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Evaluation of Cardiac Autonomic Modulation Using Symbolic Dynamics After Cardiac Transplantation.
Moura-Tonello, Sílvia Cristina Garcia de; Carvalho, Vitor Oliveira; Godoy, Moacir Fernandes de; Porta, Alberto; Leal, Ângela Merice de Oliveira; Bocchi, Edimar Alcides; Catai, Aparecida Maria.
Afiliação
  • Moura-Tonello SCG; Federal University of São Carlos Cardiovascular Physiotherapy Laboratory Physiotherapy Department São Carlos SP Brazil Physiotherapy Department, Cardiovascular Physiotherapy Laboratory (LFCV), Federal University of São Carlos (UFSCar), São Carlos, SP, Brazil.
  • Carvalho VO; Federal University of Sergipe Physiotherapy Department São Cristóvão SE Brazil Physiotherapy Department, Federal University of Sergipe (UFS), São Cristóvão, SE, Brazil.
  • Godoy MF; Medical School of São José do Rio Preto Cardiology and Cardiovascular Surgery Department São José do Rio Preto SP Brazil Cardiology and Cardiovascular Surgery Department, Medical School of São José do Rio Preto (FAMERP), São José do Rio Preto, SP, Brazil.
  • Porta A; Medical School of São José do Rio Preto Transdisciplinary Nucleus for the Study of Chaos and Complexity São José do Rio Preto SP Brazil Transdisciplinary Nucleus for the Study of Chaos and Complexity (NUTEC), Medical School of São José do Rio Preto (FAMERP), São José do Rio Preto, SP, Brazil.
  • Leal ÂMO; University of Milan Department of Biomedical Sciences for Health Milan Italy Department of Biomedical Sciences for Health, University of Milan, Milan, Italy.
  • Bocchi EA; IRCCS Policlinico San Donato Vascular Anesthesia and Intensive Care Department of Cardiothoracic Milan Italy Department of Cardiothoracic, Vascular Anesthesia and Intensive Care, IRCCS Policlinico San Donato, Milan, Italy.
  • Catai AM; Federal University of São Carlos Department of Medicine São Paulo Brazil Department of Medicine, Federal University of São Carlos (UFSCar), São Paulo, Brazil.
Braz J Cardiovasc Surg ; 34(5): 572-580, 2019 12 01.
Article em En | MEDLINE | ID: mdl-31719008
OBJECTIVE: To characterize the behavior of cardiac autonomic modulation in individuals with different times after orthotopic heart transplantation (HTx) using symbolic dynamics analysis. METHODS: Sixty patients were evaluated after HTx. We recorded their instantaneous R-R intervals (RRi) by cardiac monitor Polar® RS800CX™ (Polar Electro Oy, Kempele, Finland) for 10 minutes. The same sequence of RRi with 256 consecutive beats was used to perform spectral analysis and symbolic dynamics analysis. We used hierarchical clustering to form groups. One-way analysis of variance (ANOVA) (with Holm-Sidak method) or one-way Kruskal-Wallis test (with Dunn´s post-hoc test) was used to analyze the difference between groups. Linear correlation analysis between variables was performed using Pearson's or Spearman's tests. P-value < 0.05 was considered statistically significant. RESULTS: The 0V% index increased, the 2UV% index and the normalized complexity index decreased with an increase of HTx postoperative time. There were a negative correlation between complexity indexes and 0V% and a positive correlation between complexity indexes and 2UV%. CONCLUSION: Symbolic dynamics indexes were able to show a specific cardiac autonomic modulation pattern for HTx recipients with different postoperative times.
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Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Sistema Nervoso Parassimpático / Sistema Nervoso Simpático / Transplante de Coração / Dinâmica não Linear / Coração Tipo de estudo: Observational_studies / Prevalence_studies / Prognostic_studies / Risk_factors_studies Limite: Adult / Female / Humans / Male / Middle aged Idioma: En Revista: Braz J Cardiovasc Surg Assunto da revista: ANGIOLOGIA / CARDIOLOGIA Ano de publicação: 2019 Tipo de documento: Article País de afiliação: Brasil País de publicação: Brasil
Texto completo
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Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Sistema Nervoso Parassimpático / Sistema Nervoso Simpático / Transplante de Coração / Dinâmica não Linear / Coração Tipo de estudo: Observational_studies / Prevalence_studies / Prognostic_studies / Risk_factors_studies Limite: Adult / Female / Humans / Male / Middle aged Idioma: En Revista: Braz J Cardiovasc Surg Assunto da revista: ANGIOLOGIA / CARDIOLOGIA Ano de publicação: 2019 Tipo de documento: Article País de afiliação: Brasil País de publicação: Brasil