DYNAMIC CHANGES IN SPECTRAL HEART RATE VARIABILITY PARAMETERS IN PACED BREATHING TEST IN PATIENT WITH UNCONTROLLED ARTERIAL HYPERTENSION AND POLYMORBIDITY
Abstract
A clinical case of a patient with uncontrolled hypertension and polymorbidity. The paced breathing test was made, was found prevalence of low frequency influences at the initial stage and its intensification at the resting stage, growth of the total power of heart rate variability spectrum (TP) with respiratory modulation. The course of the disease worsened the appearance of new-onset atrial fibrillation (registered paroxysm on Holter monitoring); the general deterioration of the patient’s state reflected HRV changes on sinus rhythm tracing - significantly reduced TP growth in response to paced breathing, an increase in LF/HF (ratio of low frequency to high frequency waves), as well as switching to the neurohormonal level of heart rate regulation at the resting stage. After the treatment the growth of TP in response to the test has increased and LF/HF level has decreased.
Downloads
References
A global brief for hypertension: silent killer, global public health crisis // World health Organization – 2013. – p.1–40;
2013 ESH/ESC Guidelines for the management of arterial hypertension: The Task Force for the management of arterial hypertension of the European Society of Hypertension (ESH) and of the European Society of Cardiology (ESC) // Journal of Hypertension. – 2013. – Vol. 31, Is. 7. – p. 1281–1357.
Aram V. Chobanian Impact of Nonadherence to Antihypertensive Therapy/Aram V. Chobanian // Circulation – 2009. – Vol. 120, Issue 16. – p. 1558–1560.
Jan Matthes Improving Adherence With Medication: A Selective Literature Review Based on the Example of Hypertension Treatment / Jan Matthes, Christian Albus // Dtsch Arztebl Int. – 2014. – Vol. 111, Issue 4. – p. 41–47.
European Guidelines for Obesity Management in Adults / [Volkan Yumuk, Constantine Tsigos, Martin Fried, Karin Schindler] // Obes Facts. – 2015. – Vol. 8 – p. 402–444.
Yabluchanskyy N. Y., Martynenko A. V. Varyabelʹnostʹ serdechnoho rytma v pomoshchʹ praktycheskomu vrachu. Dlya nastoyashchykh vrachey. Kharʹkov, 2010, 131 s.
Golubkina E. O. Assessment of changes in the distribution ratios of ultra-low-frequency, low-frequency and high-frequency components of heart rate variability during the paced breathing test in patients with arterial hypertension / E. O.G olubkina, O. O. Golubkina // Vísnik Kharkívs'kogo natsíonal'nogo uníversitetu ím. V. N. Karazína. – 2016. – Issue 31. – p. 10-17.
Heart rate variability. Standarts of measurement, physiological interpretation and clinical use / Task force of The European Society of Cardiologyand The North American Society of Pacing and Electrophysiology // European Heart Journal. – 1996. – Issue 17. – p. 354–381.
Copyright (c) 2017 L. Oyeleye, M. Saja, E. O. Golubkina, L. V. Bogun, M. I. Yabluchansky
This work is licensed under a Creative Commons Attribution 4.0 International License.
The Journal of V. N. Karazin Kharkiv National University, series Medicine has following copyright terms:
- Authors retain copyright and grant the journal right of first publication with the work simultaneously licensed under a Creative Commons Attribution License that allows others to share the work with an acknowledgement of the work’s authorship and initial publication in this journal.
- Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal’s published version of the work, with an acknowledgement of its initial publication in this journal.
- Authors are permitted and encouraged to post their work online prior to and during the submission process, as it can lead to productive exchanges, as well as earlier and greater citation of published work.
