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https://www.readbyqxmd.com/read/29121287/analgesia-nociception-index-for-the-assessment-of-pain-in-critically-ill-patients-a-diagnostic-accuracy-study
#1
G Chanques, T Tarri, A Ride, A Prades, A De Jong, J Carr, N Molinari, S Jaber
Background: Behavioural pain tools are used in Intensive Care Unit (ICU) patients unable to self-report their pain-intensity but need sustained efforts to educate and train the ICU team because of the subjective nature of these clinical tools. This study measured the validity and performance of an electrophysiological monitoring tool based on the spectral analysis of heart rate variability, the Analgesia Nociception Index (ANI) which varies from 0 (minimal parasympathetic tone, maximal stress-response and pain) to 100 (maximal parasympathetic tone, minimal stress-response and pain)...
October 1, 2017: British Journal of Anaesthesia
https://www.readbyqxmd.com/read/29060609/resting-state-brain-correlates-of-instantaneous-autonomic-outflow
#2
G Valenza, A Duggento, L Passamonti, S Diciotti, C Tessa, R Barbieri, N Toschi
A prominent pathway of brain-heart interaction is represented by autonomic nervous system (ANS) heartbeat modulation. While within-brain resting state networks have been the object of intense functional Magnetic Resonance Imaging (fMRI) research, technological and methodological limitations have hampered research on the central correlates of cardiovascular control dynamics. Here we combine the high temporal and spatial resolution as well as data volume afforded by the Human Connectome Project with a probabilistic model of heartbeat dynamics to characterize central correlates of sympathetic and parasympathetic ANS activity at rest...
July 2017: Conference Proceedings: Annual International Conference of the IEEE Engineering in Medicine and Biology Society
https://www.readbyqxmd.com/read/29060607/resting-state-brain-correlates-of-cardiovascular-complexity
#3
G Valenza, A Duggento, L Passamonti, S Diciotti, C Tessa, N Toschi, R Barbieri
While estimates of complex heartbeat dynamics have provided effective prognostic and diagnostic markers for a wide range of pathologies, brain correlates of complex cardiac measures in general and of complex sympatho-vagal dynamics in particular are still unknown. In this study we combine resting state functional Magnetic Resonance Imaging (fMRI) and physiological signal acquisition from 34 healthy subjects selected from the Human Connectome Project (HCP) repository with inhomogeneous point-process approximate and sample heartbeat entropy measures (ipApEn and ipSampEn) to investigate brain areas involved in complex cardiovascular control...
July 2017: Conference Proceedings: Annual International Conference of the IEEE Engineering in Medicine and Biology Society
https://www.readbyqxmd.com/read/28949064/the-autonomic-nervous-system-as-a-therapeutic-target-in-heart-failure-a-scientific-position-statement-from-the-translational-research-committee-of-the-heart-failure-association-of-the-european-society-of-cardiology
#4
Marc van Bilsen, Hitesh C Patel, Johann Bauersachs, Michael Böhm, Martin Borggrefe, Dirk Brutsaert, Andrew J S Coats, Rudolf A de Boer, Gilles W de Keulenaer, Gerasimos S Filippatos, John Floras, Guido Grassi, Ewa A Jankowska, Lilian Kornet, Ida G Lunde, Christoph Maack, Felix Mahfoud, Piero Pollesello, Piotr Ponikowski, Frank Ruschitzka, Hani N Sabbah, Harold D Schultz, Petar Seferovic, Riemer H J A Slart, Peter Taggart, Carlo G Tocchetti, Linda W Van Laake, Faiez Zannad, Stephane Heymans, Alexander R Lyon
Despite improvements in medical therapy and device-based treatment, heart failure (HF) continues to impose enormous burdens on patients and health care systems worldwide. Alterations in autonomic nervous system (ANS) activity contribute to cardiac disease progression, and the recent development of invasive techniques and electrical stimulation devices has opened new avenues for specific targeting of the sympathetic and parasympathetic branches of the ANS. The Heart Failure Association of the European Society of Cardiology recently organized an expert workshop which brought together clinicians, trialists and basic scientists to discuss the ANS as a therapeutic target in HF...
September 26, 2017: European Journal of Heart Failure
https://www.readbyqxmd.com/read/28845519/parent-child-coregulation-of-parasympathetic-processes-varies-by-social-context-and-risk-for-psychopathology
#5
Erika Lunkenheimer, Stacey S Tiberio, Amanda M Skoranski, Kristin A Buss, Pamela M Cole
The parasympathetic nervous system supports social interaction and varies in relation to psychopathology. However, we know little about parasympathetic processes from a dyadic framework, nor in early childhood when parent-child social interactions become more complex and child psychopathology first emerges. We hypothesized that higher risk for psychopathology (maternal psychopathology symptoms and child problem behavior) would be related to weaker concordance of respiratory sinus arrhythmia (RSA) between mothers and children (M = 3½ years old; N = 47) and that these relations could vary by social contextual demands, comparing unstructured free play, semistructured cleanup, and structured teaching tasks...
