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. Golubkina V.N. Karazin Kharkiv National University, Kharkiv, Ukraine https://orcid.org/0000-0002-2587-8894
  • O. O. Golubkina National Technical University «Kharkov Polytechnic Institute», Ukraine
Keywords: arterial hypertension, heart rate variability, paced breathing

Abstract

Were studied the distribution ratios of ultra-low-frequency, low-frequency and high-frequency components of the heart rate variability (HRV) as an indicator of the state of humoral and autonomic sympathetic and parasympathetic elements in regulation of heart rate in 35 patients with arterial hypertension (AH) aged 59 ± 5 years in the paced breathing test. Evaluation of spectral parameters of HRV was performed with the help of hardware and software «Kardiolab» («HAI-Medica»). Patients were divided into 3 groups according to the degree of power reduction of low-frequency and high-frequency waves of HRV during the transition from spontaneous breathing to paced one: 1st group- less than 5 times; 2nd  group – 5–20 times; 3rd group – more than 20 times. Statistical analysis was performed by means of parametric and nonparametric methods using Microsoft Excel 7.0. It was found that in patients with hypertension was observed prevalence of humoral effects in comparison with the sympathetic and parasympathetic parameters. The greater was the contribution of humoral component to the HRV spectrum, the lower was the response of HRV to the respiratory modulation.

Downloads

Download data is not yet available.

Author Biographies

E. O. Golubkina, V.N. Karazin Kharkiv National University, Kharkiv, Ukraine

Svobody sq., 6, Kharkiv, 61022, Ukraine

 
O. O. Golubkina, National Technical University «Kharkov Polytechnic Institute», Ukraine

NTU “KhPI” 2, Kyrpychova str., 61002, Kharkiv, Ukraine

References

Bil'chenko A. V. Gipertenzivnye krizy i variabel'nost' serdechnogo ritma u bol'nykh gipertonicheskoy bolezn'yu / A. V. Bil'chenko // Vestnik Khar'kovskogo natsional'nogo universiteta. – 2001. – № 523. – S. 12–16.

Suzanne Oparil Pathogenesis of Hypertension / Suzanne Oparil, M. Amin Zaman, David A. Calhoun // Annals of Internal Medicine. – 2003. – № 9. – P.761–765.

Vegetativnye rasstroystva: Klinika, lechenie, diagnostika / Pod red. A. M. Veyna. // M.: Meditsinskoe informatsionnoe agentstvo. – 2000. – 752 s.

Comparison of lisinopril and bisoprolol influences on regulatory systems of the organism in biofeedback series in healthy volunteers / E. O. Nazarenko, A. O. Radchenko, S. A. S. Belal, [et al.] // Vísnik Kharkívs'kogo natsíonal'nogo uníversitetu ím. V. N. Karazína. –2013. – № 1090. – S. 28–32.

Tomіna O. E. Varіabel'nіst' sercevogo ritmu u hvorih na komorbіdnu z virazkovoju hvoroboju arterіal'nu gіpertenzіju, z urahuvannjam dobovih profіlіv sistolіchnogo arterіal'nogo tisku / O. E. Tomіna, O. Ju. Bichkova, G. M. Fomich, [et al.] // Vіsnik Harkіvs'kogo nacіonal'nogo unіversitetu іm. V. N. Karazіna. – 2000. – № 1024. – S. 52–62.

Shevchuck M. I. Heart rate and arterial pressure variability indices in patients with arterial hypertension in groups of treatment with beta adrenergic antagonist, inhibitor of angiotensinconverting enzyme and their combinations and classes of ecg qrs complex duration / M. I. Shevchuck//Vísnik Kharkívs'kogo natsíonal'nogo uníversitetu ím. V. N. Karazína. – 2013. – № 1090. – P. 33–39.

Jabluchanskij N.I. Variabel'nost' Serdechnogo Ritma V Pomoshh' Prakticheskomu Vrachu [electronic resource] / N. I. Jabluchanskij, A. V. Martynenko // Access mode: http://dspace.univer.kharkov.ua/handle/123456789/1462.

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.

Shields R. W. Jr. Heart rate variability with deep breathing as a clinical test of cardiovagal function / R. W. Jr. Shields // Cleve Clin J Med. – 2009. – № 76. – Suppl 2. – P. 37–40

Autonomic effects on the spectral analysis of heart rate variability after exercise. / J. Ng, S. Sundaram, A.H. Kadish [et al.] // Am J. Physiol Heart Circ Physiol. – 2009. – № 297(4). – P. 1421–1428.

Rekomendatsiyi Ukrayinsʹkoyi Asotsiatsiyi kardiolohiv z profilaktyky ta likuvannya arterialʹnoyi hipertenziyi. Posibnyk do Natsionalʹnoyi prohramy profilaktyky i likuvannya arterialʹnoyi hipertenziyi. –K.: PP VMB; 2008. – 80 s.

Effectiveness of biofeedback in a closed loop of heart rate variability parameters and paced breathing in patients with arterial hypertension in real clinical practice / Akhimienmhona P. D., Oreofe A. B., Belal S. A. S., [et al.] // Vísnik Kharkívs'kogo natsíonal'nogo uníversitetu ím. V. N. Karazína. – 2015. – № 1154. – S. 54–59.

Nirmala Natarajan A study on analysis of Heart Rate Variability in hypertensive individuals / Nirmala Natarajan, Arun Kumar Balakrishnan, Kavitha Ukkirapandian // International Journal of Biomedical And Advance Research, IJBAR. – 2014. – № 2 – P 109–111.

Khromtsova O. M. Variabel'nost' serdechnogo ritma i strukturno-funktsional'noe sostoyanie levogo zheludochka pri gipertonicheskoy bolezni / O. M. Khromtsova // Saratovskiy nauchno-meditsinskiy zhurnal. – 2010. – № 3 – P. 601–605.

Published
2016-11-17
How to Cite
Golubkina, E. O., & Golubkina, O. O. (2016). 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. The Journal of V. N. Karazin Kharkiv National University, Series "Medicine", (31), 10-17. https://doi.org/10.26565/2227-6505-2016-31-02