Level of agreement between heart rate variability and pulse rate variability in healthy individuals

Bulte, Carolien S. E.; Keet, Sander W.M.; Boer, Christa; Bouwman, R. Arthur

doi:10.1097/eja.0b013e32834088c4

Cited by 28 publications

(31 citation statements)

References 24 publications

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“…The Nexfin HD is a novel, noninvasive arterial blood pressure monitor, which has recently been validated with respect to blood pressure and cardiac output [12,15,16]. We recently showed that Nexfin HD reproducibly reflects the classical Ewing autonomic function test battery and can be used to measure pulse rate variability as an alternative for heart rate variability [20,21]. Studies comparing the applicability of different noninvasive blood pressure measurement devices in autonomic function testing are however lacking.…”

Section: Discussionmentioning

confidence: 98%

Application of Nexfin noninvasive beat-to-beat arterial blood pressure monitoring in autonomic function testing

Sipkens

Treskes²,

Ariese-Beldman³

et al. 2011

Blood Pressure Monitoring

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Section: Discussionmentioning

confidence: 98%

Application of Nexfin noninvasive beat-to-beat arterial blood pressure monitoring in autonomic function testing

Sipkens

Treskes²,

Ariese-Beldman³

et al. 2011

Blood Pressure Monitoring

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“…We used beat-to-beat pressure curves to derive pulse interbeat intervals for HRV analysis rather than RR-intervals derived from an ECG, which is considered the gold-standard [12]. However, pulse derived HRV have been compared to HRV derived from ECG in several studies and have demonstrated sufficient accuracy in subjects at rest [29–31], although short term variability such as the HF component may be overestimated with standing and exercise due to variations in pulse transit time [31]. An overestimation of the HF component during standing may have influenced our results, but an increase in HF during standing was not observed in the preoperative test and thus the postoperative postural decrease in the LF/HF ratio cannot be explained by the inherent limitations of pulse derived HRV analysis.…”

Section: Discussionmentioning

confidence: 99%

Decreased heart rate variability responses during early postoperative mobilization – an observational study

et al. 2015

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BackgroundIntact orthostatic blood pressure regulation is essential for early mobilization after surgery. However, postoperative orthostatic hypotension and intolerance (OI) may delay early ambulation. The mechanisms of postoperative OI include impaired vasopressor responses relating to postoperative autonomic dysfunction. Thus, based on a previous study on haemodynamic responses during mobilization before and after elective total hip arthroplasty (THA), we performed secondary analyses of heart rate variability (HRV) and aimed to identify possible abnormal postoperative autonomic responses in relation to postural change.MethodsA standardized mobilization protocol before, 6 and 24 h after surgery was performed in 23 patients scheduled for elective THA. Beat-to-beat arterial blood pressure was measured by photoplethysmography and HRV was derived from pulse wave interbeat intervals and analysed in the time and frequency domain as well as by non-linear analysis using sample entropyResultsBefore surgery, arterial pressures and HR increased upon standing, while HRV low (LF) and high frequency (HF) components remained unchanged. At 6 and 24 h after surgery, resting total HRV power, sample entropy and postural responses in arterial pressures decreased compared to preoperative conditions. During standing HF variation increased by 16.7 (95 % CI 8.0–25.0) normalized units (nu) at 6 h and 10.7 (2.0–19.4) nu at 24 h compared to the preoperative evaluation. At 24 h the LF/HF ratio decreased from 1.8 (1.2–2.6) nu when supine to 1.2 (0.8–1.8) nu when standing.ConclusionsThis study observed postoperative autonomic cardiovascular dysregulation that may contribute to limited HRV responses during early postoperative mobilization.Trial registrationClinicalTrials.gov NCT01089946

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“…Sympathetic function is mainly represented in the very low‐frequency band (0.00–0.04 Hz), which is related to fluctuations in vasomotor tone and is associated with thermoregulation, whereas the high‐frequency band (0.12–0.40 Hz) may represent the efferent vagal activity and is related to respiratory activity. The low‐frequency band (0.04–0.12 Hz) may be a representative of parasympathetic as well as sympathetic innervation, and is associated with the baroreceptor reflex (Table ) .…”

Section: Diagnosis Of Autonomic Neuropathymentioning

confidence: 99%

“…Two minutes after standing up quickly, systolic blood pressure is measured again. In normal healthy subjects, the drop in systolic blood pressure is < 10 mmHg . A fall in systolic pressure of 20 mmHg or more indicates impaired cardiovascular autonomic circulatory function (Table ).…”

Section: Diagnosis Of Autonomic Neuropathymentioning

confidence: 99%

The impact of autonomic dysfunction on peri‐operative cardiovascular complications

et al. 2014

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SummaryCardiovascular autonomic neuropathy is frequently observed in patients with diabetes mellitus. As anaesthesia has a marked effect on peri-operative autonomic function, the interplay between diabetic neuropathy and anaesthesia may result in unexpected haemodynamic instability during surgery. The objective of this literature review was to examine the association of cardiovascular autonomic neuropathy with peri-operative cardiovascular complications. We searched PubMed for articles with search elements of autonomic dysfunction [MeSH] AND anaesthesia [MeSH] AND complications [MeSH]. Depending on the type of anaesthesia, the presence of cardiovascular autonomic neuropathy in surgical patients can markedly affect peri-operative haemodynamics and postoperative recovery. Preoperative testing of the extent of autonomic dysfunction in particular populations, like diabetics, may contribute to a reduction in haemodynamic instability and cardiovascular complications. Non-invasive diagnostic methods assessing autonomic function may be an important tool during pre-operative risk assessment.

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Level of agreement between heart rate variability and pulse rate variability in healthy individuals

Cited by 28 publications

References 24 publications

Application of Nexfin noninvasive beat-to-beat arterial blood pressure monitoring in autonomic function testing

Application of Nexfin noninvasive beat-to-beat arterial blood pressure monitoring in autonomic function testing

Decreased heart rate variability responses during early postoperative mobilization – an observational study

The impact of autonomic dysfunction on peri‐operative cardiovascular complications

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