August 28, 2017: Psychophysiology
https://www.readbyqxmd.com/read/28840391/respiratory-sinus-arrhythmia-in-cognitive-behavioral-therapy-for-posttraumatic-stress-symptoms-in-children-preliminary-treatment-and-gender-effects
#6
Rebecca S Lipschutz, Sarah A O Gray, Carl F Weems, Michael S Scheeringa
Cognitive behavioral therapy (CBT) is an efficacious treatment for posttraumatic stress disorder (PTSD) symptoms, but the effect of CBT on physiological indicators is largely unknown. Respiratory sinus arrhythmia (RSA) is an established parasympathetic marker of self-regulatory capacity and stress responsivity. The present study tested if and how resting RSA and RSA reactivity changed following treatment among a sample of children (n = 48) who experienced at least one traumatic event and presented with PTSD symptoms...
August 24, 2017: Applied Psychophysiology and Biofeedback
https://www.readbyqxmd.com/read/28798697/cardiac-autonomic-modulation-and-the-kinetics-of-heart-rate-responses-in-the-on-and-off-transient-during-exercise-in-women-with-metabolic-syndrome
#7
Lucas R B E Silva, Antonio R Zamunér, Paulo Gentil, Fagner M Alves, Acácia G F Leal, Viviane Soares, Maria S Silva, Marcus F Vieira, Karina Simões, Gustavo R Pedrino, Ana C S Rebelo
Objective: To test whether women with metabolic syndrome (MS) have impairments in the on- and off-transients during an incremental test and to study whether any of the MS components are independently associated with the observed responses. Research Design and Methods: Thirty-six women aged 35-55 years were divided into a group with MS (MSG, n = 19) and a control group (CG, n = 17). R-R intervals (RRi) and heart rate variability (HRV) were calculated on a beat-to-beat basis and the heart rate (HR) at the on- and off-transient were analyzed during an incremental cardiopulmonary exercise test (CPET)...
2017: Frontiers in Physiology
https://www.readbyqxmd.com/read/28720479/interaction-between-prenatal-risk-and-infant-parasympathetic-and-sympathetic-stress-reactivity-predicts-early-aggression
#8
J Suurland, K B van der Heijden, S C J Huijbregts, S H M van Goozen, H Swaab
Nonreciprocal action of the parasympathetic (PNS) and sympathetic (SNS) nervous systems, increases susceptibility to emotional and behavioral problems in children exposed to adversity. Little is known about the PNS and SNS in interaction with early adversity during infancy. Yet this is when the physiological systems involved in emotion regulation are emerging and presumably most responsive to environmental influences. We examined whether parasympathetic respiratory sinus arrhythmia (RSA) and sympathetic pre-ejection period (PEP) response and recovery at six months, moderate the association between cumulative prenatal risk and physical aggression at 20 months (N=113)...
September 2017: Biological Psychology
https://www.readbyqxmd.com/read/28715351/interacting-influences-of-gender-and-chronic-pain-status-on-parasympathetically-mediated-heart-rate-variability-in-adolescents-and-young-adults
#9
Lynn S Walker, Amanda L Stone, Craig A Smith, Stephen Bruehl, Judy Garber, Martina Puzanovova, André Diedrich
Considerable research links chronic pain to autonomic nervous system (ANS) dysfunction, specifically low heart rate variability (HRV) mediated by reduced parasympathetic activity. However, little is known about factors that influence ANS function in chronic pain. The ANS is the primary pathway for brain-gut communication, making it of particular interest in gastrointestinal disorders, such as irritable bowel syndrome, characterized by functional abdominal pain (FAP). We evaluated the relation of sex, pain severity, and psychological stress to ANS function in adolescents/young adults from a database of pediatric FAP and control participants enrolled 8 years earlier in a prospective study of pain...
August 2017: Pain
https://www.readbyqxmd.com/read/28703868/cardiac-vagal-tone-a-non-invasive-measure-of-parasympathetic-tone-is-a-clinically-relevant-tool-in-type-1-diabetes-mellitus
#10
C Brock, N Jessen, B Brock, P E Jakobsen, T K Hansen, J M Rantanen, S Riahi, Y K Dimitrova, A Dons-Jensen, Q Aziz, A M Drewes, A D Farmer
AIMS: To compare a novel index of parasympathetic tone, cardiac vagal tone, with established autonomic variables and to test the hypotheses that (1) cardiac vagal tone would be associated with established time and frequency domain measures of heart rate and (2) cardiac vagal tone would be lower in people with Type 1 diabetes than in a matched healthy cohort and lower still in people with established neuropathy. METHODS: Cardiac vagal tone is a validated cardiometrically derived index of parasympathetic tone...
