broncholytic therapy for patients with COPD and heart rhythm disorders.

  20. Maximal heart rate does not limit cardiovascular capacity in healthy humans

    DEFF Research Database (Denmark)

    Munch, G D W; Svendsen, J H; Damsgaard, R; Secher, N H; González-Alonso, J; Mortensen, S P

    In humans, maximal aerobic power (VO2 max ) is associated with a plateau in cardiac output (Q), but the mechanisms regulating the interplay between maximal heart rate (HRmax) and stroke volume (SV) are unclear. To evaluate the effect of tachycardia and elevations in HRmax on cardiovascular function...... pressure product and RAP (P < 0.05). Atrial pacing had a similar effect on haemodynamics during KEE, except that pacing decreased RAP. In conclusion, the human heart can be paced to a higher HR than observed during maximal exercise, suggesting that HRmax and myocardial work capacity do not limit VO2 max in...... and capacity during maximal exercise in healthy humans, 12 young male cyclists performed incremental cycling and one-legged knee-extensor exercise (KEE) to exhaustion with and without right atrial pacing to increase HR. During control cycling, Q and leg blood flow increased up to 85% of maximal...

  1. Associations between heart rate variability, metabolic syndrome risk factors, and insulin resistance.

    Science.gov (United States)

    Stuckey, Melanie I; Kiviniemi, Antti; Gill, Dawn P; Shoemaker, J Kevin; Petrella, Robert J

    2015-07-01

    The purpose of this study was to examine differences in heart rate variability (HRV) in metabolic syndrome (MetS) and to determine associations between HRV parameters, MetS risk factors, and insulin resistance (homeostasis model assessment for insulin resistance (HOMA-IR)). Participants (n = 220; aged 23-70 years) were assessed for MetS risk factors (waist circumference, blood pressure, fasting plasma glucose, triglycerides, and high-density lipoprotein cholesterol) and 5-min supine HRV (time and frequency domain and nonlinear). HRV was compared between those with 3 or more (MetS+) and those with 2 or fewer MetS risk factors (MetS-). Multiple linear regression models were built for each HRV parameter to investigate associations with MetS risk factors and HOMA-IR. Data with normal distribution are presented as means ± SD and those without as median [interquartile range]. In women, standard deviation of R-R intervals 38.0 [27.0] ms, 44.5 [29.3] ms; p = 0.020), low-frequency power (5.73 ± 1.06 ln ms(2), 6.13 ± 1.05 ln ms(2); p = 0.022), and the standard deviation of the length of the Poincaré plot (46.8 [31.6] ms, 58.4 [29.9] ms; p = 0.014) were lower and heart rate was higher (68 [13] beats/min, 64 [12] beats/min; p = 0. 018) in MetS+ compared with MetS-, with no differences in men. Waist circumference was most commonly associated with HRV, especially frequency domain parameters. HOMA-IR was associated with heart rate. In conclusion, MetS+ women had a less favourable HRV profile than MetS- women, but there were no differences in men. HOMA-IR was associated with heart rate, not HRV. PMID:26140416

  2. Blood pressure, heart rate and lipids in professional handball and water polo players

    Directory of Open Access Journals (Sweden)

    Jovanović Jovica

    2005-01-01

    Full Text Available Introduction: Blood pressure, heart rate and lipoprotein lipids are affected by family history, obesity, diet, smoking and physical activity habits. The aim of this paper was to estimate the values of blood pressure and heart rate in professional handball and water polo players before and after training and submaximal exercise test and to analyze the lipid state in these professional athletes in comparison with people who have never been in sports. Material and methods The investigation included 30 professional handball players, 30 professional water polo players and 15 men who have never been in sports (control group. All groups were matched for age, smoking habits, family predisposition to arterial hypertension and dyslipidemia. Results Between these groups there were statistically significant differences of blood pressure values and heart rate in the state of rest, after exercise test and after the training. There were also statistically significant differences of total cholesterol values, LDL cholesterol, triglycerides, HDL cholesterol, LDL cholesterol/HDL cholesterol ratio and total cholesterol/HDL ratio between these groups. Discussion Differences between these groups can be explained by various values of body mass index, by activity of lipoprotein lipase in athletes, by body position during the sports activity, by thermoregulatory vasoconstriction in the water, and by effects of hydrostatic pressure and reflex mechanisms during swimming. Conclusions Cardiovascular reaction in professional athletes depends on the type of sports activity, body position and medium during training. Professional athletes have a lower atherogenic risk than non-sportsmen. Changes of blood pressure and heart rate after submaximal exercise test are not the same as changes after training. .

  3. State Anxiety and Nonlinear Dynamics of Heart Rate Variability in Students

    Science.gov (United States)

    Dimitriev, Aleksey D.

    2016-01-01

    Objectives Clinical and experimental research studies have demonstrated that the emotional experience of anxiety impairs heart rate variability (HRV) in humans. The present study investigated whether changes in state anxiety (SA) can also modulate nonlinear dynamics of heart rate. Methods A group of 96 students volunteered to participate in the study. For each student, two 5-minute recordings of beat intervals (RR) were performed: one during a rest period and one just before a university examination, which was assumed to be a real-life stressor. Nonlinear analysis of HRV was performed. The Spielbergers State-Trait Anxiety Inventory was used to assess the level of SA. Results Before adjusting for heart rate, a Wilcoxon matched pairs test showed significant decreases in Poincar plot measures, entropy, largest Lyapunov exponent (LLE), and pointwise correlation dimension (PD2), and an increase in the short-term fractal-like scaling exponent of detrended fluctuation analysis (?1) during the exam session, compared with the rest period. A Pearson analysis indicated significant negative correlations between the dynamics of SA and Poincar plot axes ratio (SD1/SD2), and between changes in SA and changes in entropy measures. A strong negative correlation was found between the dynamics of SA and LLE. A significant positive correlation was found between the dynamics of SA and ?1. The decreases in Poincar plot measures (SD1, complex correlation measure), entropy measures, and LLE were still significant after adjusting for heart rate. Corrected ?1 was increased during the exam session. As before, the dynamics of adjusted LLE was significantly correlated with the dynamics of SA. Conclusions The qualitative increase in SA during academic examination was related to the decrease in the complexity and size of the Poincar plot through a reduction of both the interbeat interval and its variation. PMID:26807793

  4. Approximate entropy and point correlation dimension of heart rate variability in healthy subjects

    DEFF Research Database (Denmark)

    Storella, R J; Wood, H W; Mills, K M; Kanters, J K; Højgaard, M V; Holstein-Rathlou, N H

    1999-01-01

    measures and the standard deviation of the R-R intervals weak, the correlation among the nonlinear measures themselves was also weak (generally less than 0.6). This suggests that in addition to standard linear measures of heart rate variability, the use of multiple nonlinear measures of heart rate......The contribution of nonlinear dynamics to heart rate variability in healthy humans was examined using surrogate data analysis. Several measures of heart rate variability were used and compared. Heart rates were recorded for three hours and original data sets of 8192 R-R intervals created. For each...... original data set (n = 34), three surrogate data sets were made by shuffling the order of the R-R intervals while retaining their linear correlations. The difference in heart rate variability between the original and surrogate data sets reflects the amount of nonlinear structure in the original data set...

  5. Noninvasive coronary angiography using 64-slice spiral computed tomography in an unselected patient collective: Effect of heart rate, heart rate variability and coronary calcifications on image quality and diagnostic accuracy

    International Nuclear Information System (INIS)

    Objective: The aim of this study was to assess the impact of heart rate, heart rate variability and calcification on image quality and diagnostic accuracy in an unselected patient collective. Subjects and methods: One hundred and two consecutive patients with known or suspected coronary artery disease underwent both 64-MSCT and invasive coronary angiography. Image quality (IQ) was assessed by independent observers using a 4-point scale from excellent (1) to non-diagnostic (4). Accuracy of MSCT regarding detection or exclusion of significant stenosis (>50%) was evaluated on a per segment basis in a modified AHA 13-segment model. Effects of heart rate, heart rate variability, calcification and body mass index (BMI) on IQ and accuracy were evaluated by multivariate regression. IQ and accuracy were further analysed in subgroups of significant predictor variables and simple regression performed to calculate thresholds for adequate IQ. Results: Mean heart rate was 68.2 ± 13.3 bpm, mean heart rate variability 11.5 ± 16.0 beats per CT-examination (bpct) and median Agatston score 226.5. Average IQ score was 2 ± 0.6 whilst diagnostic quality was obtained in 89% of segments. Overall sensitivity, specificity, PPV or NPV was 91.2%, 99.2%, 95.3% or 98.3%. According to multivariate regression, overall IQ was significantly related to heart rate and calcification (P = 0.0038; P < 0.0001). The effect of heart rate variability was limited to IQ of RCA segments (P = 0.018); BMI was not related to IQ (P = 0.52). Calcification was the only predictor variable with significant effect on the number of non-diagnostic segments (P < 0.0001). In a multivariate regression, calcification was also the single factor with impact on diagnostic accuracy (P = 0.0049). Conclusion: Whilst heart rate, heart rate variability and calcification all show an inverse correlation to IQ, severe calcium burden remains the single factor with translation of such effect into decrease of diagnostic accuracy

  6. A comparison between computer-controlled and set work rate exercise based on target heart rate

    Science.gov (United States)

    Pratt, Wanda M.; Siconolfi, Steven F.; Webster, Laurie; Hayes, Judith C.; Mazzocca, Augustus D.; Harris, Bernard A., Jr.

    1991-01-01

    Two methods are compared for observing the heart rate (HR), metabolic equivalents, and time in target HR zone (defined as the target HR + or - 5 bpm) during 20 min of exercise at a prescribed intensity of the maximum working capacity. In one method, called set-work rate exercise, the information from a graded exercise test is used to select a target HR and to calculate a corresponding constant work rate that should induce the desired HR. In the other method, the work rate is controlled by a computer algorithm to achieve and maintain a prescribed target HR. It is shown that computer-controlled exercise is an effective alternative to the traditional set work rate exercise, particularly when tight control of cardiovascular responses is necessary.

  7. Association between the Rating Perceived Exertion, Heart Rate and Blood Lactate in Successive Judo Fights (Randori)

    OpenAIRE

    Braulio Henrique Magnani Branco; Luis Miguel Massuça; Leonardo Vidal Andreato; Bianca Miarka; Luis Monteiro; Bruno Ferreira Marinho; Emerson Fanchini

    2013-01-01

    Purpose: This study aims to investigate the association between the rating of perceived exertion (RPE), heart rate (HR) and the blood lactate concentration ([La]) in successive judo fight simulations (randori).Methods: Ten athletes participated in the study (age: 25.6±2.1 years; stature: 1.75±0.07 m; body mass: 75.6±14.9kg; %BF: 11.5±7.8%; practice: 14.5±6.2 years) and completed 4 judo fight simulations (T1 to T4) with duration of 5 min separated by 5 min passive recovery periods. Before eac...

  8. Relations between the development of patterns of sleeping heart rate and body temperature in infants

    OpenAIRE

    Petersen, S.; Pratt, C.; Wailoo, M

    2001-01-01

    Overnight patterns of rectal temperature and heart rate were recorded from 119 normal infants at weekly intervals from 7 to about 16 weeks of age. All data were collected in the infants' own homes. As previously reported, different infants developed an adult-like night time rectal temperature pattern abruptly at different ages. When heart rate data were collated by age, there was an apparently gradual fall in sleeping heart rate from 7 to about 14 weeks of age. This was, howeve...

  9. Variation in heart rate influences the assessment of transient ischemic dilation in myocardial perfusion scintigraphy

    OpenAIRE

    Leslie, William D; Levin, Daniel P; Demeter, Sandor J

    2007-01-01

    Background Transient arrhythmias can affect transient ischemic dilation (TID) ratios. This study was initiated to evaluate the frequency and effect of normal heart rate change on TID measures in routine clinical practice. Methods Consecutive patients undergoing stress/rest sestamibi gated myocardial perfusion scintigraphy were studied (N = 407). Heart rate at the time of stress and rest imaging were recorded. TID ratios were analyzed in relation to absolute change in heart rate (stress minus ...

  10. Influence of blood glucose on heart rate and cardiac autonomic function. The DESIR study.

    OpenAIRE

    Valensi, Paul; Extramiana, Fabrice; Lange, Céline; Cailleau, Martine; Haggui, Abdeddayem; Maison Blanche, Pierre; Tichet, Jean; Balkau, Beverley

    2011-01-01

    OBJECTIVES:   To evaluate in a general population, the relationships between dysglycaemia, insulin resistance and metabolic variables, and heart rate, heart rate recovery and heart rate variability. METHODS:   Four hundred and forty-seven participants in the Data from an Epidemiological Study on the Insulin Resistance syndrome (DESIR) study were classified according to glycaemic status over the preceding 9 years. All were free of self-reported cardiac antecedents and were not taking drugs whi...

  11. The effect of competition on heart rate during kart driving: A field study

    OpenAIRE

    Yamakoshi Takehiro; Matsumura Kenta; Yamakoshi Yasuhiro; Rolfe Peter

    2011-01-01

    Abstract Background Both the act of competing, which can create a kind of mental stress, and participation in motor sports, which induces physical stress from intense g-forces, are known to increase heart rate dramatically. However, little is known about the specific effect of competition on heart rate during motor sports, particularly during four-wheel car driving. The goal of this preliminary study, therefore, was to investigate whether competition increases heart rate under such situations...

  12. High-Frequency Heart Rate Variability Linked to Affiliation with a New Group

    OpenAIRE

    Baljinder K Sahdra; Ciarrochi, Joseph; Parker, Philip D.

    2015-01-01

    This study tests the hypothesis that high levels of high-frequency heart rate variability (HF-HRV) predisposes individuals to affiliate with new groups. Resting cardiac physiological recordings were taken before and after experimental sessions to measure trait high-frequency heart rate variability as an index of dispositional autonomic influence on heart rate. Following an experimental manipulation of priming of caring-related words, participants engaged in a minimal group paradigm, in which ...

  13. [Design of Oxygen Saturation, Heart Rate, Respiration Rate Detection System Based on Smartphone of Android Operating System].

    Science.gov (United States)

    Zhu, Mingshan; Zeng, Bixin

    2015-03-01

    In this paper, we designed an oxygen saturation, heart rate, respiration rate monitoring system based on smartphone of android operating system, physiological signal acquired by MSP430 microcontroller and transmitted by Bluetooth module. PMID:26524782

  14. Are novel objects perceived as stressful? The effect of novelty on heart rate.

    Science.gov (United States)

    Fischer, Clare Parker; Franco, Leor A; Romero, L Michael

    2016-07-01

    Neophobia, or the fear of novel objects, is a behavior that is often found in wild animals. Neophobia appears to be related to the physiological stress response because individuals with higher glucocorticoid responses to stress often are more neophobic. The relationship between the heart rate response and novelty, however, has not been tested in a wild species. We implanted heart rate transmitters in captive European starlings (Sturnus vulgaris) to measure increases in heart rate as an index of the adrenomedullary stress response. Specifically, we measured heart rate in animals encountering novel objects on or near their food dishes using a system to display the novel objects while the experimenters remained outside the room, thereby minimizing the confounding effects of experimenter presence on heart rate. We analyzed three conditions: the period of adjustment to the experimental setup before any exposure to novelty, novel object trials, and no object controls (presented in a random order after 0-5 novel objects). Birds approached their food dishes faster during the adjustment period than during novel object trials. Although they demonstrated a behavioral aversion to novelty, the effect on heart rate was unexpected. Heart rate increased sharply when the food dishes were displayed. The duration of the startle response was longer during no object controls than during novel object exposure, the opposite of the anticipated result. There were no correlations between behavior and metrics of the heart rate response. Novel object exposure does not cause an increase in heart rate. PMID:27072510

  15. Correlation of heart rate and radionuclide index of left ventricular contraction and relaxation

    International Nuclear Information System (INIS)

    Since the cardiac function indices derived from radionuclide ventriculography (RNV) are considered to depend on the heart rate, we studied the relationship between systolic or diastolic indices and heart rates in patients with normal RNV and devised a method of correcting these indices according to the heart rate. For the systolic indices, the heart rate showed significant correlation with ET (r=-0.640), PER (r=0.791) and TPE (r=-0.401) but not with EF, 1/3 EF, MNSER or 1/3 MNSER. For the diastolic indices, the heart rate correlated well with FT (r=-0.938), RFT (r=-0.736), SFT (r=-0.803), 1/3 FF (r=-0.758), PFR (r=0.759), 1/3 PFR (r=0.742) and TPF (r=-0.389) but not with AFT, 1/3 MNDFR or AFF. These results indicate that many systolic and diastolic indices derived from RNV are affected by the heart rate, So when cardiac function is evaluated with the use of radionuclide indices, those which are independent of the heart rate should be used, or they should be corrected for the heart rate. As a method of correction, we proposed a rotating method obtained by manipulation of the regression equation of heart rates and indices. This new method is certain and easier to use when the correcting equations are set into a computer program. (author)

  16. The Use of Heart Rate Variability Technique for Differential Diagnostics of Peptic Ulcer and Idiopathic Duodenal Ulcers

    Directory of Open Access Journals (Sweden)

    D.А. Chizhikov

    2015-06-01

    Full Text Available The aim of the investigation was to study the peculiarities of autonomic regulation using spectral analysis of heart rate variability for differential diagnostics of peptic ulcer and idiopathic duodenal ulcer. Materials and Methods. A stress level was assessed by vagosympathetic balance rate. Low-high frequency ratio in a frequency spectrum of heart rate was used as a marker of vagosympathetic balance of stress. Endoscopic findings were compared with Helicobacter pylori test, and autonomic status was studied using spectral analysis of heart rate variability. Results. We found significant differences in low/high frequency ratio in the spectrum of heart rate of patients with Hp-positive and Hp-negative duodenal ulcers. The result proved stress nature of idiopathic ulcers. Idiopathic ulcers are characterized by significant increase of LF/HF that can serve as a differential diagnostic criterion for different types of duodenal ulcers. Conclusion. Spectral analysis of heart rate variability can be used in differential diagnostics of peptic ulcers and idiopathic ulcers.

  17. Prognostic value of heart rate variability in post-infarction patients

    Directory of Open Access Journals (Sweden)

    Bošković Aneta

    2014-01-01

    Full Text Available Background/Aim. Depressed heart rate variability (HRV indicating autonomic disequilibrium and propensity to ventricular ectopy can be useful for risk stratification in patients following acute myocardial infarction (AIM. The aim of the study was to assess heart rate variability as a predictor of allcause mortality in post-infarction patients. Methods. We analyzed the 24-hour electrocardiographic (ECG recordings of 100 patients (80 males during hospitalization for AIM. The mean age of patients was 56.99 + 11.03 years. Time domain heart rate variability analysis was obtained from 8 to 13 days after index infarction by mean of a 24- hour ECG recording, and the calculated parameters were: standard deviation of all normal to normal RR intervals (SDNN, RRmax-RRmin (difference between the longest RR interval and the shortest RR interval, mean RR interval. We also analyzed ventricular premature complexes from the ECG data. The patients underwent clinical evaluation, laboratory tests and echocardiography. Results. Within a oneyear follow-up period 11 patients experienced death, 10 of them because of cardiac reason and one because of stroke. There were significantly lower values of SDNN (60.55 ± 12.84 ms vs 98.38 ± 28.21 ms, RRmax-RRmin (454.36 ± 111.00 ms vs 600.99 ± 168.72 ms and mean RR interval (695.82 ± 65.87 ms vs 840.07 ± 93.97 ms in deceased patients than in the survivors, respectively (p 10VPCs/h; p < 0.01. Multivariate Cox analysis showed that SDNN was a significant, independent predictor of all-cause mortality in postinfarction patients. The other independent predictors were clinical signs of heart failure - Killip class II and III and ventricular ectopic activity. Conclusion. Depressed HRV is an independent predictor of mortality in post-infarction patients and may provide useful additional prognostic information in non-invasive risk stratification of these patients.

  18. Interchangeability of Electrocardiography and Blood Pressure Measurement for Determining Heart Rate and Heart Rate Variability in Free-Moving Domestic Pigs in Various Behavioral Contexts

    OpenAIRE

    Krause, Annika; Tuchscherer, Armin; Puppe, Birger; Langbein, Jan

    2015-01-01

    This study assessed the interchangeability between heart rate (HR) and heart rate variability (HRV) measures derived from a series of interbeat intervals (IBIs) recorded via electrocardiogram (ECG) and intra-arterial blood pressure (BP) in various behavioral contexts. Five minutes of simultaneously recorded IBIs from ECG and BP signals in 11 female domestic pigs during resting, feeding, and active behavior were analyzed. Comparisons were made for measures of HR, the standard deviation of IBIs...

  19. A systematic review on heart rate variability in Bulimia Nervosa.

    Science.gov (United States)

    Peschel, Stephanie K V; Feeling, Nicole R; Vögele, Claus; Kaess, Michael; Thayer, Julian F; Koenig, Julian

    2016-04-01

    Eating disorders are associated with alterations of the autonomic nervous system (ANS). Among other indices, heart rate variability (HRV) provides a readily available index of ANS function. While ANS dysfunction indexed by HRV in Anorexia Nervosa has been addressed in previous reviews, here we aimed to review the current evidence on HRV in Bulimia Nervosa (BN). A systematic literature search in Web of Science, PsycInfo, Scopus, and PubMed identified 17 studies reporting HRV in patients with BN. Studies described (i) differences in resting state HRV in patients compared to controls, (ii) alterations in the stress response in BN indexed by HRV, and (iii) treatment effects on HRV in patients with BN. Despite a number of conflicting results, we conclude that BN is characterized by increased resting state vagally-mediated HRV and an impaired stress-response. Intervention-studies suggest that altered ANS-activity in BN is at least partially reversible. Future studies on the complex relation between BN and HRV should investigate the effect of comorbid disorders, subtypes of BN, and mechanisms affecting treatment outcome. PMID:26828568

  20. Lack of reliability in Conconi's heart rate deflection point.

    Science.gov (United States)

    Jones, A M; Doust, J H

    1995-11-01

    Conconi et al. (1982) reported the development of noninvasive field test for anaerobic threshold (AT) based upon an observed deviation from the linear heart rate (HR)--running velocity (RV) relationship at high RV (HRdev). While the validity of the Conconi test has been debated (Heck and Hollmann 1992; Tokmakidis and Leger 1992), the reliability of the Conconi test has never been independently assessed in athletes performing the protocol outlined by Conconi. This study evaluated the reliability of the Conconi test in 15 well-trained male distance runners (22.5 +/- 3.3 yrs, 67.7 +/- 4.8 kg, VO2 peak 66.4 +/- 4.8 ml.kg-1.min-1) who performed a treadmill simulation of the Conconi test protocol twice within a 4-8 day period. The results were as follows: 6 subjects demonstrated HRdev in both Conconi tests, 5 subjects demonstrated HRdev in only one test, and in 4 subjects HRdev could not be discerned in either test. It was concluded that failure to determine a reproducible HRdev by subjective assessment in 9 of 15 subjects makes the Conconi test unsuitable for reliable evaluation of AT. PMID:8776209

  1. Heart rate variability: a tool to explore the sleeping brain?

    Science.gov (United States)

    Chouchou, Florian; Desseilles, Martin

    2014-01-01

    Sleep is divided into two main sleep stages: (1) non-rapid eye movement sleep (non-REMS), characterized among others by reduced global brain activity; and (2) rapid eye movement sleep (REMS), characterized by global brain activity similar to that of wakefulness. Results of heart rate variability (HRV) analysis, which is widely used to explore autonomic modulation, have revealed higher parasympathetic tone during normal non-REMS and a shift toward sympathetic predominance during normal REMS. Moreover, HRV analysis combined with brain imaging has identified close connectivity between autonomic cardiac modulation and activity in brain areas such as the amygdala and insular cortex during REMS, but no connectivity between brain and cardiac activity during non-REMS. There is also some evidence for an association between HRV and dream intensity and emotionality. Following some technical considerations, this review addresses how brain activity during sleep contributes to changes in autonomic cardiac activity, organized into three parts: (1) the knowledge on autonomic cardiac control, (2) differences in brain and autonomic activity between non-REMS and REMS, and (3) the potential of HRV analysis to explore the sleeping brain, and the implications for psychiatric disorders. PMID:25565936

  2. Estimation of human core temperature from sequential heart rate observations

    International Nuclear Information System (INIS)

    Core temperature (CT) in combination with heart rate (HR) can be a good indicator of impending heat exhaustion for occupations involving exposure to heat, heavy workloads, and wearing protective clothing. However, continuously measuring CT in an ambulatory environment is difficult. To address this problem we developed a model to estimate the time course of CT using a series of HR measurements as a leading indicator using a Kalman filter. The model was trained using data from 17 volunteers engaged in a 24 h military field exercise (air temperatures 24–36 °C, and 42%–97% relative humidity and CTs ranging from 36.0–40.0 °C). Validation data from laboratory and field studies (N = 83) encompassing various combinations of temperature, hydration, clothing, and acclimation state were examined using the Bland–Altman limits of agreement (LoA) method. We found our model had an overall bias of −0.03 ± 0.32 °C and that 95% of all CT estimates fall within ±0.63 °C (>52 000 total observations). While the model for estimating CT is not a replacement for direct measurement of CT (literature comparisons of esophageal and rectal methods average LoAs of ±0.58 °C) our results suggest it is accurate enough to provide practical indication of thermal work strain for use in the work place. (paper)

  3. Stochastic time series analysis of fetal heart-rate variability

    Science.gov (United States)

    Shariati, M. A.; Dripps, J. H.

    1990-06-01

    Fetal Heart Rate(FHR) is one of the important features of fetal biophysical activity and its long term monitoring is used for the antepartum(period of pregnancy before labour) assessment of fetal well being. But as yet no successful method has been proposed to quantitatively represent variety of random non-white patterns seen in FHR. Objective of this paper is to address this issue. In this study the Box-Jenkins method of model identification and diagnostic checking was used on phonocardiographic derived FHR(averaged) time series. Models remained exclusively autoregressive(AR). Kalman filtering in conjunction with maximum likelihood estimation technique forms the parametric estimator. Diagnosrics perfonned on the residuals indicated that a second order model may be adequate in capturing type of variability observed in 1 up to 2 mm data windows of FHR. The scheme may be viewed as a means of data reduction of a highly redundant information source. This allows a much more efficient transmission of FHR information from remote locations to places with facilities and expertise for doser analysis. The extracted parameters is aimed to reflect numerically the important FHR features. These are normally picked up visually by experts for their assessments. As a result long term FHR recorded during antepartum period could then be screened quantitatively for detection of patterns considered normal or abnonnal. 1.

  4. Multiscale analysis of heart rate variability in nonstationary environments

    Directory of Open Access Journals (Sweden)

    BrianM.Gurbaxani

    2013-05-01

    Full Text Available Heart rate variability (HRV is highly nonstationary, even if no perturbing influences can be identified during the recording of the data. The nonstationarity becomes more profound when HRV data are measured in intrinsically nonstationary environments, such as social stress. In general, HRV data measured in such situations are more difficult to analyze than those measured in constant environments. In this paper, we analyze HRV data measured during a social stress test using two multiscale approaches, the adaptive fractal analysis (AFA and scale-dependent Lyapunov exponent (SDLE, for the purpose of uncovering differences in HRV between chronic fatigue syndrome (CFS patients and their matched-controls. CFS is a debilitating, heterogeneous illness with no known biomarker. HRV has shown some promise recently as a non-invasive measure of subtle physiological disturbances and trauma that are otherwise difficult to assess. If the HRV in persons with CFS are significantly different from their healthy controls, then certain cardiac irregularities may constitute good candidate biomarkers for CFS. Our multiscale analyses show that there are notable differences in HRV between CFS and their matched controls before a social stress test, but these differences seem to diminish during the test. These analyses illustrate that the two employed multiscale approaches could be useful for the analysis of HRV measured in various environments, both stationary and nonstationary.

  5. Heart rate variability interventions for concussion and rehabilitation.

    Science.gov (United States)

    Conder, Robert L; Conder, Alanna A

    2014-01-01

    The study of heart rate variability (HRV) has emerged as an essential component of cardiovascular health, as well as a physiological mechanism by which one can increase the interactive communication between the cardiac and the neurocognitive systems (i.e., the body and the brain). It is well-established that lack of HRV implies cardiopathology, morbidity, reduced quality-of-life, and precipitous mortality. On the positive, optimal HRV has been associated with good cardiovascular health, autonomic nervous system (ANS) control, emotional regulation, and enhanced neurocognitive processing. In addition to health benefits, optimal HRV has been shown to improve neurocognitive performance by enhancing focus, visual acuity and readiness, and by promoting emotional regulation needed for peak performance. In concussed athletes and soldiers, concussions not only alter brain connectivity, but also alter cardiac functioning and impair cardiovascular performance upon exertion. Altered sympathetic and parasympathetic balance in the ANS has been postulated as a critical factor in refractory post concussive syndrome (PCS). This article will review both the pathological aspects of reduced HRV on athletic performance, as well as the cardiovascular and cerebrovascular components of concussion and PCS. Additionally, this article will review interventions with HRV biofeedback (HRV BFB) training as a promising and underutilized treatment for sports and military-related concussion. Finally, this article will review research and promising case studies pertaining to use of HRV BFB for enhancement of cognition and performance, with applicability to concussion rehabilitation. PMID:25165461

  6. Heart rate variability as a transdiagnostic biomarker of psychopathology.

    Science.gov (United States)

    Beauchaine, Theodore P; Thayer, Julian F

    2015-11-01

    The Research Domain Criteria (RDoC), developed by the National Institute of Mental Health as a neuroscience-informed alternative to traditional psychiatric nosology, is an explicitly dimensional system in which classification of psychopathology is derived inductively (i.e., from basic science), across multiple levels of analysis (e.g., genetic, neural, psychophysiological, and behavioral). Although RDoC is often presented as paradigmatically revolutionary, a review of the history of psychophysiology suggests that roots of RDoC thinking extend at least as far back as the mid-20th Century. In this paper, we briefly and selectively review the historical emergence of neurobiologically-informed dimensional trait models of psychopathology, and we summarize our thinking regarding high frequency heart rate variability (HF-HRV) as a transdiagnostic biomarker of self-regulation and cognitive control. When functional interactions between HF-HRV and systems of behavioral approach and avoidance are considered, diverse patterns of behavioral maladjustment can be subsumed into a single model. This model accommodates the general bifactor structure of psychopathology, and suggests that HF-HRV can be viewed as an autonomic, transdiagnostic biomarker of mental illness. PMID:26272488

  7. The structure of heart rate asymmetry: deceleration and acceleration runs

    International Nuclear Information System (INIS)

    A family of new heart rate asymmetry measures is introduced, namely deceleration and acceleration runs, as well as entropic measures summarizing their distribution. We introduce the theoretical run distribution for shuffled data and use it as a reference for interpreting the results. The measures defined in the paper are applied to actual 24 h Holter ECG recordings from 87 healthy people, and it is demonstrated that the patterns of accelerations are different from those of decelerations. Acceleration runs are longer and more numerous: all runs of accelerations, with the exception of lengths 3 and 4, are more numerous than those of decelerations. These findings are reflected in the difference between the entropic measures for acceleration and deceleration runs: for 74 subjects the acceleration-related entropic parameter is greater than that of decelerations (p < 0.001). For shuffled data there is no difference in the above parameters, and there are more short runs and fewer long runs than in physiological data. The influence of the measuring equipment resolution is also discussed

  8. Feature selection using genetic algorithms for fetal heart rate analysis

    International Nuclear Information System (INIS)

    The fetal heart rate (FHR) is monitored on a paper strip (cardiotocogram) during labour to assess fetal health. If necessary, clinicians can intervene and assist with a prompt delivery of the baby. Data-driven computerized FHR analysis could help clinicians in the decision-making process. However, selecting the best computerized FHR features that relate to labour outcome is a pressing research problem. The objective of this study is to apply genetic algorithms (GA) as a feature selection method to select the best feature subset from 64 FHR features and to integrate these best features to recognize unfavourable FHR patterns. The GA was trained on 404 cases and tested on 106 cases (both balanced datasets) using three classifiers, respectively. Regularization methods and backward selection were used to optimize the GA. Reasonable classification performance is shown on the testing set for the best feature subset (Cohen's kappa values of 0.45 to 0.49 using different classifiers). This is, to our knowledge, the first time that a feature selection method for FHR analysis has been developed on a database of this size. This study indicates that different FHR features, when integrated, can show good performance in predicting labour outcome. It also gives the importance of each feature, which will be a valuable reference point for further studies. (paper)

  9. Heart-rate monitoring by air pressure and causal analysis

    Science.gov (United States)

    Tsuchiya, Naoki; Nakajima, Hiroshi; Hata, Yutaka

    2011-06-01

    Among lots of vital signals, heart-rate (HR) is an important index for diagnose human's health condition. For instance, HR provides an early stage of cardiac disease, autonomic nerve behavior, and so forth. However, currently, HR is measured only in medical checkups and clinical diagnosis during the rested state by using electrocardiograph (ECG). Thus, some serious cardiac events in daily life could be lost. Therefore, a continuous HR monitoring during 24 hours is desired. Considering the use in daily life, the monitoring should be noninvasive and low intrusive. Thus, in this paper, an HR monitoring in sleep by using air pressure sensors is proposed. The HR monitoring is realized by employing the causal analysis among air pressure and HR. The causality is described by employing fuzzy logic. According to the experiment on 7 males at age 22-25 (23 on average), the correlation coefficient against ECG is 0.73-0.97 (0.85 on average). In addition, the cause-effect structure for HR monitoring is arranged by employing causal decomposition, and the arranged causality is applied to HR monitoring in a setting posture. According to the additional experiment on 6 males, the correlation coefficient is 0.66-0.86 (0.76 on average). Therefore, the proposed method is suggested to have enough accuracy and robustness for some daily use cases.

  10. Peak heart rate decreases with increasing severity of acute hypoxia

    DEFF Research Database (Denmark)

    Lundby, C; Araoz, M; Van Hall, Gerrit

    2001-01-01

    , 459, and 404 mmHg) in a hypobaric chamber and while breathing 9% O(2) in N(2). These conditions were equivalent to altitudes of 3300, 4300, 5300, and 6300 m above sea level, respectively. At 4300 m, maximal exercise was also repeated after 4 and 8 h. Peak heart rate (HR) decreased from 191 (182......-202) (mean and range) at sea level to 189 (179-200), 182 (172-189), 175 (166-183), and 165 (162-169) in the acute hypoxic conditions. Peak HR did not decrease further after 4 and 8 h at 4300 m compared to the acute exposure at this altitude. Between barometric pressures of 518 and 355 mmHg (approximately...... 3300 and 6300 m), peak HR decreased linearly: peak HR(hypobaria) = peak HR(sea level) - 0.135 x [hypobaria(3100) - hypobaria (mmHg)]; or peak HR(altitude) = peak HR(sea level) - 0.15 x (altitude - 3100 m). This corresponds to approximately 1-beat x min(-1) reduction in peak HR for every 7-mmHg decrease...

