Autonomic modulation of chronic kidney patients on hemodialysis
Autor(a) principal: | |
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Data de Publicação: | 2022 |
Outros Autores: | , , , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Research, Society and Development |
Texto Completo: | https://rsdjournal.org/index.php/rsd/article/view/28456 |
Resumo: | Chronic kidney Disease may progress to cardiovascular complications just as much as these complications can result in further deterioration of the renal function, with dialysis as an extreme therapeutical option. Heart Rate Variability is a noninvasive method for the evaluation of sympathovagal imbalance of the heart beat control, aiding on the early detection of cardiovascular malfunctions. Our purpose was to identify heart rate variability patterns in chronic kidney disease patients undergoing hemodialysis treatment, both by linear and nonlinear analysis.Were sampled a group of 27 renal failure patients under hemodialysis care, and a control group of 21 healthy individuals. The RR intervals were captured with a Polar® device from subjects lying in supine position for 20 minutes. A total of 1000 consecutive intervals were selected, and both linear and nonlinear parameters were considered for the heart rate variability analysis. Were used Shapiro-Wilk test, Mann-Whitney test, and Spearman test. Among the findings with statistical significance, reductions were found in RMSSD and pNN50, and SD1 and SD2 indexes whereas increases in the recurrence percentage and in entropy could be observed. A significant negative correlation between age and the values of SD1 index was also found. Patients with renal failure present a lower autonomic modulation of the parasympathetic branch, as highlighted by both the linear and nonlinear analysis. The nonlinear indexes in the Chaos domain were more precise in identifying autonomic dysfunctions, can reflect more clearly the complexity of the organic systems. |
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Autonomic modulation of chronic kidney patients on hemodialysisModulación autonómica de pacientes renales crónicos en hemodiálisis Modulação autonômica de pacientes renais crônicos em hemodiáliseVariabilidad de la Frecuencia CardíacaSistema Nervioso AutónomoEnfermedad Renal CrónicaDiálisis.Autonomic nervous systemChronic Kidney DiseaseHeart rate variabilityDialysis.Variabilidade da frequência cardíacaSistema Nervoso AutônomoDoença Renal CrônicaDiálise.Chronic kidney Disease may progress to cardiovascular complications just as much as these complications can result in further deterioration of the renal function, with dialysis as an extreme therapeutical option. Heart Rate Variability is a noninvasive method for the evaluation of sympathovagal imbalance of the heart beat control, aiding on the early detection of cardiovascular malfunctions. Our purpose was to identify heart rate variability patterns in chronic kidney disease patients undergoing hemodialysis treatment, both by linear and nonlinear analysis.Were sampled a group of 27 renal failure patients under hemodialysis care, and a control group of 21 healthy individuals. The RR intervals were captured with a Polar® device from subjects lying in supine position for 20 minutes. A total of 1000 consecutive intervals were selected, and both linear and nonlinear parameters were considered for the heart rate variability analysis. Were used Shapiro-Wilk test, Mann-Whitney test, and Spearman test. Among the findings with statistical significance, reductions were found in RMSSD and pNN50, and SD1 and SD2 indexes whereas increases in the recurrence percentage and in entropy could be observed. A significant negative correlation between age and the values of SD1 index was also found. Patients with renal failure present a lower autonomic modulation of the parasympathetic branch, as highlighted by both the linear and nonlinear analysis. The nonlinear indexes in the Chaos domain were more precise in identifying autonomic dysfunctions, can reflect more clearly the complexity of the organic systems.La enfermedad renal crónica puede progresar a complicaciones cardiovasculares y estas complicaciones pueden resultar en un mayor deterioro de la función renal, siendo la diálisis una opción terapéutica extrema. La variabilidad de la frecuencia cardíaca es un método no invasivo para evaluar el desequilibrio simpatovagal en el control de la frecuencia cardíaca, lo que ayuda a la detección temprana de trastornos cardiovasculares. El objetivo fue identificar patrones de variabilidad de la frecuencia cardiaca en pacientes con enfermedad renal crónica en hemodiálisis, tanto