July 13, 2017: Diabetic Medicine: a Journal of the British Diabetic Association
https://www.readbyqxmd.com/read/28548300/first-night-effect-on-cardiac-autonomic-function-in-different-female-reproductive-states
#11
Irina Virtanen, Nea Kalleinen, Anna S Urrila, Päivi Polo-Kantola
Decreases in heart rate variability, a marker of autonomic nervous system function, are associated with increased cardiovascular mortality. Heart rate variability increases in non-rapid eye movement sleep, peaking in slow-wave sleep. Therefore, decreasing the amount of deep sleep, for example, by introducing patients to a sleep laboratory environment, could decrease heart rate variability, increasing cardiovascular risk. We studied four groups of women with no previous sleep laboratory experience: young [n = 11, 23...
May 26, 2017: Journal of Sleep Research
https://www.readbyqxmd.com/read/28408652/premature-ventricular-contraction-coupling-interval-variability-destabilizes-cardiac-neuronal-and-electrophysiological-control-insights-from-simultaneous-cardioneural-mapping
#12
David Hamon, Pradeep S Rajendran, Ray W Chui, Olujimi A Ajijola, Tadanobu Irie, Ramin Talebi, Siamak Salavatian, Marmar Vaseghi, Jason S Bradfield, J Andrew Armour, Jeffrey L Ardell, Kalyanam Shivkumar
BACKGROUND: Variability in premature ventricular contraction (PVC) coupling interval (CI) increases the risk of cardiomyopathy and sudden death. The autonomic nervous system regulates cardiac electrical and mechanical indices, and its dysregulation plays an important role in cardiac disease pathogenesis. The impact of PVCs on the intrinsic cardiac nervous system, a neural network on the heart, remains unknown. The objective was to determine the effect of PVCs and CI on intrinsic cardiac nervous system function in generating cardiac neuronal and electric instability using a novel cardioneural mapping approach...
April 2017: Circulation. Arrhythmia and Electrophysiology
https://www.readbyqxmd.com/read/28261792/parasympathetic-reactivity-and-disruptive-behavior-problems-in-young-children-during-interactions-with-their-mothers-and-other-adults-a-preliminary-investigation
#13
Christine E Cooper-Vince, Mariah DeSerisy, Danielle Cornacchio, Amanda Sanchez, Katie A McLaughlin, Jonathan S Comer
Parasympathetic nervous system influences on cardiac functions-commonly indexed via respiratory sinus arrhythmia (RSA)-are central to self-regulation. RSA suppression during challenging emotional and cognitive tasks is often associated with better emotional and behavioral functioning in preschoolers. However, the links between RSA suppression and child behavior across various challenging interpersonal contexts remains unclear. The present study experimentally evaluated the relationship between child RSA reactivity to adult (mother vs...
May 2017: Developmental Psychobiology
https://www.readbyqxmd.com/read/28149088/autonomic-dysfunction-a-comparative-study-of-patients-with-alzheimer-s-and-frontotemporal-dementia-a-pilot-study
#14
Thomas Gregor Issac, Sadanandavalli Retnaswami Chandra, Neelesh Gupta, Malligurki Raghurama Rukmani, S Deepika, T N Sathyaprabha
INTRODUCTION: In frontotemporal dementia (FTD) and Alzheimer's disease (AD), central autonomic structures get affected early. An insight into autonomic functions in these patients is likely to be of diagnostic importance and thus help in prognosticating and also probably explain unexplained sudden death in some of these patients. OBJECTIVES: The objective of this study is to identify autonomic dysfunction prevailing in patients. Then, if there is dysfunction, is the pattern same or different in these two conditions...
January 2017: Journal of Neurosciences in Rural Practice
https://www.readbyqxmd.com/read/28131974/autonomic-cardiac-regulation-blood-pressure-and-cardiorespiratory-fitness-responses-to-different-training-doses-over-a-12-week-group-program-in-the-elderly
#15
RANDOMIZED CONTROLLED TRIAL
A J McKune, B Peters, S S Ramklass, J van Heerden, C Roberts, J Krejčí, M Botek
AIM: The study assessed the effects of different weekly training frequencies performed over a 12 week exercise programme (strength, endurance, balance) on autonomic cardiac activity, blood pressure and cardiorespiratory fitness (CRF) in elderly individuals. METHODS: Fifty-eight individuals participated in the study: 2TG (N=24, 71.1±6.4 yrs; 19 females, 5 males) performing two, 60min sessions/week; and 3TG (N=34, 72.3±7.9 yrs; 25 females, 9 males) performing three, 60min sessions/week...