  11. Deficient maternal zinc intakebut not folateis associated with lower fetal heart rate variability

    Science.gov (United States)

    Spann, Marisa N.; Smerling, Jennifer; Gustafsson, Hanna; Foss, Sophie; Altemus, Margaret; Monk, Catherine

    2015-01-01

    Objective Few studies of maternal prenatal diet and child development examine micronutrient status in relation to fetal assessment. Methods Twenty-four-hour dietary recall of zinc and folate and 20min of fetal heart rate were collected from 3rd trimester pregnant adolescents. Results Deficient zinc was associated with less fetal heart rate variability. Deficient folate had no associations with HRV. Neither deficient zinc nor deficient folate was related to fetal heart rate. Conclusions These findings, from naturalistic observation, are consistent with emerging data on prenatal zinc supplementation using a randomized control design. Practical Implication Taken together, the findings suggest that maternal prenatal zinc intake is an important and novel factor for understanding child ANS development. PMID:25658874

  12. Discharge heart rate and future events among Japanese patients with acute heart failure receiving beta-blocker therapy

    OpenAIRE

    Keiichi Fukuda; Tsutomu Yoshikawa; Yuji Nagatomo; Yutaka Endo; Toshiyuki Nagai; Kimi Koide; Shun Kohsaka; Kazuki Oshima

    2013-01-01

    Background: Randomized trials have demonstrated the efficacy of beta-blockers (BBs) in heart failure (HF) patients. We sought to assess the impact of BBs on long-term outcome; in particular, we assessed the association between outcome and BB dose and discharge heart rate. Methods and Results: Prescriptions for dispensed medication and outcomes were identified from a prospective, single-institution HF registry. Long-term prognosis was compared between users and non-users of BBs. BB users were ...

  13. The art equipment for measuring the horse’s heart rate

    Directory of Open Access Journals (Sweden)

    F. Cus

    2010-07-01

    Full Text Available Purpose: of this paper: Heart rate is a reliable indicator of the stress. Non-invasive methods have advantage over the methods that have a negative influence on the condition of an animal. When breeding sport horses, which undergo stressful training every day, it is required, from an ethical aspect, to monitor their capabilities by using most advanced electronic devices Polar Sport Tester and Polar Equine RS800cx G3.Design/methodology/approach: The original Polar ProTrainer 5 Equine edition software facilitates the analysis of individual training phases and gives the number of heart beats, average heart rate, average speed and distance covered in individual training phases.Findings: Heart rate increased, in warming up phase, from the value associated with a resting horse (30 to 40 bpm approximately in one minute, while, during the slow cooling down phase, ten minutes were required for the heart rate to reach the afore-mentioned value. During quick trotting heart rate are 112 heart beats per minute, while during steeplechase phase, it increased to the value of 160 to 170 heart beats per minute.Research limitations/implications: To receive heart rate without disturbances already we moisten the skin on the contact spots, using a mixture of water and electrolytes (Salvana Nutrilyt. Placing receiver on the saddle close by the T56H transmitter was the optimal choice.Practical implications: Modern equipment makes monitoring the horse’s heart rate accurately and to perform, safely and without disturbances, exercises required during training. It also checks the heart rate, which indicates the horse’s health.Originality/value: Polar Sport Tester and Polar Equine RS800cx G3 are state of the art products that facilitate the receipt of the horse’s heart rate signals. The accuracy of the acquired results can be compared with those obtained with ECG measurements.

  14. Prognostic value of the exercise heart rates in the stress myocardial perfusion imaging on cardiac events

    International Nuclear Information System (INIS)

    Full text: Objectives: To evaluate the clinical value of the exercise heart rate (HR) in the stress myocardial perfusion imaging (MPI) and cardiac events (CE). Methods: All pts underwent exercise MPI after symptom-limited exercise treadmill testing by Bruce protocol. Heart rate, blood pressure, and 3- lead ECGS were recorded during exercise. The mean interval of following up was 29.75±9.73 (1∼27) months. The mean stress amount was 3.79±0.93 (2-6) degrees, and the mean lasted time was 14.80±2.42 (6-20) minutes. Results: A total number of 346 pts (233 M/113 F; mean age 51.73±9.88 years). According to the exercise HR reached submaximal dose or not, the pts were divided into G1 (n=294, HR reached submaximal dose) and G2 (n=52, HR didn't reach submaximal dose). Over all, there were 85 pts with positive MPI in G1, but only 22 pts in G2 (Pearson chisquare 9.018, P < 0.05). The rate of CE occurrence in G1 and G2 is 2.7% and 17.3% respectively (Pearson chisquare20.123, P <0.05). The positive MPI result and the rate of CE in G2 were higher than G1. Conclusions: In the exercise MPI, the heart rate which don't reach submaximal dose may predict the presence of abnormal MPI and subsequent CE. (author)

  15. The correlation between psychological intervention and heart rate,systolic pressure in patients of cervical cancer treated with interventional chemoembolization

    International Nuclear Information System (INIS)

    Objective: To discuss the effect of psychological intervention on the heart rate, systolic pressure of the patients with cervical cancer who are treated with interventional chemoembolization. Methods: Eighty patients with cervical cancer were randomly and equally divided into two groups. Transcatheter arterial chemoembolization (TACE) was performed in all cases. Patients in study group (n=10) received systemic psychological intervention 30 minutes before TACE. The heart rate and systolic pressure of the patients were measured when TACE started. The results were compared with that obtained at the time of admission. Patients in control group (n=10) did not receive systemic psychological intervention before TACE and their heart rate and systolic pressure were measured in the same way as in study group. Results: At the time TACE started the heart rate and systolic pressure of the patients in study group were significantly lower than that in control group (P < 0.05). Conclusion: Preoperative psychological intervention is very helpful for reducing psychological stress and mental tension,in stabilizing heart rate and systolic pressure of the patients with cervical cancer who are treated with TACE. (authors)

  16. Heart rate variability and arrhythmias evaluated with Holter in dogs with degenerative mitral valve disease

    Directory of Open Access Journals (Sweden)

    M.S. Oliveira

    2014-04-01

    Full Text Available Cardiac diseases promote alterations in the autonomic control of the heart, leading to an increase in heart rate and, as a result, a decrease in heart rate variability (HRV.The aim of this study was to evaluate if the development of heart failure secondary to degenerative mitral valve disease (DMVD concurs with changes in autonomic modulation of heart rhythm which are assessed by long electrocardiography examination (Holter. Dogs were evaluated by clinical examination and echocardiography in order to be categorized into the following groups: Control (healthy; n=6, DMVD (disease without heart failure; n=8, and DMVD heart failure (disease with heart failure; n=13. Arrhythmias and frequency domain HRV were determined by Holter. Diseased animals, when compared to healthy, had significantly lower total power, which indicates overall HRV. DMVD heart failure dogs also showed other disturbances such as high incidence of supraventricular arrhythmias, high heart rate, little amount of pauses (2.0s long between consecutive heartbeats, longer time in tachycardia, shorter time in bradycardia, low high frequency (parasympathetic control, and high low frequency (sympathetic and parasympathetic control when compared to control (p<0.05. In DMVD dogs, Holter-derived variables changed with the development of heart failure.

  17. Application of Unit Time Block Entropy to Fetal Distress Heart Rate

    OpenAIRE

    Lee, U. C.; KIM, S.

    2006-01-01

    Recently, multiple time scale characteristics of heart dynamics have received much attention for distinguishing healthy and pathologic cardiac systems. Despite structural peculiarities of the fetal cardiovascular system, the fetal heart rate(FHR) displays multiple time scale characteristics similar to the adult heart rate due to the autorhythmicity of its different oscillatory tissues and its interaction with other neural controllers. In this paper, we investigate the event and time scale cha...

  18. Relationship between obesity, negative affect and basal heart rate in predicting heart rate reactivity to psychological stress among adolescents.

    Science.gov (United States)

    Park, Andres E; Huynh, Pauline; Schell, Anne M; Baker, Laura A

    2015-08-01

    Reduced cardiovascular responses to psychological stressors have been found to be associated with both obesity and negative affect in adults, but have been less well studied in children and adolescent populations. These findings have most often been interpreted as reflecting reduced sympathetic nervous system response, perhaps associated with heightened baseline sympathetic activation among the obese and those manifesting negative affect. However, obesity and negative affect may themselves be correlated, raising the question of whether they both independently affect cardiovascular reactivity. The present study thus examined the separate effects of obesity and negative affect on both cardiovascular and skin conductance responses to stress (e.g., during a serial subtraction math task) in adolescents, while controlling for baseline levels of autonomic activity during rest. Both obesity and negative affect had independent and negative associations with cardiovascular reactivity, such that reduced stress responses were apparent for obese adolescents and those with high levels of negative affect. In contrast, neither obesity nor negative affect was related to skin conductance responses to stress, implicating specifically noradrenergic mechanisms rather than sympathetic mechanisms generally as being deficient. Moreover, baseline heart rate was unrelated to obesity in this sample, which suggests that heightened baseline of sympathetic activity is not necessary for the reduced cardiovascular reactivity to stress. PMID:26049136

  19. From beat rate variability in induced pluripotent stem cell-derived pacemaker cells to heart rate variability in human subjects

    Science.gov (United States)

    Barad, Lili; Novak, Atara; Ben-Ari, Erez; Lorber, Avraham; Itskovitz-Eldor, Joseph; Rosen, Michael R; Weissman, Amir; Binah, Ofer

    2014-01-01

    Background We previously reported that induced Pluripotent Stem Cell-derived cardiomyocytes (iPSC-CM) manifest beat rate variability (BRV) resembling heart rate variability (HRV) in human sinoatrial node (SAN). We now hypothesized the BRV-HRV continuum originates in pacemaker cells. Objective To investigate whether cellular BRV is a source of HRV dynamics, we hypothesized three-levels of interaction among different cardiomyocyte entities: (1) single pacemaker cells, (2) networks of electrically coupled pacemaker cells and (3) in situ SAN. Methods We measured BRV/HRV properties in single pacemaker cells, iPSC-derived contracting embryoid bodies (EBs) and electrocardiograms from the same individual. Results Pronounced BRV/HRV were present at all three levels. Coefficient of variance (COV) of inter-beat intervals (IBI) and Poincaré plot SD1 and SD2 in single cells were 20x > EBs (P0.05). We also compared BRV magnitude among single cells, small (~5-10 cells) and larger EBs (>10 cells): BRV indices progressively increased (P<0.05) as cell number decreased. Disrupting intracellular Ca2+ handling markedly augmented BRV magnitude, revealing a unique bi-modal firing pattern, suggesting intracellular mechanisms contribute to BRV/HRV and the fractal behavior of heart rhythm. Conclusions The decreased BRV magnitude in transitioning from single cell to EB suggests HRV of hearts in situ originates from summation and integration of multiple cell-based oscillators. Hence, complex interactions among multiple pacemaker cells and intracellular Ca2+ handling determine HRV in humans and isolated cardiomyocyte networks. PMID:25052725

  20. Is target dose of beta-blocker more important than achieved heart rate or heart rate change in patients with systolic chronic heart failure?

    Science.gov (United States)

    Porapakkham, Pornwalee; Porapakkham, Pramote; Krum, Henry

    2010-04-01

    Beta-blockers (BBs) are mandatory therapy for patients with systolic chronic heart failure (CHF). However, it is uncertain whether target dose of these agents is more important than the achievement of target heart rate (HR) in maximizing the benefits of these agents. To test this, we obtained ECG absolute HR from patients with systolic CHF, together with consecutive left ventricular ejection fraction (EF) measures at least 3 months apart. Patients were divided into those who achieved target dose for beta-blocker and/or target absolute HR of 10 bpm reduction) with increasing dose. Baseline ejection fraction (EF) was similar across all groups. Patients with absolute or change in HR at target achieved a greater change in EF than those not at target (P= 0.027 and P= 0.012, respectively). In contrast, those who achieved target dose did not achieve a significantly greater improvement in EF than those not at target dose (P= 0.81). Similarly for absolute EF, patients at target HR or target change in HR achieved a greater EF increase than those achieving target dose. Based on these data, target HR or change in HR appears to be more critical to improvement in EF than target dose in CHF patients. Therefore, achieving an absolute HR or change in HR with BBs may be more important than target dose in maximizing benefits of BBs in this setting. PMID:20398098

  1. Nonlinear control of heart rate variability in human infants.

    OpenAIRE

    Sugihara, G.; Allan, W.; Sobel, D; Allan, K D

    1996-01-01

    Nonlinear analyses of infant heart rhythms reveal a marked rise in the complexity of the electrocardiogram with maturation. We find that normal mature infants (gestation greater than or equal to 35 weeks) have complex and distinctly nonlinear heart rhythms (consistent with recent reports for healthy adults) but that such nonlinearity is lacking in preterm infants (gestation > or = to 27 weeks) where parasympathetic-sympathetic interaction and function are presumed to be less well developed. O...

  2. Heart rate variability reflects training load and psychophysiological status in young elite gymnasts.

    Science.gov (United States)

    Sartor, Francesco; Vailati, Emanuele; Valsecchi, Viola; Vailati, Fulvio; La Torre, Antonio

    2013-10-01

    In gymnastics, monitoring of the training load and assessment of the psychophysiological status of elite athletes is important for training planning and to avoid overtraining, consequently reducing the risk of injures. The aim of this study was to examine whether heart rate variability (HRV) is a valuable tool to determine training load and psychophysiological status in young elite gymnasts. Six young male elite gymnasts took part in a 10-week observational study. During this period, beat-to-beat heart rate intervals were measured every training day in weeks 1, 3, 5, 7, and 9. Balance, agility, upper limb maximal strength, lower limb explosive, and elastic power were monitored during weeks 2, 4, 6, 8, and 10. Training load of each training session of all 10 weeks was assessed by session rating of perceived exertion (RPE) and psychophysiological status by Foster's index. Morning supine HRV (HF% and LF%/HF%) correlated with the training load of the previous day (r = 0.232, r = -0.279, p wave to R wave interval (RR), mean heart rate, HF%, SD1) correlated with session RPE of the previous day (r = -0.320, r = 0.301, p < 0.01; r = 0.265, r = -0.270, p < 0.05) but not with Foster's index. Training day/reference day HRV difference (mean RR, SD1) showed the best correlations with session RPE of the previous day (r = -0.384, r = -0.332, p < 0.01) and Foster's index (r = -0.227, r = -0.260, p < 0.05). In conclusion, HRV, and in particular training day/reference day mean RR difference or SD1 difference, could be useful in monitoring training load and psychophysiological status in young male elite gymnasts. PMID:23364293

  3. Film-type transducer materials PVDF and EMFi in the measurement of heart and respiration rates.

    Science.gov (United States)

    Krki, Satu; Lekkala, Jukka

    2008-01-01

    Film-type transducer materials polyvinylidenefluoride (PVDF) and ElectroMechanical Film (EMFi) were used in the measurement of heart and respiration rates on the chest wall at rest. The aim here was to evaluate if the both materials are capable to measure the heart and respiration rates correctly and also to found out if there are differences between the results of PVDF and EMFi. The movements provided by the pulsation of heart and respiration were converted into an electrical signal by the sensors. The signals were amplified and transmitted to a computer. The data was analyzed with Matlab software. The signals were filtered to reveal the heart pulsation and respiration components. Power spectral density (PSD) spectrum was computed to determine the heart and respiration rates. ECG was used as a reference signal for the heart rate and a thermistor for the respiration rate. Both transducer materials provided good results and no differences between PVDF and EMFi were found. The heart rates measured with PVDF and EMFi sensors corresponded to the values calculated from the ECG signal. Also the respiration rates correlated with the values determined with the thermistor. To conclude, both materials provided reliable results in the measurements of heart and respiration rates. PMID:19162710

  4. The Influence of Motor Impairment on Autonomic Heart Rate Modulation among Children with Cerebral Palsy

    Science.gov (United States)

    Zamuner, Antonio Roberto; Cunha, Andrea Baraldi; da Silva, Ester; Negri, Ana Paola; Tudella, Eloisa; Moreno, Marlene Aparecida

    2011-01-01

    The study of heart rate variability is an important tool for a noninvasive evaluation of the neurocardiac integrity. The present study aims to evaluate the autonomic heart rate modulation in supine and standing positions in 12 children diagnosed with cerebral palsy and 16 children with typical motor development (control group), as well as to…

  5. Heart Rates of Elementary Physical Education Students during the Dancing Classrooms Program

    Science.gov (United States)

    Nelson, Larry; Evans, Melissa; Guess, Wendy; Morris, Mary; Olson, Terry; Buckwalter, John

    2011-01-01

    We examined how different types of dance activities, along with their duration, influenced heart rate responses among fifth-grade physical education students (N = 96) who participated in the Dancing Classrooms program. Results indicated that the overall Dancing Classrooms program elicits a moderate cardiovascular heart rate response (M = 124.4…

  6. Middle School Student's Heart Rates during Different Curricular Activities in Physical Education

    Science.gov (United States)

    Gao, Zan; Hannon, James C.; Carson, Russell L.

    2009-01-01

    The purpose of this study was to determine if students' heart rate outcomes in physical education varied as a function of activity and grade. A total of 146 sixth to eighth graders participated in different activities (i.e., walking/jogging, line dancing, soccer, and catch ball). Their average heart rate (AHR) and percentage of time in and above…

  7. Identification of heart rate-associated loci and their effects on cardiac conduction and rhythm disorders

    DEFF Research Database (Denmark)

    den Hoed, Marcel; Eijgelsheim, Mark; Esko, Tõnu; Brundel, Bianca J J M; Peal, David S; Evans, David M; Nolte, Ilja M; Segrè, Ayellet V; Holm, Hilma; Handsaker, Robert E; Westra, Harm-Jan; Johnson, Toby; Isaacs, Aaron; Yang, Jian; Lundby, Alicia; Zhao, Jing Hua; Kim, Young Jin; Go, Min Jin; Almgren, Peter; Bochud, Murielle; Boucher, Gabrielle; Cornelis, Marilyn C; Gudbjartsson, Daniel; Hadley, David; van der Harst, Pim; Hayward, Caroline; den Heijer, Martin; Igl, Wilmar; Jackson, Anne U; Kutalik, Zoltán; Luan, Jian'an; Kemp, John P; Kristiansson, Kati; Ladenvall, Claes; Lorentzon, Mattias; Montasser, May E; Njajou, Omer T; O'Reilly, Paul F; Padmanabhan, Sandosh; St Pourcain, Beate; Rankinen, Tuomo; Salo, Perttu; Tanaka, Toshiko; Timpson, Nicholas J; Vitart, Veronique; Waite, Lindsay; Wheeler, William; Zhang, Weihua; Draisma, Harmen H M; Feitosa, Mary F; Kerr, Kathleen F; Lind, Penelope A; Mihailov, Evelin; Onland-Moret, N Charlotte; Song, Ci; Weedon, Michael N; Xie, Weijia; Yengo, Loic; Absher, Devin; Albert, Christine M; Alonso, Alvaro; Arking, Dan E; de Bakker, Paul I W; Balkau, Beverley; Barlassina, Cristina; Benaglio, Paola; Bis, Joshua C; Bouatia-Naji, Nabila; Brage, Søren; Chanock, Stephen J; Chines, Peter S; Chung, Mina; Darbar, Dawood; Dina, Christian; Dörr, Marcus; Elliott, Paul; Felix, Stephan B; Fischer, Krista; Fuchsberger, Christian; de Geus, Eco J C; Goyette, Philippe; Gudnason, Vilmundur; Harris, Tamara B; Hartikainen, Anna-Liisa; Havulinna, Aki S; Heckbert, Susan R; Hicks, Andrew A; Hofman, Albert; Holewijn, Suzanne; Hoogstra-Berends, Femke; Hottenga, Jouke-Jan; Jensen, Majken K; Johansson, Asa; Junttila, Juhani; Kääb, Stefan; Kanon, Bart; Ketkar, Shamika; Khaw, Kay-Tee; Knowles, Joshua W; Kooner, Angrad S; Kors, Jan A; Kumari, Meena; Milani, Lili; Laiho, Päivi; Lakatta, Edward G; Langenberg, Claudia; Leusink, Maarten; Liu, Yongmei; Luben, Robert N; Lunetta, Kathryn L; Lynch, Stacey N; Markus, Marcello R P; Marques-Vidal, Pedro; Leach, Irene Mateo; McArdle, Wendy L; McCarroll, Steven A; Medland, Sarah E; Miller, Kathryn A; Montgomery, Grant W; Morrison, Alanna C; M Vuml Ller-Nurasyid, Martina; Navarro, Pau; Nelis, Mari; O'Connell, Jeffrey R; O'Donnell, Christopher J; Ong, Ken K; Newman, Anne B; Peters, Annette; Polasek, Ozren; Pouta, Anneli; Pramstaller, Peter P; Psaty, Bruce M; Rao, Dabeeru C; Ring, Susan M; Rossin, Elizabeth J; Rudan, Diana; Sanna, Serena; Scott, Robert A; Sehmi, Jaban S; Sharp, Stephen; Shin, Jordan T; Singleton, Andrew B; Smith, Albert V; Soranzo, Nicole; Spector, Tim D; Stewart, Chip; Stringham, Heather M; Tarasov, Kirill V; Uitterlinden, André G; Vandenput, Liesbeth; Hwang, Shih-Jen; Whitfield, John B; Wijmenga, Cisca; Wild, Sarah H; Willemsen, Gonneke; Wilson, James Richard; Witteman, Jacqueline C M; Wong, Andrew; Wong, Quenna; Jamshidi, Yalda; Zitting, Paavo; Boer, Jolanda M A; Boomsma, Dorret I; Borecki, Ingrid B; van Duijn, Cornelia M; Ekelund, Ulf; Forouhi, Nita G; Froguel, Philippe; Hingorani, Aroon; Ingelsson, Erik; Kivimaki, Mika; Kronmal, Richard A; Kuh, Diana; Lind, Lars; Martin, Nicholas G; Oostra, Ben A; Pedersen, Nancy L; Quertermous, Thomas; Rotter, Jerome I; van der Schouw, Yvonne T; Verschuren, W M Monique; Walker, Mark; Albanes, Demetrius; Arnar, David O; Assimes, Themistocles L; Bandinelli, Stefania; Boehnke, Michael; de Boer, Rudolf A; Bouchard, Claude; Caulfield, W L Mark; Chambers, John C; Curhan, Gary; Cusi, Daniele; Eriksson, Johan; Ferrucci, Luigi; van Gilst, Wiek H; Glorioso, Nicola; de Graaf, Jacqueline; Groop, Leif; Gyllensten, Ulf; Hsueh, Wen-Chi; Hu, Frank B; Huikuri, Heikki V; Hunter, David J; Iribarren, Carlos; Isomaa, Bo; Jarvelin, Marjo-Riitta; Jula, Antti; Kähönen, Mika; Kiemeney, Lambertus A; van der Klauw, Melanie M; Kooner, Jaspal S; Kraft, Peter; Iacoviello, Licia; Lehtimäki, Terho; Lokki, Marja-Liisa L; Mitchell, Braxton D; Navis, Gerjan; Nieminen, Markku S; Ohlsson, Claes; Poulter, Neil R; Qi, Lu; Raitakari, Olli T; Rimm, Eric B; Rioux, John D; Rizzi, Federica; Rudan, Igor; Salomaa, Veikko; Sever, Peter S; Shields, Denis C; Shuldiner, Alan R; Sinisalo, Juha; Stanton, Alice V; Stolk, Ronald P; Strachan, David P; Tardif, Jean-Claude; Thorsteinsdottir, Unnur; Tuomilehto, Jaako; van Veldhuisen, Dirk J; Virtamo, Jarmo; Viikari, Jorma; Vollenweider, Peter; Waeber, Gérard; Widen, Elisabeth; Cho, Yoon Shin; Olsen, Jesper V; Visscher, Peter M; Willer, Cristen; Franke, Lude; Erdmann, Jeanette; Thompson, John R; Pfeufer, Arne; Sotoodehnia, Nona; Newton-Cheh, Christopher; Ellinor, Patrick T; Stricker, Bruno H Ch; Metspalu, Andres; Perola, Markus; Beckmann, Jacques S; Smith, George Davey; Stefansson, Kari; Wareham, Nicholas J; Munroe, Patricia B; Sibon, Ody C M; Milan, David J; Snieder, Harold; Samani, Nilesh J; Loos, Ruth J F

    2013-01-01

    Elevated resting heart rate is associated with greater risk of cardiovascular disease and mortality. In a 2-stage meta-analysis of genome-wide association studies in up to 181,171 individuals, we identified 14 new loci associated with heart rate and confirmed associations with all 7 previously...

  8. The Influence of Motor Impairment on Autonomic Heart Rate Modulation among Children with Cerebral Palsy

    Science.gov (United States)

    Zamuner, Antonio Roberto; Cunha, Andrea Baraldi; da Silva, Ester; Negri, Ana Paola; Tudella, Eloisa; Moreno, Marlene Aparecida

    2011-01-01

    The study of heart rate variability is an important tool for a noninvasive evaluation of the neurocardiac integrity. The present study aims to evaluate the autonomic heart rate modulation in supine and standing positions in 12 children diagnosed with cerebral palsy and 16 children with typical motor development (control group), as well as to

  9. Elevated resting heart rate, physical fitness and all-cause mortality

    DEFF Research Database (Denmark)

    Jensen, Magnus Thorsten; Suadicani, Poul; Hein, Hans Ole; Gyntelberg, Finn

    2013-01-01

    To examine whether elevated resting heart rate (RHR) is an independent risk factor for mortality or a mere marker of physical fitness (VO2Max).......To examine whether elevated resting heart rate (RHR) is an independent risk factor for mortality or a mere marker of physical fitness (VO2Max)....

  10. Identification of heart rate-associated loci and their effects on cardiac conduction and rhythm disorders

    DEFF Research Database (Denmark)

    den Hoed, Marcel; Eijgelsheim, Mark; Esko, Tnu; Brundel, Bianca J J M; Peal, David S; Evans, David M; Nolte, Ilja M; Segr, Ayellet V; Holm, Hilma; Handsaker, Robert E; Westra, Harm-Jan; Johnson, Toby; Isaacs, Aaron; Yang, Jian; Lundby, Alicia; Zhao, Jing Hua; Kim, Young Jin; Go, Min Jin; Almgren, Peter; Bochud, Murielle; Boucher, Gabrielle; Cornelis, Marilyn C; Gudbjartsson, Daniel; Hadley, David; van der Harst, Pim; Hayward, Caroline; den Heijer, Martin; Igl, Wilmar; Jackson, Anne U; Kutalik, Zoltn; Luan, Jian'an; Kemp, John P; Kristiansson, Kati; Ladenvall, Claes; Lorentzon, Mattias; Montasser, May E; Njajou, Omer T; O'Reilly, Paul F; Padmanabhan, Sandosh; St Pourcain, Beate; Rankinen, Tuomo; Salo, Perttu; Tanaka, Toshiko; Timpson, Nicholas J; Vitart, Veronique; Waite, Lindsay; Wheeler, William; Zhang, Weihua; Draisma, Harmen H M; Feitosa, Mary F; Kerr, Kathleen F; Lind, Penelope A; Mihailov, Evelin; Onland-Moret, N Charlotte; Song, Ci; Weedon, Michael N; Xie, Weijia; Yengo, Loic; Absher, Devin; Albert, Christine M; Alonso, Alvaro; Arking, Dan E; de Bakker, Paul I W; Balkau, Beverley; Barlassina, Cristina; Benaglio, Paola; Bis, Joshua C; Bouatia-Naji, Nabila; Brage, Sren; Chanock, Stephen J; Chines, Peter S; Chung, Mina; Darbar, Dawood; Dina, Christian; Drr, Marcus; Elliott, Paul; Felix, Stephan B; Fischer, Krista; Fuchsberger, Christian; de Geus, Eco J C; Goyette, Philippe; Gudnason, Vilmundur; Harris, Tamara B; Hartikainen, Anna-Liisa; Havulinna, Aki S; Heckbert, Susan R; Hicks, Andrew A; Hofman, Albert; Holewijn, Suzanne; Hoogstra-Berends, Femke; Hottenga, Jouke-Jan; Jensen, Majken K; Johansson, Asa; Junttila, Juhani; Kb, Stefan; Kanon, Bart; Ketkar, Shamika; Khaw, Kay-Tee; Knowles, Joshua W; Kooner, Angrad S; Kors, Jan A; Kumari, Meena; Milani, Lili; Laiho, Pivi; Lakatta, Edward G; Langenberg, Claudia; Leusink, Maarten; Liu, Yongmei; Luben, Robert N; Lunetta, Kathryn L; Lynch, Stacey N; Markus, Marcello R P; Marques-Vidal, Pedro; Leach, Irene Mateo; McArdle, Wendy L; McCarroll, Steven A; Medland, Sarah E; Miller, Kathryn A; Montgomery, Grant W; Morrison, Alanna C; M Vuml Ller-Nurasyid, Martina; Navarro, Pau; Nelis, Mari; O'Connell, Jeffrey R; O'Donnell, Christopher J; Ong, Ken K; Newman, Anne B; Peters, Annette; Polasek, Ozren; Pouta, Anneli; Pramstaller, Peter P; Psaty, Bruce M; Rao, Dabeeru C; Ring, Susan M; Rossin, Elizabeth J; Rudan, Diana; Sanna, Serena; Scott, Robert A; Sehmi, Jaban S; Sharp, Stephen; Shin, Jordan T; Singleton, Andrew B; Smith, Albert V; Soranzo, Nicole; Spector, Tim D; Stewart, Chip; Stringham, Heather M; Tarasov, Kirill V; Uitterlinden, Andr G; Vandenput, Liesbeth; Hwang, Shih-Jen; Whitfield, John B; Wijmenga, Cisca; Wild, Sarah H; Willemsen, Gonneke; Wilson, James Richard; Witteman, Jacqueline C M; Wong, Andrew; Wong, Quenna; Jamshidi, Yalda; Zitting, Paavo; Boer, Jolanda M A; Boomsma, Dorret I; Borecki, Ingrid B; van Duijn, Cornelia M; Ekelund, Ulf; Forouhi, Nita G; Froguel, Philippe; Hingorani, Aroon; Ingelsson, Erik; Kivimaki, Mika; Kronmal, Richard A; Kuh, Diana; Lind, Lars; Martin, Nicholas G; Oostra, Ben A; Pedersen, Nancy L; Quertermous, Thomas; Rotter, Jerome I; van der Schouw, Yvonne T; Verschuren, W M Monique; Walker, Mark; Albanes, Demetrius; Arnar, David O; Assimes, Themistocles L; Bandinelli, Stefania; Boehnke, Michael; de Boer, Rudolf A; Bouchard, Claude; Caulfield, W L Mark; Chambers, John C; Curhan, Gary; Cusi, Daniele; Eriksson, Johan; Ferrucci, Luigi; van Gilst, Wiek H; Glorioso, Nicola; de Graaf, Jacqueline; Groop, Leif; Gyllensten, Ulf; Hsueh, Wen-Chi; Hu, Frank B; Huikuri, Heikki V; Hunter, David J; Iribarren, Carlos; Isomaa, Bo; Jarvelin, Marjo-Riitta; Jula, Antti; Khnen, Mika; Kiemeney, Lambertus A; van der Klauw, Melanie M; Kooner, Jaspal S; Kraft, Peter; Iacoviello, Licia; Lehtimki, Terho; Lokki, Marja-Liisa L; Mitchell, Braxton D; Navis, Gerjan; Nieminen, Markku S; Ohlsson, Claes; Poulter, Neil R; Qi, Lu; Raitakari, Olli T; Rimm, Eric B; Rioux, John D; Rizzi, Federica; Rudan, Igor; Salomaa, Veikko; Sever, Peter S; Shields, Denis C; Shuldiner, Alan R; Sinisalo, Juha; Stanton, Alice V; Stolk, Ronald P; Strachan, David P; Tardif, Jean-Claude; Thorsteinsdottir, Unnur; Tuomilehto, Jaako; van Veldhuisen, Dirk J; Virtamo, Jarmo; Viikari, Jorma; Vollenweider, Peter; Waeber, Grard; Widen, Elisabeth; Cho, Yoon Shin; Olsen, Jesper V; Visscher, Peter M; Willer, Cristen; Franke, Lude; Erdmann, Jeanette; Thompson, John R; Pfeufer, Arne; Sotoodehnia, Nona; Newton-Cheh, Christopher; Ellinor, Patrick T; Stricker, Bruno H Ch; Metspalu, Andres; Perola, Markus

    2013-01-01

    Elevated resting heart rate is associated with greater risk of cardiovascular disease and mortality. In a 2-stage meta-analysis of genome-wide association studies in up to 181,171 individuals, we identified 14 new loci associated with heart rate and confirmed associations with all 7 previously es...

  11. The relationship between respiratory sinus arrhythmia and heart rate during anesthesia in rat

    DEFF Research Database (Denmark)

    Moldovan, M; Spulber, S; Saravan, V; Iosifescu, R; Zagrean, Ana-Maria; Zagrean, L

    During inspiration the heart rate (HR) increases and during expiration it decreases. Contribution of respiratory sinus arrhythmia (RSA) to spontaneous heart rate variability (HRV) can be measured as the high frequency (HF) component of variation in consecutive R-R intervals on ECG. In conscious...

  12. Heart Rates of Elementary Physical Education Students during the Dancing Classrooms Program

    Science.gov (United States)

    Nelson, Larry; Evans, Melissa; Guess, Wendy; Morris, Mary; Olson, Terry; Buckwalter, John

    2011-01-01

    We examined how different types of dance activities, along with their duration, influenced heart rate responses among fifth-grade physical education students (N = 96) who participated in the Dancing Classrooms program. Results indicated that the overall Dancing Classrooms program elicits a moderate cardiovascular heart rate response (M = 124.4

  13. Heart Rate and Treatment Effect in Children with Disruptive Behavior Disorders

    Science.gov (United States)

    Stadler, Christina; Grasmann, Dorte; Fegert, Jorg M.; Holtmann, Martin; Poustka, Fritz; Schmeck, Klaus

    2008-01-01

    Objective: To examine whether children with disruptive behavior disorders (DBDs; hyperkinetic conduct disorder, conduct disorder, hyperkinetic disorder) characterized by low heart rate profit less from an intensive cognitive behavioral intervention aimed at reducing impulsive, oppositional and aggressive behavior problems. Method: Basal heart rate

  14. Heart rate variability (HRV): an indicator of stress

    Science.gov (United States)

    Kaur, Balvinder; Durek, Joseph J.; O'Kane, Barbara L.; Tran, Nhien; Moses, Sophia; Luthra, Megha; Ikonomidou, Vasiliki N.

    2014-05-01

    Heart rate variability (HRV) can be an important indicator of several conditions that affect the autonomic nervous system, including traumatic brain injury, post-traumatic stress disorder and peripheral neuropathy [3], [4], [10] & [11]. Recent work has shown that some of the HRV features can potentially be used for distinguishing a subject's normal mental state from a stressed one [4], [13] & [14]. In all of these past works, although processing is done in both frequency and time domains, few classification algorithms have been explored for classifying normal from stressed RRintervals. In this paper we used 30 s intervals from the Electrocardiogram (ECG) time series collected during normal and stressed conditions, produced by means of a modified version of the Trier social stress test, to compute HRV-driven features and subsequently applied a set of classification algorithms to distinguish stressed from normal conditions. To classify RR-intervals, we explored classification algorithms that are commonly used for medical applications, namely 1) logistic regression (LR) [16] and 2) linear discriminant analysis (LDA) [6]. Classification performance for various levels of stress over the entire test was quantified using precision, accuracy, sensitivity and specificity measures. Results from both classifiers were then compared to find an optimal classifier and HRV features for stress detection. This work, performed under an IRB-approved protocol, not only provides a method for developing models and classifiers based on human data, but also provides a foundation for a stress indicator tool based on HRV. Further, these classification tools will not only benefit many civilian applications for detecting stress, but also security and military applications for screening such as: border patrol, stress detection for deception [3],[17], and wounded-warrior triage [12].

