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The Role of Heart Rate Variability (HRV) in Different Hypertensive Syndromes
Cardiac innervation by the parasympathetic nervous system (PNS) and the sympathetic nervous system (SNS) modulates the heart rate (HR) (chronotropic activity) and the contraction of the cardiac muscle (inotropic activity). The peripheral vasculature is controlled only by the SNS, which is responsibl...
Autores principales: | , , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
MDPI
2023
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9955360/ https://www.ncbi.nlm.nih.gov/pubmed/36832273 http://dx.doi.org/10.3390/diagnostics13040785 |
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author | Yugar, Louise Buonalumi Tacito Yugar-Toledo, Juan Carlos Dinamarco, Nelson Sedenho-Prado, Luis Gustavo Moreno, Beatriz Vaz Domingues Rubio, Tatiane de Azevedo Fattori, Andre Rodrigues, Bruno Vilela-Martin, Jose Fernando Moreno, Heitor |
author_facet | Yugar, Louise Buonalumi Tacito Yugar-Toledo, Juan Carlos Dinamarco, Nelson Sedenho-Prado, Luis Gustavo Moreno, Beatriz Vaz Domingues Rubio, Tatiane de Azevedo Fattori, Andre Rodrigues, Bruno Vilela-Martin, Jose Fernando Moreno, Heitor |
author_sort | Yugar, Louise Buonalumi Tacito |
collection | PubMed |
description | Cardiac innervation by the parasympathetic nervous system (PNS) and the sympathetic nervous system (SNS) modulates the heart rate (HR) (chronotropic activity) and the contraction of the cardiac muscle (inotropic activity). The peripheral vasculature is controlled only by the SNS, which is responsible for peripheral vascular resistance. This also mediates the baroreceptor reflex (BR), which in turn mediates blood pressure (BP). Hypertension (HTN) and the autonomic nervous system (ANS) are closely related, such that derangements can lead to vasomotor impairments and several comorbidities, including obesity, hypertension, resistant hypertension, and chronic kidney disease. Autonomic dysfunction is also associated with functional and structural changes in target organs (heart, brain, kidneys, and blood vessels), increasing cardiovascular risk. Heart rate variability (HRV) is a method of assessing cardiac autonomic modulation. This tool has been used for clinical evaluation and to address the effect of therapeutic interventions. The present review aims (a) to approach the heart rate (HR) as a CV risk factor in hypertensive patients; (b) to analyze the heart rate variability (HRV) as a “tool” to estimate the individual risk stratum for Pre-HTN (P-HTN), Controlled-HTN (C-HTN), Resistant and Refractory HTN (R-HTN and Rf-HTN, respectively), and hypertensive patients with chronic renal disease (HTN+CKD). |
format | Online Article Text |
id | pubmed-9955360 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2023 |
publisher | MDPI |
record_format | MEDLINE/PubMed |
spelling | pubmed-99553602023-02-25 The Role of Heart Rate Variability (HRV) in Different Hypertensive Syndromes Yugar, Louise Buonalumi Tacito Yugar-Toledo, Juan Carlos Dinamarco, Nelson Sedenho-Prado, Luis Gustavo Moreno, Beatriz Vaz Domingues Rubio, Tatiane de Azevedo Fattori, Andre Rodrigues, Bruno Vilela-Martin, Jose Fernando Moreno, Heitor Diagnostics (Basel) Review Cardiac innervation by the parasympathetic nervous system (PNS) and the sympathetic nervous system (SNS) modulates the heart rate (HR) (chronotropic activity) and the contraction of the cardiac muscle (inotropic activity). The peripheral vasculature is controlled only by the SNS, which is responsible for peripheral vascular resistance. This also mediates the baroreceptor reflex (BR), which in turn mediates blood pressure (BP). Hypertension (HTN) and the autonomic nervous system (ANS) are closely related, such that derangements can lead to vasomotor impairments and several comorbidities, including obesity, hypertension, resistant hypertension, and chronic kidney disease. Autonomic dysfunction is also associated with functional and structural changes in target organs (heart, brain, kidneys, and blood vessels), increasing cardiovascular risk. Heart rate variability (HRV) is a method of assessing cardiac autonomic modulation. This tool has been used for clinical evaluation and to address the effect of therapeutic interventions. The present review aims (a) to approach the heart rate (HR) as a CV risk factor in hypertensive patients; (b) to analyze the heart rate variability (HRV) as a “tool” to estimate the individual risk stratum for Pre-HTN (P-HTN), Controlled-HTN (C-HTN), Resistant and Refractory HTN (R-HTN and Rf-HTN, respectively), and hypertensive patients with chronic renal disease (HTN+CKD). MDPI 2023-02-19 /pmc/articles/PMC9955360/ /pubmed/36832273 http://dx.doi.org/10.3390/diagnostics13040785 Text en © 2023 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/). |
spellingShingle | Review Yugar, Louise Buonalumi Tacito Yugar-Toledo, Juan Carlos Dinamarco, Nelson Sedenho-Prado, Luis Gustavo Moreno, Beatriz Vaz Domingues Rubio, Tatiane de Azevedo Fattori, Andre Rodrigues, Bruno Vilela-Martin, Jose Fernando Moreno, Heitor The Role of Heart Rate Variability (HRV) in Different Hypertensive Syndromes |
title | The Role of Heart Rate Variability (HRV) in Different Hypertensive Syndromes |
title_full | The Role of Heart Rate Variability (HRV) in Different Hypertensive Syndromes |
title_fullStr | The Role of Heart Rate Variability (HRV) in Different Hypertensive Syndromes |
title_full_unstemmed | The Role of Heart Rate Variability (HRV) in Different Hypertensive Syndromes |
title_short | The Role of Heart Rate Variability (HRV) in Different Hypertensive Syndromes |
title_sort | role of heart rate variability (hrv) in different hypertensive syndromes |
topic | Review |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9955360/ https://www.ncbi.nlm.nih.gov/pubmed/36832273 http://dx.doi.org/10.3390/diagnostics13040785 |
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