Sistema FMUSP-HC: Faculdade de Medicina da Universidade de São Paulo (FMUSP) e Hospital das Clínicas da FMUSPMOURA-TONELLO, Silvia Cristina Garcia deCARVALHO, Vitor OliveiraGODOY, Moacir Fernandes dePORTA, AlbertoLEAL, Angela Merice de OliveiraBOCCHI, Edimar AlcidesCATAI, Aparecida Maria2020-01-212020-01-212019BRAZILIAN JOURNAL OF CARDIOVASCULAR SURGERY, v.34, n.5, p.572-580, 20190102-7638https://observatorio.fm.usp.br/handle/OPI/34360Objective: 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.engopenAccessHeart TransplantationAutonomic Nervous SystemHeart Rate VariabilityNonlinear Dynamicsheart-rate-variabilityparasympathetic reinnervationvagal reinnervationrecipientscomplexityperiodprobetimearticleCopyright SOC BRASIL CIRURGIA CARDIOVASC10.21470/1678-9741-2019-0236Cardiac & Cardiovascular SystemsSurgery1678-9741