  15. Estimating mental fatigue based on electroencephalogram and heart rate variability

    Science.gov (United States)

    Zhang, Chong; Yu, Xiaolin

    2010-01-01

    The effects of long term mental arithmetic task on psychology are investigated by subjective self-reporting measures and action performance test. Based on electroencephalogram (EEG) and heart rate variability (HRV), the impacts of prolonged cognitive activity on central nervous system and autonomic nervous system are observed and analyzed. Wavelet packet parameters of EEG and power spectral indices of HRV are combined to estimate the change of mental fatigue. Then wavelet packet parameters of EEG which change significantly are extracted as the features of brain activity in different mental fatigue state, support vector machine (SVM) algorithm is applied to differentiate two mental fatigue states. The experimental results show that long term mental arithmetic task induces the mental fatigue. The wavelet packet parameters of EEG and power spectral indices of HRV are strongly correlated with mental fatigue. The predominant activity of autonomic nervous system of subjects turns to the sympathetic activity from parasympathetic activity after the task. Moreover, the slow waves of EEG increase, the fast waves of EEG and the degree of disorder of brain decrease compared with the pre-task. The SVM algorithm can effectively differentiate two mental fatigue states, which achieves the maximum classification accuracy (91%). The SVM algorithm could be a promising tool for the evaluation of mental fatigue. Fatigue, especially mental fatigue, is a common phenomenon in modern life, is a persistent occupational hazard for professional. Mental fatigue is usually accompanied with a sense of weariness, reduced alertness, and reduced mental performance, which would lead the accidents in life, decrease productivity in workplace and harm the health. Therefore, the evaluation of mental fatigue is important for the occupational risk protection, productivity, and occupational health.

  16. Diagnostic accuracy of dual-source CT coronary angiography: The effect of average heart rate, heart rate variability, and calcium score in a clinical perspective

    International Nuclear Information System (INIS)

    Background: Dual-source CT coronary angiography (CTCA) has been used to detect coronary artery disease; however, the factors with potential to affect its diagnostic accuracy remain to be defined. Purpose: To prospectively evaluate the accuracy of dual-source CTCA in diagnosing coronary artery stenosis according to conventional coronary angiography (CAG), and the effect of average heart rate, heart rate variability, and calcium score on the accuracy of CTCA. Material and Methods: A total of 113 patients underwent both dual-source CTCA and CAG. The results were used to evaluate the findings in dual-source CTCA to assess the accuracy in the diagnosis of =50% (significant stenosis) and >75% (severe stenosis) of coronary artery according to those by CAG. Patients were divided into subgroups according to their heart rate (HR), HR variability (HRV), and calcium score, and the accuracy of CTCA was further evaluated. The chi-square test was used to analyze the difference in sensitivity and specificity for the detection of =50% and >75% coronary stenosis among subgroups. The generalized estimation equation method was used in per-vessel analysis to adjust for within-patient correlation. Results: In all, 113 patients had 338 vessels and 1661 segments evaluated by CAG. Dual-source CTCA displayed 1527 segments (91.9%). Among them, 1468 segments (calcium score by CAG score 1, n=1018; score 2, n=270; score 3, n=180) were assessable in CTCA. On a per-patient analysis, the sensitivity and specificity of CTCA were 93.9% and 93.5% for significant stenosis and 86.9% and 98.1% for severe stenosis. On a per-vessel basis, the sensitivity and specificity were 90.2% and 97.1% for significant and 83.3% and 98.1% for severe stenosis. On a per-segment analysis, the sensitivity and specificity were 90.2% and 97.1% for significant and 83.3% and 98.1% for severe stenosis. Average HR had no effect on the sensitivity and specificity of CTCA (P>0.05); whereas HRV and calcium score had some effect on the sensitivity and specificity of CTCA (P<0.05). Conclusion: On a per-patient, per-vessel, and per-segment basis, dual-source CTCA has a high sensitivity and specificity for the diagnosis of coronary artery stenosis. Average HR has no effect on the diagnostic accuracy of CTCA, while HRV and calcium score have a statistically significant effect on the sensitivity and specificity of CTCA

  17. Optogenetic stimulation of Drosophila heart rate at different temperatures and Ca2+ concentrations.

    Science.gov (United States)

    Zhu, Yue C; Uradu, Henry; Majeed, Zana R; Cooper, Robin L

    2016-02-01

    Optogenetics is a revolutionary technique that enables noninvasive activation of electrically excitable cells. In mammals, heart rate has traditionally been modulated with pharmacological agents or direct stimulation of cardiac tissue with electrodes. However, implanted wires have been known to cause physical damage and damage from electrical currents. Here, we describe a proof of concept to optically drive cardiac function in a model organism, Drosophila melanogaster. We expressed the light sensitive channelrhodopsin protein ChR2.XXL in larval Drosophila hearts and examined light-induced activation of cardiac tissue. After demonstrating optical stimulation of larval heart rate, the approach was tested at low temperature and low calcium levels to simulate mammalian heart transplant conditions. Optical activation of ChR2.XXL substantially increased heart rate in all conditions. We have developed a system that can be instrumental in characterizing the physiology of optogenetically controlled cardiac function with an intact heart. PMID:26834237

  18. Effect of Cardiac Rehabilitation Program on Heart Rate Recovery after Percutaneous Coronary Intervention and Coronary Artery Bypass Grafting

    Directory of Open Access Journals (Sweden)

    Ali Abbasi

    2008-07-01

    Full Text Available Background: The objective of this study was to evaluate the effect of a hospital-based cardiac rehabilitation program on heart rate recovery (HRR in patients who received percutaneous coronary intervention (PCI or coronary artery bypass grafting (CABG. Methods: Two hundred forty patients, who completed 24 sessions of a cardiac rehabilitation program (phase 2 after PCI (n=62 or CABG (n=178 at the rehabilitation department of Tehran Heart Center were included in the present study. Demographic and clinical characteristics and exercise capacity at baseline and at follow-up were compared between the two groups. The main outcome measurements were: Resting heart rate, peak heart rate, and HRR.Results: All the patients showed significant improvements in heart rate parameters from the baseline to the last sessions. The profile of atherosclerotic risk factors (except for diabetes mellitus was similar between the PCI and CABG subjects. After eight weeks of cardiac rehabilitation, HRR increased averagely about 17 and 21 bpm among the CABG and PCI patients, respectively (p=0.019. Conclusion: The results of the present study were indicative of an increase in HRR over 1 minute in patients irrespective of their initial revascularization modality (i.e. PCI or CABG after the completion of cardiac rehabilitation. Be that as it may, the PCI patients achieved greater improvement in HRR by comparison with the CABG patients.

  19. Natriuretic Peptides as Cardiovascular Safety Biomarkers in Rats: Comparison With Blood Pressure, Heart Rate, and Heart Weight.

    Science.gov (United States)

    Engle, Steven K; Watson, David E

    2016-02-01

    Cardiovascular (CV) toxicity is an important cause of failure during drug development. Blood-based biomarkers can be used to detect CV toxicity during preclinical development and prioritize compounds at lower risk of causing such toxicities. Evidence of myocardial degeneration can be detected by measuring concentrations of biomarkers such as cardiac troponin I and creatine kinase in blood; however, detection of functional changes in the CV system, such as blood pressure, generally requires studies in animals with surgically implanted pressure transducers. This is a significant limitation because sustained changes in blood pressure are often accompanied by changes in heart rate and together can lead to cardiac hypertrophy and myocardial degeneration in animals, and major adverse cardiovascular events (MACE) in humans. Increased concentrations of NPs in blood correlate with higher risk of cardiac mortality, all-cause mortality, and MACE in humans. Their utility as biomarkers of CV function and toxicity in rodents was investigated by exploring the relationships between plasma concentrations of NTproANP and NTproBNP, blood pressure, heart rate, and heart weight in Sprague Dawley rats administered compounds that caused hypotension or hypertension, including nifedipine, fluprostenol, minoxidil, L-NAME, L-thyroxine, or sunitinib for 1-2 weeks. Changes in NTproANP and/or NTproBNP concentrations were inversely correlated with changes in blood pressure. NTproANP and NTproBNP concentrations were inconsistently correlated with relative heart weights. In addition, increased heart rate was associated with increased heart weights. These studies support the use of natriuretic peptides and heart rate to detect changes in blood pressure and cardiac hypertrophy in short-duration rat studies. PMID:26609138

  20. A new method to measure heart rate with EMFi and PVDF materials.

    Science.gov (United States)

    Krki, S; Lekkala, J

    2009-01-01

    In this paper we propose a new simple method to measure the heart rate of a person sitting on a chair or lying in a bed. The heart rate is measured with a thin sensor pad consisting of separate electromechanical film (EMFi) and polyvinylidenefluoride (PVDF) transducers located beneath the leg of chair or bed. This study aims to evaluate the operation of the sensor system with measurements, and also to compare the results provided by the two transducer materials. Based on the results obtained here, the heart rates measured with the transducers mainly corresponded to the values of reference ECG signal. Some minor differences between the heart rate values of PVDF and EMFi appeared, especially in supine position, possible due to the material sensitivities to different force directions. However, to conclude, both materials seem to be convenient for this kind of measurement of heart rate. PMID:19591050

  1. Chaotic Behavior of Heart Rate Signals during Chi and Kundalini Meditation

    Directory of Open Access Journals (Sweden)

    Atefeh Goshvarpour

    2012-03-01

    Full Text Available Nonlinear dynamics has been introduced to the analysis of biological data and increasingly recognized to be functionally relevant. The aim of this study is to quantify and compare the contribution of nonlinear and chaotic dynamics of human heart rate variability during two forms of meditation: (i Chinese Chi (or Qigong meditation and (ii Kundalini Yoga meditation. For this purpose, Poincare plots, Lyapunov exponents and Hurst exponents of heart rate variability signals were analyzed. In this study, we examined the different behavior of heart rate signals during two specific meditation techniques. The results show that heart rate signals became more periodic and their chaotic behavior was decreased in both techniques of meditation. Therefore, nonlinear chaotic indices may serve as a quantitative measure for psychophysiological states such as meditation. In addition, different forms of meditation appear to differentially alter specific components of heart rate signals.

  2. Gender- and age-related differences in heart rate dynamics: are women more complex than men?

    Science.gov (United States)

    Ryan, S. M.; Goldberger, A. L.; Pincus, S. M.; Mietus, J.; Lipsitz, L. A.

    1994-01-01

    OBJECTIVES. This study aimed to quantify the complex dynamics of beat-to-beat sinus rhythm heart rate fluctuations and to determine their differences as a function of gender and age. BACKGROUND. Recently, measures of heart rate variability and the nonlinear "complexity" of heart rate dynamics have been used as indicators of cardiovascular health. Because women have lower cardiovascular risk and greater longevity than men, we postulated that there are important gender-related differences in beat-to-beat heart rate dynamics. METHODS. We analyzed heart rate dynamics during 8-min segments of continuous electrocardiographic recording in healthy young (20 to 39 years old), middle-aged (40 to 64 years old) and elderly (65 to 90 years old) men (n = 40) and women (n = 27) while they performed spontaneous and metronomic (15 breaths/min) breathing. Relatively high (0.15 to 0.40 Hz) and low (0.01 to 0.15 Hz) frequency components of heart rate variability were computed using spectral analysis. The overall "complexity" of each heart rate time series was quantified by its approximate entropy, a measure of regularity derived from nonlinear dynamics ("chaos" theory). RESULTS. Mean heart rate did not differ between the age groups or genders. High frequency heart rate power and the high/low frequency power ratio decreased with age in both men and women (p age and was higher in women than men (p gender-as well as age-related differences in heart rate dynamics. Whether these gender differences are related to lower cardiovascular disease risk and greater longevity in women requires further study.

  3. Heart Disease Death Rates in Low Versus High Land Elevation Counties in the U.S

    OpenAIRE

    Hart, John

    2015-01-01

    Previous research on land elevation and cancer death rates in the U.S. revealed lower cancer death rates in higher elevations. The present study further tests the possible effect of land elevation on a diffident health outcome, namely, heart disease death rates. U.S. counties not overlapping in their land elevations according to their lowest and highest elevation points were identified. Using an ecological design, heart disease death rates for two races (black and white) corresponding to lowe...

  4. Patterns of Interspecific Variation in the Heart Rates of Embryonic Reptiles

    OpenAIRE

    Du, Wei-Guo; YE, HUA; zhao, bo; Pizzatto, Ligia; Ji, Xiang; Shine, Richard

    2011-01-01

    New non-invasive technologies allow direct measurement of heart rates (and thus, developmental rates) of embryos. We applied these methods to a diverse array of oviparous reptiles (24 species of lizards, 18 snakes, 11 turtles, 1 crocodilian), to identify general influences on cardiac rates during embryogenesis. Heart rates increased with ambient temperature in all lineages, but (at the same temperature) were faster in lizards and turtles than in snakes and crocodilians. We analysed these data...

  5. Variability of the heart rate in patients with essential hyertension in regard to A/B type of behavior and the level of satisfaction of existential needs

    Directory of Open Access Journals (Sweden)

    Samardi? Senka

    2009-02-01

    Full Text Available Aim The aim of this study was to investigate autonomic regulation of heart function evaluating the variabilityof the heart rate in patients with essential hyertension vs. healthy control patients in regard to A/Btype of behavior and the level of satisfaction of existential needs.Methods A hundred patients with essential hypertension and a hundred healthy control subjects, compatiblein age and gender were included in study. All of them were subjected to clinical, electrocardiographical,pschycological and laboratory examination.Results Hypertensive patients had significantly shorter average RR interval, and faster heart rate comparedto control subjects (758,7 29,3 ms vs. 824,9 38,4 ms; p <0,001. The average variability ofthe heart rate was significantly lower in hypertensive than in healthy controls (3,85 1,57% vs. 4,54 2,4%; p<0,01. The major impact on variability of the heart rate in peaceful and deep breathing comesfrom sistolic and diastolic blood pressure, the left ventricule mass, diastolic dysfunction of the heart,the size of left atrium, the duration of hypertnesion, blood cholesterol levels and blood triglicerid levels.The most significant negative correlation is between variability of heart rate and the duration of hypertension(beta = -0,291. In both hypertensive patients and control group the behavioral type A is morefrequent than type B. In hypertensive group there is a significant impact of all independent variablesby Bortner on the heart rate variabiliy in peaceful breathing (R = 0,50. In the subjects that had highersatisfaction of existential needs, heart rate was lower and the variability higher.Conclusion This study shows that the long term hypertension involves higher heart rate and the reducedvariability of the heart rate as compared to controls, which are known risk factors for the increasedcardiac mortality.

  6. Assessment of heart rate variability based on mobile device for planning physical activity

    Science.gov (United States)

    Svirin, I. S.; Epishina, E. V.; Voronin, V. V.; Semenishchev, E. A.; Solodova, E. N.; Nabilskaya, N. V.

    2015-05-01

    In this paper we present a method for the functional analysis of human heart based on electrocardiography (ECG) signals. The approach using the apparatus of analytical and differential geometry and correlation and regression analysis. ECG contains information on the current condition of the cardiovascular system as well as on the pathological changes in the heart. Mathematical processing of the heart rate variability allows to obtain a great set of mathematical and statistical characteristics. These characteristics of the heart rate are used when solving research problems to study physiological changes that determine functional changes of an individual. The proposed method implemented for up-to-date mobile Android and iOS based devices.

  7. Influence of heart rate on image quality of 64-slice spiral computed coronary angiography and optimization on reconstruction of phase window

    International Nuclear Information System (INIS)

    Objective: To evaluate the influence of heart rate on the image quality of 64-slice spiral computed coronary angiography (MSCTCA) and optimize the image reconstruction window. Methods: According to the heart rate, 86 patients were classified into 5 groups: group A, the heart rate ?60 beat per minute(BMP); group B,61-70BMP, group C,71-80BMP, and group D>80BMP. The image quality of MSCTCA was scored 5 grades from 1-5 according to heart motion artifact. The influences of heart rate and reconstruction phase on the image quality of MSCTCA were evaluated. Results: Average heart rate was 64.4 10.1BMP. Diagnostic image quality (score>3) was attained in 277 of 344 segments at the best reconstruction interval. There was a significant corxelation between average heart rate and image quality, but there was no difference between relative delay (%) reconstruction and absolute delay (ms) reconstruction on the image quality. Conclusion: Reducing average heart rate is beneficial for improving the image quality. (authors)

  8. Resting heart rate as a predictor of metabolic dysfunctions in obese children and adolescents

    Directory of Open Access Journals (Sweden)

    Freitas Jnior Ismael F

    2012-01-01

    Full Text Available Abstract Background Recent studies have identified that a higher resting heart rate (RHR is associated with elevated blood pressure, independent of body fatness, age and ethnicity. However, it is still unclear whether RHR can also be applied as a screening for other risk factors, such as hyperglycemia and dyslipidemia. Thus, the purpose of the presented study was to analyze the association between RHR, lipid profile and fasting glucose in obese children and adolescents. Methods The sample was composed of 180 obese children and adolescents, aged between 7-16 years. Whole-body and segmental body composition were estimated by Dual-energy X-ray absorptiometry. Resting heart rate (RHR was measured by heart rate monitors. The fasting blood samples were analyzed for serum triglycerides, total cholesterol (TC, high-density lipoprotein cholesterol (HDL-C, low-density lipoprotein cholesterol (LDL-C, and glucose, using the colorimetric method. Results Fasting glucose, TC, triglycerides, HDL-C, LDL-C and RHR were similar in both genders. The group of obese subjects with a higher RHR presented, at a lower age, higher triglycerides and TC. There was a significant relationship between RHR, triglycerides and TC. In the multivariate model, triglycerides and TC maintained a significant relationship with RHR independent of age, gender, general and trunk adiposity. The ROC curve indicated that RHR has a high potential for screening elevated total cholesterol and triglycerides as well as dyslipidemia. Conclusion Elevated RHR has the potential to identify subjects at an increased risk of atherosclerosis development.

  9. Predictive Potential of Heart Rate Complexity Measurement: An Indication for Laparotomy Following Solid Organ Injury

    Directory of Open Access Journals (Sweden)

    Foroutan

    2015-11-01

    Full Text Available Background Nonlinear analysis of heart rate variability (HRV has been recently used as a predictor of prognosis in trauma patients. Objectives We applied nonlinear analysis of HRV in patients with blunt trauma and intraperitoneal bleeding to assess our ability to predict the outcome of conservative management. Patients and Methods An analysis of electrocardiography (ECG from 120 patients with blunt trauma was conducted at the onset of admission to the emergency department. ECGs of 65 patients were excluded due to inadequacy of noise-free length. Of the remaining 55 patients, 47 survived (S group and eight patients died in the hospital (Non-S group. Nineteen patients were found to have intra-abdominal bleeding, eight of which ultimately underwent laparotomy to control bleeding (Op group and 11 underwent successful non-operative management (non-Op. Demographic data including vital signs, glasgow coma scale (GCS, arterial blood gas and injury severity scores (ISS were recorded. Heart rate complexity (HRC methods, including entropy, were used to analyze the ECG. Results There were no differences in age, gender, heart rate (HR and blood pressure between the S and Non-S groups. However, approximate entropy, used as a method of HRC measurement, and GCS were significantly higher in S group, compared to the Non-S group. The base deficit and ISS were significantly higher in the Non-S group. Regarding age, sex, ISS, base deficit, vital signs and GCS, no difference was found between Op and Non-Op groups. Approximate entropy was significantly lower in the Op group, compared to the Non-Op group. Conclusions The loss of HRC at the onset of admission may predict mortality in patients with blunt trauma. Lower entropy, in recently admitted patients with intra-abdominal bleeding, may indicate laparotomy when the vital signs are stable.

  10. ROC Analysis and a Realistic Model of Heart Rate Variability

    CERN Document Server

    Thurner, S; Teich, M C; Thurner, Stefan; Feurstein, Markus C.; Teich, Malvin C.

    1998-01-01

    We have carried out a pilot study on a standard collection of electrocardiograms from patients who suffer from congestive heart failure, and subjects without cardiac pathology, using receiver-operating-characteristic (ROC) analysis. The scale-dependent wavelet-coefficient standard deviation superior to two commonly used measures of cardiac dysfunction when the two classes of patients cannot be completely separated. A jittered integrate-and-fire model with a fractal Gaussian-noise kernel provides a realistic simulation of heartbeat sequences for both heart-failure patients and normal subjects.

  11. Visualization of Heart Rate Variability of Long-Term Heart Transplant Patient by Transition Networks: A Case Report

    Science.gov (United States)

    Wdowczyk, Joanna; Makowiec, Danuta; Dorniak, Karolina; Gruchała, Marcin

    2016-01-01

    We present a heart transplant patient at his 17th year of uncomplicated follow-up. Within a frame of routine check out several tests were performed. With such a long and uneventful follow-up some degree of graft reinnervation could be anticipated. However, the patient's electrocardiogram and exercise parameters seemed largely inconclusive in this regard. The exercise heart rate dynamics were suggestive of only mild, if any parasympathetic reinnervation of the graft with persisting sympathetic activation. On the other hand, traditional heart rate variability (HRV) indices were inadequately high, due to erratic rhythm resulting from interference of the persisting recipient sinus node or non-conducted atrial parasystole. New tools, originated from network representation of time series, by visualization short-term dynamical patterns, provided a method to discern HRV increase due to reinnervation from other reasons. PMID:27014081

  12. Effects of melatonin and ethanol on the heart rate of Daphnia magna

    OpenAIRE

    Rebecca Kohn; Larissa Stuckey; Elizabeth Marion; Krithika Krishnarao; Bonnie Kaas

    2009-01-01

    Melatonin, an endogenous hormone that may regulate circadian rhythms by modulating cholinergic activity, is increasing in popular use as a natural treatment for sleep disorders. However, the effects of melatonin on the human heart are not well characterized, and the consequences of combining alcohol with melatonin are unknown. The myogenic heart of the water flea Daphnia magna (D. magna) is regulated by inhibitory cholinergic neurons that modulate cardiac function, including heart rate. D. ma...

  13. Effects of melatonin and ethanol on the heart rate of Daphnia magna

    Directory of Open Access Journals (Sweden)

    Rebecca Kohn

    2009-01-01

    Full Text Available Melatonin, an endogenous hormone that may regulate circadian rhythms by modulating cholinergic activity, is increasing in popular use as a natural treatment for sleep disorders. However, the effects of melatonin on the human heart are not well characterized, and the consequences of combining alcohol with melatonin are unknown. The myogenic heart of the water flea Daphnia magna (D. magna is regulated by inhibitory cholinergic neurons that modulate cardiac function, including heart rate. D. magna is a useful model organism for cardiovascular function, due to its physical transparency and susceptibility to cardioactive drugs known to affect the human heart. In this study, the effects of immersion in 10 mg/L melatonin and 5% ethanol on the heart rate of D. magna were quantified. Two-hour exposure to melatonin caused a significant decrease in heart rate, from 228 ± 2 bpm to 167 ± 8 bpm. Six-minute immersion in ethanol also significantly depressed the heart rate to 176 ± 10 bpm. Pretreatment with melatonin prior to the addition of ethanol resulted in a greater decrease in heart rate (89 ± 7 bpm than ethanol or melatonin alone. These findings indicate that melatonin and alcohol may combine to cause a greater depressive effect on cardiac function.

  14. The Relationship Between Heart Rate Reserve and Oxygen Uptake Reserve in Heart Failure Patients on Optimized and Non-Optimized Beta-Blocker Therapy

    OpenAIRE

    Vitor Oliveira Carvalho; Guilherme Veiga Guimarães; Edimar Alcides Bocchi

    2008-01-01

    BACKGROUND: The relationship between the percentage of oxygen consumption reserve and percentage of heart rate reserve in heart failure patients either on non-optimized or off beta-blocker therapy is known to be unreliable. The aim of this study was to evaluate the relationship between the percentage of oxygen consumption reserve and percentage of heart rate reserve in heart failure patients receiving optimized and non-optimized beta-blocker treatment during a treadmill cardiopulmonary exerci...

  15. Effect of Exercise Testing on Short-term Heart Rate Variability in Patients with Coronary Heart Disease

    DEFF Research Database (Denmark)

    Niu, Hui-Yan; Zhang, Dai-Fu; Liang, Bo; Wang, Juan; Zhou, Hua; Zhuang, Shao-Wei

    2005-01-01

    Objective To study the effect of exercise testing on short term heart rate variability in patients with CHD.Methods In 12 patients with CHD and 12 age-and sex-matched healthy controls, short-term frequency domain analysis was performed at respective stage before, during and after ET.Results It...

  16. Heart rate variability of young table tennis players with the use of the multiball training

    Directory of Open Access Journals (Sweden)

    MICHAIL KATSIKADELIS

    2014-10-01

    Full Text Available The purpose of this study was to evaluate the heart rate responses of the 2 multiball table tennis interval training protocols during the competitive period on young table tennis players. Fourteen (n=14 players, aged 12±2yrs participated in this study. participants were randomly divided into 2 training duration groups (15s vs. 30s and were trained under the 2 interval protocols for 6 weeks (3 sessions. w-1. heart rate (hr data was electronically recorded by using the Polar Team System at the completion of each exercise at the 1st and 5th set in the 1st and 6th week. the Wilcoxon signed-rank test was applied in or- der to compare the repeated measurements, whereas spear- man’s rank correlation (ρ analysis was employed to determine whether the testing parameters are significantly related. From the results it is shown that regarding to the hr both training protocols can simulate the match conditions. In both groups participants’ the footwork exercises with Forehand and Backhand strokes recorded the higher hr (190-210 b.min-1. additionally, significant hr differences were recorded in group a (z=-2.023, p=0.043 in Footwork Forehand Backhand (FtFB. In conclusion, both multiball protocols can generally simulate match conditions supporting the weekly training program of young table tennis players

  17. Do physiological and pathological stresses produce different changes in heart rate variability?

    Directory of Open Access Journals (Sweden)

    GeoffreyGreen

    2013-07-01

    Full Text Available Although physiological (e.g. exercise and pathological (e.g. infection stress affecting the cardiovascular system have both been documented to be associated with a reduction in overall heart rate variability (HRV, it remains unclear if loss of HRV is ubiquitously similar across different domains of variability analysis or if distinct patterns of altered HRV exist depending on the stressor. Using Continuous Individualized Multiorgan Variability Analysis (CIMVATM software, heart rate (HR and four selected measures of variability were measured over time (windowed analysis from two datasets, a set (n=13 of patients who developed systemic infection (i.e. sepsis after bone marrow transplant, and a matched set of healthy subjects undergoing physical exercise under controlled conditions. HR and the four HRV measures showed similar trends in both sepsis and exercise. The comparison through Wilcoxon sign-rank test of the levels of variability at baseline and during the stress (i.e. exercise or after days of sepsis development showed similar changes, except for LF/HF, ratio of power at low and high frequencies (associated with sympathovagal modulation, which was affected by exercise but did not show any change during sepsis. Furthermore, HRV measures during sepsis showed a lower level of correlation with each other, as compared to HRV during exercise. In conclusion, this exploratory study highlights similar responses during both exercise and infection, with differences in terms of correlation and inter-subject fluctuations, whose physiologic significance merits further investigation.

  18. Heart Rate Variability Correlates to Functional Aerobic Impairment in Hemodialysis Patients

    Directory of Open Access Journals (Sweden)

    Maria Angela Magalhães de Queiroz Carreira

    2015-06-01

    Full Text Available Background: Autonomic dysfunction (AD is highly prevalent in hemodialysis (HD patients and has been implicated in their increased risk of cardiovascular mortality. Objective: To correlate heart rate variability (HRV during exercise treadmill test (ETT with the values obtained when measuring functional aerobic impairment (FAI in HD patients and controls. Methods: Cross-sectional study involving HD patients and a control group. Clinical examination, blood sampling, transthoracic echocardiogram, 24-hour Holter, and ETT were performed. A symptom-limited ramp treadmill protocol with active recovery was employed. Heart rate variability was evaluated in time domain at exercise and recovery periods. Results: Forty-one HD patients and 41 controls concluded the study. HD patients had higher FAI and lower HRV than controls (p<0.001 for both. A correlation was found between exercise HRV (SDNN and FAI in both groups. This association was independent of age, sex, smoking, body mass index, diabetes, and clonidine or beta-blocker use, but not of hemoglobin levels. Conclusion: No association was found between FAI and HRV on 24-hour Holter or at the recovery period of ETT. Of note, exercise HRV was inversely correlated with FAI in HD patients and controls. (Arq Bras Cardiol. 2015; [online]. ahead print, PP.0-0

  19. The Relationship between Serum Lipid Fractions and Heart Rate Variability in Diabetic Patients with Statin Therapy

    Science.gov (United States)

    BADEA, ANAMARIA RALUCA; NEDELCU, LAURENTIU; VALEANU, MADALINA; ZDRENGHEA, DUMITRU

    2014-01-01

    Background and aims The aim of this study is to identify and highlight the relationship between serum lipid fractions and heart rate variability in diabetic patients receiving statin therapy. Patients and methods The study was performed in a group of 87 type 2 diabetic patients on statin associated therapy. All patients were on Holter ECG 24 hours monitored with three channel monitor (Labtech ECG Holter monitor), and data were analyzed on a commercially available software (Cardiospy PC SW/EV 5.02.06.02). Concentrations of biochemical parameters were determined using specific enzymatic assays on an autoanalyzer Olympus AU 680. In the studied patients, we analyzed Holter/24 hours monitoring reports with respect to heart rate variability indexes, arrhythmic events and myocardial ischemia. Results It was noticed that the mean values of serum TG were slightly elevated, TC levels were close to the limits specified by the guidelines for diabetic patients and for patients with cardiovascular diseases, with no significant differences between males and females. After analyzing the HRV in both time and frequency domains, we found no strong correlations between any of the HRV indexes and any of the lipid fractions. Conclusions The results suggest that statin therapy may reduce the autonomic impairment secondary to dyslipidemia. PMID:26528015

  20. Heart rate variability analysis in sheep affected by transmissible spongiform encephalopathies

    Directory of Open Access Journals (Sweden)

    Konold Timm

    2011-12-01

    Full Text Available Abstract Background The function of the autonomic nervous system can be assessed by determining heart rate variability (HRV, which is impaired in some brainstem diseases in humans. Transmissible spongiform encephalopathies (TSEs in sheep are diseases characterised by accumulation of disease-associated prion protein in the brainstem, including nuclei of the parasympathetic nervous system. This study was undertaken to assess whether analysis of HRV can be used as an aid in the diagnosis of TSEs in clinically affected, naturally or experimentally infected sheep. Findings When HRV indices were compared between 41 clinical TSE cases (18 sheep infected with scrapie and 23 sheep infected with bovine spongiform encephalopathy, 11 control sheep and six sheep reported as scrapie suspects or dosed with BSE brain homogenate, which were not confirmed as TSE cases by postmortem tests, no significant differences were found between the groups. Median heart rate was significantly different but only when sheep were grouped by gender: it was higher in female TSE cases than in control sheep and higher in female than castrated male ovine classical BSE cases. Conclusions HRV analysis was not useful as a diagnostic aid for TSEs of sheep.

  1. THE RELATIONSHIP BETWEEN SERUM LIPID FRACTIONS AND HEART RATE VARIABILITY IN DIABETIC PATIENTS WITH STATIN THERAPY

    Directory of Open Access Journals (Sweden)

    Anamaria Raluca Badea

    2014-09-01

    Full Text Available Background and aims. The aim of this study is to identify and highlight the relationship between serum lipid fractions and heart rate variability in diabetic patients receiving statin therapy.Patients and methods. The study was performed in a group of 87 type 2 diabetic patients on statin associated therapy. All patients were on Holter ECG 24 hours monitored with three channel monitor (Labtech ECG Holter monitor, and data were analyzed on a commercially available software (Cardiospy PC SW/EV 5.02.06.02. Concentrations of biochemical parameters were determined using specific enzymatic assays on an autoanalyzer Olympus AU 680. In the studied patients, we analyzed Holter/24 hours monitoring reports with respect to heart rate variability indexes, arrhythmic events and myocardial ischemia.Results. It was noticed that the mean values of serum TG were slightly elevated, TC levels were close to the limits specified by the guidelines for diabetic patients and for patients with cardiovascular diseases, with no significant differences between males and females. After analyzing the HRV in both time and frequency domains, we found no strong correlations between any of the HRV indexes and any of the lipid fractions.Conclusions. The results suggest that statin therapy may reduce the autonomic impairment secondary to dyslipidemia.

  2. Peculiarities of indexes of autonomic regulation of blood circulation and heart rate variability in perimenopausal women

    Directory of Open Access Journals (Sweden)

    Neufeld I.W.

    Results: We have not revealed statistically significant differences in the most of indexes of autonomic regulation of blood circulation (except heart rate between the women groups with conserved menstrual cycle and in menopause. The majority of heart rate variability indexes correlated with the term of natural menopause (correlation coefficient r took values from 0.17 to 0.24. Remoteness of surgical menopause beginning correlated only with index S of synchronization between 0.1 Hz oscillations (r=-0.41, р=0.039. Statistically (not clinically significant correlations were revealed between several indexes of autonomic regulation and sex hormone levels. Conclusion: We have not revealed clinically significant correlations between the indexes of cardiovascular system autonomic regulation and characteristics of menopausal status in women (sex hormone levels, hot flushes, and Kupperman index. However, we have shown statistically (not clinically significant correlations between several indexes of autonomic regulation and remoteness of menopause beginning (SDNN, CV, RMSSD, PNN50, power of low and high frequency bands correlated with natural menopause while index S correlated with surgical menopause and sex hormone levels.

  3. Altered heart rate and blood pressure variability in mice lacking the Mas protooncogene

    Directory of Open Access Journals (Sweden)

    T. Walther

    2000-01-01

    Full Text Available Heart rate variability is a relevant predictor of cardiovascular risk in humans. A significant genetic influence on heart rate variability is suggested, although the genes involved are ill-defined. The Mas-protooncogene encodes a G-protein-coupled receptor with seven transmembrane domains highly expressed in testis and brain. Since this receptor is supposed to interact with the signaling of angiotensin II, which is an important regulator of cardiovascular homeostasis, heart rate and blood pressure were analyzed in Mas-deficient mice. Using a femoral catheter the blood pressure of mice was measured for a period of 30 min and 250 data values per second were recorded. The mean values and range of heart rate and blood pressure were then calculated. Neither heart rate nor blood pressure were significantly different between knockout mice and controls. However, high resolution recording of these parameters and analysis of the data by non-linear dynamics revealed significant alterations in cardiovascular variability in Mas-deficient animals. In particular, females showed a strong reduction of heart rate variability. Furthermore, the data showed an increased sympathetic tone in knockout animals of both genders. The marked alterations detected in Mas-deficient mice of both genders suggest that the Mas-protooncogene is an important determinant of heart rate and blood pressure variability.

  4. Minimal changes in heart rate of incubating American Oystercatchers (Haematopus palliatus) in response to human activity

    Science.gov (United States)

    Borneman, Tracy E.; Rose, Eli T.; Simons, Theodore R.

    2014-01-01

    An organism's heart rate is commonly used as an indicator of physiological stress due to environmental stimuli. We used heart rate to monitor the physiological response of American Oystercatchers (Haematopus palliatus) to human activity in their nesting environment. We placed artificial eggs with embedded microphones in 42 oystercatcher nests to record the heart rate of incubating oystercatchers continuously for up to 27 days. We used continuous video and audio recordings collected simultaneously at the nests to relate physiological response of birds (heart rate) to various types of human activity. We observed military and civilian aircraft, off-road vehicles, and pedestrians around nests. With the exception of high-speed, low-altitude military overflights, we found little evidence that oystercatcher heart rates were influenced by most types of human activity. The low-altitude flights were the only human activity to significantly increase average heart rates of incubating oystercatchers (12% above baseline). Although statistically significant, we do not consider the increase in heart rate during high-speed, low-altitude military overflights to be of biological significance. This noninvasive technique may be appropriate for other studies of stress in nesting birds.