mediante análisis lineal como no lineal. Se muestreó un grupo de 27 pacientes con insuficiencia renal en hemodiálisis y un grupo control de 21 individuos sanos.Los intervalos RR se capturaron con un dispositivo Polar® con los sujetos en posición supina durante 20 minutos.Se seleccionaron un total de 1000 intervalos consecutivos y se consideraron parámetros lineales y no lineales para el análisis.Se utilizaron la prueba de Shapiro-Wilk, la prueba de Mann-Whitney y la prueba de Spearman. Entre los hallazgos estadísticamente significativos, se encontraron reducciones en los índices RMSSD y pNN50, y en los índices SD1 y SD2, mientras que se observaron aumentos en el porcentaje de recurrencia y entropía.Existe una correlación negativa significativa entre la edad y los valores del índice SD1. Los pacientes con insuficiencia renal tienen menor modulación autonómica de la rama parasimpática.Los índices no lineales en el dominio Caos fueron más precisos en la identificación de disfunciones autonómicas, reflejando mejor la complejidad de los sistemas orgánicos.A doença renal crônica pode evoluir para complicações cardiovasculares e essas complicações podem resultar em maior deterioração da função renal, sendo a diálise uma opção terapêutica extrema. A Variabilidade da Frequência Cardíaca é um método não invasivo para avaliação do desequilíbrio simpatovagal do controle dos batimentos cardíacos, auxiliando na detecção precoce de disfunções cardiovasculares. O objetivo foi identificar padrões de variabilidade da frequência cardíaca em pacientes com doença renal crônica em tratamento hemodialítico, tanto por análise linear quanto não linear. Foram amostrados um grupo de 27 pacientes com insuficiência renal em tratamento de hemodiálise e um grupo controle de 21 indivíduos saudáveis. Os intervalos RR foram capturados com um aparelho Polar® com indivíduos em decúbito dorsal por 20 minutos. Um total de 1.000 intervalos consecutivos foram selecionados e parâmetros lineares e não lineares foram considerados para a análise. Foram utilizados o teste de Shapiro-Wilk, o teste de Mann-Whitney e o teste de Spearman. Entre os achados com significância estatística, foram encontradas reduções nos índices RMSSD e pNN50, e nos índices SD1 e SD2, ao passo que se observaram aumentos na porcentagem de recorrência e na entropia. Há uma correlação negativa significativa entre a idade e os valores do índice SD1. Pacientes com insuficiência renal apresentam menor modulação autonômica do ramo parassimpático. Os índices não lineares no domínio Caos foram mais precisos na identificação de disfunções autonômicas, refletindo melhor a complexidade dos sistemas orgânicos. Research, Society and Development2022-04-13info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdfhttps://rsdjournal.org/index.php/rsd/article/view/2845610.33448/rsd-v11i5.28456Research, Society and Development; Vol. 11 No. 5; e48611528456Research, Society and Development; Vol. 11 Núm. 5; e48611528456Research, Society and Development; v. 11 n. 5; e486115284562525-3409reponame:Research, Society and Developmentinstname:Universidade Federal de Itajubá (UNIFEI)instacron:UNIFEIenghttps://rsdjournal.org/index.php/rsd/article/view/28456/24771Copyright (c) 2022 Bianca Manzan Reis; Mayara Simões; Fernanda Regina de Moraes ; Antônio Carlos Sant’Ana; Jayciane Martins Santana; Marilita Falangola Accioly https://creativecommons.org/licenses/by/4.0info:eu-repo/semantics/openAccess Reis, Bianca ManzanSimões, Mayara Moraes , Fernanda Regina deSant’Ana, Antônio Carlos Santana, Jayciane Martins Accioly , Marilita Falangola2022-04-17T18:18:56Zoai:ojs.pkp.sfu.ca:article/28456Revistahttps://rsdjournal.org/index.php/rsd/indexPUBhttps://rsdjournal.org/index.php/rsd/oairsd.articles@gmail.com2525-34092525-3409opendoar:2024-01-17T09:45:50.920911Research, Society and Development - Universidade Federal de Itajubá (UNIFEI)false |
dc.title.none.fl_str_mv |
Autonomic modulation of chronic kidney patients on hemodialysis Modulación autonómica de pacientes renales crónicos en hemodiálisis Modulação autonômica de pacientes renais crônicos em hemodiálise |
title |
Autonomic modulation of chronic kidney patients on hemodialysis |
spellingShingle |
Autonomic modulation of chronic kidney patients on hemodialysis Reis, Bianca Manzan Variabilidad de la Frecuencia Cardíaca Sistema Nervioso Autónomo Enfermedad Renal Crónica Diálisis. Autonomic nervous system Chronic Kidney Disease Heart rate variability Dialysis. Variabilidade da frequência cardíaca Sistema Nervoso Autônomo Doença Renal Crônica Diálise. |
title_short |
Autonomic modulation of chronic kidney patients on hemodialysis |
title_full |
