Manual Therapy, Posturology & Rehabilitation Journal
http://www.mtprehab.periodikos.com.br/article/doi/10.17784/mtprehabjournal.2014.12.197
Manual Therapy, Posturology & Rehabilitation Journal
Technical Note

Analysis of heart rate variability in the measurement of the activity of the autonomic nervous system: technical note.

Brandão, Glauber Sá; Sampaio, Antônia Adonis Callou; Brandão, Glaudson Sá; Urbano, Jessica Julioti; Fonsêca, Nina Teixeira; Apostolico, Nadua; Oliveira, Ezequiel Fernandes; Perez, Eduardo de Araujo; Almeida, Rafael Guia; Dias, Ismael Sousa; Santos, Israel Reis; Nacif, Sergio Roberto; Oliveira, Luis Vicente Franco

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Abstract

Introduction: The analysis of heart rate variability (HRV) has been used as a resource for the measurement of autonomic nervous system activity in different situations. This analysis is based on identifying the strength of bands of low and high frequencies of the spectral function of the RR intervals in heart rate. Studies have shown that the related high frequency band parasympathetic tone controls the resting state, while exercise is associated with sympathetic activation, linked to lower frequency bands. The autonomic nervous system plays an important role in mediating the cardiovascular responses induced by stress. Objective: To describe a technique for analysis of heart rate variability in the measurement of autonomic nervous system activity. Discussion: To perform HRV analysis the “Nerve-Express” uses an effective and transparent visual representation, known as rhythmography method which reflects the structure of HRV wave and acts as a “fingerprint” of autonomic regulatory mechanisms. The wave RR intervals are recorded sequentially forming a rhythmogram, namely a picture of curved wave-specific variability of RR intervals.

Keywords

Heart Variability, Nerve-Express, Autonomic Nervous System, Salbutamol, doping.

References

1. Rosenwinkel ET, Bloomfield DM, Arwady MA, Goldsmith RL. Exercise and autonomic function in health and cardiovascular disease. Cardiol Clin. 2001;19(3):369-387.

2. Filgueiras JC, Hippert MI. Estresse. In: Jacques MG, Codo W, organizadores. Saúde mental & trabalho. Petrópolis-RJ: Vozes, 2002.

3. Smith RP, Veale D, Pépin JL, Lévy PA. Obstructive sleep apnoea and the autonomic nervous system. Sleep Med Rev. 1998;2(2):69-92.

4. Ribeiro MP, Brum JM, Ferrario CM. Análise Espectral da Freqüência Cardíaca. Conceitos Básicos e Aplicação Clínica. Arq Bras Cardiol. 1992;59:141-9.

5. Migliaro ER, Contreras P, Bech S, Etxagibel A, Castro M, Ricca R, et al. Relative influence of age, resting heart rate and sedentary life style in short-term analysis of heart rate variability. Braz. J. Med. Biol. Res. 2001;34(4):493- 500.

6. Longo A, Ferreira D, Correia MJ. Variabilidade da freqüência cardíaca. Rev Port Cardiol. 1995;14(3):241-262.

7. Mortara A, Bernardi L, Pinna GD, Spadacini G, Maestri R, Dambacheret M, et al. Alterations of breathing in chronic heart failure: clinical rilevance of arterial oxygen saturation instability. Clinical Science. 1996;91(2):72-74.

8. Netter FH. Atlas de Anatomia Humana. 2ª ed. Porto Alegre: artmed, 2003.

9. Guyton AC, Hall JE. Insuficiência Cardíaca. In: GUYTON, A. C.; HALL, J. E. Tratado de Fisiologia Médica, 10ª ed. Guanabara Koogan, Rio de Janeiro, p. 245-253, 2002.

10. Machado, Angelo. Neuroanatomia Funcional. 2ª ed. Rio de Janeiro: Atheneu, 1993.

11. Powers SK, Howley ET. Fisiologia do Exercício: Teoria e Aplicação ao Condicionamento e ao Desempenho. 3ª ed. Barueri – SP: Manole, 2000.