  5. Variation in heart rate influences the assessment of transient ischemic dilation in myocardial perfusion scintigraphy

    International Nuclear Information System (INIS)

    Transient arrhythmias can affect transient ischemic dilation (TID) ratios. This study was initiated to evaluate the frequency and effect of normal heart rate change on TID measures in routine clinical practice. Consecutive patients undergoing stress/rest sestamibi gated myocardial perfusion scintigraphy were studied (N = 407). Heart rate at the time of stress and rest imaging were recorded. TID ratios were analyzed in relation to absolute change in heart rate (stress minus rest) for subjects with normal perfusion and systolic function (Group 1, N = 169) and those with abnormalities in perfusion and/or function (Group 2, N = 238). In Group 1, mean TID ratio was inversely correlated with the change in heart rate (r = -0.47, P < 0.0001). For every increase of 10 BPM in heart rate change, the TID ratio decreased by approximately 0.06 (95% confidence interval 0.04–0.07). In Group 2, multiple linear regression demonstrated that the change in heart rate (beta = -0.25, P < 0.0001) and the summed difference score (beta = 0.36, P < 0.0001) were independent predictors of the TID ratio. Normal variation in heart rate between the stress and rest components of myocardial perfusion scans is common and can influence TID ratios in patients with normal and abnormal cardiac scans

  6. Low metabolism and inactive lifestyle of a tropical rain forest bird investigated via heart-rate telemetry

    OpenAIRE

    Steiger, Silke S.; Kelley, J. Patrick; Cochran, William W.; Wikelski, Martin

    2009-01-01

    Birds in the lowland tropical rain forest are expected to have low energy turnover. Here, we used heart rate telemetry to estimate nighttime resting metabolic rate (RMR), daily energy expenditure (DEE), and locomotor activity of a small, long‐lived tropical rain forest understory bird, the spotted antbird (Hylophylax naevioides). Heart rate was linearly related to oxygen consumption in respirometry measurements that encompassed 96% of heart rates measured in wild birds. Heart rates in the wil...

  7. Heart rate changes during the Valsalva maneuver in patients with isolated aortic insufficiency

    Directory of Open Access Journals (Sweden)

    Navarro A.E.

    1997-01-01

    Full Text Available To determine the possible relationship between left ventricular dilatation and heart rate changes provoked by the Valsalva maneuver (Valsalva ratio, we studied 9 patients with isolated chronic aortic insufficiency. Left ventricular systolic function was assessed by two-dimensional echocardiography and cardiac catheterization. All patients were asymptomatic (functional class I of the New York Heart Association. The left ventricular internal diameters and volumes were significantly increased in all patients. The asymptomatic patients had either normal or slightly depressed ejection fraction (EF>0.40. The Valsalva ratio of these asymptomatic patients showed no significant correlation with the left ventricular volumes or with the left ventricular ejection fraction. In other words, parasympathetic heart rate control, as expressed by the Valsalva ratio, was normal in the asymptomatic patients with left ventricular dilatation and preserved left ventricular ejection fraction. Therefore, left ventricular dilatation may not be the major mechanism responsible for the abnormal parasympathetic heart rate control of patients with acquired heart disease

  8. Heart Rate and Treatment Effect in Children with Disruptive Behavior Disorders

    Science.gov (United States)

    Stadler, Christina; Grasmann, Dorte; Fegert, Jorg M.; Holtmann, Martin; Poustka, Fritz; Schmeck, Klaus

    2008-01-01

    Objective: To examine whether children with disruptive behavior disorders (DBDs; hyperkinetic conduct disorder, conduct disorder, hyperkinetic disorder) characterized by low heart rate profit less from an intensive cognitive behavioral intervention aimed at reducing impulsive, oppositional and aggressive behavior problems. Method: Basal heart rate…

  9. Discrete Scale Invariance in the Cascade Heart Rate Variability Of Healthy Humans

    CERN Document Server

    Lin, D C

    2004-01-01

    Evidence of discrete scale invariance (DSI) in daytime healthy heart rate variability (HRV) is presented based on the log-periodic power law scaling of the heart beat interval increment. Our analysis suggests multiple DSI groups and a dynamic cascading process. A cascade model is presented to simulate such a property.

  10. Maternal rectal temperature and fetal heart rate responses to upright cycling in late pregnancy.

    OpenAIRE

    O'Neill, M E

    1996-01-01

    OBJECTIVE--To assess maternal rectal temperature and fetal heart rate responses to dynamic exercise. METHODS--11 healthy women with low risk pregnancies completed three separate upright cycling tests at 34 to 37 weeks gestation: 15 min at 62.5 W (mean maternal heart rate [MHR] 138 beats.min-1 (test A); 15 min at 87.5 W (MHR 156 beats.min-1) (test B); and 30 min at 62.5 W (MHR 142 beats.min-1) (test C). Rectal temperature and fetal heart rate were measured. RESULTS--Mean temperature increase a...

  11. Microprocessor-based memory device for ambulatory heart rate and physical activity recording.

    Science.gov (United States)

    Makikawa, M; Imai, K; Shindoi, T; Tanooka, K; Iizumi, H; Mitani, H

    1994-03-01

    Using microprocessor techniques, a portable digital memory device has been designed for the ambulatory monitoring of heart rate and physical activity. The device consists of a microprocessor, an ECG amplifier to record the heart rate and an accelerometer to detect the physical activity. This accelerometer is piezo-resistive and is suitable for ambulatory physical activity recording, because this sensor requires low electrical power, has high durability and wide frequency response (DC approximately 1.2 kHz). Changes in heart rates and physical activity in daily life have been successfully recorded. PMID:8177089

  12. What does the correlation dimension of the human heart rate measure?

    OpenAIRE

    Sakki, M.; Kalda, J.; Vainu, M.; Laan, M.

    2001-01-01

    It is shown that in the case of human heart rate, the scaling behaviour of the correlation sum (calculated by the Grassberger-Procaccia algorithm) is a result of the interplay of various factors: finite resolution of the apparatus (finite-size effects), a wide dynamic range of mean heart rate, the amplitude of short-time variability being a decreasing function of the mean heart rate. The value of the scaling exponent depends on all these factors and is a certain measure of short-time variabil...

  13. Premature Born Infant's Reaction to the Mother's Voice in Comparison to their Reaction to Music - Effect on Heart Rate and Heart Rate Variability

    OpenAIRE

    Djordjevic, Dragana

    2010-01-01

    OBJECTIVE: The aim of the study was to compare stress-reduction effects of the mothers voice and lullaby music in preterm infants and to explore whether the mothers well-being affects her ability to calm down her preterm baby. It was hypothesized that both acoustic stimulation interventions can calm down the baby, i.e. decrease heart rate and increase heart rate variability (HRV) in preterm infants. Further it was hypothesized that the mothers voice would have greater effect than lullaby m...

  14. Exploratory multivariate analysis of the effect of fatty fish consumption and medicinal use on heart rate and heart rate variability data

    OpenAIRE

    Grung, Bjrn; Hansen, Anita Lill; Berg, Mari; Men-Knudseth, Maria Pernille; Olson, Gina; Thornton, David Malcolm; Dahl, Lisbeth; Thayer, Julian Francis

    2015-01-01

    The overall aim of the present study was to explore the relationship between medicinal use and fatty fish consumption on heart rate variability (HRV) and heart rate (HR) in a group of forensic inpatients on a variety of medications. A total of 49 forensic inpatients, randomly assigned to a fish group (n = 27) or a control group (n = 22) were included in the present study. Before and by the end of the food intervention period HR and HRV were measured during an experimental test procedure. An a...

  15. Spectral analysis of time series of events: effect of respiration on heart rate in neonates

    International Nuclear Information System (INIS)

    Certain types of biomedical processes such as the heart rate generator can be considered as signals that are sampled by the occurring events, i.e. QRS complexes. This sampling property generates problems for the evaluation of spectral parameters of such signals. First, the irregular occurrence of heart beats creates an unevenly sampled data set which must either be pre-processed (e.g. by using trace binning or interpolation) prior to spectral analysis, or analyzed with specialized methods (e.g. Lomb's algorithm). Second, the average occurrence of events determines the Nyquist limit for the sampled time series. Here we evaluate different types of spectral analysis of recordings of neonatal heart rate. Coupling between respiration and heart rate and the detection of heart rate itself are emphasized. We examine both standard and data adaptive frequency bands of heart rate signals generated by models of coupled oscillators and recorded data sets from neonates. We find that an important spectral artifact occurs due to a mirror effect around the Nyquist limit of half the average heart rate. Further we conclude that the presence of respiratory coupling can only be detected under low noise conditions and if a data-adaptive respiratory band is used

  16. Music close to one's heart: heart rate variability with music, diagnostic with e-bra and smartphone

    Science.gov (United States)

    Hegde, Shantala; Kumar, Prashanth S.; Rai, Pratyush; Mathur, Gyanesh N.; Varadan, Vijay K.

    2012-04-01

    Music is a powerful elicitor of emotions. Emotions evoked by music, through autonomic correlates have been shown to cause significant modulation of parameters like heart rate and blood pressure. Consequently, Heart Rate Variability (HRV) analysis can be a powerful tool to explore evidence based therapeutic functions of music and conduct empirical studies on effect of musical emotion on heart function. However, there are limitations with current studies. HRV analysis has produced variable results to different emotions evoked via music, owing to variability in the methodology and the nature of music chosen. Therefore, a pragmatic understanding of HRV correlates of musical emotion in individuals listening to specifically chosen music whilst carrying out day to day routine activities is needed. In the present study, we aim to study HRV as a single case study, using an e-bra with nano-sensors to record heart rate in real time. The e-bra developed previously, has several salient features that make it conducive for this study- fully integrated garment, dry electrodes for easy use and unrestricted mobility. The study considers two experimental conditions:- First, HRV will be recorded when there is no music in the background and second, when music chosen by the researcher and by the subject is playing in the background.

  17. ROC Analysis and a Realistic Model of Heart Rate Variability

    OpenAIRE

    Thurner, Stefan; Feurstein, Markus C.; Teich, Malvin C.

    1998-01-01

    We have carried out a pilot study on a standard collection of electrocardiograms from patients who suffer from congestive heart failure, and subjects without cardiac pathology, using receiver-operating-characteristic (ROC) analysis. The scale-dependent wavelet-coefficient standard deviation \\sigma_{wav}(m), a multiresolution-based analysis measure, is found to be superior to two commonly used measures of cardiac dysfunction when the two classes of patients cannot be completely separated. A ji...

  18. Operative correction of judoists’ training loads on the base of on-line monitoring of heart beats rate

    Directory of Open Access Journals (Sweden)

    Liu Yong Qiang

    2015-02-01

    Full Text Available Purpose: ensure increase of effectiveness of training process’s control by means of operative correction of training loads of different qualification judo wrestlers’ heart beats rate indicators. Material: the research was conducted on the base of Brest SCJSOR № 1. Judo wrestlers of different sport qualification (age 17-19 years old, n=15 participated in the research. Monitoring of judo wrestlers’ heart beats rate was carried out with the help of system “Polar”. Results: we have found factorial structure of functional fitness in every profile of sportsmen. Model characteristics of judo wrestlers were supplemented with the most important sides of functional fitness. Analysis of indicators of restoration effectiveness indicators (REI in both groups of judo wrestlers showed high level of organism’s responsiveness to training load of special and power orientation in comparison with speed power load. We have worked out algorithm of operative correction of training loads by indicators of heart beats rate in training process, depending on orientation and intensity of loads’ physiological influence on judo wrestler. Conclusions: Telemetric on-line monitoring of sportsman’s heart beats rate and calculation of REI permit to objectively assess effectiveness of training’s construction and of micro-cycle in total and detect in due time the trend to development of over-loading and failure of adaptation.

  19. Ivabradine, a novel heart rate slower: Is it a sword of double blades in patients with idiopathic dilated cardiomyopathy?

    Directory of Open Access Journals (Sweden)

    Mona Rayan

    2011-08-01

    Full Text Available Objective: To prospectively assess the safety and efficacy of ivabradine in patients with idiopathic dilated cardiomyopathy.Methods: We included 35 patients with idiopathic dilated cardiomyopathy with an ejection fraction (EF 70 beats/min despite optimal medical therapy, according to the international guidelines in this prospective, non-randomized, single-arm, open-label safety study. Ivabradine was used as an add-on therapy to the maximally tolerated b-blocker in an increasing titrated dose till a target dose of 15 mg/day or resting heart rate of 60 beats/min for 3 months. During follow-up period the safety, patient tolerance and efficacy of this drug were assessed. All patients underwent 12-lead resting electrocardiography and Holter monitoring at inclusion and after 3 months. Statistical analysis was accomplished using paired t-test and Pearson correlation analysis.Results: We found a significant reduction in the resting heart rate by a mean of 25.99.4%, without a significant change of blood pressure. There was no prolongation of PR, QTc or QRS durations. Ventricular ectopic activity showed significant reduction (p<0.001. There was a significant correlation between the resting heart rate, NYHA and left ventricular ejection fraction (p<0.001 for both. One patient developed photopsia and decompensation was observed in another patient. Conclusion: Ivabradine is a safe and effective drug in reducing resting heart rate, improving NYHA functional class without undesirable effects on conduction parameters or ectopic activity.

  20. The Relationship Between Daytime, Nighttime and 24-Hour Heart Rate with Urinary Albumin and Protein Excretion in Patients with Newly Diagnosed Type 2 Diabetes

    Directory of Open Access Journals (Sweden)

    Barış AFŞAR

    2012-05-01

    Full Text Available OBJECTIVE: Autonomic nervous system dysfunction (ASD has been widely observed in patients with type 2 diabetes. 24-hour ambulatory blood pressure (ABP and heart rate measurements have been found to associate with ASD in patient with Type 2 diabetes. Since albumin excretion is also related with ASD in type 2 diabetes; in the current study, the relationships between daytime, nighttime and 24- hour heart rates with 24 hour urinary albumin excretion (UAE and 24-hour urinary protein excretion (UPE were analyzed in patients with newly diagnosed type 2 diabetes. MATERIAL and METHODS: All patients underwent following procedures: history taking, physical examination, BP measurement, 12 lead electrocardiographic evaluations, routine urine analysis, biochemical analysis, 24-hour urine collection to measure UAE, UPE and creatinine clearance. 24-hour ABP and heart rate monitoring were performed for all patients. RESULTS: In total 80 patients with newly diagnosed type 2 diabetes were included. Stepwise linear regression revealed that logarithmically converted 24-hour UAE were independently related with 24- hour ambulatory SBP, (P:0.001 and heart rate (night (P<0.0001. Stepwise linear regression revealed that logarithmically converted 24-hour UPE were independently related with age (P:0.032, with averaged fasting blood glucose (P:0.023, with 24-hour ambulatory SBP, (P:0.002 and with heart rate (night (P:0.001. CONCLUSION: Nighttime heart rate, but not daytime and 24-hour heart rate was related with both 24-hour UAE and UPE in patients with Type 2 diabetes.

  1. Diagnostic performance of dual-source CT coronary angiography with and without heart rate control: Systematic review and meta-analysis

    International Nuclear Information System (INIS)

    Aim: To investigate the diagnostic accuracy of dual-source computed tomography (DSCT) coronary angiography with and without the application of a ?-blocker. Materials and methods: An exact binomial rendition of the bivariate mixed-effects regression model was used to synthesize diagnostic test data. Results: The pooled sensitivity at the patient level was 0.98 [95% confidence intervals (CI): 0.970.99], and specificity 0.88 (95% CI: 0.840.91). The results showed that without heart rate control, the sensitivity and specificity at the patient level did not decrease (p = 0.27 and 0.56, respectively). At the artery level, no significant differences in sensitivity and specificity for studies with and without heart rate control were detected (p = 0.04 and 0.05, respectively). At the segment level, the specificity decreased without heart rate control (p = 0.03), whereas the sensitivity was not influenced (p = 0.63). The median radiation exposure was 2.6 mSv, with 1.6 mSv and 8 mSv for heart rate-controlled studies and uncontrolled studies, respectively. Conclusions: DSCT coronary angiography without heart rate control has a similar excellent diagnostic performance at the patient level as that of heart rate control groups. However, controlling for heart rate to decrease radiation and to provide effective information for selecting the therapeutic strategy and risk stratification is recommended

  2. Heart

    International Nuclear Information System (INIS)

    Ultrasonic anatomy of the heart and mediastinum provides a readily understandable dynamic assessment of one of the body's most important organs. Real-time ultrasound equipment, particularly sector scan devices, gives the clinician accurate and often conclusive evidence for the identification of a wide variety of medical disorders. In many cases, plain film radiography is necessary for either directing the ultrasound examination or evaluating structures beyond the reach of the beam, such as the pulmonary vessels and lung parenchyma. For many, if not most, structural abnormalities of the heart the ultrasound is the next logical diagnostic tool after x-ray film for providing useful information. Occasionally CT scanning may be required to clarify a structure's relationship to the mediastinum, to verify some aspects of aortic dissection, and to secure the diagnosis of a solid tumor suspected to be a lipoma. An awareness of the rewards of coordinating and correlating the various diagnostic approaches should be evident from the examples shown in this chapter

  3. Effects of heart rate on myocardial thallium-201 uptake and clearance

    International Nuclear Information System (INIS)

    The effects of heart rate on the myocardial uptake and clearance of 201Tl were studied prospectively in seven healthy men, mean age 43 +/- 7 (s.d.) yr. Initial and delayed (3 hr) thallium images were obtained in three views after three bicycle exercise tests: to maximal, 80% and 60% of predicted maximal heart rate. The mean of three views initial myocardial 201Tl uptake was higher at maximal than at both 80% and 60% of predicted maximal heart rate, being 81% (p less than 0.01) and 60% (p less than 0.01) of maximal activity, respectively. The myocardial activity in the delayed images was identical. There was a linear relationship between heart rate and the initial myocardial activity, r = 0.86 (p less than 0.001). The mean (range) 201Tl clearance was 58% (51-65), 47% (34-56), and 34% (22-49) (all differences p less than 0.01), respectively. Concordance among the three individual views in estimating clearance was best for the highest exercise level. There was a linear relationship between heart rate and clearance, r = 0.80 (p less than 0.001). Clearance was altered by only 1.67 x 10%/heart bpm (0.024 hr/heart beat). Clearance in the liver, spleen and lungs increased at submaximal exercise levels. Thus, a linear relationship between heart rate and clearance is the result of changes in the initial exercise myocardial 201Tl activity. Submaximal exercise may reduce reproducibility of clearance estimation, and the change of myocardial clearance with heart rate seems less than previously suggested

  4. HEART RATE VARIABILITY IN TYPE 2 DIABETICS WITH CHANGE IN POSTURE

    Directory of Open Access Journals (Sweden)

    Pramodh

    2014-05-01

    Full Text Available AIM: To assess ability of cardiac autonomic function to cope with the physiological challenge of standing in Type 2 Diabetics. METHODS: This study was conducted in 40 normal and 40 Type 2 Diabetics, using short term Heart Rate variability test. RESULTS: The change in HRV values between the two postures were significantly reduced in Diabetics. ΔSDNN; Δ RMSSD, ΔNN50; ΔpNN50; Δ LF; Δ HF; Δ LF/HF (p<0.05 compared to healthy controls. CONCLUSION: This study demonstrates the presence of subclinical cardiac autonomic dysfunction in asymptomatic diabetics. More prospective studies on a large scale are required to validate this inference

  5. C-reactive protein, heart rate variability and prognosis in community subjects with no apparent heart disease

    DEFF Research Database (Denmark)

    Sajadieh, A; Nielsen, OW; Rasmussen, Verner; Hein, HO; Hansen, JF

    2006-01-01

    OBJECTIVES: Increased C-reactive protein (CRP) and reduced heart rate variability (HRV) both indicate poor prognosis. An inverse association between HRV and CRP has been reported, suggesting an interaction between inflammatory and autonomic systems. However, the prognostic impact of this interact......OBJECTIVES: Increased C-reactive protein (CRP) and reduced heart rate variability (HRV) both indicate poor prognosis. An inverse association between HRV and CRP has been reported, suggesting an interaction between inflammatory and autonomic systems. However, the prognostic impact of this...... four HRV measures were significantly associated with increased rate of death or myocardial infarction. In a Cox model with CRP >or=2.5 microg mL(-1), standard deviation for the mean value of the time between normal complexes...

  6. Validation of Physiological Strain Index Based on Heart Rate in Experimental Hot Conditions

    Directory of Open Access Journals (Sweden)

    Ayoub Ghanbary Sartang

    2016-05-01

    Full Text Available Heat stress is a common problem in industrial workplaces. Thermal stress is a caused reduces concentration of and fatigue increases individuals and thermal condition can be one of accident risk factors .The purpose of this study was validation of Physiological Strain Index Based on Heart Rate in experimental condition. This Semi experimental study was conducted to 16 male in five different temperature conditions (21, 24,27,30,35ºC in the climate chamber and on the treadmill with two levels of activity 2.4 kph (light physical activity and 4.8 kph (medium physical activity.Heart rate was measured to for calculating Physiological Strain Index Based on Heart Rate, rate perceived exertion and questionnaire Heat Strain Score index was measured. The correlations between the indices were evaluated using Pearson correlation test and regression analysis. Pearson correlation test showed a significant correlation between Physiological Strain Index Based on Heart Rate and rate perceived exertion (p≤0.001,r=0.96.also a high correlation was observed between Physiological Strain Index Based on Heart Rate and wet bulb globe temperature (p≤0.001,r=0.90. A very high correlation was observed between Physiological Strain Index Based on Heart Rate and Heat Strain Score Index (p≤0.001, r=0.93. The results of this study showed Physiological Strain Index Based on Heart Rate a suitable method for strain heart evaluation is caused by thermal stress because there was an acceptable correlation with heat stress valid indices.

  7. Prospective and retrospective ECG-gating for CT coronary angiography perform similarly accurate at low heart rates

    International Nuclear Information System (INIS)

    Objective: To compare, in patients with suspicion of coronary artery disease (CAD) and low heart rates, image quality, diagnostic performance, and radiation dose values of prospectively and retrospectively electrocardiography (ECG)-gated dual-source computed tomography coronary angiography (CTCA) for the diagnosis of significant coronary stenoses. Materials and methods: Two-hundred consecutive patients with heart rates ≤70 bpm were retrospectively enrolled; 100 patients undergoing prospectively ECG-gated CTCA (group 1) and 100 patients undergoing retrospectively-gated CTCA (group 2). Coronary artery segments were assessed for image quality and significant luminal diameter narrowing. Sensitivity, specificity, positive predictive values (PPV), negative predictive values (NPV), and accuracy of both CTCA groups were determined using conventional catheter angiography (CCA) as reference standard. Radiation dose values were calculated. Results: Both groups were comparable regarding gender, body weight, cardiovascular risk profile, severity of CAD, mean heart rate, heart rate variability, and Agatston score (all p > 0.05). There was no significant difference in the rate of non-assessable coronary segments between group 1 (1.6%, 24/1404) and group 2 (1.4%, 19/1385; p = 0.77); non-diagnostic image quality was significantly (p 0.05). Mean effective radiation dose of prospectively ECG-gated CTCA (2.2 ± 0.4 mSv) was significantly (p < 0.0001) smaller than that of retrospectively ECG-gated CTCA (8.1 ± 0.6 mSv). Conclusion: Prospectively ECG-gated CTCA yields similar image quality, performs as accurately as retrospectively ECG-gated CTCA in patients having heart rates ≤70 bpm while being associated with a lower mean effective radiation dose.

  8. Prospective and retrospective ECG-gating for CT coronary angiography perform similarly accurate at low heart rates

    Energy Technology Data Exchange (ETDEWEB)

    Stolzmann, Paul, E-mail: paul.stolzmann@usz.ch [Institute of Diagnostic Radiology, University Hospital Zurich, Raemistrasse 100, 8091 Zurich (Switzerland); Goetti, Robert; Baumueller, Stephan [Institute of Diagnostic Radiology, University Hospital Zurich, Raemistrasse 100, 8091 Zurich (Switzerland); Plass, Andre; Falk, Volkmar [Clinic for Cardiovascular Surgery, University Hospital Zurich (Switzerland); Scheffel, Hans; Feuchtner, Gudrun; Marincek, Borut [Institute of Diagnostic Radiology, University Hospital Zurich, Raemistrasse 100, 8091 Zurich (Switzerland); Alkadhi, Hatem [Institute of Diagnostic Radiology, University Hospital Zurich, Raemistrasse 100, 8091 Zurich (Switzerland); Cardiac MR PET CT Program, Massachusetts General Hospital and Harvard Medical School, Boston, MA (United States); Leschka, Sebastian [Institute of Diagnostic Radiology, University Hospital Zurich, Raemistrasse 100, 8091 Zurich (Switzerland)

    2011-07-15

    Objective: To compare, in patients with suspicion of coronary artery disease (CAD) and low heart rates, image quality, diagnostic performance, and radiation dose values of prospectively and retrospectively electrocardiography (ECG)-gated dual-source computed tomography coronary angiography (CTCA) for the diagnosis of significant coronary stenoses. Materials and methods: Two-hundred consecutive patients with heart rates {<=}70 bpm were retrospectively enrolled; 100 patients undergoing prospectively ECG-gated CTCA (group 1) and 100 patients undergoing retrospectively-gated CTCA (group 2). Coronary artery segments were assessed for image quality and significant luminal diameter narrowing. Sensitivity, specificity, positive predictive values (PPV), negative predictive values (NPV), and accuracy of both CTCA groups were determined using conventional catheter angiography (CCA) as reference standard. Radiation dose values were calculated. Results: Both groups were comparable regarding gender, body weight, cardiovascular risk profile, severity of CAD, mean heart rate, heart rate variability, and Agatston score (all p > 0.05). There was no significant difference in the rate of non-assessable coronary segments between group 1 (1.6%, 24/1404) and group 2 (1.4%, 19/1385; p = 0.77); non-diagnostic image quality was significantly (p < 0.001) more often attributed to stair step artifacts in group 1. Segment-based sensitivity, specificity, PPV, NPV, and accuracy were 98%, 98%, 88%, 100%, and 100% among group 1; 96%, 99%, 90%, 100%, and 98% among group 2, respectively. Parameters of diagnostic performance were similar (all p > 0.05). Mean effective radiation dose of prospectively ECG-gated CTCA (2.2 {+-} 0.4 mSv) was significantly (p < 0.0001) smaller than that of retrospectively ECG-gated CTCA (8.1 {+-} 0.6 mSv). Conclusion: Prospectively ECG-gated CTCA yields similar image quality, performs as accurately as retrospectively ECG-gated CTCA in patients having heart rates {<=}70 bpm while being associated with a lower mean effective radiation dose.

  9. Motion artifact cancellation and outlier rejection for clip-type ppg-based heart rate sensor.

    Science.gov (United States)

    Shimazaki, Takunori; Hara, Shinsuke; Okuhata, Hiroyuki; Nakamura, Hajime; Kawabata, Takashi

    2015-08-01

    Heart rate sensing can be used to not only understand exercise intensity but also detect life-critical condition during sports activities. To reduce stress during exercise and attach heart rate sensor easily, we developed a clip-type photoplethysmography (PPG)-based heart rate sensor. The sensor can be attached just by hanging it to the waist part of undershorts, and furthermore, it employs the motion artifact (MA) cancellation technique. However, due to its low contact pressure, sudden jumps and drops, which are called "outliers," are often observed in the sensed heart rate, so we also developed a simple outlier rejection technique. By an experiment using five male subjects (4 sets per subject), we confirmed the MA cancellation and outlier rejection capabilities. PMID:26736684

  10. Prognostic value of ambulatory heart rate revisited in 6928 subjects from 6 populations

    DEFF Research Database (Denmark)

    Hansen, Tine Willum; Thijs, Lutgarde; Staessen, Jan A.; Boggia, José; Li, Yan; Wang, Jiguang; Kikuya, Masahiro; Ohkubo, Takayoshi; Imai, Yutaka; Björklund-Bodegård, Kristina; Lind, Lars; Richart, Tom; Sandoya, Edgardo; Jeppesen, Jørgen; Torp-Pedersen, Christian Tobias; Ibsen, Hans; O'Brien, Eoin

    2008-01-01

    , respectively. The incidence of fatal combined with nonfatal end points was 805, 363, 439, and 324 for cardiovascular, stroke, cardiac, and coronary events, respectively. Twenty-four-hour heart rate predicted total (hazard ratio: 1.15) and noncardiovascular (hazard ratio: 1.18) mortality but not cardiovascular...... mortality (hazard ratio: 1.11) or any of the fatal combined with nonfatal events (hazard ratio: < or =1.02). Daytime heart rate did not predict mortality (hazard ratio: < or =1.11) or any fatal combined with nonfatal event (hazard ratio: < or =0.96). Nighttime heart rate predicted all of the mortality...... outcomes (hazard ratio: > or =1.15) but none of the fatal combined with nonfatal events (hazard ratio: < or =1.11). The night:day heart rate ratio predicted total (hazard ratio: 1.14) and noncardiovascular mortality (hazard ratio: 1.12) and all of the fatal combined with nonfatal events (hazard ratio: > or...

  11. Development and validation of an improved smartphone heart rate acquisition system

    Science.gov (United States)

    Karapetyan, G.; Barseghyan, R.; Sarukhanyan, H.; Agaian, S.

    2015-03-01

    In this paper we propose a robust system for touchless heart rate (HR) acquisition on mobile devices. The application allows monitor heart rate signal during usual mobile device usage such as video watching, games playing, article reading etc. The system is based on algorithm of acquiring heart rate via recording of skin color variations with built-in cameras of mobile device. The signal is acquired from different ROIs of human face, which make it more clear and the amplification of the signal improve the robustness in low lightening conditions. The effectiveness and robustness of the developed system has been demonstrated under different distances from camera source and illumination conditions. The experiments have been done with different mobile devices HRs were collected from 10 subjects, ages 22 to 65, by using the 3 devices. Moreover, we compared the developed method with Food and Drug Administration (FDA) approved sensors and related commercial applications of remote heart rate measurements on mobile devices.

  12. Effect of pre operative heart rate on post spinal hypotension in obsteric patients

    International Nuclear Information System (INIS)

    The purpose of the study was to determine the association between of preoperative heart rate and post spinal hypotension in women undergoing cesarean section, Two hundred patients undergoing caesarean were included in the study selected on non probability convenience sampling technique, The patients were divided into two groups depending upon their pre operative heart rate. Spinal anesthesia was administered and number of patients developing hypotension was noted. Among 200 patients, who were included in the study; 112 were placed in group A and 88 were placed in group B depending on mean heart rate of 90 beats per minute or less or 91 beats per minute or more respectively. In group A 14 (11.86%) patients developed hypotension where as in group B 28 (31,82%) patients developed hypotension. Pre operative heart rate is significantly associated with post spinal hypotension in obstetric patients undergoing cesarean section. (author)

  13. Facial electromyogram and heart-rate correlates of a paradoxical attitude change to antinuclear war information

    International Nuclear Information System (INIS)

    The effects of film images versus film descriptions of the effects of nuclear explosions (versus a no-film control) on corrugator muscle tension, heart rate, attitude and mood were investigated. The last 5 min. of the images were associated with more corrugator tension for that condition when compared to the last 5 min. of the description condition. The groups did not differ in heart rate but women in both groups showed an increase in heart rate whereas men in both groups showed a decrease in heart rate. Film groups did not differ in their significant increases in anxiety, hostility, and depression on the Multiple Adjective Affect Checklist. On the pretest there was no significant correlation between scores on Betts' Questionnaire Upon Mental Imagery and scores on Goldenring and Doctor's index of concern for nuclear war. The vivid-image film group showed a decrease in concern for nuclear war when compared to the descriptive film group and the no-film control

  14. Using Complexity Metrics With R-R Intervals and BPM Heart Rate Measures

    DEFF Research Database (Denmark)

    Wallot, Sebastian; Fusaroli, Riccardo; Tylén, Kristian; Jegindø, Else-Marie Elmholdt

    2013-01-01

    Lately, growing attention in the health sciences has been paid to the dynamics of heart rate as indicator of impending failures and for prognoses. Likewise, in social and cognitive sciences, heart rate is increasingly employed as a measure of arousal, emotional engagement and as a marker of...... interpersonal coordination. However, there is no consensus about which measurements and analytical tools are most appropriate in mapping the temporal dynamics of heart rate and quite different metrics are reported in the literature. As complexity metrics of heart rate variability depend critically on...... dynamics, but their power to do so critically depends on the type data that is employed: While R-R intervals are very susceptible to nonlinear analyses, the success of nonlinear methods for BPM data critically depends on their construction. Generally, ‘oversampled’ BPM time-series can be recommended as...

  15. Heart rate and blood pressure interactions during attempts to consciously raise or lower heart rate and blood pressure in normotensive subjects

    International Nuclear Information System (INIS)

    This study investigated the interaction between heart rate (HR) and blood pressure (BP) during conscious control under visual biofeedback and background noise conditions. Normotensive volunteers were instructed to (i) decrease and (ii) increase HR (group A, n = 16) or BP (group B, n = 16). After instructions to lower HR or BP there was no significant change in HR or BP for either group. After instructions to raise HR, HR increased significantly (13.8 ± 1.3 beats min−1, P < 0.0001) and BP did not change. However, following instructions to raise BP, both HR and BP increased significantly: systolic BP (5.2 ± 1.5 mmHg, P < 0.001), diastolic BP (3.5 ± 0.9 mmHg, P < 0.001) and HR (8.6 ± 1.3 beats min−1, P < 0.0001). Biofeedback and background noise did not alter the relative change in HR or BP. In conclusion, normotensive subjects were unable to reduce BP or HR under conscious control. Subjects were able to increase both HR and BP, and voluntary increases in HR did not alter BP, while voluntary increases in BP also increased HR indicating distinct HR/BP interactions during conscious control

  16. Using complexity metrics with R-R intervals and BPM heart rate measures

    Science.gov (United States)

    Wallot, Sebastian; Fusaroli, Riccardo; Tyln, Kristian; Jegind, Else-Marie

    2013-01-01

    Lately, growing attention in the health sciences has been paid to the dynamics of heart rate as indicator of impending failures and for prognoses. Likewise, in social and cognitive sciences, heart rate is increasingly employed as a measure of arousal, emotional engagement and as a marker of interpersonal coordination. However, there is no consensus about which measurements and analytical tools are most appropriate in mapping the temporal dynamics of heart rate and quite different metrics are reported in the literature. As complexity metrics of heart rate variability depend critically on variability of the data, different choices regarding the kind of measures can have a substantial impact on the results. In this article we compare linear and non-linear statistics on two prominent types of heart beat data, beat-to-beat intervals (R-R interval) and beats-per-min (BPM). As a proof-of-concept, we employ a simple rest-exercise-rest task and show that non-linear statisticsfractal (DFA) and recurrence (RQA) analysesreveal information about heart beat activity above and beyond the simple level of heart rate. Non-linear statistics unveil sustained post-exercise effects on heart rate dynamics, but their power to do so critically depends on the type data that is employed: While R-R intervals are very susceptible to non-linear analyses, the success of non-linear methods for BPM data critically depends on their construction. Generally, oversampled BPM time-series can be recommended as they retain most of the information about non-linear aspects of heart beat dynamics. PMID:23964244

  17. Nocturnal variations in peripheral blood flow, systemic blood pressure, and heart rate in humans

    DEFF Research Database (Denmark)

    Sindrup, J H; Kastrup, J; Christensen, H; Jørgensen, B

    Subcutaneous adipose tissue blood flow rate, together with systemic arterial blood pressure and heart rate under ambulatory conditions, was measured in the lower legs of 15 normal human subjects for 12-20 h. The 133Xe-washout technique, portable CdTe(Cl) detectors, and a portable data storage unit...... were used for measurement of blood flow rates. An automatic portable blood pressure recorder and processor unit was used for measurement of systolic blood pressure, diastolic blood pressure, and heart rate every 15 min. The change from upright to supine position at the beginning of the night period was...... associated with a 30-40% increase in blood flow rate and a highly significant decrease in mean arterial blood pressure and heart rate (P less than 0.001 for all). Approximately 100 min after the subjects went to sleep an additional blood flow rate increment (mean 56%) and a simultaneous significant decrease...

