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2022 12th Conference of the European Study Group on Cardiovascular Oscillations (ESGCO)最新文献

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Beta-adrenergic receptors gene polymorphisms effects on cardiovascular control -肾上腺素能受体基因多态性对心血管控制的影响
Pub Date : 2022-10-09 DOI: 10.1109/ESGCO55423.2022.9931348
L. Matušková, B. Czippelova, Z. Turianikova, D. Švec, Z. Kolková, Z. Lasabová, M. Javorka
$upbeta$-adrenergic receptors ($upbeta$-ARs) playa pivotal role in the cardiovascular control. Several single nucleotide polymorphisms (SNPs) of $upbeta$-ARs might influence cardiovascular function. We aimed to explore the associations between four selected $upbeta$-ARs gene polymorphisms and cardiovascular control related measures in young healthy subjects. We conclude that complex analysis of various cardiovascular characteristics reflecting the strength of cardiac contraction and blood pressure variability can reveal subtle differences in cardiovascular sympathetic nervous control associated with $upbeta$-ARs polymorphisms.
$upbeta$-肾上腺素能受体($upbeta$-ARs)在心血管控制中起着关键作用。$upbeta$-ARs的几个单核苷酸多态性(snp)可能影响心血管功能。我们的目的是探讨四种选定的$upbeta$-ARs基因多态性与年轻健康受试者心血管控制相关措施之间的关系。我们的结论是,对反映心脏收缩强度和血压变异性的各种心血管特征的复杂分析可以揭示与$upbeta$-ARs多态性相关的心血管交感神经控制的细微差异。
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引用次数: 0
Squared Coherence Analysis Might Suggest Cerebral Autoregulation Post-Surgery Impairment in Patients Undergoing Surgical Aortic Valve Replacement 平方相干分析可能提示主动脉瓣置换术患者术后脑自动调节功能受损
Pub Date : 2022-10-09 DOI: 10.1109/ESGCO55423.2022.9931376
V. Bari, F. Gelpi, B. Cairo, Noemi Cornara, Beatrice De Maria, M. Ranucci, A. Porta
A squared coherence (K2) approach was applied to investigate cerebral autoregulation (CA) in 33 patients (age: 63±14 yrs; 27 males) undergoing surgical aortic valve replacement (SAVR) before surgery (PRE), after surgery (POST) and after a 3-month follow-up (POST3). K2 was assessed between mean arterial pressure and mean cerebral blood flow velocity in very low frequency (VLF, 0.02-0.07 Hz), low frequency (LF, 0.07-0.15 Hz) and high frequency (HF, 0.15-0.4 Hz) bands at rest in supine position (REST) and during active standing (STAND). The significance of K2 was tested individually via a surrogate approach. Results showed that K2 in HF band increased during POST compared to PRE at REST but this rise was more limited during STAND. Analysis of K2 suggests a possible impairment of CA after SAVR that might expose patients to a higher risk of developing post-surgery cerebrovascular adverse events.