12. Lent R. Cem bilhões de neurônios – conceitos fundamentais de neurociência. São Paulo: Editora Atheneu, 2001.

13. Windmaier EP, Raff H, Strang KT. Fisiologia Humana – Os Mecanismos das Funções corporais. 9ª ed. Rio de Janeiro: Guanabara Koogan, 2006.

14. Irigoyen MC, Consolim-Colombo FM, Krieger EM. Controle cardiovascular: regulação reflexa e papel do sistema nervoso simpático. Rev. Bras. Hipertens. 2001;8:55-62.

15. Tortora GJ, Grabowski SR. Princípios de Anatomia e Fisiologia Rio de Janeiro: Guanabara Koogan, 2002.

16. Aidley DJ. The physiology of excitable cells. 4ª ed., Cambridge University Press, N.Y, p. 228, 1998.

17. Malpas SC et al. The Sympathetic Nervous System’s Role in Regulating Blood Pressure Variability. IEEE ENGINEERING IN MEDICINE AND BIOLOGY. March/April, 2001.

18. Mortara A, Tavazzi L. Prognostic implications of autonomic nervous system analysis in chronic heart failure: role of heart rate variability and baroreflex sensitivity.Arch. Gerontol. Geriatr, v 23, p. 265-275

19. Carvalho JLA et al. Desenvolvimento de um Sistema para Análise da Variabilidade da Freqüência Cardíaca. Grupo de processamento digital de sinais, Departamento de Engenharia elétrica, Faculdade de Tecnologia, Universidade de Brasília, Laboratório Cardiovascular, Faculdade de Medicina, 2001.

20. Ribeiro TF, Cunha A, Lourenço GCD, Maraes VRFS, Catal AM, Gallo Júnior L, et al. Estudo da variabilidade da freqüência cardíaca em dois voluntários de meia idade, um coronariopata e outro saudável – relato de caso. Rev. Soc. Cardiol. Estado de Säo Paulo. 2000;10(1,supl.A):1-10.

21. Karemaker JM, Lie KI. Heart rate variability: a telltale of health or disease. European Heart Journal. 2000;21:435-437.

22. Moser M, Lehofer M, Sedminek A, Lux M, Zapotoczky HG, Kenner T, et al. Heart Rate Variability as a Prognostic Tool in Cardiology: A Contribution to the Problem from a Theoretical Point of View. Circulation. 1994;90(2):1078-82.

23. Alonso DO, Forjaz CLM, Rezende LO, Braga AMFW, Barretto ACP, Negrão CE, et al. Comportamento da Freqüência Cardíaca e da Sua Variabilidade Durante as Diferentes Fases do Exercício Físico Progressivo Máximo. Arq. Bras. Cardiologia. 1998;71(6):787-792.

24. Costa O, Lago P, Rocha AP, Freitas J, Puig J, Carvalho M, et al. Análise espectral da variabilidade da freqüência cardíaca. Estudo comparativo entre a análise espectral não paramétrica e paramétrica em séries curtas. Rev. Port. Cardiol. 1995;14(9):621-626.

25. Riftine A. Revisão do Sistema Nerve-express com amostra de casos. In: Heart Rhythm Instruments, Inc. 2002.

26. Guzzetti S, Magatelli R, Borroni E. Heart rate variability in chronic heart failure. Auton. Neuroscie. 2001;90:102-105.

27. Notarius CF, Floras JS. Limitations of the use of spectral analysis of heart rate variability for the estimation of cardiac sympathetic activity in heart failure. Europace. 2001;3(1):29-38.

28. Nozdrachev AD, Shcherbatykh YV. Modern Methods of Functional Studies of the Autonomic Nervous System. Human Physiology. 2001;27(6):732-738.

29. Terechtchenko L, Doronina SA, Pochinok EM, Riftine A. Autonomic Tone in Patients with Supraventricular Arrhythmia Associated with Mitral Valve Prolapse in Young Men. Pacing Clin Electrophysiol. 2003;26(1 Pt2):444-6.

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