  18. Atrial fibrillation detection by heart rate variability in Poincare plot

    OpenAIRE

    Jeon Moongu; Lee Sangwook; Park Jinho

    2009-01-01

    Abstract Background Atrial fibrillation (AFib) is one of the prominent causes of stroke, and its risk increases with age. We need to detect AFib correctly as early as possible to avoid medical disaster because it is likely to proceed into a more serious form in short time. If we can make a portable AFib monitoring system, it will be helpful to many old people because we cannot predict when a patient will have a spasm of AFib. Methods We analyzed heart beat variability from inter-beat interval...

  19. Blood pressure, heart rate, and skin temperature in preterm infants: associations with periventricular haemorrhage.

    OpenAIRE

    D'Souza, S. W.; Janakova, H.; Minors, D.; Suri, R.; Waterhouse, J; Appleton, G.; C Ramesh; Sims, D. G.; Chiswick, M. L

    1995-01-01

    The mean arterial blood pressure (MABP), heart rate, and skin temperature were monitored every 15 minutes in the first 10 days after birth in 34 preterm infants, gestational age 24 to 33 weeks. Ultrasound brain scans carried out daily showed that a periventricular haemorrhage (PVH) occurred in a subgroup of infants (n = 15) of lower birthweight and gestational age. In infants without PVH the daily median of MABP increased with birthweight and postnatal age; that of heart rate was not affected...

  20. Heart Rate Characteristics: Physiomarkers for Detection of Late-Onset Neonatal Sepsis

    OpenAIRE

    Fairchild, Karen D.; O'Shea, T Michael

    2010-01-01

    Early detection of late onset neonatal sepsis, prior to obvious and potentially catastrophic clinical signs, is an important goal in neonatal medicine. Sepsis causes a well-known series of physiologic changes including abnormalities of blood pressure, respiration, temperature, and heart rate, and less well-known changes in heart rate variability. While vital signs are frequently or continuously monitored in NICU patients, changes in these parameters are subtle in the early phase of sepsis and...

  1. Field and laboratory measurement of heart rate in a tropical limpet, Cellana grata

    OpenAIRE

    Williams, GA; G. CHELAZZI; Gray, DR

    1999-01-01

    Heart rate of the tropical limpet Cellana grata was monitored on the shore (Cape d'Aguilar, Hong Kong) and in the laboratory using a non-invasive technique. Individual field measurements performed on inactive limpets, in a variety of thermal conditions during a diurnal low tide, showed a general increase in heart rate with increasing body temperature. This relationship was not always evident when monitoring individual responses over a diurnal low tide period, since under some circumstances, h...

  2. Teaching physiology: blood pressure and heart rate changes in simulated diving

    OpenAIRE

    GIACONI, JOANN A.; BOZIC, JOSKO; Breskovic, Toni; PEROS, KRISTINA; TICINOVIC KURIR, TINA; VALIC, ZORAN

    2014-01-01

    Background and Purpose: Physiology exercise employing simulated diving is used in our curriculum to integrate knowledge in cardio-respiratory physiology. Aim was to improve model used in physiology exercise by employing continuous recordings of arterial pressure and heart rate. Materials and Methods: Total of 55 medical and dental students volunteered for the exercise. They were instrumented with photoplethysmographic blood pressure and heart rate device, as well as with pulse oxyme...

  3. TEMPERATURE, HEART RATE MONITORING AND ECG ACQUISITION SYSTEM USING DIE OPTICAL STEERING WHEEL SYSTEM

    OpenAIRE

    M.Anandakumar

    2015-01-01

    This work presents a temperature, heart rate monitoring of human body in easy way and fast acquisition of electrocardiogram (ECG) signal by using die pole steering wheel system. The system detecting the ECG condition of patient using die pole wireless steering wheel system and send to patient through Bluetooth. This system reduces frequency interference and it is able to show stable ECG signal with good quality for monitoring purpose in less time. Heart rate detection algorithm ba...

  4. Happiness and heart rate response: a case of fan services at japanese professional baseball games

    OpenAIRE

    Muneo Kitajima; Eiichi Someya; Sayaka Matsumoto; Kohzoh Yoshino

    2011-01-01

    The aim of this study was to develop a method for predicting the psychological states of spectators watching professional baseball games at a stadium. This method includes a real time measurement of instantaneous heart rate (i.e., the inverse of the RR interval) without preventing the subject from watching the game and a mathematical procedure used to predict moment by moment psychological states by correlating the degree of a psychological state with the strength of heart rate response, defi...

  5. System of collective monitoring on physical activity based on heart rate variability

    OpenAIRE

    Mateu Mateus, Marc

    2015-01-01

    The system is based on a tablet to record the heart rate acquired by a chest band with a bluetooth connection during a training session. It is capable of recording simultaneously the heart rate of more than 10 people. During the recording some information of each user is shown on the table screen. After the recording some HRV parameter for each user are shown. The application has been developed for iOS devices

  6. Obesity and Prader-Willi Syndrome Affect Heart Rate Recovery from Dynamic Resistance Exercise in Youth

    OpenAIRE

    Castner, Diobel M.; Clark, Susan J.; Judelson, Daniel A.; Rubin, Daniela A

    2016-01-01

    Following exercise, heart rate decline is initially driven by parasympathetic reactivation and later by sympathetic withdrawal. Obesity delays endurance exercise heart rate recovery (HRR) in both children and adults. Young people with Prader-Willi Syndrome (PWS), a congenital cause for obesity, have shown a slower 60-s endurance exercise HRR compared to lean and obese children, suggesting compromised regulation. This study further evaluated effects of obesity and PWS on resistance exercise HR...

  7. Heart Rate Variability Responses of a Preterm Infant to Kangaroo Care

    OpenAIRE

    McCain, Gail C.; Ludington-Hoe, Susan M.; Swinth, Joan Y.; Hadeed, Anthony J.

    2005-01-01

    A 35-week old preterm infant's behavior was fussy and restless in the open crib, but he calmed and fell asleep immediately on being placed skin-to-skin on his mother's chest. Heart rate variability (HRV), a noninvasive method to assess the autonomic nervous system's influence on heart rate, was increased with fussy behavior in the open crib and decreased with sleep during kangaroo care (KC). KC produced changes in behavior and HRV that are illustrative of decreasing stress.

  8. Heart-Rate Recovery Index Is Impaired in Behçet's Disease

    OpenAIRE

    Kaya, Ergun Baris; Yorgun, Hikmet; Akdogan, Ali; Ates, Ahmet Hakan; Canpolat, Ugur; Sunman, Hamza; Aytemir, Kudret; Tokgozoglu, Lale; Kabakci, Giray; Calguneri, Meral; Ozkutlu, Hilmi; Oto, Ali

    2009-01-01

    Behçet's disease, a multisystemic inflammatory disorder, has been associated with a number of cardiovascular dysfunctions, including ventricular arrhythmias and sudden cardiac death. Heart-rate recovery after exercise can provide both an estimate of impaired parasympathetic tone and a prognosis in regard to all-cause and cardiovascular death. The aim of our study was to evaluate heart-rate recovery in Behçet's disease

  9. Variations in circadian heart rate in psychiatric disorders: theoretical and practical implications

    OpenAIRE

    Stampfer HG; Dimmitt SB

    2013-01-01

    HG Stampfer,1 SB Dimmitt2 1School of Psychiatry and Clinical Neurosciences, University of Western Australia, 2School of Medicine and Pharmacology, University of Western Australia, Crawley, WA, AustraliaBackground: Data are presented to demonstrate dimensions of variation in circadian heart rate in patients under treatment for a psychiatric disorder and to comment on their clinical relevance.Method: Serial recordings of 24-hour heart rates were obtained from individuals under treatment fo...

  10. Correlation between Mortality of Prehospital Trauma Patients and Their Heart Rate Complexity

    OpenAIRE

    Pegah ShojaMozafar; Sara Keshtkar; Ali Foroutan; Gholamhussian Erjaee; Alham Benabas

    2012-01-01

    Recently, nonlinear analysis of R-to-R interval (RRI) in heart rate has brought research attention in medicine to improve predictive accuracy of medication in severely injured patients. It seems conventional vital signs information such as heart rate and blood pressure to identify critically injured patients eventually replaced by heartrate complexity (HRC) analysis to the electrocardiogram (ECG) of patients in trauma centers. In this respect, different nonlinear analysis tools such as; power...

  11. Chaotic Behavior of Heart Rate Signals during Chi and Kundalini Meditation

    OpenAIRE

    Atefeh Goshvarpour; Ateke Goshvarpour

    2012-01-01

    Nonlinear dynamics has been introduced to the analysis of biological data and increasingly recognized to be functionally relevant. The aim of this study is to quantify and compare the contribution of nonlinear and chaotic dynamics of human heart rate variability during two forms of meditation: (i) Chinese Chi (or Qigong) meditation and (ii) Kundalini Yoga meditation. For this purpose, Poincare plots, Lyapunov exponents and Hurst exponents of heart rate variability signals were analyzed. In th...

  12. Attenuated Heart Rate Response is Associated with Hypocretin Deficiency in Patients with Narcolepsy

    DEFF Research Database (Denmark)

    Sorensen, Gertrud Laura; Knudsen, Stine; Petersen, Eva Rosa; Kempfner, Jacob; Gammeltoft, Steen; Sorensen, Helge Bjarup Dissing; Jennum, Poul

    2013-01-01

    Several studies have suggested that hypocretin-1 may influence the cerebral control of the cardiovascular system. We analyzed whether hypocretin-1 deficiency in narcolepsy patients may result in a reduced heart rate response.......Several studies have suggested that hypocretin-1 may influence the cerebral control of the cardiovascular system. We analyzed whether hypocretin-1 deficiency in narcolepsy patients may result in a reduced heart rate response....

  13. Attenuated heart rate response in REM sleep behavior disorder and Parkinson's disease

    DEFF Research Database (Denmark)

    Sorensen, Gertrud Laura; Kempfner, Jacob; Zoetmulder, Marielle; Sorensen, Helge B. D.; Jennum, Poul

    2012-01-01

    ‐eye‐movement sleep behavior disorder group was intermediate with respect to the control and the parkinsonian groups. The attenuated heart rate response may be a manifestation of the autonomic deficits experienced in Parkinson's disease. The idiopathic rapid‐eye‐movement sleep behavior disorder patients not only...... exhibited impaired motor symptoms but also incipient autonomic dysfunction, as revealed by the attenuated heart rate response. © 2012 Movement Disorder Society...

  14. A Comparison of Nonlinear Measures for the Detection of Cardiac Autonomic Neuropathy from Heart Rate Variability

    OpenAIRE

    David Cornforth; Jelinek, Herbert F.; Mika Tarvainen

    2015-01-01

    In this work we compare three multiscale measures for their ability to discriminate between participants having cardiac autonomic neuropathy (CAN) and aged controls. CAN is a disease that involves nerve damage leading to an abnormal control of heart rate, so one would expect disease progression to manifest in changes to heart rate variability (HRV). We applied multiscale entropy (MSE), multi fractal detrended fluctuation analysis (MFDFA), and Renyi entropy (RE) to recorded datasets of RR inte...

  15. Central Autonomic Dysfunction Delays Recovery of Fingolimod Induced Heart Rate Slowing

    OpenAIRE

    Hilz, Max J.; Intravooth, Tassanai; Moeller, Sebastian; Wang, Ruihao; Lee, De-Hyung; Koehn, Julia; Linker, Ralf A.

    2015-01-01

    Background In multiple sclerosis (MS) patients, Fingolimod may induce prolonged heart-rate slowing which might be caused by MS-related central autonomic lesions. Objectives To evaluate whether MS-patients with prolonged heart-rate slowing (> six hours) upon Fingolimod show cardiovascular-autonomic dysfunction before Fingolimod-initiation. Methods Before Fingolimod-initiation, we recorded electrocardiographic RR-intervals (RRIs) and blood-pressure (BP) at rest, upon standing-up, during metrono...

  16. Aging Affects the Response of Heart Rate Variability Autonomic Indices to Atropine and Isoproteronol

    OpenAIRE

    Madden, Kenneth M.; Wayne C. Levy; Stratton, John R.

    2008-01-01

    Background: Normalized ratios of portions of the power frequency spectrum of heart rate (HR) are commonly used to gain insight into cardiac sympathovagal balance. Whether aging, which alters both sympathtetic and parasympathetic activities, infl uences these measures has not been well characterized.Objectives: We examined the ability of normalized ratios of the power frequency spectrum of heart rate to describe autonomic activity at the sinus node in older and younger adults during conditio...

  17. Heart rate variability is associated with haptoglobin phenotype in patients with coronary artery disease

    DEFF Research Database (Denmark)

    Christensen, Jeppe Hagstrup; Krarup, Henrik Bygum; Riahi, Sam; Toft, Egon; Schmidt, Erik Berg

    2005-01-01

    Three haptoglobin phenotypes exist called Hp 1-1, Hp 2-2, and Hp 2-1. Patients carrying the haptoglobin 1 allele seem to be partly protected against coronary artery disease. An attenuated heart rate variability is associated with a poor outcome in patients with coronary artery disease. Therefore......, we hypothesized that the presence of the haptoglobin 1 allele would be associated with a favourable heart rate variability....

  18. Parasympathetic neural activity accounts for the lowering of exercise heart rate at high altitude

    DEFF Research Database (Denmark)

    Boushel, Robert Christopher; Calbet, J A; Rådegran, G; Sondergaard, H; Wagner, Poul Erik; Saltin, B

    2001-01-01

    In chronic hypoxia, both heart rate (HR) and cardiac output (Q) are reduced during exercise. The role of parasympathetic neural activity in lowering HR is unresolved, and its influence on Q and oxygen transport at high altitude has never been studied.......In chronic hypoxia, both heart rate (HR) and cardiac output (Q) are reduced during exercise. The role of parasympathetic neural activity in lowering HR is unresolved, and its influence on Q and oxygen transport at high altitude has never been studied....

  19. Learned Cardiac Control with Heart Rate Biofeedback Transfers to Emotional Reactions

    OpenAIRE

    Peira, Nathalie; Pourtois, Gilles; Fredrikson, Mats

    2013-01-01

    Emotions involve subjective feelings, action tendencies and physiological reactions. Earlier findings suggest that biofeedback might provide a way to regulate the physiological components of emotions. The present study investigates if learned heart rate regulation with biofeedback transfers to emotional situations without biofeedback. First, participants learned to decrease heart rate using biofeedback. Then, inter-individual differences in the acquired skill predicted how well they could dec...

  20. The effects of heart rate on blood flow in intracranial aneurysms

    OpenAIRE

    2013-01-01

    Introduction: An aneurysm is an acquired, abnormal dilation of a blood vessel. Computational fluid dynamics (CFD) have been used to try and understand this phenomena. CFD studies use assumptions in the simulation model and pick variables to look at. A variable that seldom gets much attention in these studies is the heart rate. We have investigated the differences between high and low heart rate. Method: We used twelve different patient specific aneurysms. Three simulations were done pe...

  1. Exercise-induced improvements in cardiorespiratory fitness and heart rate response to exercise are impaired in overweight/obese postmenopausal women

    Directory of Open Access Journals (Sweden)

    Emmanuel Gomes Ciolac

    2011-01-01

    Full Text Available OBJECTIVE: The purpose of this study was to compare the heart rate response to exercise and the exercise-induced improvements in muscle strength, cardiorespiratory fitness and heart rate response between normal-weight and overweight/obese postmenopausal women. METHODS: Sedentary women (n = 155 were divided into normal-weight (n = 79; BMI 25 kg/m; 58.3 + 8.6 years groups, and have their 1-repetition maximum strength (adjusted for body mass, cardiorespiratory fitness and heart rate response to a graded exercise test compared before and after 12 months of a three times-per-week exercise-training program. RESULTS: Overweight/obese women displayed decreased upper and lower extremity muscle strengths, decreased cardiorespiratory fitness, and lower peak and reserve heart rates compared to normal-weight women. After follow-up, both groups improved their upper (32.9% and 41.5% in normal-weight and overweight/obese women, respectively and lower extremity(49.5% and 47.8% in normal-weight and overweight/obese women, respectively muscle strength. However, only normal-weight women improved their cardiorespiratory fitness (6.6% and recovery heart rate (5 bpm. Resting, reserve and peak heart rates did not change in either group. CONCLUSIONS: Overweight/obese women displayed impaired heart rate response to exercise. Both groups improved muscle strength, but only normal-weight women improved cardiorespiratory fitness and heart rate response to exercise. These results suggest that exercise-induced improvements in cardiorespiratory fitness and heart rate response to exercise may be impaired in overweight/obese postmenopausal women.

  2. The effects of heart rate and aiming time on performance in Turkish National Archery Team

    Directory of Open Access Journals (Sweden)

    ?pek Ero?lu Kolayi?

    2008-05-01

    Full Text Available The purpose of this study is to investigate the effects of aiming time and heart rate on the performance. Three elite female national subject was used in this study. The shooting performance was observed only in 70 m. To evaluate heart rate, Delta Plus CP/I portable, interpreting model ECG, to determine the releasing time double channel ME 3000 micro-processor, Muscle Tester were used. The results of the study; the shooting heart rate is116,27,16 bpm., aiming time is 3,560,59 s. And the heart rate of the time between two shooting is 113,139,54 bpm. According to statistical analysis, a significant difference between shooting HR and aiming time of arrows which hit the different point on the target has been observed (p<0,05.The relationships between shooting HR-performance and shooting HR-Aiming time have been observed.While shootings come close to the center of the target (through the 10 point the shooting heart rate and aiming time has decreased and there is no change in the value of the heart rate of the time between two shooting.

  3. The effect of programmed exercise on body compositions and heart rate of 11-13 years-old male students

    Directory of Open Access Journals (Sweden)

    Mohammad H. Dashti

    2011-11-01

    Full Text Available Background: Different forms of physical activities can play a very important role in improving health and physical fitness. The purpose of this study was to examine the effect of the programmed exercise on students’ body compositions and heart rate at rest.Materials and Method: Two groups each consisting of 15students, aged averagely 12.6 years were the subjects of this experimental study. The experimental group in each session took part in an exercise program consisting of 20 minutes of aerobic activity (running, 10 minutes of aerobic exercise, 30 minutes of local training and 5 minutes of free exercise. The experiment last for 24 sessions. Control group didn’t do any special practice. In both groups, weight, fat mass, fat percentage, lean body mass and heart rate were measured during rest period before and after the experiment. Results: Results showed that the fat percentage, weight, fat mass and heart rate had decreased after 8 weeks of programmed exercise in the experimental group unlike the control group. However, no significant difference was observed in lean body mass.Conclusion: The exercise program used in this study may help loosing weight and make the heart stronger

  4. Combined effects of hypertension and heart rate on the risk of stroke and coronary heart disease: a population-based prospective cohort study among Inner Mongolians in China.

    Science.gov (United States)

    Zhong, Chongke; Zhong, Xiaoyan; Xu, Tian; Peng, Hao; Li, Hongmei; Zhang, Mingzhi; Wang, Aili; Xu, Tan; Sun, Yingxian; Zhang, Yonghong

    2015-12-01

    The purpose of this study was to prospectively evaluate the combined effects of hypertension and heart rate on the risk of stroke and coronary heart disease (CHD) among Inner Mongolians. Based a cross-sectional survey in 2002-2003, a prospective cohort study was conducted among 2530 Mongolian people. We categorized the participants into four subgroups according to blood pressure and heart rate. Cox proportional hazards models and receiver operating characteristic (ROC) curves were used to evaluate the association between hypertension, heart rate, and stroke and CHD incidence. During the follow-up period, a total of 120 stroke and 75 CHD patients were observed. Compared with normotensives with a heart rate <80 b.p.m., in a multivariate-adjusted model, the hazard ratios (HRs; 95% confidence intervals (CIs)) of stroke for hypertensives with a heart rate <80 b.p.m. and hypertensives with heart rate ⩾80 b.p.m. were 3.21 (1.80-5.70) and 3.59 (1.95-6.62), respectively (all P<0.05); the HRs (95% CI) of CHD for hypertensives with a heart rate <80 b.p.m. and hypertensives with a heart rate ⩾80 b.p.m. were 2.09 (1.07-4.07) and 2.76 (1.43-5.36), respectively (all P<0.05). For both stroke and CHD incidence, the area under ROC curve for a model containing hypertension and a heart rate ⩾80 b.p.m. along with other conventional factors was significantly larger than the one containing only other conventional factors (all P<0.05). Hypertensives with a high heart rate had the highest risk of stroke and CHD among the Inner Mongolians. These results indicate that the coexistence of hypertension and high heart rate may be a valuable predictor of stroke and CHD incidence. PMID:26289782

  5. Influence of alternate nostril breathing on heart rate variability in non-practitioners of yogic breathing

    Directory of Open Access Journals (Sweden)

    Shreya Ghiya

    2012-01-01

    Full Text Available Background: Long-term alternate nostril breathing (ANB has been shown to enhance autonomic control of the heart by increasing parasympathetic modulation. However, there is no information on the immediate effects of ANB on autonomic control compared to paced breathing (PB at the same rate in individuals who are inexperienced with yogic breathing. Aim: To examine cardiac autonomic modulation following ANB in comparison to that following PB in individuals who were inexperienced in ANB. Materials and Methods: Twenty healthy individuals (22.3 ± 2.9 years with no prior experience with ANB engaged in 30 min of both ANB and PB which were preceded and followed by 5 min of normal breathing (PRE, post-ANB, and post-PB, respectively. Mean arterial pressure (MAP and heart rate variability (HRV were assessed during all conditions. HRV was reported as spectral power in the total (lnTP, low-(lnLF, and high-frequency (lnHF ranges and were natural log (ln transformed. Results: Analysis of covariance revealed lnTP, lnLF and lnHF were greater during both post-ANB and post-PB compared to PRE (P<0.05. MAP and lnLF/lnHF did not significantly differ between conditions. Conclusions: These data suggest that there was an immediate increase in cardiac autonomic modulation following ANB and PB without a shift in autonomic balance in individuals inexperienced with yogic breathing. To our knowledge, this is the first investigation to investigate the autonomic effects of ANB in this population and also to compare the effects of ANB and PB at the same respiratory rate.

  6. Estimation of organ-absorbed radiation doses during 64-detector CT coronary angiography using different acquisition techniques and heart rates: a phantom study

    International Nuclear Information System (INIS)

    Background: Though appropriate image acquisition parameters allow an effective dose below 1 mSv for CT coronary angiography (CTCA) performed with the latest dual-source CT scanners, a single-source 64-detector CT procedure results in a significant radiation dose due to its technical limitations. Therefore, estimating the radiation doses absorbed by an organ during 64-detector CTCA is important. Purpose: To estimate the radiation doses absorbed by organs located in the chest region during 64-detector CTCA using different acquisition techniques and heart rates. Material and Methods: Absorbed doses for breast, heart, lung, red bone marrow, thymus, and skin were evaluated using an anthropomorphic phantom and radiophotoluminescence glass dosimeters (RPLDs). Electrocardiogram (ECG)-gated helical and ECG-triggered non-helical acquisitions were performed by applying a simulated heart rate of 60 beats per minute (bpm) and ECG-gated helical acquisitions using ECG modulation (ECGM) of the tube current were performed by applying simulated heart rates of 40, 60, and 90 bpm after placing RPLDs on the anatomic location of each organ. The absorbed dose for each organ was calculated by multiplying the calibrated mean dose values of RPLDs with the mass energy coefficient ratio. Results: For all acquisitions, the highest absorbed dose was observed for the heart. When the helical and non-helical acquisitions were performed by applying a simulated heart rate of 60 bpm, the absorbed doses for heart were 215.5, 202.2, and 66.8 mGy for helical, helical with ECGM, and non-helical acquisitions, respectively. When the helical acquisitions using ECGM were performed by applying simulated heart rates of 40, 60, and 90 bpm, the absorbed doses for heart were 178.6, 139.1, and 159.3 mGy, respectively. Conclusion: ECG-triggered non-helical acquisition is recommended to reduce the radiation dose. Also, controlling the patients' heart rate appropriately during ECG-gated helical acquisition with ECGM is crucial

  7. Effects of particulate air pollution on blood pressure and heart rate in subjects with cardiovascular disease: a multicenter approach.

    OpenAIRE

    Ibald-Mulli, Angela; Timonen, Kirsi L; Peters, Annette; Heinrich, Joachim; Wölke, Gabriele; Lanki, Timo; Buzorius, Gintautas; Kreyling, Wolfgang G.; de Hartog, Jeroen; Hoek, Gerard; ten Brink, Harry M; Pekkanen, Juha

    2004-01-01

    Given the hypothesis that air pollution is associated with elevated blood pressure and heart rate, the effect of daily concentrations of air pollution on blood pressure and heart rate was assessed in 131 adults with coronary heart disease in Helsinki, Finland; Erfurt, Germany; and Amsterdam, the Netherlands. Blood pressure was measured by a digital monitor, and heart rate was calculated as beats per minute from an electrocardiogram recording with the patient in supine position. Particle conce...

  8. Heart Rate Variability: New Perspectives on Physiological Mechanisms, Assessment of Self-regulatory Capacity, and Health risk

    OpenAIRE

    McCraty, Rollin; Shaffer, Fred

    2015-01-01

    Heart rate variability, the change in the time intervals between adjacent heartbeats, is an emergent property of interdependent regulatory systems that operates on different time scales to adapt to environmental and psychological challenges. This article briefly reviews neural regulation of the heart and offers some new perspectives on mechanisms underlying the very low frequency rhythm of heart rate variability. Interpretation of heart rate variability rhythms in the context of health risk a...

  9. The tell-tale heart: heart rate fluctuations index objective and subjective events during a game of chess

    OpenAIRE

    Maria Juliana Leone; Diego F Fernandez Slezak

    2012-01-01

    During a decision-making process, the body changes. These somatic changes have been related to specific cognitive events and also have been postulated to assist decision-making indexing possible outcomes of different options. We used chess to analyze heart rate (HR) modulations on specific cognitive events. In a chess game, players have a limited time-budget to make about 40 moves (decisions) that can be objectively evaluated and retrospectively assigned to specific subjectively perceived eve...

  10. Effect of varying heart rate on intra-ventricular filling fluid dynamics

    Science.gov (United States)

    Santhanakrishnan, Arvind; Okafor, Ikechukwu; Angirish, Yagna; Yoganathan, Ajit

    2013-11-01

    Impaired exercise tolerance is used to delineate asymptomatic patients during the clinical diagnosis of diastolic left heart failure. Examining the effects of varying heart rate on intra-ventricular filling can provide a physical understanding of the specific flow characteristics that are impacted during exercise. In this study, diastolic filling was investigated with an anatomical left ventricle (LV) physical model under normal heart rate of 70 bpm, and varying exercise conditions of 100 bpm and 120 bpm. The LV model was incorporated into a flow loop and tuned for physiological inflow rates and outflow pressures. 2D PIV measurements were conducted along 3 parallel longitudinal planes. The systemic pressure was maintained the same across all test conditions. The E/A ratio was maintained within 1.0-1.2 across all heart rates. The strength of the mitral vortex ring formed during E-wave, as well as the peak incoming jet velocity, decreased with increasing heart rate. During peak flow of the A-wave, the vortex ring propagated farther into the LV for 120 bpm as compared to 70 bpm. The results point to the heightened role of the atrial kick for optimal LV filling during exercise conditions. This study was funded by a grant from the National Heart, Lung and Blood Institute (RO1HL70262).

  11. Unconstrained monitoring of long-term heart and breath rates during sleep

    International Nuclear Information System (INIS)

    An unconstrained method for the long-term monitoring of heart and breath rates during sleep is proposed. The system includes a sensor unit and a web-based network module. The sensor unit is set beneath a pillow to pick up the pressure variations from the head induced by inhalation/exhalation movements and heart pulsation during sleep. The measured pressure signal was digitized and transferred to a remote database server via the network module. A wavelet-based algorithm was employed to detect the heart and breath rates, as well as body movement, during sleep. The overall system was utilized for a total six-month trial operation delivered to a female subject. The profiles of the heart and breath rates on a beat-by-beat and daily basis were obtained. Movements during sleep were also estimated. The results show that the daily average percentage of undetectable periods (UPs) during 881.6 sleep hours over a 180 day period was 17.2%. A total of 89.2% of sleep hours had a UP of not more than 25%. The profile of the heart rate revealed a periodic property that corresponded to the female monthly menstrual cycle. Our system shows promise as a long-term unconstrained monitor for heart and breath rates, and for other physiological parameters related to the quality of sleep and the regularity of the menstrual cycle. (note)

  12. Combining electroencephalographic activity and instantaneous heart rate for assessing brain-heart dynamics during visual emotional elicitation in healthy subjects.

    Science.gov (United States)

    Valenza, G; Greco, A; Gentili, C; Lanata, A; Sebastiani, L; Menicucci, D; Gemignani, A; Scilingo, E P

    2016-05-13

    Emotion perception, occurring in brain areas such as the prefrontal cortex and amygdala, involves autonomic responses affecting cardiovascular dynamics. However, how such brain-heart dynamics is further modulated by emotional valence (pleasantness/unpleasantness), also considering different arousing levels (the intensity of the emotional stimuli), is still unknown. To this extent, we combined electroencephalographic (EEG) dynamics and instantaneous heart rate estimates to study emotional processing in healthy subjects. Twenty-two healthy volunteers were elicited through affective pictures gathered from the International Affective Picture System. The experimental protocol foresaw 110 pictures, each of which lasted 10 s, associated to 25 different combinations of arousal and valence levels, including neutral elicitations. EEG data were processed using short-time Fourier transforms to obtain time-varying maps of cortical activation, whereas the associated instantaneous cardiovascular dynamics was estimated in the time and frequency domains through inhomogeneous point-process models. Brain-heart linear and nonlinear coupling was estimated through the maximal information coefficient (MIC). Considering EEG oscillations in theθband (4-8 Hz), MIC highlighted significant arousal-dependent changes between positive and negative stimuli, especially occurring at intermediate arousing levels through the prefrontal cortex interplay. Moreover, high arousing elicitations seem to mitigate changes in brain-heart dynamics in response to pleasant/unpleasant visual elicitation. PMID:27044990

  13. Assessment of skeletal muscle fatigue of road maintenance workers based on heart rate monitoring and myotonometry

    Directory of Open Access Journals (Sweden)

    Kalkis Henrijs

    2006-07-01

    Full Text Available Abstract Objective This research work is dedicated to occupational health problems caused by ergonomic risks. The research object was road building industry, where workers have to work very intensively, have long work hours, are working in forced/constrained work postures and overstrain during the work specific parts of their bodies. The aim of this study was to evaluate the work heaviness degree and to estimate the muscle fatigue of workers after one week work cycle. The study group consisted of 10 road construction and maintenance workers and 10 pavers aged between 20 and 60 years. Methods Physical load were analyzed by measuring heart rate (HR, work postures (OWAS and perceived exertion (RPE. Assessments of the muscles strain and functional state (tone were carried out using myotonometric (MYO measurements. The reliability of the statistical processing of heart rate monitoring and myotonometry data was determined using correlating analysis. Results This study showed that that road construction and repairing works should be considered as a hard work according to average metabolic energy consumption 8.1 ± 1.5 kcal/min; paving, in its turn, was a moderately hard work according to 7.2 ± 1.1 kcal/min. Several muscle tone levels were identified allowing subdivision of workers into three conditional categories basing on muscle tone and fatigue: I – absolute muscle relaxation and ability to relax; II – a state of equilibrium, when muscles are able to adapt to the work load and are partly able to relax; and III – muscle fatigue and increased tone. It was also found out that the increase of muscle tone and fatigue mainly depend on workers physical preparedness and length of service, and less – on their age. Conclusion We have concluded that a complex ergonomic analysis consisting of heart rate monitoring, assessment of compulsive working postures and myotonometry is appropriate to assess the work heaviness degree and can provide prognosis of occupational pathology or work-related musculoskeletal disorders for the workers under different workload conditions. These results can also be used when deciding on necessary rest time and its periodicity.

  14. Decreased Variability of the 6-Minute Walk Test by Heart Rate Correction in Patients with Neuromuscular Disease

    DEFF Research Database (Denmark)

    Prahm, Kira Philipsen; Witting, Nanna; Vissing, John

    2014-01-01

    OBJECTIVE: The 6-minute walk test is widely used to assess functional status in neurological disorders. However, the test is subject to great inter-test variability due to fluctuating motivation, fatigue and learning effects. We investigated whether inter-test variability of the 6MWT can be reduced...... by heart rate correction. METHODS: Sixteen patients with neuromuscular diseases, including Facioscapulohumeral muscular dystrophy, Limb-girdle muscular dystrophy, Charcot-Marie-Tooths, Dystrophia Myotonica and Congenital Myopathy and 12 healthy subjects were studied. Patients were excluded if they....... CONCLUSION: A modified 6-minute walk test, by correcting walking distance with average heart rate during walking, decreases the variability among repeated 6-minute walk tests, and should be considered as an alternative outcome measure to the standard 6-minute walk test in future clinical follow-up and...

