The acute effect of bi-level positive airway pressure on heart rate variability in chronic obstructive pulmonary disease patients with hypercapnic respiratory failure

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dc.contributor.authorYazici, Mehmet
dc.contributor.authorUzun, Kuersat
dc.contributor.authorUlgen, Mehmet Siddik
dc.contributor.authorTeke, Turgut
dc.contributor.authorMaden, Emin
dc.contributor.authorKayrak, Mehmet
dc.contributor.authorTuran, Yasar
dc.date.accessioned2020-03-26T17:27:57Z
dc.date.available2020-03-26T17:27:57Z
dc.date.issued2008
dc.departmentSelçuk Üniversitesien_US
dc.description.abstractObjective: Non-invasive mechanical ventilation (NIMV) has the potential to improve sympathovagal control of heart rate. The aim of this study was to investigate the acute effects of NIMV on heart rate variability (HRV) in chronic obstructive pulmonary disease (COPD) patients with hypercapnic respiratory failure (HRF). Methods: In this prospective study 28 COPD patients (64 +/- 10 years) with HRF underwent electrocardiographic Holter monitorization. Both time domain (TD) and frequency domain (FD) means of HRV analysis were measured for two hours before and during NIMV application. For the TD, mean-RR, SDNN, SDANN, SDNN index, RMSSD, pNN50 and HRV triangular index were measured. For FD, high frequency (HF) and low frequency (LF) were detected. To compare HRV parameters before and during bi-level positive airway pressure (BiPAP) application; paired sample t test was used for normally distributed variables and Wilcoxon signed rank test was used for the variables that were not normally distributed. Pearson correlation test was used to analyze the correlation between HRV and blood gas parameters during BiPAP application. Results: High frequency power of HRV (39 (18-65) ms(2) vs. 28 (12-50) ms(2), p < 0.05), HRV triangular index (9 (3-17) units vs. 6 (2-13) units, p < 0.05) and pNN50 (59% (13-110) vs. 42% (5-84), p < 0.05), were higher during NIMV than before noninvasive mechanical ventilation. Conclusions: We think that NIMV may improve heart rate variability indices of parasympathetic modulation of heart rate in COPD cases with HRF and decrease arrhythmic potential. (Anadolu Kardiyol Derg 2008; 8: 426-30)en_US
dc.identifier.endpage430en_US
dc.identifier.issn2149-2263en_US
dc.identifier.issn2149-2271en_US
dc.identifier.issue6en_US
dc.identifier.pmid19103538en_US
dc.identifier.scopusqualityQ3en_US
dc.identifier.startpage426en_US
dc.identifier.urihttps://hdl.handle.net/20.500.12395/22684
dc.identifier.volume8en_US
dc.identifier.wosWOS:000262178300006en_US
dc.identifier.wosqualityN/Aen_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakTR-Dizinen_US
dc.indekslendigikaynakPubMeden_US
dc.language.isoenen_US
dc.publisherTURKISH SOC CARDIOLOGYen_US
dc.relation.ispartofANATOLIAN JOURNAL OF CARDIOLOGYen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.selcuk20240510_oaigen_US
dc.subjectHeart rate variabilityen_US
dc.subjectbi-level positive airway pressureen_US
dc.subjecthypercapniaen_US
dc.titleThe acute effect of bi-level positive airway pressure on heart rate variability in chronic obstructive pulmonary disease patients with hypercapnic respiratory failureen_US
dc.typeArticleen_US

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