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Autonomic dysfunction in COVID-19 patients receiving mechanical ventilation: A cross-sectional study
BACKGROUND: Coronavirus disease 2019 (COVID-19) can damage cardiac tissue by increasing troponin levels and inducing arrhythmias, myocarditis, and acute coronary syndrome. OBJECTIVES: To analyze the impact of COVID-19 on cardiac autonomic control in mechanically ventilated intensive care unit (ICU)...
Autores principales: | , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Associação Paulista de Medicina - APM
2023
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10109544/ https://www.ncbi.nlm.nih.gov/pubmed/37075456 http://dx.doi.org/10.1590/1516-3180.2022.0513.R1.09022023 |
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author | da Silva, Renata Baltar Neves, Victor Ribeiro Barros, Mayara Costa Gambassi, Bruno Bavaresco Schwingel, Paulo Adriano Sobral, Dário Celestino |
author_facet | da Silva, Renata Baltar Neves, Victor Ribeiro Barros, Mayara Costa Gambassi, Bruno Bavaresco Schwingel, Paulo Adriano Sobral, Dário Celestino |
author_sort | da Silva, Renata Baltar |
collection | PubMed |
description | BACKGROUND: Coronavirus disease 2019 (COVID-19) can damage cardiac tissue by increasing troponin levels and inducing arrhythmias, myocarditis, and acute coronary syndrome. OBJECTIVES: To analyze the impact of COVID-19 on cardiac autonomic control in mechanically ventilated intensive care unit (ICU) patients. DESIGN AND SETTING: This cross-sectional analytical study of ICU patients of both sexes receiving mechanical ventilation was conducted in a tertiary hospital. METHODS: Patients were divided into COVID-19-positive (COVID(+)) and COVID-19-negative (COVID(-)) groups. Clinical data were collected and heart rate variability (HRV) records obtained using a heart rate monitor. RESULTS: The study sample comprised 82 subjects: 36 (44%) in the COVID(-) group (58.3% female; median age, 64.5 years) and 46 (56%) in the COVID(+) group (39.1% females; median age, 57.5 years). The HRV indices were lower than the reference values. An intergroup comparison identified no statistically significant differences in the mean normal-to-normal (NN) interval, standard deviation of the NN interval, or root mean square of successive differences in NN intervals. The COVID(+) group had an increased low frequency (P = 0.05), reduced high frequency (P = 0.045), and increased low frequency/high frequency (LF/HF) ratio (P = 0.048). There was a weak positive correlation between LF/HF and length of stay in the COVID(+) group. CONCLUSION: Patients who received mechanical ventilation had lower overall HRV indices. COVID(+) patients who received mechanical ventilation had lower vagal HRV components. These findings likely indicate clinical applicability, as autonomic control impairments are associated with a greater risk of cardiac death. |
format | Online Article Text |
id | pubmed-10109544 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2023 |
publisher | Associação Paulista de Medicina - APM |
record_format | MEDLINE/PubMed |
spelling | pubmed-101095442023-04-18 Autonomic dysfunction in COVID-19 patients receiving mechanical ventilation: A cross-sectional study da Silva, Renata Baltar Neves, Victor Ribeiro Barros, Mayara Costa Gambassi, Bruno Bavaresco Schwingel, Paulo Adriano Sobral, Dário Celestino Sao Paulo Med J Original Article BACKGROUND: Coronavirus disease 2019 (COVID-19) can damage cardiac tissue by increasing troponin levels and inducing arrhythmias, myocarditis, and acute coronary syndrome. OBJECTIVES: To analyze the impact of COVID-19 on cardiac autonomic control in mechanically ventilated intensive care unit (ICU) patients. DESIGN AND SETTING: This cross-sectional analytical study of ICU patients of both sexes receiving mechanical ventilation was conducted in a tertiary hospital. METHODS: Patients were divided into COVID-19-positive (COVID(+)) and COVID-19-negative (COVID(-)) groups. Clinical data were collected and heart rate variability (HRV) records obtained using a heart rate monitor. RESULTS: The study sample comprised 82 subjects: 36 (44%) in the COVID(-) group (58.3% female; median age, 64.5 years) and 46 (56%) in the COVID(+) group (39.1% females; median age, 57.5 years). The HRV indices were lower than the reference values. An intergroup comparison identified no statistically significant differences in the mean normal-to-normal (NN) interval, standard deviation of the NN interval, or root mean square of successive differences in NN intervals. The COVID(+) group had an increased low frequency (P = 0.05), reduced high frequency (P = 0.045), and increased low frequency/high frequency (LF/HF) ratio (P = 0.048). There was a weak positive correlation between LF/HF and length of stay in the COVID(+) group. CONCLUSION: Patients who received mechanical ventilation had lower overall HRV indices. COVID(+) patients who received mechanical ventilation had lower vagal HRV components. These findings likely indicate clinical applicability, as autonomic control impairments are associated with a greater risk of cardiac death. Associação Paulista de Medicina - APM 2023-04-17 /pmc/articles/PMC10109544/ /pubmed/37075456 http://dx.doi.org/10.1590/1516-3180.2022.0513.R1.09022023 Text en https://creativecommons.org/licenses/by/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution License |
spellingShingle | Original Article da Silva, Renata Baltar Neves, Victor Ribeiro Barros, Mayara Costa Gambassi, Bruno Bavaresco Schwingel, Paulo Adriano Sobral, Dário Celestino Autonomic dysfunction in COVID-19 patients receiving mechanical ventilation: A cross-sectional study |
title | Autonomic dysfunction in COVID-19 patients receiving mechanical
ventilation: A cross-sectional study |
title_full | Autonomic dysfunction in COVID-19 patients receiving mechanical
ventilation: A cross-sectional study |
title_fullStr | Autonomic dysfunction in COVID-19 patients receiving mechanical
ventilation: A cross-sectional study |
title_full_unstemmed | Autonomic dysfunction in COVID-19 patients receiving mechanical
ventilation: A cross-sectional study |
title_short | Autonomic dysfunction in COVID-19 patients receiving mechanical
ventilation: A cross-sectional study |
title_sort | autonomic dysfunction in covid-19 patients receiving mechanical
ventilation: a cross-sectional study |
topic | Original Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10109544/ https://www.ncbi.nlm.nih.gov/pubmed/37075456 http://dx.doi.org/10.1590/1516-3180.2022.0513.R1.09022023 |
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