Recurrence plot analysis of heart rate variability in end-stage renal disease treated twice-weekly by hemodialysis with or without intradialytic hypotension
Por:
Calderón-Juárez M., Gutiérrez Alvarado D.A., González Gómez G.H., Echeverría J.C., Arellano-Martínez J., Pérez-Granados E., López-Gil S., Campos-González I.D., Mariscal-Ramírez L.A., Pérez-Negrete D.L., Lerma C.
Publicada:
1 ene 2023
Ahead of Print:
1 oct 2022
Resumen:
Recurrence quantitative analysis (RQA) indices of heart rate variability (HRV) have shown a different adjustment in the sympathetic-driven dynamical response to active standing (AS) and hemodialysis (HD), characterized by increased laminar states in HRV. AS test is a maneuver in which subjects actively change their body posture from supine position (SP) to AS. In end-stage renal disease (ESRD) patients treated twice-weekly by HD, we found reduced changes in RQA indices to AS before HD that are partially recovered after treatment; laminarity, trapping time and recurrence time of the second type values were significantly lower in SP than during AS (p< 0.05 ). Patients who developed intradialytic hypotension (IDH) did not show a significant response to AS in contrast with patients who did not develop IDH. Also, the mean duration of heartbeat intervals significantly influenced RQA indices (p< 0.05 ), and this correlation depended on the observation moment (before or after HD). These findings suggest that the cardiac response to the autonomic modulation measured by RQA is different in IDH patients even before HD. Furthermore, the influence of the mean heart rate changes seems to play an important role in the short-term control of HRV behavior in ESRD. © 2022, The Author(s), under exclusive licence to EDP Sciences, Springer-Verlag GmbH Germany, part of Springer Nature.
Filiaciones:
Plan de Estudios Combinados en Medicina, Faculty of Medicine, Universidad Nacional Autónoma de México, Mexico City, Mexico
Department of Electromechanical Instrumentation, Instituto Nacional de Cardiología Ignacio Chávez, Mexico City, Mexico
Department of Nephrology, Hospital General Dr. Miguel Silva, Morelia, Mexico
Department of Physics, Faculty of Sciences, Universidad Nacional Autonoma de Mexico, Mexico City, Mexico
Department of Electrical Engineering, Universidad Autónoma Metropolitana, Unidad Iztapalapa, Mexico City, Mexico
Nefrología y Diálisis de León S.C., León, Mexico
Department of Nephrology, Instituto Nacional de Cardiología Ignacio Chávez, Mexico City, Mexico
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