The association between heart rate variability and biatrial phasic function in arterial hypertension

Tadić, Marijana; Cuspidi, Cesare; Penčić, Biljana; Marjanovic, Tamara; Ćelić, Vera

doi:10.1016/j.jash.2014.07.032

Cited by 10 publications

(12 citation statements)

References 43 publications

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“…In pathological conditions, such as arterial hypertension LA remodeling considers impairment of LA reservoir and conduit function as a consequence of increased afterload and elevated LV stiffness . An increased LA active contribution to LV filling is the response on elevated LV filling pressure and it maintains normal stroke volume .…”

Section: Discussionmentioning

confidence: 99%

Left atrial function in elite athletes: A meta‐analysis of two‐dimensional speckle tracking echocardiographic studies

Cuspidi

Tadić²,

Sala

et al. 2019

Clinical Cardiology

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Background: We sought to investigate left atrial (LA) volume, function, and strain in elite athletes by a meta-analysis including echocardiographic studies that provided volumetric and strain analysis of LA phasic function. Methods:The OVID-MEDLINE, PubMed, and Cochrane CENTRAL databases were searched for English-language articles without time restriction up to February 2018 through focused and high sensitive search strategies. Studies were identified by crossing the following search terms:Results: Meta-analysis included 403 athletes and 314 active but not trained healthy controls from 9 studies. Pooled data showed that average LA volume index was higher in athletes than in healthy controls (28.0 ± 1.0 vs 20.7 ± 0.8 mL/m 2 , P < 0.001). Global LA longitudinal strain, showing LA reservoir function, was lower in the athletes than in healthy controls with borderline significance (37.0 ± 1.2 vs 38.3 ± 1.5%, P = 0.044). Late diastolic LA strain rate, resembling LA contractile function, was also lower in elite athletes than in control group (−1.56 ± 0.08 vs −1.74 ± 0.09 seconds −1, P = 0.007). Conclusions:Our meta-analysis shows that LA volume is higher, while LA reservoir and contractile functions are impaired in elite athletes during active training compared to untrained controls. Whether these changes persist during deconditioning periods remains to be determined. These alterations may be related to the higher risk of arrhythmias, in particular atrial fibrillation, reported among middle/old aged athletes. K E Y W O R D Sleft atrium, meta-analysis, phasic function, strain, volume

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Section: Discussionmentioning

confidence: 99%

Left atrial function in elite athletes: A meta‐analysis of two‐dimensional speckle tracking echocardiographic studies

Cuspidi

Tadić²,

Sala

et al. 2019

Clinical Cardiology

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“…The right atrium (RA) reflects the right ventricular (RV) diastolic function due to its relation with RV filling pressure, which is particularly important for the hypertensive patients who frequently have biventricular diastolic dysfunction. However, the data about RA phasic function and mechanics in arterial hypertension are scarce and largely provided by our study group . Our data revealed higher RA volumes, reduced RA reservoir, and conduit functions, as well as amplified RA pump function in hypertensive patients.…”

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confidence: 58%

“…However, the data about RA phasic function and mechanics in arterial hypertension are scarce and largely provided by our study group. [8][9][10] Our data revealed higher RA volumes, reduced RA reservoir, and conduit functions, as well as amplified RA pump function in hypertensive patients. However, there are no data about three-dimensional echocardiographic (3DE) evaluation of RA phasic function in hypertensive patients and particularly in patients with different LV geometric patterns.…”

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confidence: 95%

Does Left Ventricular Geometric Patterns Impact Right Atrial Phasic Function? Findings from the Hypertensive Population

et al. 2016

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“…This has important clinical implications since a lower sympathovagal balance (measured as LF/HF ratio or R-R duration) is associated with reduced cardiovascular risk and greater longevity in obese women [72,73]. In contrast, conventional exercise such as resistance [74] or aerobic [75] training did not improve LF or LF/HF ratio in postmenopausal women.…”

Section: Discussionmentioning

confidence: 99%

Whole-body vibration training in obese subjects: A systematic review

et al. 2018

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Objective(i) to determine the outcomes of whole-body vibration training (WBVT) on obese individuals, and the intervention settings producing such effects; (ii) identify potential improper or harmful use of WBVT.DesignSystematic review.Data sourcesMedline, Scopus, Web of Science, PEDro and Scielo until July 2018.Eligibility criteriaFull papers evaluating the effect of WBVT on body composition, cardiovascular status and functional performance in obese adults. Papers with PEDro score<4 were excluded.Study appraisal and synthesisRisk of bias and quality of WBVT reporting were assessed with PEDro scale (randomized controlled trials) or TREND checklist (non-randomized studies) and a 14-items checklist, respectively. Weighted acceleration, daily exposure and Hedges’ adjusted g were computed.ResultsWe included 18 papers published 2010–2017. Typical interventions consisted in three sessions/week of exercises (squats, calf-raises) performed on platforms vibrating at 25–40 Hz (amplitude: 1–2 mm); according to ISO 2631–1:1997, daily exposure was “unsafe” in 7/18 studies.Interventions lasting ≥6 weeks improved cardiac autonomic function and reduced central/peripheral arterial stiffness in obese women; 10 weeks of WBVT produced significant weight/fat mass reduction, leg strength improvements as resistance training, and enhanced glucose regulation when added to hypocaloric diet. No paper evidenced losses of lean mass. Isolated cases of adverse effects were reported.SummaryTo date, WBVT is a promising adjuvant intervention therapy for obese women; long-term studies involving larger cohorts and male participants are required to demonstrate the associated safety and health benefits. The therapeutic use of WBVT in the management of obese patients is still not standardised and should be supported by an extensive knowledge on the causality between vibration parameters and outcomes.

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The association between heart rate variability and biatrial phasic function in arterial hypertension

Cited by 10 publications

References 43 publications

Left atrial function in elite athletes: A meta‐analysis of two‐dimensional speckle tracking echocardiographic studies

Left atrial function in elite athletes: A meta‐analysis of two‐dimensional speckle tracking echocardiographic studies

Does Left Ventricular Geometric Patterns Impact Right Atrial Phasic Function? Findings from the Hypertensive Population

Whole-body vibration training in obese subjects: A systematic review

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