Autonomic modulation of chronic kidney patients on hemodialysis |
title_fullStr |
Autonomic modulation of chronic kidney patients on hemodialysis |
title_full_unstemmed |
Autonomic modulation of chronic kidney patients on hemodialysis |
title_sort |
Autonomic modulation of chronic kidney patients on hemodialysis |
author |
Reis, Bianca Manzan |
author_facet |
Reis, Bianca Manzan Simões, Mayara Moraes , Fernanda Regina de Sant’Ana, Antônio Carlos Santana, Jayciane Martins Accioly , Marilita Falangola |
author_role |
author |
author2 |
Simões, Mayara Moraes , Fernanda Regina de Sant’Ana, Antônio Carlos Santana, Jayciane Martins Accioly , Marilita Falangola |
author2_role |
author author author author author |
dc.contributor.author.fl_str_mv |
Reis, Bianca Manzan Simões, Mayara Moraes , Fernanda Regina de Sant’Ana, Antônio Carlos Santana, Jayciane Martins Accioly , Marilita Falangola |
dc.subject.por.fl_str_mv |
Variabilidad de la Frecuencia Cardíaca Sistema Nervioso Autónomo Enfermedad Renal Crónica Diálisis. Autonomic nervous system Chronic Kidney Disease Heart rate variability Dialysis. Variabilidade da frequência cardíaca Sistema Nervoso Autônomo Doença Renal Crônica Diálise. |
topic |
Variabilidad de la Frecuencia Cardíaca Sistema Nervioso Autónomo Enfermedad Renal Crónica Diálisis. Autonomic nervous system Chronic Kidney Disease Heart rate variability Dialysis. Variabilidade da frequência cardíaca Sistema Nervoso Autônomo Doença Renal Crônica Diálise. |
description |
Chronic kidney Disease may progress to cardiovascular complications just as much as these complications can result in further deterioration of the renal function, with dialysis as an extreme therapeutical option. Heart Rate Variability is a noninvasive method for the evaluation of sympathovagal imbalance of the heart beat control, aiding on the early detection of cardiovascular malfunctions. Our purpose was to identify heart rate variability patterns in chronic kidney disease patients undergoing hemodialysis treatment, both by linear and nonlinear analysis.Were sampled a group of 27 renal failure patients under hemodialysis care, and a control group of 21 healthy individuals. The RR intervals were captured with a Polar® device from subjects lying in supine position for 20 minutes. A total of 1000 consecutive intervals were selected, and both linear and nonlinear parameters were considered for the heart rate variability analysis. Were used Shapiro-Wilk test, Mann-Whitney test, and Spearman test. Among the findings with statistical significance, reductions were found in RMSSD and pNN50, and SD1 and SD2 indexes whereas increases in the recurrence percentage and in entropy could be observed. A significant negative correlation between age and the values of SD1 index was also found. Patients with renal failure present a lower autonomic modulation of the parasympathetic branch, as highlighted by both the linear and nonlinear analysis. The nonlinear indexes in the Chaos domain were more precise in identifying autonomic dysfunctions, can reflect more clearly the complexity of the organic systems. |
publishDate |
2022 |
dc.date.none.fl_str_mv |
2022-04-13 |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
https://rsdjournal.org/index.php/rsd/article/view/28456 10.33448/rsd-v11i5.28456 |
url |
https://rsdjournal.org/index.php/rsd/article/view/28456 |
identifier_str_mv |
10.33448/rsd-v11i5.28456 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
https://rsdjournal.org/index.php/rsd/article/view/28456/24771 |
dc.rights.driver.fl_str_mv |
https://creativecommons.org/licenses/by/4.0 info:eu-repo/semantics/openAccess |
rights_invalid_str_mv |
https://creativecommons.org/licenses/by/4.0 |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
application/pdf |
dc.publisher.none.fl_str_mv |
Research, Society and Development |
publisher.none.fl_str_mv |
Research, Society and Development |
dc.source.none.fl_str_mv |
Research, Society and Development; Vol. 11 No. 5; e48611528456 Research, Society and Development; Vol. 11 Núm. 5; e48611528456 Research, Society and Development; v. 11 n. 5; e48611528456 2525-3409 reponame:Research, Society and Development instname:Universidade Federal de Itajubá (UNIFEI) instacron:UNIFEI |
instname_str |
Universidade Federal de Itajubá (UNIFEI) |
instacron_str |
UNIFEI |
institution |
UNIFEI |
reponame_str |
Research, Society and Development |
collection |
Research, Society and Development |
repository.name.fl_str_mv |
Research, Society and Development - Universidade Federal de Itajubá (UNIFEI) |
repository.mail.fl_str_mv |
rsd.articles@gmail.com |
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1797052709864472576 |