Respiratory Sinus Arrhythmia and its Association with Pain in Women with Fibromyalgia Syndrome

Zamunér, Antônio Roberto; Forti, Meire; Andrade, Carolina Pieroni; Ávila, Mariana Arias; Silva, Ester da

doi:10.1111/papr.12321

Cited by 24 publications

(29 citation statements)

References 33 publications

(49 reference statements)

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“…The relation between anxiety-depression and cardiac events in patients with FMS has been addressed in a very few amount of the studies. Zamuner et al (15) indicated that disruption of neurocardiac integrity in patients with FMS have an impact on pain and quality of life. In a study where the relation between anxiety, depression and arrhythmia have been investigated in 59 patients diagnosed with FMS, higher anxiety-depression scores were obtained when compared to the control group, but its relation with arrhythmia has not been suggested (11).…”

Section: Discussionmentioning

confidence: 99%

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Prevalence of Fibromyalgia Syndrome and Its Correlations with Arrhythmia in Patients with Palpitations

Aşkın

Güvendi

Özkan³

et al. 2017

Acta Med. (Hradec Kralove, Czech Repub.)

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Section: Discussionmentioning

confidence: 99%

“…Sarıfakıoğlu et al (11) did not find any relation between arrhythmia and anxiety-depression, but reported that the risk of atrial fibrillation was increased in patients with FMS. However, Zamuner et al (15) reported that the disruption of neurocardiac integrity in FMS have an impact on pain and quality of life.…”

Section: Introductionmentioning

confidence: 99%

Prevalence of Fibromyalgia Syndrome and Its Correlations with Arrhythmia in Patients with Palpitations

Aşkın

Güvendi

Özkan³

et al. 2017

Acta Med. (Hradec Kralove, Czech Repub.)

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“…Brennan 1 , R. Breen 2 , J. Ashton 2 , C. Edel 3 , C. Farrell 4 , D. Moore 1 , P. Kenny 5 , O. FitzGerald 6 . 1 Tallaght Hospital, Tallaght, Dublin 24; 2 Beaumont Hospital, Dublin; 3 Merlin Park, Galway; 4 RSCI; 5 Connolly Hospital, Blanchardstown; 6 …”

Section: Musculoskeletal Triage Services In Irelandmentioning

confidence: 99%

“…Background: Several studies have shown that autonomic dysfunction plays an important role in the fibromyalgia syndrome (FMS). [1][2][3] Recent studies have used the active standing test to assess the cardiovascular autonomic control responses to the orthostatic stimulus in several disorders, including FMS. 4 However, there are few studies correlating symptoms and clinical factors with cardiovascular autonomic dysfunction.…”

Section: St Vincents University Hospital Dublin Irelandmentioning

confidence: 99%

FRI0614-HPR Delayed Diagnosis, Pain and Loss of Function Are Some of The Consequences of Spontaneous Fractures in Patients with Rheumatoid Arthritis – A Qualitative Analysis of Patients' Experience

Rasmussen¹,

Melgaard²,

Yurtsever

et al. 2016

Ann Rheum Dis

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BackgroundSpontaneous fractures in patients with rheumatoid arthritis (RA) have only occasionally been reported in the literature1,2. However, rheumatologists at Vendsyssel Hospital have noticed several cases where new onset knee or ankle pain was misdiagnosed as arthritis activity but was later shown to be spontaneous fractures. An x-ray examination did not reveal the fracture, but it was identified on an MRI examination. The fractures are at risk of being overlooked, and this fact may lead to a delay in diagnosis and a risk of ineffective treatment with e.g. steroid injections.ObjectivesThe study was carried out in the Physio- and Occupational Therapist unit in Vendsyssel Hospital. The included patients were diagnosed with RA and spontaneous fractures. Fifteen patients, all women, were identified. Ten patients in the age of 57–88 years participated in the study. They had an average disease duration of 14.2 years and a MRI was performed at a median of eight months.MethodsThe patients were divided into two age specific groups: 57–69 and 70–88 years. The focus groups data were subjected to thematic analysis to provide a sense of the important themes. Categorizing, coding and analysing the data from the focus groups identified the themes.ResultsAll patients identified the missing diagnosis as a significant burden. The patients were experiencing pain, but did not receive a diagnosis or an explanation for their symptoms. “I've never been as happy as when I was told my leg was broken …” Most of the patients experienced more pain than usual for their RA: ”You suddenly have a lot more pain, but you just don't know where it comes from”. All patients noticed a significant loss of function before the diagnosis was made and during immobilisation: ”I was so unhappy about not being able to do anything … even just getting up at night to go to the toilet …”. When the patients were immobilised they were offered crutches, but they were not able to use standard crutches due to their RA: ”I can't use crutches because I don't have enough strength to lift myself…”ConclusionsPatients with RA with spontaneous fractures experience the delayed diagnosis as a burden, and it is stressful for them to wait for an explanation for their pain. Due to the patients missing ability to use crutches or use a wheelchair, it is important to find other aids that patients with RA and spontaneous fractures can use. When the patients were immobilised they experienced loss of function. This calls for the need to focus on the diagnosis and guidance of these patients in relation to daily activities and aids.ReferencesHauser B, Riches PL, Wilson JF, Horne AE, Ralston SH. Prevalence and clinical prediction of osteoporosis in a contemporary cohort of patients with rheumatoid arthritis. Rheumatology 2014; 53:1759–66Spina A, Clemente A, Vancini C, Fejzo M, Campioni P. Musculoskeletal Radiology: Spontaneous talar and calcaneal fracture in rheumatoid arthritis: a case report. Radiology Case 2011; 5(7): 15–23Disclosure of InterestNone declared

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“…The cardiac baroreflex system plays an important role in mediating the inverse relationship between lower BP and higher pain, and inverse relationships have been observed between pain sensitivity and resting baroreceptor sensitivity …”

Section: Introductionmentioning

confidence: 99%

Increased Sympathetic Outflow Induces Adaptation to Acute Experimental Pain

et al. 2017

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Different effects of acute autonomic manipulations on experimental pain were found: an increase in sympathetic tone induced by yohimbine led to reduced pain sensitivity; a decrease in sympathetic tone with no effect on vagal-parasympathetic tone induced by phenylephrine led to reduction in pain adaptation capacity; and a decrease in sympathetic tone and increase in vagal parasympathetic tone by clonidine led to no change in pain adaptation capacity. While increased sympathetic outflow does facilitate pain adaptation, activation of either the sympathetic or parasympathetic limbs of the autonomic nervous system does not affect pain thresholds or CPM. Finally, a correlation exists between nociception and cardiovascular parameters only due to baroreflex activation.

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Respiratory Sinus Arrhythmia and its Association with Pain in Women with Fibromyalgia Syndrome

Abstract: The results of VHR indices during the supine position and the DBT women with FMS suggest impairment of neurocardiac integrity associated with pain and the impact of FMS on the quality of life.

Cited by 24 publications

References 33 publications

Prevalence of Fibromyalgia Syndrome and Its Correlations with Arrhythmia in Patients with Palpitations

Prevalence of Fibromyalgia Syndrome and Its Correlations with Arrhythmia in Patients with Palpitations

FRI0614-HPR Delayed Diagnosis, Pain and Loss of Function Are Some of The Consequences of Spontaneous Fractures in Patients with Rheumatoid Arthritis – A Qualitative Analysis of Patients' Experience

Increased Sympathetic Outflow Induces Adaptation to Acute Experimental Pain

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