May 2017: Archives of Gerontology and Geriatrics
https://www.readbyqxmd.com/read/28051823/lumbar-sympathetic-chain-anatomical-variation-and-clinical-perspectives
#16
P Jain, K Raza, S Singh, C Kumari, S Kaler, N Rani
The sympathetic and parasympathetic nervous systems constitute the autonomic nervous system which controls the entropy of the body and maintain the equilibrium. The sympathetic chain forms a definitive anatomic entity which is quite variable with respect to its position and the number of ganglia. The sympathetic nervous system causes vasoconstriction and thus forms the basis of Lumbar sympathetic surgeries being performed in patients with peripheral vascular diseases. The anatomic variations in this region hence gains immense importance for the operating surgeons and consulting radiologists...
November 2016: La Clinica Terapeutica
https://www.readbyqxmd.com/read/28045306/examining-the-association-between-perceived-discrimination-and-heart-rate-variability-in-african-americans
#17
LaBarron K Hill, Lori S Hoggard, Ashley S Richmond, DeLeon L Gray, Dewayne P Williams, Julian F Thayer
OBJECTIVE: Previous research attempting to delineate the role of discrimination in racial/ethnic disparities in hypertension has focused largely on blood pressure, which is chiefly governed by the sympathetic branch of the autonomic nervous system. Consequently, few studies have considered the role of the parasympathetic branch and particularly its regulation of the heart via the vagus nerve. METHOD: In the present cross-sectional study, we employed hierarchical linear regressions to examine associations between perceived ethnic discrimination and resting heart rate variability (HRV), an important biomarker of parasympathetic cardiac modulation and overall health, in a sample (N = 103) of young, healthy African American participants (58% female, Mage = 19...
January 2017: Cultural Diversity & Ethnic Minority Psychology
https://www.readbyqxmd.com/read/27987071/parasympathetic-nervous-system-reactivity-moderates-associations-between-children-s-executive-functioning-and-social-and-academic-competence
#18
Julia D McQuade, Taylor E Penzel, Jennifer S Silk, Kyung Hwa Lee
This study examined whether children with poor executive functioning (EF) evidenced less social and academic impairments, compared to other children, if they demonstrated adaptive parasympathetic nervous system (PNS) regulation during experiences of failure. Participants with and without clinical elevations in ADHD symptoms (N = 61; 9-13 years; 48% male; 85% Caucasian) were administered a battery of EF tests and completed manipulated social and cognitive failure tasks. While participants completed failure tasks, respiratory sinus arrhythmia reactivity (RSA-R) was measured as an indicator of PNS reactivity...
December 17, 2016: Journal of Abnormal Child Psychology
https://www.readbyqxmd.com/read/27965972/a-hybrid-signal-processing-of-rr-intervals-from-qtc-variation-searching-arrhythmia-and-improving-heart-rate-variability-assessment-in-acute-large-artery-ischemic-stroke
#19
S Rangsungnoen, P Chanbenjapipu, N Mathuradavong, K Suwanprasert
Sudden death caused by abnormal QTc and atrial fibrillation (AF) has been reported in stroke. Heart rate variability (HRV) is reduced with missing beats of RRI during arrhythmic episode and abnormal QTc variation during acute stroke. In this study, we develop a hybrid signal processing by Pan Tompkins QRS detection and Kalman filter estimator for meaningful missing beats and searching AF with prolonged QTc. We use this hybrid model to investigate RRIs of Lead II ECG in thirty acute stroke patients with long QTc and AF (LQTc-AF) and normal QTc without AF (NQTc-nonAF) and then assess them by HRV...
2016: Journal of Medical Engineering
https://www.readbyqxmd.com/read/27935325/decreased-baroreflex-sensitivity-is-linked-to-sympathovagal-imbalance-low-grade-inflammation-and-oxidative-stress-in-pregnancy-induced-hypertension
#20
M Subha, Pravati Pal, G K Pal, S Habeebullah, C Adithan, M G Sridhar
Pregnancy-induced hypertension (PIH) has been reported as a cardiovascular (CV) risk. We assessed the sympathovagal imbalance (SVI) and the association of inflammation and oxidative stress (OS) with CV risks in PIH. A total of 125 pregnant women having a risk factor for PIH were followed till term and the incidence of PIH was observed. Retrospectively, they were divided into two groups: Group I (those who did not develop PIH, n = 82) and Group II (those who developed PIH, n = 43). Blood pressure variability (BPV) parameters including baroreflex sensitivity (BRS), spectral heart rate variability (HRV), autonomic function tests (AFTs), inflammatory markers (interleukin-6, TNF-α, interferon-γ), and OS markers were measured in both the groups...
2016: Clinical and Experimental Hypertension: CHE
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