  15. Autonomic control of heart rate during forced activity and digestion in the snake Boa constrictor.

    Science.gov (United States)

    Wang, T; Taylor, E W; Andrade, D; Abe, A S

    2001-10-01

    Reptiles, particularly snakes, exhibit large and quantitatively similar increments in metabolic rate during muscular exercise and following a meal, when they are apparently inactive. The cardiovascular responses are similar during these two states, but the underlying autonomic control of the heart remains unknown. We describe both adrenergic and cholinergic tonus on the heart during rest, during enforced activity and during digestion (24-36 h after ingestion of 30 % of their body mass) in the snake Boa constrictor. The snakes were equipped with an arterial catheter for measurements of blood pressure and heart rate, and autonomic tonus was determined following infusion of the beta-adrenergic antagonist propranolol (3 mg kg(-1)) and the muscarinic cholinoceptor antagonist atropine (3 mg kg(-1)). The mean heart rate of fasting animals at rest was 26.4+/-1.4 min(-1), and this increased to 36.1+/-1.4 min(-1) (means +/- S.E.M.; N=8) following double autonomic block (atropine and propranolol). The calculated cholinergic and adrenergic tones were 60.1+/-9.3 % and 19.8+/-2.2 %, respectively. Heart rate increased to 61.4+/-1.5 min(-1) during enforced activity, and this response was significantly reduced by propranolol (maximum values of 35.8+/-1.6 min(-1)), but unaffected by atropine. The cholinergic and adrenergic tones were 2.6+/-2.2 and 41.3+/-1.9 % during activity, respectively. Double autonomic block virtually abolished tachycardia associated with enforced activity (heart rate increased significantly from 36.1+/-1.4 to 37.6+/-1.3 min(-1)), indicating that non-adrenergic, non-cholinergic effectors are not involved in regulating heart rate during activity. Blood pressure also increased during activity. Digestion was accompanied by an increase in heart rate from 25.6+/-1.3 to 47.7+/-2.2 min(-1) (N=8). In these animals, heart rate decreased to 44.2+/-2.7 min(-1) following propranolol infusion and increased to 53.9+/-1.8 min(-1) after infusion of atropine, resulting in small cholinergic and adrenergic tones (6.0+/-3.5 and 11.1+/-1.1 %, respectively). The heart rate of digesting snakes was 47.0+/-1.0 min(-1) after double autonomic blockade, which is significantly higher than the value of 36.1+/-1.4 min(-1) in double-blocked fasting animals at rest. Therefore, it appears that some other factor exerts a positive chronotropic effect during digestion, and we propose that this factor may be a circulating regulatory peptide, possibly liberated from the gastrointestinal system in response to the presence of food. PMID:11707504

  16. Assessment of the autonomic nervous injury by adriamycin using the analysis of heart rate variability

    International Nuclear Information System (INIS)

    Analysis of the heart rate variability were carried out for the cases with malignant tumors of the erythropoietic organ who received adriamycin (ADR), and the effects of ADR on the autonomic nervous of these patients were studied. Seven of 35 cases were examined for the consecutive heart rate variability and 123I-metaiodobenzylguanidine (MIBG) myocardial SPECT, after the administration of ADR. TP value, LF value, LF/HF and SDANN value were 1,448 msec2, 354 msec2, 2.0 and 97 msec, respectively, indicating that these values were significantly lower than the healthy controls (the C group) (P2 to 1,058 msec2, and HF value decreased from 191 msec2 to 123 msec2, significantly (P2, sympathetic nervous injury and parasympathetic nervous was caused by such dose ADR, when examinated by the analysis of the heart rate variability and MIBG myocardial SPECT. It is possible to estimate the myocardial injury of heart autonomic nervous that precedes the injury of heart muscle by ADR, by analyzing the heart rate variability, when the cases with malignant tumors are subject to the chemotherapy. Thus it was suggested that the death by arrhythmia and the irreversible myocardial injury might be predictable. (author)

  17. Characteristics of sleep parameters and nocturnal heart rate dynamics in patients with psoriasis vulgaris

    Directory of Open Access Journals (Sweden)

    Rang-song HUI

    2011-11-01

    Full Text Available Objective To investigate the physiological features of patients with psoriasis vulgaris during sleep.Methods Thirty-six psoriasis patients were classified into the group with "blood-heat" syndrome(n=21 and the group with "blood-dry" syndrome(n=15.Fifteen healthy volunteers served as control.All the subjects underwent a nocturnal sleep examination using the micro-movement sensitive mattress sleep monitoring system(MSMSMS.The sleep indices and nocturnal heart rate dynamics of the patients were compared with that of the control,and also between the two groups with different syndrome.Results In comparison with the control group,both psoriasis patient groups showed the phenomena of poor sleep quality,such as the shallow sleep phase,disorder of sleep rhythm and increased slight-arousals.The slight-arousal occurred more often in blood-heat syndrome group than in blood-dry syndrome group,while the sleep latency was elongated more evidently in blood-dry syndrome group.Compared with the control group,the two patient groups presented a little decrease in heart rate(HR after sleeping.However,the HR increased in the first phase of sleep,and the variation coefficient of HR increased in the whole sleep period.An increase in HR variation coefficient was more obvious in blood-heat syndrome group than in blood-dry syndrome group(P < 0.05.Conclusions The phenomena of decreased sleep quality and the variation of nocturnal HR in psoriasis patients may be due to the failure of Yin to control Yang,and disturbance of heat to the mind induced by blood-heat and Yin deficiency.The degrees of the phenomena are different between the two psoriasis groups.There is also a decrease in parasympathetic activity and relative increase in sympathetic activity in both psoriasis groups,with manifestation of different features in patients with different syndromes.

  18. Forestry work in the Italians alps: metabolic demand assessed by heart rate

    Directory of Open Access Journals (Sweden)

    Angelo Rodio

    2007-06-01

    Full Text Available

    Objective: This research aims to: a assess the energy expenditure during typical forestry activities; b assess the actual workload of forestry work; c define the eventual relationship between oxygen uptake ( and heart rate during the studied working phases.

    Methods: Eleven healthy skilled forestry workers were studied. Using a portable device, oxygen uptake ( , carbon dioxide output ( , pulmonary ventilation ( and heart rate (HR were measured. The forestry work was divided into four phases: walking uphill, felling, limbing & chain-sawing and complementary activities. A work time report was kept and in each phase a weighted average (WA of all parameters was obtained.

    Results:Walking uphill, felling, limbing & chain-sawing activities did not show significant statistical differences between each other and were classified as heavy activities (mean 2.17 lmin-1,mean HR 157 beatmin-1. The complementary activity was found to be less demanding and statistically differed in respect to the others ( 0.55 l min-1, HR 98 beat min-1. By theWA, the actual workload of forestry work resulted in a moderate to heavyoptimal job ( and HR being 1.51 l min-1 and 133.5 beat min-1 respectively in a typical working day. Furthermore it was possible to set up a relationship between and HR for the forestry work.

    Conclusions: Forestry activity can be classified as moderate to heavy-optimal. Finally, a good and linear correlation between and HR proved to be an easy tool to evaluate the metabolic demand.

  19. Systolic reconstruction in patients with low heart rate using coronary dual-source CT angiography

    International Nuclear Information System (INIS)

    Objectives: The purpose of our study was to determine the relationship between the predictive factors and systolic reconstruction (SR) as an optimal reconstruction window in patients with low heart rate (LHR; less than 65 bpm). Methods: 391 patients (262 male and 129 female, mean age; 67.1 ± 10.1 years of age) underwent coronary CTA without the additional administration of a beta-blocker. Affecting factors for SR were analyzed in age, gender, body weight (BW), diabetes mellitus (DM), coronary arterial disease (CAD), ejection fraction (EF), systolic and diastolic body pressure (BP) and heart rate variability (HRV) during coronary CTA. Results: In 29 (7.4%) of the 391 patients, SR was needed, but there was no apparent characteristic difference between the systolic and diastolic reconstruction groups in terms of gender, age, BW, DM, CAD and EF. In a multivariate analysis, the co-existence of DM [P < 0.05; OR, 0.27; 95% CI, 0.092-0.80], diastolic BP [P < 0.01; OR, 0.95; 95% CI, 0.92-0.98] and HRV [P < 0.01; OR, 0.98; 95% CI, 0.96-0.99] were found to be the factors for SR. In gender-related analysis, HRV was an important factor regardless of sex, but co-existence of DM affected especially for female and BP for male. Conclusion: Especially in the patients with LHR who had a medication of DM, high HRV or high BP, SR, in addition to DR, was needed to obtain high-quality coronary CTA images.

  20. Systolic reconstruction in patients with low heart rate using coronary dual-source CT angiography

    Energy Technology Data Exchange (ETDEWEB)

    Okada, Munemasa, E-mail: radokada@yamaguchi-u.ac.jp [Department of Radiology, Yamaguchi University Graduate School of Medicine, 1-1-1 Minamikogushi, Ube, Yamaguchi 755-8505 (Japan); Nakashima, Yoshiteru; Shigemoto, Youko; Matsunaga, Naofumi [Department of Radiology, Yamaguchi University Graduate School of Medicine, 1-1-1 Minamikogushi, Ube, Yamaguchi 755-8505 (Japan); Miura, Toshiro; Nao, Tomoko [Department of Cardiology, Yamaguchi University Graduate School of Medicine (Japan); Sano, Yuichi; Narazaki, Akiko [Department of Radiology, Yamaguchi University Hospital (Japan); Kido, Shoji [Computer-aided Diagnosis and Biomedical Imaging Research Biomedical Engineering, Applied Medical Engineering Science Graduate School of Medicine, Yamaguchi University (Japan)

    2011-11-15

    Objectives: The purpose of our study was to determine the relationship between the predictive factors and systolic reconstruction (SR) as an optimal reconstruction window in patients with low heart rate (LHR; less than 65 bpm). Methods: 391 patients (262 male and 129 female, mean age; 67.1 {+-} 10.1 years of age) underwent coronary CTA without the additional administration of a beta-blocker. Affecting factors for SR were analyzed in age, gender, body weight (BW), diabetes mellitus (DM), coronary arterial disease (CAD), ejection fraction (EF), systolic and diastolic body pressure (BP) and heart rate variability (HRV) during coronary CTA. Results: In 29 (7.4%) of the 391 patients, SR was needed, but there was no apparent characteristic difference between the systolic and diastolic reconstruction groups in terms of gender, age, BW, DM, CAD and EF. In a multivariate analysis, the co-existence of DM [P < 0.05; OR, 0.27; 95% CI, 0.092-0.80], diastolic BP [P < 0.01; OR, 0.95; 95% CI, 0.92-0.98] and HRV [P < 0.01; OR, 0.98; 95% CI, 0.96-0.99] were found to be the factors for SR. In gender-related analysis, HRV was an important factor regardless of sex, but co-existence of DM affected especially for female and BP for male. Conclusion: Especially in the patients with LHR who had a medication of DM, high HRV or high BP, SR, in addition to DR, was needed to obtain high-quality coronary CTA images.

  1. ′Fire of Life′ analysis of heart rate variability during alpine skiing in Austria

    Directory of Open Access Journals (Sweden)

    Gerhard Litscher

    2010-01-01

    Full Text Available Background : Skiing is a very popular sport in Austria. Nevertheless, there is little information concerning online monitoring of bio-signals during alpine skiing in the mountains. Within the last years innovative scientific monitoring tools for evaluating features of neurocardial fitness have been developed. Aims : The goal of this study was to demonstrate the new ′Fire of Life′ heart rate variability analysis for the first time during alpine skiing. Volunteers and Methods : Continuous electrocardiographic monitoring over a period of 12 hours was performed simultaneously in two healthy volunteers using the same type of equipment (medilog AR12 systems. Two healthy volunteers (female, 20 years, and male, 51 years, both hobby skiers, were monitored simultaneously and continuously during two resting periods before and after active sport and also during alpine skiing. Altogether each participant covered 9,084 meters altitude difference within a time period of 6:14 hours. Total length of the downhill skiing was 45 kilometers. Results : Data acquisition was performed without any technical problems in both subjects. Poincaré plots of sequential R-R intervals (beat to beat variability show two ellipses of different shape and magnitude. During resting periods respiratory sinus arrhythmia and blood pressure effects can be clearly seen in the young female. The same effects, however markedly reduced, are obvious in the older volunteer. Conclusions : The present investigations during alpine skiing highlight the potential value of the ′Fire of Life′ heart rate variability monitoring even under difficult environmental conditions. The innovative kind of analysis helps to show how well the human body reacts to sport, stress and recovery.

  2. Prolonged Sitting is Associated with Attenuated Heart Rate Variability during Sleep in Blue-Collar Workers

    Directory of Open Access Journals (Sweden)

    David M Hallman

    2015-11-01

    Full Text Available Prolonged sitting is associated with increased risk for cardiovascular diseases and mortality. However, research into the physiological determinants underlying this relationship is still in its infancy. The aim of the study was to determine the extent to which occupational and leisure-time sitting are associated with nocturnal heart rate variability (HRV in blue-collar workers. The study included 138 blue-collar workers (mean age 45.5 (SD 9.4 years. Sitting-time was measured objectively for four days using tri-axial accelerometers (Actigraph GT3X+ worn on the thigh and trunk. During the same period, a heart rate monitor (Actiheart was used to sample R-R intervals from the electrocardiogram. Time and frequency domain indices of HRV were only derived during nighttime sleep, and used as markers of cardiac autonomic modulation. Regression analyses with multiple adjustments (age, gender, body mass index, smoking, job-seniority, physical work-load, influence at work, and moderate-to-vigorous physical activity were used to investigate the association between sitting time and nocturnal HRV. We found that occupational sitting-time was negatively associated (p < 0.05 with time and frequency domain HRV indices. Sitting-time explained up to 6% of the variance in HRV, independent of the covariates. Leisure-time sitting was not significantly associated with any HRV indices (p > 0.05. In conclusion, objectively measured occupational sitting-time was associated with reduced nocturnal HRV in blue-collar workers. This indicates an attenuated cardiac autonomic regulation with increasing sitting-time at work regardless of moderate-to-vigorous physical activity. The implications of this association for cardiovascular disease risk warrant further investigation via long-term prospective studies and intervention studies.

  3. Prolonged Sitting is Associated with Attenuated Heart Rate Variability during Sleep in Blue-Collar Workers.

    Science.gov (United States)

    Hallman, David M; Sato, Tatiana; Kristiansen, Jesper; Gupta, Nidhi; Skotte, Jørgen; Holtermann, Andreas

    2015-11-01

    Prolonged sitting is associated with increased risk for cardiovascular diseases and mortality. However, research into the physiological determinants underlying this relationship is still in its infancy. The aim of the study was to determine the extent to which occupational and leisure-time sitting are associated with nocturnal heart rate variability (HRV) in blue-collar workers. The study included 138 blue-collar workers (mean age 45.5 (SD 9.4) years). Sitting-time was measured objectively for four days using tri-axial accelerometers (Actigraph GT3X+) worn on the thigh and trunk. During the same period, a heart rate monitor (Actiheart) was used to sample R-R intervals from the electrocardiogram. Time and frequency domain indices of HRV were only derived during nighttime sleep, and used as markers of cardiac autonomic modulation. Regression analyses with multiple adjustments (age, gender, body mass index, smoking, job-seniority, physical work-load, influence at work, and moderate-to-vigorous physical activity) were used to investigate the association between sitting time and nocturnal HRV. We found that occupational sitting-time was negatively associated (p 0.05). In conclusion, objectively measured occupational sitting-time was associated with reduced nocturnal HRV in blue-collar workers. This indicates an attenuated cardiac autonomic regulation with increasing sitting-time at work regardless of moderate-to-vigorous physical activity. The implications of this association for cardiovascular disease risk warrant further investigation via long-term prospective studies and intervention studies. PMID:26610534

  4. ‘Fire of Life’ analysis of heart rate variability during alpine skiing in Austria

    Directory of Open Access Journals (Sweden)

    Gerhard Litscher

    2010-06-01

    Full Text Available Background: Skiing is a very popular sport in Austria. Nevertheless, there is little information concerning online monitoring of bio-signals during alpine skiing in the mountains. Within the last years innovative scientific monitoring tools for evaluating features of neurocardial fitness have been developed. Aims: The goal of this study was to demonstrate the new ‘Fire of Life’ heart rate variability analysis for the first time during alpine skiing. Volunteers and Methods: Continuous electrocardiographic monitoring over a period of 12 hours was performed simultaneously in two healthy volunteers using the same type of equipment (medilog AR12 systems. Two healthy volunteers (female, 20 years, and male, 51 years, both hobby skiers, were monitored simultaneously and continuously during two resting periods before and after active sport and also during alpine skiing. Altogether each participant covered 9,084 meters altitude difference within a time period of 6:14 hours. Total length of the downhill skiing was 45 kilometers. Results: Data acquisition was performed without any technical problems in both subjects. Poincaré plots of sequential R-R intervals (beat to beat variability show two ellipses of different shape and magnitude. During resting periods respiratory sinus arrhythmia and blood pressure effects can be clearly seen in the young female. The same effects, however markedly reduced, are obvious in the older volunteer. Conclusions: The present investigations during alpine skiing highlight the potential value of the ‘Fire of Life’ heart rate variability monitoring even under difficult environmental conditions. The innovative kind of analysis helps to show how well the human body reacts to sport, stress and recovery.

  5. Genome-wide association analysis identifies multiple loci related to resting heart rate

    Science.gov (United States)

    Eijgelsheim, Mark; Newton-Cheh, Christopher; Sotoodehnia, Nona; de Bakker, Paul I.W.; Mller, Martina; Morrison, Alanna C.; Smith, Albert V.; Isaacs, Aaron; Sanna, Serena; Drr, Marcus; Navarro, Pau; Fuchsberger, Christian; Nolte, Ilja M.; de Geus, Eco J.C.; Estrada, Karol; Hwang, Shih-Jen; Bis, Joshua C.; Rckert, Ina-Maria; Alonso, Alvaro; Launer, Lenore J.; Hottenga, Jouke Jan; Rivadeneira, Fernando; Noseworthy, Peter A.; Rice, Kenneth M.; Perz, Siegfried; Arking, Dan E.; Spector, Tim D.; Kors, Jan A.; Aulchenko, Yurii S.; Tarasov, Kirill V.; Homuth, Georg; Wild, Sarah H.; Marroni, Fabio; Gieger, Christian; Licht, Carmilla M.; Prineas, Ronald J.; Hofman, Albert; Rotter, Jerome I.; Hicks, Andrew A.; Ernst, Florian; Najjar, Samer S.; Wright, Alan F.; Peters, Annette; Fox, Ervin R.; Oostra, Ben A.; Kroemer, Heyo K.; Couper, David; Vlzke, Henry; Campbell, Harry; Meitinger, Thomas; Uda, Manuela; Witteman, Jacqueline C.M.; Psaty, Bruce M.; Wichmann, H-Erich; Harris, Tamara B.; Kb, Stefan; Siscovick, David S.; Jamshidi, Yalda; Uitterlinden, Andr G.; Folsom, Aaron R.; Larson, Martin G.; Wilson, James F.; Penninx, Brenda W.; Snieder, Harold; Pramstaller, Peter P.; van Duijn, Cornelia M.; Lakatta, Edward G.; Felix, Stephan B.; Gudnason, Vilmundur; Pfeufer, Arne; Heckbert, Susan R.; Stricker, Bruno H.Ch.; Boerwinkle, Eric; O'Donnell, Christopher J.

    2010-01-01

    Higher resting heart rate is associated with increased cardiovascular disease and mortality risk. Though heritable factors play a substantial role in population variation, little is known about specific genetic determinants. This knowledge can impact clinical care by identifying novel factors that influence pathologic heart rate states, modulate heart rate through cardiac structure and function or by improving our understanding of the physiology of heart rate regulation. To identify common genetic variants associated with heart rate, we performed a meta-analysis of 15 genome-wide association studies (GWAS), including 38 991 subjects of European ancestry, estimating the association between age-, sex- and body mass-adjusted RR interval (inverse heart rate) and ?2.5 million markers. Results with P < 5 10?8 were considered genome-wide significant. We constructed regression models with multiple markers to assess whether results at less stringent thresholds were likely to be truly associated with RR interval. We identified six novel associations with resting heart rate at six loci: 6q22 near GJA1; 14q12 near MYH7; 12p12 near SOX5, c12orf67, BCAT1, LRMP and CASC1; 6q22 near SLC35F1, PLN and c6orf204; 7q22 near SLC12A9 and UfSp1; and 11q12 near FADS1. Associations at 6q22 400 kb away from GJA1, at 14q12 MYH6 and at 1q32 near CD34 identified in previously published GWAS were confirmed. In aggregate, these variants explain ?0.7% of RR interval variance. A multivariant regression model including 20 variants with P < 10?5 increased the explained variance to 1.6%, suggesting that some loci falling short of genome-wide significance are likely truly associated. Future research is warranted to elucidate underlying mechanisms that may impact clinical care. PMID:20639392

  6. Passive RFID tag based heart rate monitoring from an ECG signal.

    Science.gov (United States)

    Vora, Shrenik; Dandekar, Kapil; Kurzweg, Timothy

    2015-08-01

    In this paper, we propose a monitoring system that employs a passive RFID tag to transmit heart rate using an ECG signal as its source. This system operates without a battery and has been constructed with easily available commercial components. Here, an RFID tag is used as an on-off keying device, wherein it is normally transmitting, but turns off every time a heart beat is detected. Heart beats ranging from 30BPM through 300BPM are successfully measured using our device. It is shown that the system is capable of providing accurate heart rate measurements up to a distance of ten feet with a standard deviation of less than one beat per minute without a local power source. The proposed system is also found to be resilient in the presence of an additional RFID tag. PMID:26737271

  7. Patterns of interspecific variation in the heart rates of embryonic reptiles.

    Science.gov (United States)

    Du, Wei-Guo; Ye, Hua; Zhao, Bo; Pizzatto, Ligia; Ji, Xiang; Shine, Richard

    2011-01-01

    New non-invasive technologies allow direct measurement of heart rates (and thus, developmental rates) of embryos. We applied these methods to a diverse array of oviparous reptiles (24 species of lizards, 18 snakes, 11 turtles, 1 crocodilian), to identify general influences on cardiac rates during embryogenesis. Heart rates increased with ambient temperature in all lineages, but (at the same temperature) were faster in lizards and turtles than in snakes and crocodilians. We analysed these data within a phylogenetic framework. Embryonic heart rates were faster in species with smaller adult sizes, smaller egg sizes, and shorter incubation periods. Phylogenetic changes in heart rates were negatively correlated with concurrent changes in adult body mass and residual incubation period among the lizards, snakes (especially within pythons) and crocodilians. The total number of embryonic heart beats between oviposition and hatching was lower in squamates than in turtles or the crocodilian. Within squamates, embryonic iguanians and gekkonids required more heartbeats to complete development than did embryos of the other squamate families that we tested. These differences plausibly reflect phylogenetic divergence in the proportion of embryogenesis completed before versus after laying. PMID:22174948

  8. The Telltale Heartbeat : Heart-Rate Monitors are Taking New Shapes.

    Science.gov (United States)

    Grifantini, Kristina

    2016-01-01

    The pulse rate has long been considered a basic and essential window on a person?s general physical condition. A racing heart could mean a person is at risk for a heart attack or, conversely, simply stressed, excited, or exercising. An erratic heartbeat could be a sign of a thyroid condition or, rather, just an indication that a person has indulged in one too many cups of coffee that morning. A slow pulse, on the other hand, could be a sign of a serious electrical problem within the organ or suggest, to the contrary, that a heart is as strong as an ox. PMID:26799726

  9. What does the correlation dimension of the human heart rate measure?

    CERN Document Server

    Sakki, M; Vainu, M; Laan, M

    2001-01-01

    It is shown that for the heart rate variability, finite values of the correlation dimension D (calculated by the Grassberger-Procaccia algorithm) cannot be considered as an evidence for a deterministic chaos inside the heart. Finiteness of D is explained by finite resolving power of the recording apparatus. The correlation dimension depends both on the short-time variability of the heart rhythm, and on the resolving power of the electrocardiogram. In principle, it can be used as a certain measure of short-time variability of the signal, but its diagnostic value on test groups was negligible.

  10. A statistical comparison of signal representations and spectral estimators of heart rate variability in hypertensive patients

    OpenAIRE

    Marco Congi; Giovanni Calcagnini; Stefano Lino; Sergio Cerutti; Silvio Damiani

    2007-01-01

    The paper compares different methods for the estimation of the spectrum in the heart rate variability time series. Studying 32 hypertensive patients it is shown that the low-pass filtering of event series technique drives to an over estimation of the higt frequency component of the heart beat when compared with the results of both cubic spline interpolation and interval tachogram techniques. No differences are founded between the spectrum estimation obtained by autoregressive models and non p...

  11. Correlation between heart rate variability and pulmonary function adjusted by confounding factors in healthy adults

    OpenAIRE

    M.S. Bianchim; Sperandio, E.F.; G.S. Martinhão; A.C. Matheus; Lauria, V.T.; R.P Da Silva; R.C. Spadari; Gagliardi, A.R.T.; Arantes, R.L.; Romiti, M.; Dourado, V.Z.

    2016-01-01

    The autonomic nervous system maintains homeostasis, which is the state of balance in the body. That balance can be determined simply and noninvasively by evaluating heart rate variability (HRV). However, independently of autonomic control of the heart, HRV can be influenced by other factors, such as respiratory parameters. Little is known about the relationship between HRV and spirometric indices. In this study, our objective was to determine whether HRV correlates with spirometric indices in...

  12. Blood pressure and heart rate variability and baroreflex sensitivity before and after brain death

    OpenAIRE

    Conci, F.; Di, R; Castiglioni, P

    2001-01-01

    OBJECTIVES—To evaluate spontaneous blood pressure and heart rate variability and spontaneous baroreflex sensitivity before and after brain death.
METHODS—Spontaneous variability of arterial blood pressure and heart rate—estimated by power spectra of systolic (SBP) and diastolic blood pressure (DBP) and pulse interval (PI)—and spontaneous baroreflex sensitivity (BRS)—estimated by the alpha index and the sequence technique—were evaluated in 11 patients twice: shortly before...

  13. Resting, night-time, and 24 h heart rate as markers of cardiovascular risk in middle-aged and elderly men and women with no apparent heart disease

    DEFF Research Database (Denmark)

    Johansen, Christine D; Olsen, Rasmus H; Pedersen, Lene R; Kumarathurai, Preman; Mouridsen, Mette R; Binici, Zeynep; Intzilakis, Theodoros; Køber, Lars; Sajadieh, Ahmad

    2013-01-01

    AimsIncreased heart rate (HR) is a predictor of all-cause and cardiovascular (CV) mortality. We tested which measure of HR had the strongest prognostic value in a population with no apparent heart disease.Methods and resultsSix hundred and fifty-three men and women between the age of 55 and 75...... all-cause mortality, also after adjustment for conventional risk factors. We found an association between all three measures of HR and CV events in analyses adjusted for sex and age. However, when adjusting for CV risk factors, the association with resting HR and 24 h HR disappeared. In a fully...... adjusted model, only night-time HR remained in the model, hazard ratio = 1.17 (1.05-1.30), P = 0.005.ConclusionIn middle-aged subjects with no apparent heart disease, all measures of increased HR were associated with increased mortality and CV risk. However, night-time HR was the only parameter with...

  14. Sleep Stage Dependence of Invariance Characteristics in Fluctuations of Healthy Human Heart Rate

    Science.gov (United States)

    Togo, Fumiharu; Kiyono, Ken; Struzik, Zbigniew R.; Yamamoto, Yoshiharu

    2005-08-01

    The outstanding feature of healthy human heart rate is the robust scale invariance in the non-Gaussian probability density function (PDF), which is preserved not only in a quiescent condition, but also in a dynamic state during waking hours [K. Kiyono et al. Phys. Rev. Lett. 93 (2004)]. Together with 1/f like scaling, this characteristic is a strong indication of far-from-equilibrium, critical-like dynamics of heart rate regulation. Our results suggest that healthy human heart rate departs from a critical state-like operation during sleeping hours, at a rate which is heterogeneous with respect to sleep stages annotated according to traditional techniques. We study specific contributions of sleep stages to the relative departure from criticality through the analysis of sleep stage dependence of the root mean square of multiscale local energy and the multiscale PDF. There is a possibility that the involvement of cortical activity may be important for a critical state-like operation.

  15. Spectral Heart Rate Variability analysis using the heart timing signal for the screening of the Sleep Apnea-Hypopnea Syndrome.

    Science.gov (United States)

    Alvarez-Estevez, Diego; Moret-Bonillo, Vicente

    2016-04-01

    Some approaches have been published in the past using Heart Rate Variability (HRV) spectral features for the screening of Sleep Apnea-Hypopnea Syndrome (SAHS) patients. However there is a big variability among these methods regarding the selection of the source signal and the specific spectral components relevant to the analysis. In this study we investigate the use of the Heart Timing (HT) as the source signal in comparison to the classical approaches of Heart Rate (HR) and Heart Period (HP). This signal has the theoretical advantage of being optimal under the Integral Pulse Frequency Modulation (IPFM) model assumption. Only spectral bands defined as standard for the study of HRV are considered, and for each method the so-called LF/HF and VLFn features are derived. A comparative statistical analysis between the different resulting methods is performed, and subject classification is investigated by means of ROC analysis and a Naïve-Bayes classifier. The standard Apnea-ECG database is used for validation purposes. Our results show statistical differences between SAHS patients and controls for all the derived features. In the subject classification task the best performance in the testing set was obtained using the LF/HF ratio derived from the HR signal (Area under ROC curve=0.88). Only slight differences are obtained due to the effect of changing the source signal. The impact of using the HT signal in this domain is therefore limited, and has not shown relevant differences with respect to the use of the classical approaches of HR or HP. PMID:26866445

  16. Testosterone Deficiency Increases Hospital Readmission and Mortality Rates in Male Patients with Heart Failure

    Directory of Open Access Journals (Sweden)

    Marcelo Rodrigues dos Santos

    2015-01-01

    Full Text Available Background: Testosterone deficiency in patients with heart failure (HF is associated with decreased exercise capacity and mortality; however, its impact on hospital readmission rate is uncertain. Furthermore, the relationship between testosterone deficiency and sympathetic activation is unknown. Objective: We investigated the role of testosterone level on hospital readmission and mortality rates as well as sympathetic nerve activity in patients with HF. Methods: Total testosterone (TT and free testosterone (FT were measured in 110 hospitalized male patients with a left ventricular ejection fraction < 45% and New York Heart Association classification IV. The patients were placed into low testosterone (LT; n = 66 and normal testosterone (NT; n = 44 groups. Hypogonadism was defined as TT < 300 ng/dL and FT < 131 pmol/L. Muscle sympathetic nerve activity (MSNA was recorded by microneurography in a subpopulation of 27 patients. Results: Length of hospital stay was longer in the LT group compared to in the NT group (37 ± 4 vs. 25 ± 4 days; p = 0.008. Similarly, the cumulative hazard of readmission within 1 year was greater in the LT group compared to in the NT group (44% vs. 22%, p = 0.001. In the single-predictor analysis, TT (hazard ratio [HR], 2.77; 95% confidence interval [CI], 1.58–4.85; p = 0.02 predicted hospital readmission within 90 days. In addition, TT (HR, 4.65; 95% CI, 2.67–8.10; p = 0.009 and readmission within 90 days (HR, 3.27; 95% CI, 1.23–8.69; p = 0.02 predicted increased mortality. Neurohumoral activation, as estimated by MSNA, was significantly higher in the LT group compared to in the NT group (65 ± 3 vs. 51 ± 4 bursts/100 heart beats; p < 0.001. Conclusion: These results support the concept that LT is an independent risk factor for hospital readmission within 90 days and increased mortality in patients with HF. Furthermore, increased MSNA was observed in patients with LT.

  17. Testosterone Deficiency Increases Hospital Readmission and Mortality Rates in Male Patients with Heart Failure

    Science.gov (United States)

    dos Santos, Marcelo Rodrigues; Sayegh, Ana Luiza Carrari; Groehs, Raphaela Vilar Ramalho; Fonseca, Guilherme; Trombetta, Ivani Credidio; Barretto, Antônio Carlos Pereira; Arap, Marco Antônio; Negrão, Carlos Eduardo; Middlekauff, Holly R.; Alves, Maria-Janieire de Nazaré Nunes

    2015-01-01

    Background Testosterone deficiency in patients with heart failure (HF) is associated with decreased exercise capacity and mortality; however, its impact on hospital readmission rate is uncertain. Furthermore, the relationship between testosterone deficiency and sympathetic activation is unknown. Objective We investigated the role of testosterone level on hospital readmission and mortality rates as well as sympathetic nerve activity in patients with HF. Methods Total testosterone (TT) and free testosterone (FT) were measured in 110 hospitalized male patients with a left ventricular ejection fraction < 45% and New York Heart Association classification IV. The patients were placed into low testosterone (LT; n = 66) and normal testosterone (NT; n = 44) groups. Hypogonadism was defined as TT < 300 ng/dL and FT < 131 pmol/L. Muscle sympathetic nerve activity (MSNA) was recorded by microneurography in a subpopulation of 27 patients. Results Length of hospital stay was longer in the LT group compared to in the NT group (37 ± 4 vs. 25 ± 4 days; p = 0.008). Similarly, the cumulative hazard of readmission within 1 year was greater in the LT group compared to in the NT group (44% vs. 22%, p = 0.001). In the single-predictor analysis, TT (hazard ratio [HR], 2.77; 95% confidence interval [CI], 1.58–4.85; p = 0.02) predicted hospital readmission within 90 days. In addition, TT (HR, 4.65; 95% CI, 2.67–8.10; p = 0.009) and readmission within 90 days (HR, 3.27; 95% CI, 1.23–8.69; p = 0.02) predicted increased mortality. Neurohumoral activation, as estimated by MSNA, was significantly higher in the LT group compared to in the NT group (65 ± 3 vs. 51 ± 4 bursts/100 heart beats; p < 0.001). Conclusion These results support the concept that LT is an independent risk factor for hospital readmission within 90 days and increased mortality in patients with HF. Furthermore, increased MSNA was observed in patients with LT. PMID:26200897

  18. Ivabradine Improves Heart Rate Variability in Patients with Nonischemic Dilated Cardiomyopathy

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    Ertugrul Kurtoglu

    2014-10-01

    Full Text Available Background: Ivabradine is a novel specific heart rate (HR-lowering agent that improves event-free survival in patients with heart failure (HF. Objectives: We aimed to evaluate the effect of ivabradine on time domain indices of heart rate variability (HRV in patients with HF. Methods: Forty-eight patients with compensated HF of nonischemic origin were included. Ivabradine treatment was initiated according to the latest HF guidelines. For HRV analysis, 24-h Holter recording was obtained from each patient before and after 8 weeks of treatment with ivabradine. Results: The mean RR interval, standard deviation of all normal to normal RR intervals (SDNN, the standard deviation of 5-min mean RR intervals (SDANN, the mean of the standard deviation of all normal-to-normal RR intervals for all 5-min segments (SDNN index, the percentage of successive normal RR intervals exceeding 50 ms (pNN50, and the square root of the mean of the squares of the differences between successive normal to normal RR intervals (RMSSD were low at baseline before treatment with ivabradine. After 8 weeks of treatment with ivabradine, the mean HR (83.6 ± 8.0 and 64.6 ± 5.8, p < 0.0001, mean RR interval (713 ± 74 and 943 ± 101 ms, p < 0.0001, SDNN (56.2 ± 15.7 and 87.9 ± 19.4 ms, p < 0.0001, SDANN (49.5 ± 14.7 and 76.4 ± 19.5 ms, p < 0.0001, SDNN index (24.7 ± 8.8 and 38.3 ± 13.1 ms, p < 0.0001, pNN50 (2.4 ± 1.6 and 3.2 ± 2.2 %, p < 0.0001, and RMSSD (13.5 ± 4.6 and 17.8 ± 5.4 ms, p < 0.0001 substantially improved, which sustained during both when awake and while asleep. Conclusion: Our findings suggest that treatment with ivabradine improves HRV in nonischemic patients with HF.

  19. Influence of mercury exposure on blood pressure, resting heart rate and heart rate variability in French Polynesians: a cross-sectional study

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    Valera Beatriz

    2011-11-01

    Full Text Available Abstract Background Populations which diet is rich in seafood are highly exposed to contaminants such as mercury, which could affect cardiovascular risk factors Objective To assess the associations between mercury and blood pressure (BP, resting heart rate (HR and HR variability (HRV among French Polynesians Methods Data were collected among 180 adults (≥ 18 years and 101 teenagers (12-17 years. HRV was measured using a two-hour ambulatory electrocardiogram (Holter and BP was measured using a standardized protocol. The association between mercury and HRV and BP parameters was studied using analysis of variance (ANOVA and analysis of covariance (ANCOVA Results Among teenagers, the high frequency (HF decreased between the 2nd and 3rd tertile (380 vs. 204 ms2, p = 0.03 and a similar pattern was observed for the square root of the mean squared differences of successive R-R intervals (rMSSD (43 vs. 30 ms, p = 0.005 after adjusting for confounders. In addition, the ratio low/high frequency (LF/HF increased between the 2nd and 3rd tertile (2.3 vs. 3.0, p = 0.04. Among adults, the standard deviation of R-R intervals (SDNN tended to decrease between the 1st and 2nd tertile (84 vs. 75 ms, p = 0.069 after adjusting for confounders. Furthermore, diastolic BP tended to increase between the 2nd and 3rd tertile (86 vs. 91 mm Hg, p = 0.09. No significant difference was observed in resting HR or pulse pressure (PP Conclusions Mercury was associated with decreased HRV among French Polynesian teenagers while no significant association was observed with resting HR, BP, or PP among teenagers or adults

  20. Stochastic analysis of heart rate variability and its relation to echocardiography parameters in hypertrophic cardiomyopathy patients

    International Nuclear Information System (INIS)

    The heart rate variability of 10 healthy males (age 26 ? 4/+ 3 y) and 49 patients with hypertrophic cardiomyopathy (HCM) (25 males, 24 females, age 29.5 ? 11.5/+ 10.5 y) was studied. We applied KramersMoyal expansion to extract the drift and diffusion terms of the Langevin equation for the RR interval time series. These terms may be used for a stochastic reconstruction of the time series and for description of the properties of heart rate variability. New parameters characterizing the diffusion term are proposed: the coefficients of the linear fit to the left (LCF) and right (RCF) branch of the dependence of the diffusion term on the rescaled heart rate. Relations of the new parameters to classical echocardiography parameters were studied. Using the relation between the difference LCFRCF and the left ventricular systolic diameter, the HCM patients studied were divided into three groups. In addition, comparison of the properties of the heart rate variability in the HCM group with that obtained for the healthy young men showed that the parameter LCFRCF may be treated as a measure of the effect of HCM on heart rate variability and may have diagnostic value

  1. Analysis of heart rate control to assess thermal sensitivity responses in Brazilian toads

    Directory of Open Access Journals (Sweden)

    J.E.S. Natali

    2015-01-01

    Full Text Available In anurans, changes in ambient temperature influence body temperature and, therefore, energy consumption. These changes ultimately affect energy supply and, consequently, heart rate (HR. Typically, anurans living in different thermal environments have different thermal sensitivities, and these cannot be distinguished by changes in HR. We hypothesized that Rhinella jimi (a toad from a xeric environment that lives in a wide range of temperatures would have a lower thermal sensitivity regarding cardiac control than R. icterica (originally from a tropical forest environment with a more restricted range of ambient temperatures. Thermal sensitivity was assessed by comparing animals housed at 15° and 25°C. Cardiac control was estimated by heart rate variability (HRV and heart rate complexity (HRC. Differences in HRV between the two temperatures were not significant (P=0.214 for R. icterica and P=0.328 for R. jimi, whereas HRC differences were. All specimens but one R. jimi had a lower HRC at 15°C (all P<0.01. These results indicate that R. jimi has a lower thermal sensitivity and that cardiac control is not completely dependent on the thermal environment because HRC was not consistently different between temperatures in all R. jimi specimens. This result indicates a lack of evolutive trade-offs among temperatures given that heart rate control at 25°C is potentially not a constraint to heart rate control at 15°C.

