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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...

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Autores principales: 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
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2023
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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).
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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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