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Brain-heart autonomic axis across different clinical status and severity of chronic obstructive pulmonary disease

dc.contributor.authorCastello-Simões, Viviane
dc.contributor.authorKabbach, Erika Zavaglia
dc.contributor.authorSchafauser, Nathany Souza
dc.contributor.authorCamargo, Patrícia Faria
dc.contributor.authorSimões, Rodrigo Polaquini
dc.contributor.authorHeubel, Alessandro Domingues
dc.contributor.authorAlqahtani, Jaber Saud
dc.contributor.authorPereira, Mariana Brasil da Cunha Martino
dc.contributor.authorSgarbosa, Nicole Marques
dc.contributor.authorSilva, Audrey Borghi
dc.contributor.authorMendes, Renata Gonçalves
dc.date.accessioned2022-02-09T10:31:18Z
dc.date.available2022-02-09T10:31:18Z
dc.date.issued2021-06-19
dc.identifierhttps://doi.org/10.1016/j.rmed.2021.106511por
dc.identifier.citationCASTELLO-SIMÕES, Viviane; KABBACH, Erika Zavaglia; SCHAFAUSER, Nathany Souza; CAMARGO, Patrícia Faria; SIMÕES, Rodrigo Polaquini; HEUBEL, Alessandro Domingues; ALQAHTANI, Jaber Saud; PEREIRA, Mariana Brasil da Cunha Martino; SGARBOSA, Nicole Marques; SILVA, Audrey Borghi; MENDES, Renata Gonçalves. Brain-heart autonomic axis across different clinical status and severity of chronic obstructive pulmonary disease. Repositório Institucional da UFSCar, 2021. Dataset. Disponível em: https://repositorio.ufscar.br/handle/ufscar/15572.*
dc.identifier.urihttps://repositorio.ufscar.br/handle/ufscar/15572
dc.descriptionPurpose: Impairment of cardiac autonomic integrity is common in chronic obstructive pulmonary disease (COPD) patients. The influence of the interaction between clinical and severity status on brain-heart autonomic axis (BHAA) is not well known. We aimed to investigate the BHAA function across different clinical status and severity of COPD. Methods: Cross-sectional study involving 77 COPD patients allocated into four groups according to clinical status [acute exacerbation (GAE) or stable (GST)] and severity [less (-) or more (+)]: 1) GAE-, n = 13; 2) GAE+, n = 20; 3) GST-, n = 23; and 4) GST+, n = 21. Heart rate variability (HRV) at rest and heart rate recovery (HRR) after 6-min walk test were markers of BHAA. Mean R-R, STDRR, RMSSD, RRtri, HF, LF, SD1, SD2, ApEn and SampEn were the HRV indexes and, HRR was obtained as: HR at 1st min of recovery minus peak HR. Results: A main effect of clinical status (p < 0.001) was found to vagal modulation in GAE-vs. GST- (RMSSD: 25.0 ± 14.8 vs. 12.6 ± 5.5 ms; SD1: 18.0 ± 10.6 vs. 8.9 ± 3.9 ms) and to GAE + vs. GST+ (RMSSD: 26.4 ± 15.2 vs. 15.4 ± 6.3 ms; SD1: 18.3 ± 11.2 vs. 10.9 ± 4.5 ms). An effect of clinical status (p = 0.032) and severity (p = 0.030) were found to HF (vagal) in GAE + compared to GAE- and GST+ (264.7 ± 239.0 vs. 134.7 ± 169.7 and 135.8 ± 139.7 ms2). Lower HRR was found in GAE-compared to GST- (8.0 ± 2.4 vs. 19.6 ± 2.4 bpm), p = 0.002. Conclusion: In COPD patients, clinical status (AECOPD or stable) was more dominant than the severity on BHAA function. A more pronounced parasympathetic modulation was found in AECOPD patients with a lower HRR to exercise.eng
dc.description.sponsorshipCoordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)por
dc.description.sponsorshipFundação de Amparo à Pesquisa do Estado de São Paulo (FAPESP)por
dc.language.isoengeng
dc.publisherUniversidade Federal de São Carlospor
dc.relation.urihttps://www.sciencedirect.com/science/article/pii/S0954611121002171por
dc.relation.urihttps://repositorio.ufscar.br/handle/ufscar/13767por
dc.rightsAttribution-NonCommercial-NoDerivs 3.0 Brazil*
dc.rights.urihttp://creativecommons.org/licenses/by-nc-nd/3.0/br/*
dc.subjectAcute exacerbationeng
dc.subjectAutonomic nervous systemeng
dc.subjectExerciseeng
dc.subjectHeart rate variabilityeng
dc.subjectRespiratory diseaseeng
dc.titleBrain-heart autonomic axis across different clinical status and severity of chronic obstructive pulmonary diseaseeng
dc.typeDataseteng
dc.publisher.initialsUFSCarpor
dc.publisher.programPrograma de Pós-Graduação em Fisioterapia - PPGFtpor
dc.subject.cnpqCIENCIAS DA SAUDE::FISIOTERAPIA E TERAPIA OCUPACIONALpor
dc.description.sponsorshipIdProcesso nº 2015/26501–1, Fundação de Amparo à Pesquisa do Estado de São Paulo (FAPESP)por
dc.description.sponsorshipIdCódigo de Financiamento 001 - CAPESpor
dc.publisher.addressCâmpus São Carlospor
dc.contributor.authorlatteshttp://lattes.cnpq.br/8573168804662842por
dc.contributor.authorlatteshttp://lattes.cnpq.br/4456979306195044por
dc.contributor.authorlatteshttp://lattes.cnpq.br/5075933151971198por
dc.contributor.authorlatteshttp://lattes.cnpq.br/8975177658472167por
dc.contributor.authorlatteshttp://lattes.cnpq.br/2731345085062145por
dc.contributor.authorlatteshttp://lattes.cnpq.br/0268406461810882por
dc.contributor.authorlatteshttp://lattes.cnpq.br/6818839151532121por
dc.contributor.authorlatteshttp://lattes.cnpq.br/8045534712864333por
dc.contributor.authorlatteshttp://lattes.cnpq.br/4855616925791895por
dc.contributor.authorlatteshttp://lattes.cnpq.br/9634590922242052por
dc.publisher.departmentDepartamento de Fisioterapia - DFisiopor


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