采用平方相干(K2)方法对33例患者(年龄:63±14岁;27名男性)接受手术主动脉瓣置换术(SAVR)术前(PRE),术后(POST)和3个月随访(POST3)。在仰卧位(rest)和活动站立(STAND)休息时,在甚低频(VLF, 0.02-0.07 Hz)、低频(LF, 0.07-0.15 Hz)和高频(HF, 0.15-0.4 Hz)波段测量平均动脉压和平均脑血流速度之间的K2。通过替代法分别检测K2的显著性。结果表明,在休息状态下,与PRE相比,POST期间HF频段的K2升高,但STAND期间这种升高更为有限。对K2的分析表明,SAVR后CA可能受损,这可能使患者面临更高的术后脑血管不良事件风险。
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引用次数: 1
Cortical Activation Response during Acupuncture Intervention for Hemiplegia Limbs in Stroke Patients: A Preliminary fNIRS Study 针刺干预脑卒中患者偏瘫肢体时的皮层激活反应:一项初步的fNIRS研究
Pub Date : 2022-10-09 DOI: 10.1109/ESGCO55423.2022.9931344
Congcong Huo, Simin Zhang, Gongcheng Xu, Zengyong Li
Observation of the cortical response to specific therapy in real-time would provide valuable evidence for the neural mechanisms underlying stroke rehabilitation. This study aimed to explore the cortical response during acupuncture in hemiplegic limb acupoints for stroke patients. Nineteen stroke patients were recruited for the measurement of cerebral hemodynamics during resting state and acupuncture state based on functional near-infrared spectroscopy (fNIRS). Wavelet amplitude (WA) was used to describe the cortical activation based on the time-frequency analysis of fNIRS signals. Results showed significantly higher WA of bilateral prefrontal and motor cortex during acupuncture state than the resting state. Additionally, significantly negative correlation was observed between the motor score and increased WA in the contralesional hemisphere. These findings suggest that there were increased cortical activation of bilateral hemispheres and patients with severe motor dysfunctions had more activation of contralesional hemisphere in response to the acupuncture intervention. This study provides preliminary evidence about the neural mechanism underlying acupuncture for motor impairment and suggests the role of fNIRS in stroke rehabilitation assessment.
实时观察脑皮层对特定治疗的反应将为脑卒中康复的神经机制提供有价值的证据。本研究旨在探讨脑卒中患者偏瘫肢体穴位针刺时的皮质反应。采用功能近红外光谱(fNIRS)测量19例脑卒中患者静息状态和针刺状态下的脑血流动力学。在对近红外光谱信号进行时频分析的基础上,采用小波幅值(WA)来描述脑皮层的激活。结果表明,针刺状态下双侧前额叶和运动皮层的WA明显高于静息状态。此外,运动评分与对侧半球WA升高呈显著负相关。这些发现表明,在针灸干预下,双侧半球皮质激活增加,严重运动功能障碍患者的对侧半球激活更多。本研究为针刺治疗运动障碍的神经机制提供了初步证据,并提示fNIRS在脑卒中康复评估中的作用。
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引用次数: 1
Cardiovascular and Cerebrovascular Information Transfer Might Depend on the Type of Conditioning Respiratory Signal 心脑血管信息传递可能依赖于调节呼吸信号的类型
Pub Date : 2022-10-09 DOI: 10.1109/ESGCO55423.2022.9931377
F. Gelpi, V. Bari, B. Cairo, Beatrice De Maria, R. Wells, M. Baumert, A. Porta
Information transferred from heart period (HP) to systolic arterial pressure (SAP) along baroreflex and from mean arterial pressure (MAP) to mean cerebral blood flow (MCBF) along the pressure-to-flow relationship is commonly estimated by conditioning for the respiratory activity. Results might depend on the type of selected respiratory signal. In 18 healthy individuals (age: 28±13 yrs; 5 males) we acquired the spontaneous variability of HP, SAP, MAP and MCBF and two respiratory signals, namely respiratory chest movement (RCM) and end-tidal carbon dioxide (EtCO2). Data were acquired at rest in supine position (REST) and during active standing (STAND). The effect of STAND over the information transfer from MAP to MCBF was similar using RCM or EtCO2, while it was different when information transfer from SAP to HP was evaluated. Changes of the information transfer during STAND suggests that EtCO2 is a weak conditioning signal for the evaluation of information transferred along baroreflex.