  2. Analysis of heart rate control to assess thermal sensitivity responses in Brazilian toads.

    Science.gov (United States)

    Natali, J E S; Santos, B T; Rodrigues, V H; Chauí-Berlinck, J G

    2015-01-01

    In anurans, changes in ambient temperature influence body temperature and, therefore, energy consumption. These changes ultimately affect energy supply and, consequently, heart rate (HR). Typically, anurans living in different thermal environments have different thermal sensitivities, and these cannot be distinguished by changes in HR. We hypothesized that Rhinella jimi (a toad from a xeric environment that lives in a wide range of temperatures) would have a lower thermal sensitivity regarding cardiac control than R. icterica (originally from a tropical forest environment with a more restricted range of ambient temperatures). Thermal sensitivity was assessed by comparing animals housed at 15° and 25°C. Cardiac control was estimated by heart rate variability (HRV) and heart rate complexity (HRC). Differences in HRV between the two temperatures were not significant (P=0.214 for R. icterica and P=0.328 for R. jimi), whereas HRC differences were. All specimens but one R. jimi had a lower HRC at 15°C (all Ptemperatures in all R. jimi specimens. This result indicates a lack of evolutive trade-offs among temperatures given that heart rate control at 25°C is potentially not a constraint to heart rate control at 15°C. PMID:25493382

  3. New Cardiovascular Risk Factors; Resting Heart Rate, Hs-CRP, Fibrinogen and PMNL

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    Mehmet Aktu?lu

    2012-01-01

    Full Text Available Aim: In this study we aimed to evaluate the possibility of a presence of an association between the high resting heart rate and micro inflammatory response and with the help of any found, clarify the recently identified negative cardiovascular prognosis in individuals with high resting heart rate from an etiological point of view. Material and Method: Study was conducted in September, 2009 with a total of 67 male cases consisting of 36 cases that are followed up at Haseki Egt. ve Ars. Hospital Cardiology Outpatient and Coronary Intensive Care Clinic and 31 cases included in the control group. Patient and control groups were compared regarding age, body mass index, systolic and diastolic blood pressure, leukocyte count, hs-CRP and fibrinogen levels, coronary risk factors and resting heart rates. Result: Significant difference was seen between resting heart rate, smoking and positive family history. There were statistically significant differences between the patient group and the control group regarding systolic and diastolic blood pressure, leukocyte count, hs-CRP and fibrinogen levels and resting heart rates (p

  4. Initial experience of evaluation of coronary artery with 320-slice row CT system in high pre-test probability population without heart rate (rhythm) control

    International Nuclear Information System (INIS)

    Objective: To investigate the accuracy of 320-slice row CT system for the detection of coronary artery disease (CAD) in high pre-test probability population without heart rate/rhythm control. Methods: Thirty patients with a high pre-test probability of CAD underwent 320-slice row CT without preceding heart rate/rhythm control. Invasive coronary angiography (ICA) served as the standard reference. Data sets were evaluated by 2 observers in consensus with respect to stenoses ≥50% decreased diameter. The sensitivity, specificity, positive predictive value (PPV), negative predictive value (NPV) and Youden index were analyzed; the impact of heart rate and calcification on image quality as well as diagnostic accuracy were also analyzed by Chi-square test. Results: Mean heart rate during scanning was 73.7±15.4 beats per min(bpm), and median(QR) of Agatston score of segment was 45.6 (181). On a per-segment analysis, overall sensitivity was 96.1% (74/77, 95% CI:89.03%-99.19%), specificity was 98.3% (337/343, 95% CI:96.23%-99.36%), PPV was 92.5% (74/80, 95% CI:84.39%-97.20%), NPV of 99.1% (337/340, 95% CI: 97.44%-99.82%) and the Youden index was 0.94. In both heart-rate subgroups (242 in heart rate < 70 bpm group, 169 in heart rate ≥70 bpm group), diagnostic accuracy for the assessment of coronary artery stenosis was similar (P<0.05). The accuracy and the quality score of the subgroup Agatston score ≥100 were lower than that of the subgroup Agatston score <100; however, the difference of results between 320-slice row CT and ICA was not significant (P<0.05). Conclusion: 320-detector row CT can reliably detect coronary artery stenoses in a high pre-test probability population without heart rate/rhythm control. (authors)

  5. Changes in Blood Pressure and Heart Rate during Fixed-Interval Responding in Squirrel Monkeys

    Science.gov (United States)

    DeWeese, Jo

    2009-01-01

    Episodic and sustained increases in heart rate and mean arterial blood pressure can occur with recurring patterns of schedule-controlled behavior. Most previous studies were conducted under fixed-ratio schedules, which maintained a consistent high rate of responding that alternated with periods of no responding during times when the schedule was

  6. Monitoring of Heart and Breathing Rates Using Dual Cameras on a Smartphone

    Science.gov (United States)

    Nam, Yunyoung; Kong, Youngsun; Reyes, Bersain; Reljin, Natasa; Chon, Ki H.

    2016-01-01

    Some smartphones have the capability to process video streams from both the front- and rear-facing cameras simultaneously. This paper proposes a new monitoring method for simultaneous estimation of heart and breathing rates using dual cameras of a smartphone. The proposed approach estimates heart rates using a rear-facing camera, while at the same time breathing rates are estimated using a non-contact front-facing camera. For heart rate estimation, a simple application protocol is used to analyze the varying color signals of a fingertip placed in contact with the rear camera. The breathing rate is estimated from non-contact video recordings from both chest and abdominal motions. Reference breathing rates were measured by a respiration belt placed around the chest and abdomen of a subject; reference heart rates (HR) were determined using the standard electrocardiogram. An automated selection of either the chest or abdominal video signal was determined by choosing the signal with a greater autocorrelation value. The breathing rate was then determined by selecting the dominant peak in the power spectrum. To evaluate the performance of the proposed methods, data were collected from 11 healthy subjects. The breathing ranges spanned both low and high frequencies (6–60 breaths/min), and the results show that the average median errors from the reflectance imaging on the chest and the abdominal walls based on choosing the maximum spectral peak were 1.43% and 1.62%, respectively. Similarly, HR estimates were also found to be accurate. PMID:26963390

  7. Influence of mercury exposure on blood pressure, resting heart rate and heart rate variability in French Polynesians: a cross-sectional study

    OpenAIRE

    Valera Beatriz; Dewailly Éric; Poirier Paul; Counil Emilie; Suhas Edouard

    2011-01-01

    Abstract Background Populations which diet is rich in seafood are highly exposed to contaminants such as mercury, which could affect cardiovascular risk factors Objective To assess the associations between mercury and blood pressure (BP), resting heart rate (HR) and HR variability (HRV) among French Polynesians Methods Data were collected among 180 adults (≥ 18 years) and 101 teenagers (12-17 years). HRV was measured using a two-hour ambulatory electrocardiogram (Holter) and BP was measured u...

  8. Optimal Cardiac Resynchronization Therapy Pacing Rate in Non-Ischemic Heart Failure Patients

    DEFF Research Database (Denmark)

    Ghotbi, Adam Ali; Sander, Mikael; Køber, Lars; Philbert, Berit T.; Gustafsson, Finn; Hagemann, Christoffer; Kjær, Andreas; Jacobsen, Peter K

    2015-01-01

    BACKGROUND: The optimal pacing rate during cardiac resynchronization therapy (CRT) is unknown. Therefore, we investigated the impact of changing basal pacing frequencies on autonomic nerve function, cardiopulmonary exercise capacity and self-perceived quality of life (QoL). METHODS: Twelve CRT...... microneurography (MSNA), peak oxygen consumption (pVO2), N-terminal pro-brain natriuretic peptide (p-NT-proBNP), echocardiography and QoL. RESULTS: DDD-80 pacing for 3 months increased the mean heart rate from 77.3 to 86.1 (p = 0.001) and reduced sympathetic activity compared to DDD-60 (51±14 bursts/100 cardiac...... cycles vs. 64±14 bursts/100 cardiac cycles, p<0.05). The mean pVO2 increased non-significantly from 15.6±6 mL/min/kgduring DDD-60 to 16.7±6 mL/min/kg during DDD-80, and p-NT-proBNP remained unchanged. The QoL score indicated that DDD-60 was better tolerated. CONCLUSION: In CRT patients with non...

  9. Power Spectral Analysis of Heart Rate Variability in Female Rheumatoid Arthritis Patients

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    Kawser Jahan

    2012-06-01

    Full Text Available Background: Association of increased cardiovascular morbidity and higher sympathetic activity in patients with Rheumatoid arthritis (RA has been recognized. Heart rate variability (HRV is a useful measure to assess sympatho-vagal balance.Objective: To assess autonomic nerve function status in patients with Rheumatoid Arthritis (RA by HRV analysis.Methods: This cross sectional study was conducted in the Department of Physiology, Bangabandhu Sheikh Mujib Medical University (BSMMU, Shahbag, Dhaka from January to December 2010. Sixty female RA patients aged 18-50 years were included in the study group. They were enrolled from the Out Patient Department of Rheumatology Wing of the Department of Medicine, BSMMU, Dhaka. For comparison age matched thirty apparently healthy females were also studied as control. The HRV parameters were recorded by a Polyrite machine. For statistical analysis independent sample t test was used.Results: Mean resting pulse rate, diastolic blood pressure and mean systolic blood pressure were higher in rheumatoid arthritis patients in comparison to those of healthy control. Mean values of LF power, LF norm and LF/ HF were significantly higher (p<0.001 & TP and HF power, HF norm were significantly lower (p<0.001 in RA patients in comparison to those of healthy control.Conclusion: This study may conclude that sympathetic activity was higher with lower parasympathetic activity along with shifting of sympathovagal balance towards sympathetic predominance in patients with rheumatoid arthritis.

  10. Evaluation of three-dimensional navigator-gated whole heart MR coronary angiography: The importance of systolic imaging in subjects with high heart rates

    International Nuclear Information System (INIS)

    Purpose: To evaluate the influence of heart rate (HR) on magnetic resonance coronary angiography (MRCA) image quality in diastolic and systolic phases. Materials and methods: Twenty-seven healthy volunteers (9 men; 33 ± 9 years, HR 53-110 bpm), were evaluated with the electrocardiography and three-dimensional navigator-gating MRCA in a 1.5-T MR scanner (Avanto, Siemens) in diastolic and systolic phases (steady-state free precession; TR/TE/flip angle = 3.2 ms/1.6 ms/90o). The timing of scanning was individually adapted to the cardiac rest periods obtained in the prescanning, by visually identifying when the movement of right coronary artery was minimized during diastole and systole. Images of two phases were side-by-side compared on a four-point scale (from 1 = poor to 4 = excellent visibility; score of 3 or 4 as diagnostic). Results: Of 13 subjects with HR ≤65 bpm (low HR group, mean 59.8 ± 4.9 bpm, range 53-65), the image quality scores were significantly better than that with higher heart rates (73.9 ± 9.0 bpm, range 68-110) in diastolic MRCA. The image quality was significantly improved during systole in high HR group. Overall, 91.3% of low HR group had MRCA image of diagnostic quality acquired at diastole, while 88.3% of high HR group had diagnostic images at systole by segmental analysis (p = NS). Conclusions: MRCA at systole offered superior quality in patients with high heart rates

  11. Evaluation of three-dimensional navigator-gated whole heart MR coronary angiography: The importance of systolic imaging in subjects with high heart rates

    Energy Technology Data Exchange (ETDEWEB)

    Wu Yenwen [Department of Diagnostic Imaging, Kyoto University Graduate School of Medicine, 54 Shogoinkawahara-cho, Sakyo-ku, Kyoto 606-8507 (Japan); Tadamura, Eiji [Department of Diagnostic Imaging, Kyoto University Graduate School of Medicine, 54 Shogoinkawahara-cho, Sakyo-ku, Kyoto 606-8507 (Japan)]. E-mail: et@kuhp.kyoto-u.ac.jp; Yamamuro, Masaki [Department of Diagnostic Imaging, Kyoto University Graduate School of Medicine, 54 Shogoinkawahara-cho, Sakyo-ku, Kyoto 606-8507 (Japan); Kanao, Shotaro [Department of Diagnostic Imaging, Kyoto University Graduate School of Medicine, 54 Shogoinkawahara-cho, Sakyo-ku, Kyoto 606-8507 (Japan); Nakayama, Kazuki [Department of Radiology, Sakazaki Clinic, 11 Nishinokyoshimoai-cho, Nakagyo-ku, Kyoto 604-8436 (Japan); Togashi, Kaori [Department of Diagnostic Imaging, Kyoto University Graduate School of Medicine, 54 Shogoinkawahara-cho, Sakyo-ku, Kyoto 606-8507 (Japan)

    2007-01-15

    Purpose: To evaluate the influence of heart rate (HR) on magnetic resonance coronary angiography (MRCA) image quality in diastolic and systolic phases. Materials and methods: Twenty-seven healthy volunteers (9 men; 33 {+-} 9 years, HR 53-110 bpm), were evaluated with the electrocardiography and three-dimensional navigator-gating MRCA in a 1.5-T MR scanner (Avanto, Siemens) in diastolic and systolic phases (steady-state free precession; TR/TE/flip angle = 3.2 ms/1.6 ms/90{sup o}). The timing of scanning was individually adapted to the cardiac rest periods obtained in the prescanning, by visually identifying when the movement of right coronary artery was minimized during diastole and systole. Images of two phases were side-by-side compared on a four-point scale (from 1 = poor to 4 = excellent visibility; score of 3 or 4 as diagnostic). Results: Of 13 subjects with HR {<=}65 bpm (low HR group, mean 59.8 {+-} 4.9 bpm, range 53-65), the image quality scores were significantly better than that with higher heart rates (73.9 {+-} 9.0 bpm, range 68-110) in diastolic MRCA. The image quality was significantly improved during systole in high HR group. Overall, 91.3% of low HR group had MRCA image of diagnostic quality acquired at diastole, while 88.3% of high HR group had diagnostic images at systole by segmental analysis (p = NS). Conclusions: MRCA at systole offered superior quality in patients with high heart rates.

  12. Evaluation of sympathetic nerve system activity with MIBG. Comparison with heart rate variability

    International Nuclear Information System (INIS)

    Authors attempted to elucidate the relations of plasma concentration of norepinephrine (pNE) and findings of heart rate variability and MIBG myocardial scintigraphy and evaluated cardiac autonomic nervous activity in chronic renal failure. Subjects were 211 patients with various heart diseases (coronary artery lesion, cardiomyopathy, hypertension, diabetes mellitus, renal failure and so on), 60 patients with artificial kidney due to chronic renal failure, 13 of whom were found to have coronary arterial disease by Tl myocardial scintigraphy, and 14 normal volunteers. ECG was recorded with the portable recorder for heart rate variability. Together with collection of blood for pNE measurement, myocardial scintigraphy was done at 15 and 150 min after intravenous administration of 111 MBq of MIBG for acquisition of early and delayed, respectively, images of the frontal breast. Accumulation at and elimination during the time points of MIBG were computed in cps unit. Variability of heart rate was found to have the correlation positive with MIBG delayed accumulation and negative with the elimination, and pNE, negative with heart rate variability and the delayed accumulation and positive with the elimination. Thus cardiac autonomic nervous abnormality was suggested to occur before uremic cardiomyopathy. (K.H.)

  13. Low doses of caffeine reduce heart rate during submaximal cycle ergometry

    Directory of Open Access Journals (Sweden)

    Wetter Thomas J

    2007-10-01

    Full Text Available Abstract Background The purpose of this study was to examine the cardiovascular effects of two low-levels of caffeine ingestion in non habitual caffeine users at various submaximal and maximal exercise intensities. Methods Nine male subjects (1925 yr; 83.3 3.1 kg; 184 2 cm, underwent three testing sessions administered in a randomized and double-blind fashion. During each session, subjects were provided 4 oz of water and a gelatin capsule containing a placebo, 1.5 mg/kg caffeine, or 3.0 mg/kg caffeine. After thirty minutes of rest, a warm-up (30 Watts for 2 min the pedal rate of 60 rpm was maintained at a steady-state output of 60 watts for five minutes; increased to 120 watts for five minutes and to 180 watts for five minutes. After a 2 min rest the workload was 180 watts for one minute and increased by 30 watts every minute until exhaustion. Heart rate (HR was measured during the last 15-seconds of each minute of submaximal exercise. Systolic blood pressure (BP was measured at rest and during each of the three sub-maximal steady state power outputs. Minute ventilation (VE, Tidal volume (VT, Breathing frequency (Bf, Rating of perceived exertion (RPE, Respiratory exchange ratio (RER, and Oxygen consumption (VO2 were measured at rest and during each minute of exercise. Results Caffeine at 1.5 and 3.0 mg/kg body weight significantly lowered (p E, VT, VO2, RPE, maximal power output or time to exhaustion. Conclusion In non habitual caffeine users it appears that consuming a caffeine pill (1.5 & 3.0 mg/kg at a dose comparable to 13 cups of coffee lowers heart rate during submaximal exercise but not at near maximal and maximal exercise. In addition, this caffeine dose also only appears to affect systolic blood pressure at rest but not during cycling exercise.

  14. Left Ventricular Wall Stress-Mass-Heart Rate Product and Cardiovascular Events in Treated Hypertensive Patients

    DEFF Research Database (Denmark)

    Devereux, Richard B; Bang, Casper N; Roman, Mary J; Palmieri, Vittorio; Boman, Kurt; Gerdts, Eva; Nieminen, Markku S; Papademetriou, Vasilios; Wachtell, Kristian; Hille, Darcy A; Dahlöf, Björn

    2015-01-01

    myocardial infarction (MI), possibly related to greater reduction in myocardial oxygen demand by atenolol-based treatment. Myocardial oxygen demand was assessed indirectly by the left ventricular mass×wall stress×heart rate (triple product) in 905 LIFE participants. The triple product was included as time...... randomized treatment, the triple product was reduced more by atenolol, with prevalences of elevated tripleproduct of 39% versus 51% on losartan (both P≤0.001). In Cox regression analyses adjusting for age, smoking, diabetes mellitus, and prior stroke, MI, and heart failure, 1 SD lower triple product was...... more, greater heart rate reduction with atenolol resulted in larger reduction of the triple product. Lower triple product during antihypertensive treatment was strongly, independently associated with lower rates of the LIFE primary composite end point, cardiovascular death, and MI, but not stroke....

  15. Spectral information changes in obtaining heart rate variability from tachometer R-R interval signals.

    Science.gov (United States)

    Abeysekera, S S; Abeyratne, U R; Goh, S B

    2000-01-01

    The spontaneous changes in the heartbeat provide valuable information regarding serious cardiac pathologies such as Sudden Cardiac Death. Subtle anomalies in the heart rate can be discovered via an analysis of the Heart Rate Variability (HRV) signal, a sequence of numbers representing the instantaneous heart rate over time. The HRV signal is commonly modeled by an integral pulse frequency modulation (IPFM) scheme. Based on the model, several techniques have been proposed in the literature to capture features of the HRV signal. They however, suffer from severe spurious peaks, especially when the HRV signals contain multiple spectral lines. In this paper, we propose a new method to minimize spurious spectral peaks via the technique of phase interpolation. PMID:10999379

  16. N-terminal-pro-B-type natriuretic peptide during pharmacological heart rate reduction in hyperthyroidism

    DEFF Research Database (Denmark)

    Schultz, M; Kistorp, C; Corell, P; Andersen, H U; Jarlov, A; Faber, J

    2009-01-01

    We hypothesized that elevated N-terminal-pro-B-type natriuretic peptide levels in hyperthyroidism are mainly driven by increased metabolism due to excess thyroid hormones. Therefore, serum levels of N-terminal-pro-B-type natriuretic peptide were studied during reduced cardiac work load by means of...... pharmacologically induced heart rate reduction in untreated hyperthyroidism. We designed a noncontrolled interventional study. Eighteen women with newly diagnosed hyperthyroidism were evaluated (including an echocardiography) before and after pharmacological heart rate reduction with 360 mg verapamil daily for 6......-index decreased from median 319 to 315 arbitrary units (p=0.039) and free triiodothyronine-index increased from 8.6 to 9.9 arbitrary units (p=0.010). No changes in echocardiographic parameters were observed. A decrease in resting heart rate in untreated hyperthyroidism due to verapamil treatment did not result in...

  17. The effects of strenuous exercises on resting heart rate, blood pressure, and maximal oxygen uptake.

    Science.gov (United States)

    Oh, Deuk-Ja; Hong, Hyeon-Ok; Lee, Bo-Ae

    2016-02-01

    The purpose of this study is to investigate the effects of strenuous exercises on resting heart rate, blood pressure, and maximal oxygen uptake. To achieve the purpose of the study, a total of 30 subjects were selected, including 15 people who performed continued regular exercises and 15 people as the control group. With regard to data processing, the IBM SPSS Statistics ver. 21.0 was used to calculate the mean and standard deviation. The difference of mean change between groups was verified through an independent t-test. As a result, there were significant differences in resting heart rate, maximal heart rate, maximal systolic blood pressure, and maximal oxygen uptake. However, the maximal systolic blood pressure was found to be an exercise-induced high blood pressure. Thus, it is thought that a risk diagnosis for it through a regular exercise stress test is necessary. PMID:26933659

  18. Effect of heart rate and myocardial contractile force on coronary resistance.

    Directory of Open Access Journals (Sweden)

    Saito,Daiji

    1988-12-01

    Full Text Available The effect of the heart rate and myocardial contractile force on the extravascular resistance to blood flow of the left anterior descending coronary artery (LAD was evaluated in 15 mongrel dogs anesthetized with sodium pentobarbital. The LAD was maximally dilated by intracoronary infusion of adenosine, which precluded the influence of vasomotor tone. Increases in the heart rate and myocardial contractile force decreased coronary blood flow in the absence of a change in coronary perfusion pressure. The changes in mean coronary resistance showed a significant linear relationship to changes in developed tension. The changes in coronary resistance caused by varying the heart rate and contractile force were so small that a normal coronary vascular tree could easily compensate for the increase in resistance. However, it is supposed that with critical stenosis of the vascular tree even a small increase in resistance might cause deleterious effects on coronary blood flow.

  19. Cardiovascular oscillations at the bedside: early diagnosis of neonatal sepsis using heart rate characteristics monitoring

    International Nuclear Information System (INIS)

    We have applied principles of statistical signal processing and nonlinear dynamics to analyze heart rate time series from premature newborn infants in order to assist in the early diagnosis of sepsis, a common and potentially deadly bacterial infection of the bloodstream. We began with the observation of reduced variability and transient decelerations in heart rate interval time series for hours up to days prior to clinical signs of illness. We find that measurements of standard deviation, sample asymmetry and sample entropy are highly related to imminent clinical illness. We developed multivariable statistical predictive models, and an interface to display the real-time results to clinicians. Using this approach, we have observed numerous cases in which incipient neonatal sepsis was diagnosed and treated without any clinical illness at all. This review focuses on the mathematical and statistical time series approaches used to detect these abnormal heart rate characteristics and present predictive monitoring information to the clinician

  20. Heart rate time series characteristics for early detection of infections in critically ill patients

    DEFF Research Database (Denmark)

    Tambuyzer, T; Guiza, F; Boonen, E; Meersseman, P; Vervenne, H; Hansen, T K; Bjerre, M; Van den Berghe, G; Berckmans, D; Aerts, J M; Meyfroidt, G

    2016-01-01

    to extract features from these time series to obtain an accurate classification of infected patients. The predictive power of the metrics derived from the heart rate time series was investigated using decision tree analysis. Finally, logistic regression methods were used to examine whether...... classification performance improved with inclusion of features derived from the cytokine time series. The AUC of a decision tree based on two heart rate features was 0.88. The model had good calibration with 0.09 Hosmer-Lemeshow p value. There was no significant additional value of adding static cytokine levels...... or cytokine time series information to the generated decision tree model. The results suggest that heart rate is a better marker for infection than information captured by cytokine time series when the exact stage of infection is not known. The predictive value of (expensive) biomarkers should always...

  1. Heart Rate and Blood Pressure Variability under Moon, Mars and Zero Gravity Conditions During Parabolic Flights

    Science.gov (United States)

    Aerts, Wouter; Joosen, Pieter; Widjaja, Devy; Varon, Carolina; Vandeput, Steven; Van Huffel, Sabine; Aubert, Andre E.

    2013-02-01

    Gravity changes during partial-G parabolic flights (0g -0.16g - 0.38g) lead to changes in modulation of the autonomic nervous system (ANS), studied via the heart rate variability (HRV) and blood pressure variability (BPV). HRV and BPV were assessed via classical time and frequency domain measures. Mean systolic and diastolic blood pressure show both increasing trends towards higher gravity levels. The parasympathetic and sympathetic modulation show both an increasing trend with decreasing gravity, although the modulation is sympathetic predominant during reduced gravity. For the mean heart rate, a non-monotonic relation was found, which can be explained by the increased influence of stress on the heart rate. This study shows that there is a relation between changes in gravity and modulations in the ANS. With this in mind, countermeasures can be developed to reduce postflight orthostatic intolerance.

  2. Combined non-adaptive light and smell stimuli lowered blood pressure, reduced heart rate and reduced negative affect.

    Science.gov (United States)

    Dong, Shan; Jacob, Tim J C

    2016-03-15

    Bright light therapy has been shown to have a positive impact on seasonal affective disorder (SAD), depression and anxiety. Smell has also has been shown to have effects on mood, stress, anxiety and depression. The objective of this study was to investigate the effect of the combination of light and smell in a non-adaptive cycle. Human subjects were given smell (lemon, lavender or peppermint) and light stimuli in a triangular wave (60scycle) for 15min. Blood pressure and heart rate were monitored before and after each session for 5 consecutive days and a Profile of Mood States (POMS) test was administered before and after the sensory stimulation on days 1, 3 and 5. The light-smell stimulus lowered blood pressure, both systolic and diastolic, and reduced heart rate for all odours compared to control. Of the two sensory stimuli, the odour stimulus contributed most to this effect. The different aromas in the light-smell combinations could be distinguished by their different effects on the mood factors with lemon inducing the greatest mood changes in Dejection-Depression, Anger-Hostility, Tension-Anxiety. In conclusion, combined light and smell stimulation was effective in lowering blood pressure, reducing heart rate and improving mood. The combination was more effective than either smell or light stimuli alone, suggesting that a light-smell combination would be a more robust and efficacious alternative treatment for depression, anxiety and stress. PMID:26780148

  3. Relationship between heart rate recovery and inflammatory markers in patients with polycystic ovary syndrome: a cross-sectional study

    Directory of Open Access Journals (Sweden)

    Giallauria Francesco

    2009-02-01

    Full Text Available Abstract Background Polycystic ovary syndrome (PCOS is an endocrine disease closely related to several risk factors for cardiovascular disease. An abnormal heart rate recovery (HRR, an easily-obtained measure derived from exercise stress test and closely related to an increased risk for cardiovascular mortality, has been recently described in PCOS women. A subclinical increase of the inflammation markers has been also observed in the PCOS. This study was designed to study the relationships between HRR and inflammatory markers in PCOS women. Methods Two-hundred forty-three young PCOS patients without known risk factors for cardiovascular risk were enrolled. All patients underwent hormonal and metabolic profile, white blood cells (WBCs count and C-reactive protein (CRP. HRR was calculated as the difference between heart rate at peak exercise and heart rate at first minute of the cool-down period. Abnormal HRR was defined as ≤18 beats/min for standard exercise testing. Results Eighty-nine out of 243 patients presented abnormal HRR. Serum CRP (1.8 ± 0.7 vs. 1.1 ± 0.4 mg/dl, p 9 cells/l, p versus normal HRR. HRR was significantly associated with both CRP (r = -0.33, p p Conclusion Abnormal HRR and inflammatory markers are closely associated in PCOS women acting probably in concert to increase the cardiovascular risk profile of these patients.

  4. Heart beats rate indicators and structure of elite football referees’ and their assistants’ motor functioning in competition period

    Directory of Open Access Journals (Sweden)

    Chopilko T. G.

    2015-11-01

    Full Text Available Purpose: to analyze structure of motor functioning and heart beats rate indicators in elite football referees’ and their assistants’ competition activity. Material: in the research 15 referees and referees’ assistants of Ukrainian Prime League, 30 referees and referees’ assistants of first and second professional leagues of Ukraine participated. Observations over referees’ movements in 21 professional matches of Ukrainian professional leagues were fulfilled. Distance, passed by a referee in one match was determined. Results: It was found that during one match referee (depending on his functions - referee or referee’s assistant passes distance from 6000 to 12 000 meters. This scope of motor functioning depends also on motor activity of players and qualification level of teams-participants in the match. Motor actions of referees’ assistants change every 5 seconds during a match. During one match referee’s assistants fulfill about 20 sprints and 74 accelerations. A high temp of match total distance makes 1.2 km. Conclusions: Referees’ and referee assistants’ motor functioning and heart beats rate indicators can vary from aerobic-restoration to anaerobic-glycolytic zone. This fact shall be considered when planning program on special physical training. It should be noted that with heart beats rate of more than 180 bpm concentration of attention significantly weakens as well as ability to take prompt and correct decisions. In such cases probability of mistakes significantly increases.

  5. Hysteresis of heart rate and heat exchange of fasting and postprandial savannah monitor lizards (Varanus exanthematicus).

    Science.gov (United States)

    Zaar, Morten; Larsen, Einer; Wang, Tobias

    2004-04-01

    Reptiles are ectothermic, but regulate body temperatures (T(b)) by behavioural and physiological means. Body temperature has profound effects on virtually all physiological functions. It is well known that heating occurs faster than cooling, which seems to correlate with changes in cutaneous perfusion. Increased cutaneous perfusion, and hence elevated cardiac output, during heating is reflected in an increased heart rate (f(H)), and f(H), at a given T(b), is normally higher during heating compared to cooling ('hysteresis of heart rate'). Digestion is associated with an increased metabolic rate. This is associated with an elevated f(H) and many species of reptiles also exhibited a behavioural selection of higher T(b) during digestion. Here, we examine whether digestion affects the rate of heating and cooling as well as the hysteresis of heart rate in savannah monitor lizards (Varanus exanthematicus). Fasting lizards were studied after 5 days of food deprivation while digesting lizards were studied approximately 24 h after ingesting dead mice that equalled 10% of their body mass. Heart rate was measured while T(b) increased from 28 to 38 degrees C under a heat lamp and while T(b) decreased during a subsequent cooling phase. The lizards exhibited hysteresis of heart rate, and heating occurred faster than cooling. Feeding led to an increased f(H) (approximately 20 min(-1) irrespective of T(b)), but did not affect the rate of temperature change during heating or cooling. Therefore, it is likely that the increased blood flows during digestion are distributed exclusively to visceral organs and that the thermal conductance remains unaffected by the elevated metabolic rate during digestion. PMID:15123175

  6. EFFECT OF PRANAYAMA ON BLOOD PRESSURE AND HEART RATE IN HYPERREACTOR TO COLD PRESSOR TEST

    Directory of Open Access Journals (Sweden)

    Krishan Bihari

    2014-07-01

    Full Text Available INTRODUCTION: Stress is a dangerous and significant problem of World, which affects physical, mental, behavioral, and emotional health. Yoga has been reported to control stress, to be beneficial in treating stress related disorders, improving autonomic functions, lower blood pressure, increase strength and flexibility of muscles, improve the sense of well-being, slow ageing process, control breathing, reducing signs of oxidative stress and improving spiritual growth. AIMS: The aim of present study was to investigate whether regular practice of Yoga for three months can reduce the cardiovascular hyper-reactivity induced by cold pressor test. MATERIALS AND METHODS: The study group comprised 62 healthy male subjects of 17-27 years age group. Initially there were 30 hyper reactors to cold pressor test. The hyper-reactivity of 23 volunteers converted to hypo-reactivity after the yoga therapy of three months (76.66%. Other parameters like basal blood pressure, rise in blood pressure, pulse rate and rate of respiration were also statistically significantly reduced (by using student ‘t’ test. STATISTICAL ANALYSIS: 2 tail student‘t’ test was done by using the standard formulas. RESULTS: Regular practice of yoga significantly reduces the cardiovascular hyper-reactivity in basal blood pressure, rise in blood pressure after one minute of cold stress, heart rate, and rate of respiration, after three month of yoga practice. CONCLUSION: Regular practice of yoga for three months reduced the cardiovascular hyper-reactivity to cold pressor test in subjects, who were hyper reactive to cold stress, possibly by inducing parasympathetic predominance and cortico-hypothalamomedullary inhibition.

  7. Evaluation of the influence of change in heart rate on left ventricular diastolic function indices

    International Nuclear Information System (INIS)

    In order to assess the influence of change in heart rate on left ventricular diastolic function indices, ECG gated cardiac pool study was performed in 6 patients with implanted programmable AAI pacemakers. Heart rate was changed by atrial pacing from 50 to 120 beats/min, every 10 beats/min. The filling fraction during first third of diastole (1/3FF), the peak filling rate (PFR), mean first third filling rate (1/3FR-mean) and early filling volume ratio (%EFV), being used as the indices of left ventricular diastolic performance, were assessed. In accordance with increase in heart rate, 1/3FF decreased significantly. PFR were fairly stable from 50 to 80 beats/min, but increased significantly from 90 to 120 beats/min. 1/3FR-mean and %EFV did not change significantly, but 1/3FR-mean showed decreasing tendency and %EFV showed increasing tendency as the heart rate was increased. %EFV was more changeable index than other indices among clinical cases. These results indicate that PFR and 1/3FR-mean were appropriate diastolic phase indices at rest. (author)

  8. Does amiodarone affect heart rate by inhibiting the intracellular generation of triiodothyronine from thyroxine?

    OpenAIRE

    Lindenmeyer, M.; Spörri, S.; Stäubli, M; Studer, A.; Studer, H

    1984-01-01

    The hypothesis that the antiarrhythmic drug amiodarone slows down the heart rate by its inhibitory action on the intracellular conversion of thyroxine (T4) to 3,5,3' triiodothyronine (T3) was investigated. For this purpose we compared the effect of amiodarone with that of another potent inhibitor of the T4----T3 conversion, i.e. the radiographic contrast medium iopanoic acid, on the heart rate of unanaesthetized guinea-pigs. Both amiodarone and, to an even greater extent, iopanoic acid induce...

