Evaluation of Cardiac Autonomic Modulation Using Symbolic Dynamics After Cardiac Transplantation

dc.contributorSistema FMUSP-HC: Faculdade de Medicina da Universidade de São Paulo (FMUSP) e Hospital das Clínicas da FMUSP
dc.contributor.authorMOURA-TONELLO, Silvia Cristina Garcia de
dc.contributor.authorCARVALHO, Vitor Oliveira
dc.contributor.authorGODOY, Moacir Fernandes de
dc.contributor.authorPORTA, Alberto
dc.contributor.authorLEAL, Angela Merice de Oliveira
dc.contributor.authorBOCCHI, Edimar Alcides
dc.contributor.authorCATAI, Aparecida Maria
dc.date.accessioned2020-01-21T15:03:21Z
dc.date.available2020-01-21T15:03:21Z
dc.date.issued2019
dc.description.abstractObjective: To characterize the behavior of cardiac autonomic modulation in individuals with different times after orthotopic heart transplantation (HTx) using symbolic dynamics analysis. Methods: Sixty patients were evaluated after HTx. We recorded their instantaneous R-R intervals (RRi) by cardiac monitor Polar (R) RS800CX (TM) (Polar Electro Oy, Kempele, Finland) for 10 minutes. The same sequence of RRi with 256 consecutive beats was used to perform spectral analysis and symbolic dynamics analysis. We used hierarchical clustering to form groups. One-way analysis of variance (ANOVA) (with Holm-Sidak method) or one-way Kruskal-Wallis test (with Dunn's post-hoc test) was used to analyze the difference between groups. Linear correlation analysis between variables was performed using Pearson's or Spearman's tests. P-value < 0.05 was considered statistically significant. Results: The 0V% index increased, the 2UV% index and the normalized complexity index decreased with an increase of HTx postoperative time. There were a negative correlation between complexity indexes and 0V% and a positive correlation between complexity indexes and 2UV%. Conclusion: Symbolic dynamics indexes were able to show a specific cardiac autonomic modulation pattern for HTx recipients with different postoperative times.eng
dc.description.indexMEDLINEeng
dc.description.sponsorshipMinisterio da Ciencia, Tecnologia e Inovacao - Conselho Nacional de Desenvolvimento Cientifico e Tecnologico [150490/2018-6, 311938/2013-2]
dc.description.sponsorshipFundacao de Amparo a Pesquisa do Estado de Sao PauloFundacao de Amparo a Pesquisa do Estado de Sao Paulo (FAPESP) [2010/01361-9]
dc.identifier.citationBRAZILIAN JOURNAL OF CARDIOVASCULAR SURGERY, v.34, n.5, p.572-580, 2019
dc.identifier.doi10.21470/1678-9741-2019-0236
dc.identifier.eissn1678-9741
dc.identifier.issn0102-7638
dc.identifier.urihttps://observatorio.fm.usp.br/handle/OPI/34360
dc.language.isoeng
dc.publisherSOC BRASIL CIRURGIA CARDIOVASCeng
dc.relation.ispartofBrazilian Journal of Cardiovascular Surgery
dc.rightsopenAccesseng
dc.rights.holderCopyright SOC BRASIL CIRURGIA CARDIOVASCeng
dc.subjectHeart Transplantationeng
dc.subjectAutonomic Nervous Systemeng
dc.subjectHeart Rate Variabilityeng
dc.subjectNonlinear Dynamicseng
dc.subject.otherheart-rate-variabilityeng
dc.subject.otherparasympathetic reinnervationeng
dc.subject.othervagal reinnervationeng
dc.subject.otherrecipientseng
dc.subject.othercomplexityeng
dc.subject.otherperiodeng
dc.subject.otherprobeeng
dc.subject.othertimeeng
dc.subject.wosCardiac & Cardiovascular Systemseng
dc.subject.wosSurgeryeng
dc.titleEvaluation of Cardiac Autonomic Modulation Using Symbolic Dynamics After Cardiac Transplantationeng
dc.typearticleeng
dc.type.categoryoriginal articleeng
dc.type.versionpublishedVersioneng
dspace.entity.typePublication
hcfmusp.affiliation.countryItália
hcfmusp.affiliation.countryisoit
hcfmusp.author.externalMOURA-TONELLO, Silvia Cristina Garcia de:Fed Univ Sao Carlos UFSCar, Cardiovasc Physiotherapy Lab LFCV, Physiotherapy Dept, Rod Washington Luiz,S-N, BR-13565905 Sao Carlos, SP, Brazil
hcfmusp.author.externalCARVALHO, Vitor Oliveira:Fed Univ Sergipe UFS, Physiotherapy Dept, Sao Cristovao, SE, Brazil
hcfmusp.author.externalGODOY, Moacir Fernandes de:Med Sch Sao Jose Rio Preto FAMERP, Cardiol & Cardiovasc Surg Dept, Sao Jose Do Rio Preto, SP, Brazil; Med Sch Sao Jose do Rio Preto FAMERP, Transdisciplinary Nucleus Study Chaos & Complex N, Sao Jose Do Rio Preto, SP, Brazil
hcfmusp.author.externalPORTA, Alberto:Univ Milan, Dept Biomed Sci Hlth, Milan, Italy; IRCCS Policlin San Donato, Dept Cardiothorac Vasc Anesthesia & Intens Care, Milan, Italy
hcfmusp.author.externalLEAL, Angela Merice de Oliveira:Fed Univ Sao Carlos UFSCar, Dept Med, Sao Paulo, Brazil
hcfmusp.author.externalCATAI, Aparecida Maria:Fed Univ Sao Carlos UFSCar, Cardiovasc Physiotherapy Lab LFCV, Physiotherapy Dept, Rod Washington Luiz,S-N, BR-13565905 Sao Carlos, SP, Brazil
hcfmusp.citation.scopus4
hcfmusp.contributor.author-fmusphcEDIMAR ALCIDES BOCCHI
hcfmusp.description.beginpage572
hcfmusp.description.endpage580
hcfmusp.description.issue5
hcfmusp.description.volume34
hcfmusp.origemWOS
hcfmusp.origem.pubmed31719008
hcfmusp.origem.scieloSCIELO:S0102-76382019000500572
hcfmusp.origem.scopus2-s2.0-85074773312
hcfmusp.origem.wosWOS:000491873000012
hcfmusp.publisher.citySAO PAULO SPeng
hcfmusp.publisher.countryBRAZILeng
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