从心期(HP)到收缩压(SAP),以及从平均动脉压(MAP)到平均脑血流量(MCBF),沿着压力-流量关系传递的信息通常是通过调节呼吸活动来估计的。结果可能取决于所选呼吸信号的类型。18例健康个体(年龄:28±13岁;我们获得了HP、SAP、MAP和MCBF的自发变异性以及呼吸性胸动(RCM)和末潮二氧化碳(EtCO2)两种呼吸信号。数据分别在仰卧位(rest)和主动站立(STAND)时获取。在RCM和EtCO2中,STAND对MAP向MCBF传递信息的影响相似,而对SAP向HP传递信息的影响不同。STAND过程中信息传递的变化表明,EtCO2是评价沿气压反射传递信息的弱条件反射信号。
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引用次数: 0
Cardio-respiratory wavelet phase coherence at three ambient temperatures 三种环境温度下的心肺小波相位相干性
Pub Date : 2022-10-09 DOI: 10.1109/ESGCO55423.2022.9931379
Juliane Bjerkan, Sultan Alatawi, Nora Ugland, M. Elstad, A. Stefanovska
Here we adopt the definition of respiratory sinus arrhythmia (RSA) as the heart rate variability (HRV) in synchrony with respiration amplitude. Little is known about the effect ambient temperature has on RSA, and as RSA has potential as a biomarker for various conditions its effect should be examined. Here, employing wavelet analysis, we investigate HRV synchrony with both respiration amplitude and respiration frequency in 27 healthy adults at three ambient temperatures (20°C. 26°C. 32°C). Clinical Relevance- This work establishes that in healthy adults the amount of synchrony between HRV and respiration amplitude and between HRV and respiration frequency remains constant for temperatures between 20°C and 32°C
我们将呼吸性窦性心律失常(RSA)定义为心率变异性(HRV)与呼吸幅度同步。人们对环境温度对RSA的影响知之甚少,由于RSA有可能作为各种条件下的生物标志物,因此应该对其影响进行研究。本文采用小波分析研究了27名健康成人在3种环境温度(20°C)下HRV与呼吸幅度和呼吸频率的同步性。26°C。32°C)。临床相关性:本研究证实,在20°C至32°C的温度范围内,健康成人HRV与呼吸幅度以及HRV与呼吸频率之间的同步度保持恒定
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引用次数: 0
Transfer Entropy Analysis of Pulse Arrival Time - Heart Period Interactions during Physiological Stress 生理应激时脉搏到达时间-心期相互作用的传递熵分析
Pub Date : 2022-10-09 DOI: 10.1109/ESGCO55423.2022.9931360
Chiara Barà, R. Pernice, Laura Sparacino, S. Mangione, M. Javorka, L. Faes
Although Heart Period (HP) variability is the most widely used measure to assess cardiovascular oscillations, its evaluation combined with that of Pulse Arrival Time (PAT) variability may provide additional information about cardiac dynamics and cardiovascular interactions. In this study, we computed the transfer entropy from PAT to HP in 76 subjects monitored at rest and during orthostatic and mental stress using both a model-free (k-Nearest Neighbors) and a linear parametric estimator. Our results show how the information flow between these two variables depends on the physiological condition and how the nonlinear measure captures more information than the linear one during orthostatic stress.
虽然心期(HP)变异性是评估心血管振荡最广泛使用的测量方法,但将其与脉冲到达时间(PAT)变异性相结合的评估可能提供有关心脏动力学和心血管相互作用的额外信息。在这项研究中,我们使用无模型(k-近邻)和线性参数估计器计算了76名受试者在休息、直立和精神压力下从PAT到HP的传递熵。我们的结果显示了这两个变量之间的信息流如何取决于生理条件,以及在直立应力期间非线性测量如何比线性测量捕获更多的信息。
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引用次数: 0
Extracellular matrix composition controls the development of alternans in cardiac tissue 细胞外基质组成控制着心脏组织中异构体的发育
Pub Date : 2022-10-09 DOI: 10.1109/ESGCO55423.2022.9931386
Julia Erhardt, J. Brock, Stephan A Eisler, M. Hörning
The integrity and functionality of all living tissue highly depends on their embedding in the extracellular matrix (ECM). It provides cells with a certain rigidity and various types of proteins to ensure stability, nutrition and anchorage of the single cells and tissue. These properties highly impact all tissue types, including the here discussed heart tissue. In cardiac muscle, tissue stiffness plays an especially critical role, since it can impair regular functions by disturbing natural electrophysiological conduction. An often discussed but not entirely understood subject is alternans. It is commonly ac-cepted that alternans can pathologically disturb natural cardiac rhythms and thereby lead to life-threatening medical conditions. Previous studies have gained insights on the influence of cardiac tissue stiffness on electrophysiological dynamics, but details about their formation remain to be elucidated. Here, we address the effects of variations in the ECM rigidity and matrix protein composition on the cardiac tissue morphology and dynamic alternans patterns. Employing a combination of high-speed life imaging, classical fluorescence staining and machine learning algorithms, we elucidate the critical relationship between tissue morphology and electromechanical dynamics. Clinical Relevance-Using high-speed life imaging, this work aims at understanding the connection between tissue morphology, ECM composition and alternans dynamics in healthy and diseased heart tissues for possible future applications, treatments and prediction of cardiac diseases.