  9. Breakdown of Long-Range Correlations in Heart Rate Fluctuations During Meditation

    CERN Document Server

    Papasimakis, Nikitas

    2009-01-01

    The average wavelet coefficient method is applied to investigate the scaling features of heart rate variability during meditation, a state of induced mental relaxation. While periodicity dominates the behavior of the heart rate time series at short intervals, the meditation induced correlations in the signal become significantly weaker at longer time scales. Further study of these correlations by means of an entropy analysis in the natural time domain reveals that the induced mental relaxation introduces substantial loss of complexity at larger scales, which indicates a change in the physiological mechanisms involved.

  10. Stochastic optimization for the detection of changes in maternal heart rate kinetics during pregnancy

    Science.gov (United States)

    Zakynthinaki, M. S.; Barakat, R. O.; Cordente Martínez, C. A.; Sampedro Molinuevo, J.

    2011-03-01

    The stochastic optimization method ALOPEX IV has been successfully applied to the problem of detecting possible changes in the maternal heart rate kinetics during pregnancy. For this reason, maternal heart rate data were recorded before, during and after gestation, during sessions of exercises of constant mild intensity; ALOPEX IV stochastic optimization was used to calculate the parameter values that optimally fit a dynamical systems model to the experimental data. The results not only demonstrate the effectiveness of ALOPEX IV stochastic optimization, but also have important implications in the area of exercise physiology, as they reveal important changes in the maternal cardiovascular dynamics, as a result of pregnancy.

  11. DIETARY SODIUM EFFECTS ON HEART RATE VARIABILITY IN SALT-SENSITIVITY OF BLOOD PRESSURE

    OpenAIRE

    JD, McNeely; BG, Windham; Anderson

    2007-01-01

    High dietary sodium intake is a risk factor for hypertension, and heart rate variability (HRV) is decreased in hypertension. Effects of dietary sodium intake on HRV of normotensive persons have not, however, been investigated to date. The present study examined effects of low and high sodium diets on blood pressure, heart rate, and HRV in 36 healthy, normotensive women, ages 4070. Each was placed on a low sodium diet for six days followed by a high sodium diet for six days. High salt diet in...

  12. Heart rate variability of young table tennis players with the use of the multiball training

    OpenAIRE

    MICHAIL KATSIKADELIS; THEOPHILOS PILIANIDIS; NIKOLAOS MANTZOURANIS; IOANNIS FATOUROS; NIKOLAOS AGELOUSIS

    2014-01-01

    The purpose of this study was to evaluate the heart rate responses of the 2 multiball table tennis interval training protocols during the competitive period on young table tennis players. Fourteen (n=14) players, aged 12±2yrs participated in this study. participants were randomly divided into 2 training duration groups (15s vs. 30s) and were trained under the 2 interval protocols for 6 weeks (3 sessions. w-1). heart rate (hr) data was electronically recorded by using the Polar Team System at ...

  13. Normal values of heart rate variability at rest in a young, healthy and active Mexican population

    OpenAIRE

    Marco Antonio Garrido Salazar; Alberto Garrido Esquivel; Blanca de la Cruz Torres; Marina Medina Corrales; Jos Naranjo Orellana

    2012-01-01

    This study analyzed Heart Rate Variability in a large sample of active young subjects within a narrow age range (18 to 25), using time and frequency domain methods and a Poincar plot. Heart rate was recorded (beat to beat) for 30 minutes at rest in 200 healthy subjects divided into 4 groups: 50 sportsmen (20.54 1.52 years); 50 active men (21.22 1.31 years); 50 sportswomen (20.10 1.87 years) and 50 active women (20.92 1.87 years). Significant differences were found for most parameters...

  14. Parametric study of antennas for long range Doppler radar heart rate detection.

    Science.gov (United States)

    Baboli, Mehran; Singh, Aditya; Hafner, Noah; Lubecke, Victor

    2012-01-01

    This research presents results obtained from long range measurements of physiological motion pertaining to human cardiac and respiration activity. A pulse pressure sensor was used as reference to verify the results from radar signals. A motion detection and grading algorithm was used to detect the presence of heart rate. In addition to showing that human heart rate and respiration can be measured at distances of 21 and 69 meters respectively, the effect of antenna size, radiation pattern and gain on the range of the radar has also been studied. PMID:23366747

  15. Modest weight loss in moderately overweight postmenopausal women improves heart rate variability

    DEFF Research Database (Denmark)

    Mouridsen, Mette Rauhe; Bendsen, Nathalie Tommerup; Astrup, Arne; Haugaard, Steen Bendix; Binici, Zeynep; Sajadieh, Ahmad

    2013-01-01

    -loss programme. Accepted variables for characterization of HRV were analysed before and after the weight loss by 24-h ambulatory ECG monitoring; mean and standard deviation for the time between normal-to-normal complexes (MeanNN and SDNN, respectively), and the mean of standard deviations of normal......Purpose: To evaluate the effects of weight loss on heart rate (HR) and heart rate variability (HRV) parameters in overweight postmenopausal women. Design and Methods: Forty-nine overweight postmenopausal women with an average body mass index of 28.8 1.9 kg/m2 underwent a 12-week dietary weight...

  16. Common multifractality in the heart rate variability and brain activity of healthy humans

    Science.gov (United States)

    Lin, D. C.; Sharif, A.

    2010-06-01

    The influence from the central nervous system on the human multifractal heart rate variability (HRV) is examined under the autonomic nervous system perturbation induced by the head-up-tilt body maneuver. We conducted the multifractal factorization analysis to factor out the common multifractal factor in the joint fluctuation of the beat-to-beat heart rate and electroencephalography data. Evidence of a central link in the multifractal HRV was found, where the transition towards increased (decreased) HRV multifractal complexity is associated with a stronger (weaker) multifractal correlation between the central and autonomic nervous systems.

  17. ISOMETRIC EXERCISE AND ITS EFFECT ON BLOOD PRESSURE AND HEART RATE, BEFORE AND AFTER TRAINING IN YOUNG HEALTHY MALES

    Directory of Open Access Journals (Sweden)

    Mohammed

    2015-05-01

    Full Text Available INTRODUCTION: Isometric exercise is a normal part of everyday activities and many occupational tasks. Preventive services are important as they give physicians an opportunity and responsibility to promote regular physical activity, reduc e high blood pressure, and help in weight control. Physical inactivity is recognized as a risk factor for coronary artery disease. Regular aerobic physical activity increases exercise capacity and plays a role in both primary and secondary prevention of ca rdiovascular disease. OBJECTIVE: To assess the effects of isometric handgrip training on Blood pressure and Heart rate in healthy young males in the age group of 18 - 22 years. MATERIALS AND METHOD : Study subjects consisted of 30 healthy adult males in the age group of 18 - 22 yrs. Age and sex matched adults who were not active in sports or in physical activities constituted the control group (n=30. Blood pressure and heart rate were recorded and eval uated after a defined protocol of handgrip sustained static (isometric contractions performed with the handgrip dynamometer at Rest and Post Exercise. BP and HR were recorded with the help of automated blood pressure monitor and power lab 8/30 series inst rument available in the Department of Physiology , Navodaya Medical college, Raichur. RESULTS: There was no change in Resting Blood pressure and Heart rate between the subject and control group before the training sessions. There was significant decrease in resting Blood pressure and Heart rate in trained subject group when compared to untrained control group after 5 weeks of training sessions. CONCLUSION : Isometric hand grip training is effective in lowering arterial pressure in normotensive subjects. Isome tric training may be an effective intervention in the prevention and treatment of hypertension

  18. Pathophysiology and meaning of washout rate in hypertrophic heart

    International Nuclear Information System (INIS)

    The present study was attempted to clarify clinically the pathogenesis of hypertensive cardiac hypertrophy (HT) and hypertrophic cardiomyopathy (HCM). The exercise thallium-201 (Tl-201) myocardial scintigraphy by bicycle ergometer was performed in three groups: control, HT and HCM. The scintigrams were evaluated by circumferential profile analysis. Furthermore, the change of Tl-201 dynamics of exercise Tl-201 scintigraphy with verapamil injection was compared with the change of coronary sinus flow after verapamil injection at cardiac catheterization. The analysis of exercise Tl-201 scintigraphy without verapamil injection showed that initial uptake was not different among the three groups, but washout rate at three hours after Tl-201 injection (WR3) was different among the three groups. Although WR3 of HT was not different from that of control, WR3 of HCM was lower than that of control. Comparison of WR3 with and without verapamil was performed. Although WR3 with verapamil injection was equal to that without verapamil injection in control and HT, WR3 with verapamil injection decreased compared to that without verapamil injection in HCM. As an index at the time that circulation changes rapidly and on a large scale, washout rate at one hour after Tl-201 injection (WR1) was calculated. WR1 without verapamil injection was not different in the three groups and did not differ from that with verapamil injection in each group. By intravenous administration of verapamil, coronary sinus flow (CSF) increased to the same extent in the three groups. And the increment of CSF was not different in the three groups. (J.P.N.)

  19. E-bra with nanosensors, smart electronics and smart phone communication network for heart rate monitoring

    Science.gov (United States)

    Varadan, Vijay K.; Kumar, Prashanth S.; Oh, Sechang; Mathur, Gyanesh N.; Rai, Pratyush; Kegley, Lauren

    2011-04-01

    Heart related ailments have been a major cause for deaths in both men and women in United States. Since 1985, more women than men have died due to cardiac or cardiovascular ailments for reasons that are not well understood as yet. Lack of a deterministic understanding of this phenomenon makes continuous real time monitoring of cardiovascular health the best approach for both early detection of pathophysiological changes and events indicative of chronic cardiovascular diseases in women. This approach requires sensor systems to be seamlessly mounted on day to day clothing for women. With this application in focus, this paper describes a e-bra platform for sensors towards heart rate monitoring. The sensors, nanomaterial or textile based dry electrodes, capture the heart activity signals in form Electrocardiograph (ECG) and relay it to a compact textile mountable amplifier-wireless transmitter module for relay to a smart phone. The ECG signal, acquired on the smart phone, can be transmitted to the cyber space for post processing. As an example, the paper discusses the heart rate estimation and heart rate variability. The data flow from sensor to smart phone to server (cyber infrastructure) has been discussed. The cyber infrastructure based signal post processing offers an opportunity for automated emergency response that can be initiated from the server or the smartphone itself. Detailed protocols for both the scenarios have been presented and their relevance to the present emergency healthcare response system has been discussed.

  20. Promoting heart rate based healthcare sensor to stimulate prevention of work related musculoskeletal disorder and heart disease for elderly worker at workplace

    OpenAIRE

    Zhang, Bing; Álvarez Casado, Enrique; Rodríguez Mondelo, Pedro Manuel; Talavera Pedrol, Núria

    2012-01-01

    In this paper, we discussed the possibility and proposal to adapt heart rate based healthcare sensor at workplace to estimate working load for elderly worker by an holistic literature study. The occurrence of work related musculoskeletal disorders (MSDs) increase with age. Many older workers will have spent more time working in situations that are prone to lead to MSDs. There are predictive equations developed to estimate metabolic work rate (MWR) as a function of heart rate and physical char...

  1. Evaluation of therapy for dilated cardiomyopathy with heart failure by iodine-123 metaiodobenzyl-guanidine imaging. Comparison with heart rate variability power spectral analysis

    International Nuclear Information System (INIS)

    The relationship between the myocardial uptake of iodine-123 metaiodobenzylguanidine (123I-MIBG) and heart rate variability parameters has not been determined. This study determined the relationship between the change in myocardial uptake of 123I-MIBG and improvement in left ventricular function after treatment, to determine the usefulness of 123I-MIBG imaging to assess the effect of therapy on heart failure due to dilated cardiomyopathy (DCM). 123I-MIBG imaging and power spectral analysis of heart rate variability were performed before and after treatment in 17 patients with heart failure due to DCM. The following parameters were compared before and after treatment: New York Heart Association (NYHA) functional class, radiographic cardiothoracic ratio (CTR), blood pressure, echocardiographic data (left ventricular end-systolic (LVDs) and end-diastolic (LVDd) diameters, left ventricular ejection fraction (LVEF)), plasma concentrations of norepinephrine and epinephrine, heart rate variability power spectral analysis data (mean low frequency (MLF) and high frequency power (MHF)) and the myocardium to mediastinum activity ratio (MYO/M) obtained in early and late images, and washout rate calculated by anterior planar imaging of 123I-MIBG. The NYHA functional class, LVEF, LVDs, CTR, MLF and MHF improved after treatment. Early MYO/M and late MYO/M improved after treatment. The rate of increase in late MYO/M was positively correlated with the rate of improvement of LVEF after treatment. Furthermore, the late MYO/M was negatively correlated with MLF. Washout rate revealed no correlation with hemodynamic parameters. These findings suggest that late MYO/M is more useful than washout rate to assess the effect of treatment on heart failure due to DCM. Furthermore, the 123I-MIBG imaging and heart rate variability parameters are useful to assess the autonomic tone in DCM with heart failure. (author)

  2. Variability of the human heart rate as a diagnostic instrument obtained by mean of a wireless monitor

    Science.gov (United States)

    Barajas Mauricio, Sánchez; Hernández González, Martha Alicia; Figueroa Vega, Nicte; Malacara Hernández, Juan Manuel; Fraga Teodoro, Córdova

    2014-11-01

    Introduction: Heart rate variability (HRV) is the cyclic measurement of RR intervals between normal beats. Aim: To determine the VFC via a wireless Polar monitor. Material and methods: 100 symptomatic menopausal women were studied for measurements of HRV were I post a Polar RS400 Watch four hrs. Results: Obtained through the fast Fourier transform, the frequency domain HRV low frequency (LF) 0.04-0.15 Hz, high frequency (HF) 0.15-0.4Hz and the ratio LF / HF. Conclusion: obtaining HRV is important for cardiovascular autonomic assessment in menopausal women.

  3. Failure of target heart rate to accurately monitor intensity during aerobic dance.

    Science.gov (United States)

    Parker, S B; Hurley, B F; Hanlon, D P; Vaccaro, P

    1989-04-01

    Fourteen untrained females (age 19 +/- 1, range 18-21) were studied to examine the heart rate-VO2 relationship during a single aerobic dance training session. These findings were used to help explain the changes in VO2max resulting from an aerobic dance training program. VO2max and body composition were determined before and after an 8 wk training period. In addition, the heart rate-VO2 responses to an aerobic dance training session were monitored and compared to the heart rate responses of treadmill jogging performed at the same VO2. The aerobic dance session elicited a significantly lower oxygen pulse than did treadmill exercise (7.2 +/- 0.3 vs 8.1 +/- 0.8 ml.beat-1; P less than 0.01). There were no significant changes in percent body fat, whereas VO2max increased by 11% (34.4 +/- 0.9 vs 38.1 +/- 0.8 ml.kg-1.min-1; P less than 0.05). No significant changes in any of the parameters tested were observed in 10 untrained controls. These findings indicate that the heart rate elicited from aerobic dance represents a lower relative exercise intensity (VO2) than that of running. Therefore, the assumption that aerobic dance training produces the same cardiovascular adaptations as running training when performed at the same target rate may be unwarranted. PMID:2709986

  4. Spectral analysis of heart rate fluctuations and optimum thermal management for low birth weight infants.

    Science.gov (United States)

    Davidson, S; Reina, N; Shefi, O; Hai-Tov, U; Akselrod, S

    1997-11-01

    Spectral analysis of heart rate variability is studied in 10 healthy growing premature infants to investigate the changes in autonomic balance achieved as a function of changes in skin temperature. Heart rate is obtained from ECG recordings and the power spectrum of beat-to-beat heart rate fluctuations is computed. The infants maintain mean rectal temperature within 36.3-37.2 degrees C, while skin temperature changes. The respiratory rate does not change at the different servocontrol set points. Heart rate is found to increase slightly, but consistently. The low-frequency band (0.02-0.2 Hz), reflecting the interplay of the sympathetic and parasympathetic tone and known to be maximum at the thermoneutral zone, is maximum at 35.5 and 36 degrees C and decreases gradually to a lower level at a servocontrol temperature of 36.5-37 degrees C. The high-frequency band (0.2-2.0 Hz), coinciding with the respiratory peak and reflecting parasympathetic activity, is significantly elevated at 36 degrees C (p balance and possibly reflecting the most comfortable conditions, occurs at 36 degrees C, although the differences are not statistically significant. Servocontrol skin temperature may thus be adapted, and possibly selected at 36 degrees C for growing premature infants in an attempt to achieve thermal comfort and more balanced autonomic activity. PMID:9538537

  5. Blood pressure and heart rate responses during a fatiguing isometric exercise in paraplegic men with hypertension.

    Science.gov (United States)

    Petrofsky, J S; Laymon, M

    2000-11-01

    A group of 45 male subjects were examined in a cross-sectional study to compare the blood pressure response that occurs during isometric exercise maintained to fatigue among control subjects and paraplegic patients with (PH) and without essential hypertension (PN). Two muscle groups were examined: the handgrip muscles (voluntary effort) and the quadriceps muscles. The tension chosen for the contraction was 40% of the muscles maximum strength for both muscle groups. While the paraplegic groups had more strength in their handgrip muscles than that found for the controls, the control subjects had more strength in their quadriceps muscles than either of the paraplegic groups. During the fatiguing isometric contractions, the rate of rise and absolute systolic blood pressure was higher in the PH than the other groups of subjects. The diastolic pressure of the PH group, while elevated during exercise, was only elevated to the same degree as the increase in resting diastolic pressure above normal. Heart rate changes during exercise was the same in all groups of subjects for handgrip contractions. The controls had the same heart rate response to handgrip as to leg exercise. The paraplegic groups showed no heart rate change during fatiguing contractions of their quadriceps muscles. The PH group actually showed a reduction in heart rate during the leg exercise. PMID:11138564

  6. Field test of a paradigm: hysteresis of heart rate in thermoregulation by a free-ranging lizard (Pogona barbata).

    OpenAIRE

    Grigg, G. C.; Seebacher, F

    1999-01-01

    The discovery that changes in heart rate and blood flow allow some reptiles to heat faster than they cool has become a central paradigm in our understanding of reptilian thermoregulation. However, this hysteresis in heart rate has been demonstrated only in simplistic laboratory heating and cooling trials, leaving its functional significance in free-ranging animals unproven. To test the validity of this paradigm, we measured heart rate and body temperature (Tb) in undisturbed, free-ranging bea...

  7. HEART RATE VARIABILITY AS A PREDICTOR OF ADVERSE PROGNOSIS IN PATIENTS WITH UNSTABLE ANGINA PECTORIS AND CONCOMITANT DIABETES MELLITUS

    OpenAIRE

    Trigulova, R.; R. Kurbanov

    2011-01-01

    To assess informative value of heart rate variability (HRV) parameters in late-term prognosis in patients with unstable angina pectoris and concomitant type 2 diabetes mellitus. 31 patients with newly diagnosed and progressing angina pectoris followed-up for 2 years were examined. Upon 24-hour monitoring disorders in heart rate and conduction as well as heart rate variability parameters were assessed. Fatal and non-fatal myocardial infarction, sudden death, emergent rehospitalization were amo...

  8. Incident solar radiation and coronary heart disease mortality rates in Europe

    International Nuclear Information System (INIS)

    The reported low mortality rate from coronary heart disease in Portugal, Spain, Italy, Greece, and France, to a lesser extent, has been attributed in numerous nutritional studies to the consumption of a Mediterranean-type diet. There are still many unresolved issues about the direct causal effect of the Mediterranean dietary regime on low incidence of coronary heart disease. An analysis of coronary heart disease mortality rates in Europe from a latitudinal gradient perspective has shown to have a close correlation to incident solar radiation. It is surmised that the resulting increased in situ biosynthesis of Vitamin D3 could be the critical missing confounder in the analysis of the beneficial health outcome of the Mediterranean diet

  9. Differences between breeds of dog in a measure of heart rate variability.

    Science.gov (United States)

    Doxey, S; Boswood, A

    2004-06-01

    The vasovagal tonus index (VVTI), a time-domain indicator of heart rate variability, was measured in 92 dogs of six breeds (German shepherd dogs, labrador retrievers, cocker spaniels, boxers, bulldogs and cavalier King Charles spaniels). There was a significant difference in VVTI between the six breeds (P = 0.003). Brachycephalic dogs had a higher VVTI than other types of dog (P < 0.005), and when comparing individual breeds brachycephalic breeds tended to have a higher VVTI than non-brachycephalic breeds, although the difference was not always significant. The VVTI was negatively correlated with heart rate (P < 0.01) and dogs suffering from congestive heart failure had a lower VVTI than other dogs, whether compared within or between breeds (P < 0.01). PMID:15214514

  10. Heart rate reduction and exercise performance in recent onset heart failure with reduced ejection fraction: arguments for beta-blocker hypo-response

    OpenAIRE

    Verbrugge, Frederik Hendrik; Vrijsen, Jeroen; Vercammen, Jan; Grieten, Lars; Dupont, Matthias; Mullens, Wilfried

    2015-01-01

    Objective Beta blockers reduce all-cause mortality and readmissions in heart failure with reduced ejection fraction (HFrEF), which may be explained by their effect on heart rate (HR). This study assessed the impact of HR reduction with beta blockers on exercise capacity in recent onset HFrEF. Methods and results Fifty consecutive patients with recent onset HFrEF (

  11. Decoupling of QT interval variability from heart rate variability with ageing

    International Nuclear Information System (INIS)

    Ageing has been associated with changes in cardiac electrophysiology that result in QT interval prolongation. The effect of age on rate-adaptation dynamics of the QT interval is less well understood. The aim of this study was to assess age-related changes in the temporal relationship between QT and RR interval variability. Resting ECG of 20 young and 20 elderly healthy subjects were analyzed. Beat-to-beat RR and QT interval time series were automatically extracted. Coupling between QT and RR was assessed by means of the QT variability index, coherence in the frequency domain, rate-corrected QT interval, cross-multiscale entropy, information based similarity index and joint symbolic dynamics. In addition to QT interval prolongation (433 ± 31 versus 405 ± 33 ms, p = 0.008), elderly subjects were characterized by a significantly increased QT variability index (−1.26 ± 0.28 versus −1.52 ± 0.22 ms, p < 0.0001), reduced coherence in high (0.11 ± 0.09 versus 0.29 ± 0.14 ms, p = 0.003), and low frequency bands (0.20 ± 0.16 versus 0.49 ± 0.15 ms, p < 0.0001), reduced information domain synchronization index (0.13 ± 0.07 versus 0.19 ± 0.05 ms, p = 0.001) as well as increased entropy and disparity in joint symbolic dynamics of QT and RR interval time series. In conclusion, ageing is associated with decoupling of QT variability from heart rate variability. Complexity analysis in addition to standard metrics may provide additional insight. (paper)

  12. Heart rate control with adrenergic blockade: Clinical outcomes in cardiovascular medicine

    Directory of Open Access Journals (Sweden)

    David Feldman

    2010-05-01

    Full Text Available David Feldman1, Terry S Elton2, Doron M Menachemi3, Randy K Wexler41Heart Failure/Transplant and VAD Programs, Minneapolis Heart Institute, Minneapolis, Minnesota, USA; 2Division of Pharmacology, College of Pharmacology, The Ohio State University, Columbus, Ohio, USA; 3Heart Failure Services, Edith Wolfson Medical Center, The Heart Institute, Sakler School of Medicine, Tel-Aviv University, Holon, Israel; 4Department of Clinical Family Medicine, The Ohio State University, Columbus, Ohio, USAAbstract: The sympathetic nervous system is involved in regulating various cardiovascular parameters including heart rate (HR and HR variability. Aberrant sympathetic nervous system expression may result in elevated HR or decreased HR variability, and both are independent risk factors for development of cardiovascular disease, including heart failure, myocardial infarction, and hypertension. Epidemiologic studies have established that impaired HR control is linked to increased cardiovascular morbidity and mortality. One successful way of decreasing HR and cardiovascular mortality has been by utilizing β-blockers, because their ability to alter cell signaling at the receptor level has been shown to mitigate the pathogenic effects of sympathetic nervous system hyperactivation. Numerous clinical studies have demonstrated that β-blocker-mediated HR control improvements are associated with decreased mortality in postinfarct and heart failure patients. Although improved HR control benefits have yet to be established in hypertension, both traditional and vasodilating β-blockers exert positive HR control effects in this patient population. However, differences exist between traditional and vasodilating β-blockers; the latter reduce peripheral vascular resistance and exert neutral or positive effects on important metabolic parameters. Clinical evidence suggests that attainment of HR control is an important treatment objective for patients with cardiovascular conditions, and vasodilating β-blocker efficacy may aid in accomplishing improved outcomes.Keywords: adrenergic beta-antagonists, heart failure, hypertension, myocardial infarction

  13. A body shape index and heart rate variability in healthy indians with low body mass index.

    Science.gov (United States)

    Sowmya, Sharma; Thomas, Tinku; Bharathi, Ankalmadagu Venkatsubbareddy; Sucharita, Sambashivaiah

    2014-01-01

    Background. One third of Indian population is said to be suffering from chronic energy deficiency (CED), with increased risk of developing chronic diseases. A new anthropometric measure called A Body Shape Index (ABSI) is said to be a better index in predicting risks for premature mortality. ABSI is also in part said to be a surrogate of visceral fat. Objective. The present study aimed to explore the association between indices of HRV (heart rate variability), BMI, WC, and ABSI in healthy Indian males with low BMI (BMI < 18.5?kg/m(2)) and to compare with normal BMI group (BMI 18.5 to 24.9?kg/m(2)). Methodology. ABSI and BMI were derived from anthropometric parameters, namely, height, weight, and waist circumference in 178 males aged 18 to 78 years. Subjects were categorized into two groups based on their BMI. Results and Conclusions. Power spectral analysis of HRV demonstrated a significant negative correlation between Log HF (high frequency) and ABSI in both low BMI [-24.2 (9.4), P < 0.05] and normal BMI group [-23.41 (10.1), P < 0.05] even after controlling for age. Thus even with slight increase in BMI among low BMI individuals, there could be a greater risk of cardiovascular morbidity and mortality. PMID:25371818

  14. Dynamic regulation of heart rate during acute hypotension: new insight into baroreflex function

    Science.gov (United States)

    Zhang, R.; Behbehani, K.; Crandall, C. G.; Zuckerman, J. H.; Levine, B. D.; Blomqvist, C. G. (Principal Investigator)

    2001-01-01

    To examine the dynamic properties of baroreflex function, we measured beat-to-beat changes in arterial blood pressure (ABP) and heart rate (HR) during acute hypotension induced by thigh cuff deflation in 10 healthy subjects under supine resting conditions and during progressive lower body negative pressure (LBNP). The quantitative, temporal relationship between ABP and HR was fitted by a second-order autoregressive (AR) model. The frequency response was evaluated by transfer function analysis. Results: HR changes during acute hypotension appear to be controlled by an ABP error signal between baseline and induced hypotension. The quantitative relationship between changes in ABP and HR is characterized by a second-order AR model with a pure time delay of 0.75 s containing low-pass filter properties. During LBNP, the change in HR/change in ABP during induced hypotension significantly decreased, as did the numerator coefficients of the AR model and transfer function gain. Conclusions: 1) Beat-to-beat HR responses to dynamic changes in ABP may be controlled by an error signal rather than directional changes in pressure, suggesting a "set point" mechanism in short-term ABP control. 2) The quantitative relationship between dynamic changes in ABP and HR can be described by a second-order AR model with a pure time delay. 3) The ability of the baroreflex to evoke a HR response to transient changes in pressure was reduced during LBNP, which was due primarily to a reduction of the static gain of the baroreflex.

  15. Heart rate variability and treatment outcome in major depression: a pilot study.

    Science.gov (United States)

    Jain, Felipe A; Cook, Ian A; Leuchter, Andrew F; Hunter, Aimee M; Davydov, Dmitry M; Ottaviani, Cristina; Tartter, Molly; Crump, Caroline; Shapiro, David

    2014-08-01

    Variations in heart rate variability (HRV) have been associated with major depressive disorder (MDD), but the relationship of baseline HRV to treatment outcome in MDD is unclear. We conducted a pilot study to examine associations between resting baseline HRV and MDD treatment outcome. We retrospectively tested several parameters of HRV in an MDD treatment study with escitalopram (ESC, N=26) to generate a model of how baseline HRV related to treatment outcome, and cross-validated the model in a separate trial of MDD treatment with Iyengar yoga (IY, N=16). Lower relative power of very low frequency (rVLF) HRV at baseline predicted improvement in depressive symptoms when adjusted for age and gender (R2>.43 and p<0.05 for both trials). Although vagal parasympathetic measures were correlated with antidepressant treatment outcome, their predictive power was not significant after adjusting for age and gender. In conclusion, baseline resting rVLF was associated with depression treatment outcome in two independent MDD treatment studies. These results should be interpreted with caution due to limited sample size, but a strength of this study is its validation of the rVLF predictor in an independent sample. rVLF merits prospective confirmation as a candidate biomarker. PMID:24769434

  16. Meditation-induced changes in high-frequency heart rate variability predict smoking outcomes

    Directory of Open Access Journals (Sweden)

    Judson A. Brewer

    2012-03-01

    Full Text Available Background: High-frequency heart rate variability (HF-HRV is a measure of parasympathetic nervous system output that has been associated with enhanced self-regulation. Low resting levels of HF-HRV are associated with nicotine dependence and blunted stress-related changes in HF-HRV are associated with decreased ability to resist smoking. Meditation has been shown to increase HF-HRV. However, it is unknown whether tonic levels of HF-HRV or acute changes in HF-HRV during meditation predict treatment responses in addictive behaviors such as smoking cessation. Purpose: To investigate the relationship between HF-HRV and subsequent smoking outcomes. Methods: HF-HRV during resting baseline and during mindfulness meditation was measured within two weeks of completing a 4-week smoking cessation intervention in a sample of 31 community participants. Self-report measures of smoking were obtained at a follow up 17-weeks after the initiation of treatment. Results: Regression analyses indicated that individuals exhibiting acute increases in HF-HRV from resting baseline to meditation smoked fewer cigarettes at follow-up than those who exhibited acute decreases in HF-HRV (b=-4.94, p=.009. Conclusion: Acute changes in HF-HRV in response to meditation may be a useful tool to predict smoking cessation treatment response.

  17. Heart rate is associated with markers of fatty acid desaturation: the GOCADAN study

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    Sven O.E. Ebbesson

    2012-03-01

    Full Text Available Objectives: To determine if heart rate (HR is associated with desaturation indexes as HR is associated with arrhythmia and sudden death. Study design: A community based cross-sectional study of 1214 Alaskan Inuit. Methods: Data of FA concentrations from plasma and red blood cell membranes from those ≥35 years of age (n = 819 were compared to basal HR at the time of examination. Multiple linear regression with backward stepwise selection was employed to analyze the effect of the desaturase indexes on HR, after adjustment for relevant covariates. Results: The Δ5 desaturase index (Δ5-DI measured in serum has recently been associated with a protective role for cardiovascular disease. This index measured here in plasma and red blood cells showed a negative correlation with HR. The plasma stearoyl-CoA-desaturase (SCD index, previously determined to be related to cardiovascular disease (CVD mortality, on the other hand, was positively associated with HR, while the Δ6 desaturase index (Δ6-DI had no significant effect on HR. Conclusion: Endogenous FA desaturation is associated with HR and thereby, in the case of SCD, possibly with arrhythmia and sudden death, which would at least partially explain the previously observed association between cardiovascular mortality and desaturase activity.

  18. Proposal Intensity Adequacy of Expiratory Effort and Heart Rate Behavior During the Valsalva Maneuver in Preadolescents

    Directory of Open Access Journals (Sweden)

    Mario Augusto Paschoal

    2014-08-01

    Full Text Available Background: When performing the Valsalva maneuver (VM, adults and preadolescents produce the same expiratory resistance values. Objective: To analyze heart rate (HR in preadolescents performing VM, and propose a new method for selecting expiratory resistance. Method: The maximal expiratory pressure (MEP was measured in 45 sedentary children aged 9-12 years who subsequently performed VM for 20 s using an expiratory pressure of 60%, 70%, or 80% of MEP. HR was measured before, during, and after VM. These procedures were repeated 30 days later, and the data collected in the sessions (E1, E2 were analyzed and compared in periods before, during (0-10 and 10-20 s, and after VM using nonparametric tests. Results: All 45 participants adequately performed VM in E1 and E2 at 60% of MEP. However, only 38 (84.4% and 25 (55.5% of the participants performed the maneuver at 70% and 80% of MEP, respectively. The HR delta measured during 0-10 s and 10-20 s significantly increased as the expiratory effort increased, indicating an effective cardiac autonomic response during VM. However, our findings suggest the VM should not be performed at these intensities. Conclusion: HR increased with all effort intensities tested during VM. However, 60% of MEP was the only level of expiratory resistance that all participants could use to perform VM. Therefore, 60% of MEP may be the optimal expiratory resistance that should be used in clinical practice.

  19. Fractal correlation property of heart rate variability in chronic obstructive pulmonary disease

    Science.gov (United States)

    Carvalho, Tatiana D; Pastre, Carlos Marcelo; de Godoy, Moacir Fernandes; Fereira, Celso; Pitta, Fábio O; de Abreu, Luiz Carlos; Ramos, Ercy Mara Cipulo; Valenti, Vitor E; Vanderlei, Luiz Carlos Marques

    2011-01-01

    Background It was reported that autonomic nervous system function is altered in subjects with chronic obstructive pulmonary disease (COPD). We evaluated short- and long-term fractal exponents of heart rate variability (HRV) in COPD subjects. Patients and methods We analyzed data from 30 volunteers, who were divided into two groups according to spirometric values: COPD (n = 15) and control (n = 15). For analysis of HRV indices, HRV was recorded beat by beat with the volunteers in the supine position for 30 minutes. We analyzed the linear indices in the time (SDNN [standard deviation of normal to normal] and RMSSD [root-mean square of differences]) and frequency domains (low frequency [LF], high frequency [HF], and LF/HF), and the short- and long-term fractal exponents were obtained by detrended fluctuation analysis. We considered P fractal exponent (alpha-1: 0.899 ± 0.18 versus 1.025 ± 0.09, P = 0.026). There was no significant difference between COPD and control groups in alpha-2 and alpha-1/alpha-2 ratio. Conclusion COPD subjects present reduced short-term fractal correlation properties of HRV, which indicates that this index can be used for risk stratification, assessment of systemic disease manifestations, and therapeutic procedures to monitor those patients. PMID:21311690

  20. Heart rate variability in early phase of acutemyocardial infarction and convalescence

    International Nuclear Information System (INIS)

    Objective: This study was done to evaluate the degree of change in autonomic activity, manifested as heart rate variability (HRV), from acute phase of MI to convalescent period of AMI. Result: The mean hospital stay was 7.07 plus minus 2.56 days. Mean duration between the two recordings was 5.45 plus minus 2.36 days. The mean standard deviation of normal sinus interval (SDNN) was 65.07 plus minus 25. 11 msec and 63-97 plus minus 23.38 msec; mean standard deviation of averaged sinus beats for 5 minutes segments of entire recording (SDANN) was 51.27 plus minus 18.57 msec and 55.83 plus minus 19.65 msec and mean SDDN index was 34.57 plus minus 17.15 msec and 30.57 plus minus 14.89 msec during early phase of acute MI and pre-discharge recordings respectively. There was no statistically significant difference in HRV between early phase of acute myocardial infarction and of pre-discharge recordings. Conclusion: HRV may be monitored for risk stratification at any time post AMI prior to discharge. (author)