Effect of hypnotic sedation during percutaneous transluminal coronary angioplasty on myocardial ischemia and cardiac sympathetic drive

Baglini, Roberto; Sesana, Marco; Capuano, Cinzia; Gnecchi‐Ruscone, Tomaso; Limbruno, Ugo; Danzi, Gian Battista

doi:10.1016/j.amjcard.2003.12.058

Cited by 29 publications

(21 citation statements)

References 17 publications

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“…This was apparent both from an increase in HFnu power, a decrease in LFnu power and from a decrease of the LF/HF ratio. Thus our findings add new arguments to the controversy found in the literature: they are in line with previous findings [4,27,28,44] but in contrast to other studies [27,30,35,45,46] , as well for heart rate as for HRV parameters. Possible reasons for this discrepancy could be in the choice of population and/or in methodology.…”

Section: Discussionsupporting

confidence: 41%

“…Ray et al [30] concluded that hypnotic induction did not differentially influence parasympathetic activity. Also Baglini et al [46] , based on a study of hypnotic sedation in 23 patients undergoing percutaneous transluminal coronary angioplasty, did not find any changes. However, the latter study was in patients with coronary artery disease and during a cardiac intervention.…”

Section: Hrv In the Frequency Domainmentioning

confidence: 99%

“…It has to be noted that many authors find no different heart rate during hypnosis compared to basal conditions [27,30,46,50,57] with similar breathing frequency [50,57] . Gemignani et al [50] reported similar results to ours: unchanged heart rate and respiration frequency in basal state and during hypnosis but a decreased LF, an increased HF and decreased LF/HF.…”

Section: Hrv In the Frequency Domainmentioning

confidence: 99%

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Cardiac Autonomic Regulation under Hypnosis Assessed by Heart Rate Variability: Spectral Analysis and Fractal Complexity

et al. 2009

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Objective: This study examined the effects of hypnosis on autonomic cardiac control. We hypothesized a modification of autonomic modulation of the heart rate with an enhanced vagal tone during hypnosis compared to baseline. Methods: In 12 healthy subjects (6 men and 6 women, 22.2 ± 1.0 years of age) ECG was recorded at baseline and during hypnosis. Heart rate variability parameters were obtained in the frequency domain (LFnu: low frequency normalized units, and HFnu: high frequency normalized units) and from nonlinear analysis methods (detrended fluctuation analysis, DFA). Results: Compared to the control condition, hypnosis showed a significantly decreased LFnu, a significantly increased HFnu, and a significantly decreased LF/HF. DFA showed a significantly decreased short-range similarity. Heart rate remained unchanged. Conclusion: Autonomic cardiac tone is significantly modified during hypnosis by shifting the balance of the sympathovagal interaction toward an enhanced parasympathetic modulation, accompanied by a reduction of the sympathetic tone and a decreased short-range similarity but without a concomitant change in heart rate. Central and secondary autonomous nervous system changes induced by hypnosis are a possible explanation for our results. Another highly probable explanation is given by a variation in the depth of respiration. Hypnosis appears to prevent the autonomic responses expected during neutral stimulation.

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Section: Discussionsupporting

confidence: 41%

Section: Hrv In the Frequency Domainmentioning

confidence: 99%

Section: Hrv In the Frequency Domainmentioning

confidence: 99%

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Cardiac Autonomic Regulation under Hypnosis Assessed by Heart Rate Variability: Spectral Analysis and Fractal Complexity

et al. 2009

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“…Yuksel et al [20] demonstrated that in women HRV decreased during hypnosis. Baglini et al [10] demonstrated that the increase in the sympathetic activity during transluminal coronary angioplasty could be decreased with hypnosis but not with benzodiazepines. Our findings are in parallel with these studies, and our study demonstrates that hypnosis affects HRV, shifting the balance of the sympathovagal interaction toward an enhanced parasympathetic activity, concomitant with a reduction of the sympathetic tone.…”

Section: Discussionmentioning

confidence: 99%

“…At the same time, during the treatment of non-cardiac chest pain, the frequency of pain decreases; during percutaneous transluminal coronary angioplasty, the increase in cardiac sympathetic activity can be decreased with hypnotic sedation [10].…”

Section: Introductionmentioning

confidence: 99%

The effect of sedation during transoesophageal echocardiography on heart rate variability: a comparison of hypnotic sedation with medical sedation

et al. 2016

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A b s t r a c tBackground: There is no ideal sedation technique that can be used during transoesophageal echocardiography (TEE), and the data concerning the effects of available sedation techniques on heart rate variability (HRV) are limited. Aim:To compare the effects of sedation through hypnotherapy with medical sedation achieved by midazolam on HRV. Methods:We recruited 76 patients with an indication of TEE; the age range was 18-83 years. In Group T there were 26 patients who had the procedure under topical pharyngeal anaesthesia, in Group D there were 23 patients who received midazolam, and in Group H there were 27 patients receiving hypnosis. All patients had an IV access; throughout the procedure heart rate, rhythm electrocardiography, and peripheric O 2 saturation were monitored with a non-invasive monitor, and blood pressure measurements were taken every 3 min. Rhythm Holter recordings were obtained from all patients and TEE was performed.Results: When time domain parameters for HRV were compared in all three groups, the hypnosis group had significant increases in pNN50 and RMSSD compared to Groups D and T (p < 0.05). As concerns frequency domain parameters, there were no significant differences between groups where low frequency (LF) was decreased in hypnosis group and high frequency (HF) was increased (p > 0.05). However, LF/HF was decreased statistically significantly (p < 0.05) when compared with the midazolam group. Conclusions:Contrary to standard sedation in TEE patients, when hypnosis is used autonomic cardiac tone is modified to a significant extent. Hypnotic sedation achieves this by increasing the parasympathetic activity, decreasing the sympathetic activity, and changing the sympathovagal interaction balance.

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Use of Complementary and Alternative Medicine in Pediatric Sedation

Lin

2011

Pediatric Sedation Outside of the Operating Room

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Effect of hypnotic sedation during percutaneous transluminal coronary angioplasty on myocardial ischemia and cardiac sympathetic drive

Cited by 29 publications

References 17 publications

Cardiac Autonomic Regulation under Hypnosis Assessed by Heart Rate Variability: Spectral Analysis and Fractal Complexity

Cardiac Autonomic Regulation under Hypnosis Assessed by Heart Rate Variability: Spectral Analysis and Fractal Complexity

The effect of sedation during transoesophageal echocardiography on heart rate variability: a comparison of hypnotic sedation with medical sedation

Use of Complementary and Alternative Medicine in Pediatric Sedation

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