所有活组织的完整性和功能高度依赖于它们在细胞外基质(ECM)中的嵌入。它为细胞提供一定的刚性和各种类型的蛋白质,以保证单个细胞和组织的稳定性、营养和锚固性。这些特性对所有组织类型都有很大影响,包括这里讨论的心脏组织。在心肌中,组织僵硬起着特别关键的作用,因为它可以通过干扰自然电生理传导而损害正常功能。一个经常讨论但不完全理解的主题是另类。人们普遍认为,替代药物会在病理上扰乱自然心律,从而导致危及生命的医疗状况。先前的研究已经对心脏组织硬度对电生理动力学的影响有了深入的了解,但其形成的细节仍有待阐明。在这里,我们讨论了ECM硬度和基质蛋白组成的变化对心脏组织形态和动态交替模式的影响。采用高速生命成像,经典荧光染色和机器学习算法的组合,我们阐明了组织形态和机电动力学之间的关键关系。临床意义:利用高速生命成像,本研究旨在了解健康和患病心脏组织中组织形态、ECM组成和交替动力学之间的联系,为未来可能的应用、治疗和预测心脏疾病提供帮助。
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引用次数: 0
Asymmetry of RR intervals and ECG amplitudes in LQTS patients LQTS患者RR间期和心电图波幅的不对称性
Pub Date : 2022-10-09 DOI: 10.1109/ESGCO55423.2022.9931345
M. Andrzejewska, Mateusz Ozimek, Karolina Rams, T. Buchner
A system which responds strongly to stimuli is more asymmetric in time. We show this effect in RR intervals and also in amplitudes of QRS and T complex of the ECG in the groups of 67 long QT syndrome (LQTS) patients and 128 healthy controls from THEW database. We claim that it reflects a diminished response to inotropic and chronotropic control of cardiac effector in this pathology. Measured based on difference of amplitudes between consecutive beats are the best, especially the D index (Hou et al.), which utilizes poor overlap between paired variables. Clinical Relevance-Clinical indices of asymmetry differen-tiate between LQTS and healthy individuals and may be used to stratify risk in LQTS and other patients threatened by arrhythmia
一个对刺激反应强烈的系统在时间上更不对称。我们在来自THEW数据库的67名长QT综合征(LQTS)患者和128名健康对照中发现了这种效应,包括RR间隔以及心电图QRS和T复合体的振幅。我们认为,这反映了在这种病理中,心脏效应物对肌力和变时性控制的反应减弱。基于连续节拍之间的振幅差来测量是最好的,尤其是D指数(Hou等),它利用了成对变量之间很少的重叠。临床相关性-临床不对称指标可区分LQTS患者与健康人群,并可用于LQTS患者及其他心律失常威胁患者的风险分层
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引用次数: 1
Association between maternal-fetal cardiac coupling strengths with maternal and fetal parameters 母胎心脏偶联强度与母胎参数的关系
Pub Date : 2022-10-09 DOI: 10.1109/ESGCO55423.2022.9931351
M. Alkhodari, N. Widatalla, Maisam Wahbah, Raghad Al Sakaii, Kiyoe Funamoto, A. Krishnan, Y. Kimura, Ahsan H. Khandoker
This study aims to investigate the associations of maternal-fetal demographic information (age, gestational age, and body mass index (BMI)) and heart rate variability with their cardiac coupling mechanisms during pregnancy. Coupling was determined from one-minute maternal-fetal electrocardio-graphy (ECG) signals in 172 pregnant women using phase coherence (λ) calculations. Accordingly, variables such as gestational age, maternal BMI, and maternal-fetal heart rate were found significant (p-value < 0.05) in discriminating between [1:2], [2:3], and [3:5] coupling scenarios. The results suggest the importance of maternal-fetal parameters and ECG recordings in the assessment of fetal well-being during pregnancy. Clinical Relevance-The maternal psychophysiological states are highly correlated with the fetal cardiac system. Accurate characterization of this correlation leads to better clinical assessment protocols and treatment plans to prevent many stillbirth cases
本研究旨在探讨妊娠期母胎人口统计学信息(年龄、胎龄、体重指数(BMI))和心率变异性与心脏耦合机制的关系。利用相位相干(λ)计算,从172名孕妇的一分钟母胎心电图(ECG)信号中确定耦合。因此,胎龄、母亲BMI和母胎心率等变量在区分[1:2]、[2:3]和[3:5]耦合情景时具有显著性(p值< 0.05)。结果表明,母胎参数和心电图记录的重要性,在评估胎儿健康在怀孕期间。临床相关性:产妇心理生理状态与胎儿心脏系统高度相关。这种相关性的准确表征导致更好的临床评估方案和治疗计划,以防止许多死产病例
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引用次数: 0
Complexity in Heart Rate Variability after Postural Sympathovagal Change by Sample, Fuzzy, and Distribution Entropy 通过样本、模糊和分布熵分析体位交感迷走神经改变后心率变异性的复杂性
Pub Date : 2022-10-09 DOI: 10.1109/ESGCO55423.2022.9931354
P. Castiglioni, G. Merati, G. Parati, A. Faini
Distribution Entropy (DistEn) has been proposed to quantify the heart rate variability (HRV) complexity as an alternative to Sample (SampEn) or Fuzzy (FuzzyEn) entropies, which essentially measure the HRV randomness. We aim to evaluate if postural sympathovagal activations in healthy individuals induce changes in HRV complexity or randomness by jointly estimating DistEn, SampEn, and FuzzyEn. We compared the estimators on white, pink, and random noises, and on chaotic and periodic series. Then, we considered supine (Sup) and sitting (Sit) heart-rate recordings of 34 volunteers comparing SampEn, FuzzyEn, and DistEn between postures. Synthesized series highlighted the different nature of the estimators, being the highest entropy that of white noise for SampEn and FuzzyEn, that of the chaotic series for DistEn. SampEn and FuzzyEn of real heart rate series were greater in Sup, while DistEn did not differ between postures. Thus, the postural change does not change the HRV complexity as quantified by DistEn and DistEn is not an index of sympathovagal balance, unlike SampEn or FuzzyEn.
分布熵(DistEn)已被提出用于量化心率变异性(HRV)复杂性,作为样本熵(SampEn)或模糊熵(FuzzyEn)熵的替代方法,后者本质上是衡量心率变异性的随机性。我们的目的是通过联合估计DistEn、SampEn和FuzzyEn来评估健康个体体位交感迷走神经激活是否会诱导HRV复杂性或随机性的变化。我们比较了白噪声、粉红噪声和随机噪声以及混沌序列和周期序列的估计量。然后,我们考虑了34名志愿者的平卧(Sup)和坐着(Sit)的心率记录,比较了SampEn、FuzzyEn和DistEn在不同姿势之间的差异。合成序列突出了估计量的不同性质,SampEn和FuzzyEn的白噪声熵最高,DistEn的混沌序列熵最高。真实心率系列的SampEn和FuzzyEn在Sup中更大,而DistEn在不同姿势之间没有差异。因此,与SampEn或FuzzyEn不同,姿势变化不会改变DistEn量化的HRV复杂性,DistEn也不是交感迷走神经平衡的指标。
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引用次数: 1
期刊
2022 12th Conference of the European Study Group on Cardiovascular Oscillations (ESGCO)
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