THE SUCCESS OF HEART RATE VARIABILITY BIOFEEDBACK PARAMETERS IN PERSONS WITH DIFFERENT LEVELS OF BLOOD PRESSURE
- Authors: Poskotinova L.V.1, Demin D.B.2, Krivonogova E.V.2, Dieva M.N.3, Khasanova N.M.4
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Affiliations:
- The Institute of Environmental Physiology, Ural Branch of RAS, Arkhangelsk, Russian Federation Institute of Medical-Biological Research of Northern Arctic Federal University named after M.V. Lomonosov, Arkhangelsk, Russian Federation
- The Institute of Environmental Physiology, Ural Branch of RAS, Arkhangelsk, Russian Federation
- Arkhangelsk City Out-patients' Clinic № 2, Russian Federation
- Northern State Medical University, Arkhangelsk, Russian Federation
- Issue: Vol 68, No 7 (2013)
- Pages: 20-23
- Section: CARDIOLOGY AND CARDIOVASCULAR SURGERY: CURRENT ISSUES
- Published:
- URL: https://vestnikramn.spr-journal.ru/jour/article/view/163
- DOI: https://doi.org/10.15690/vramn.v68i7.707
- ID: 163
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Abstract
Objective. The aim was to determine the nature of cardiovascular reactions during a single session of heart rate variability (HRV) biofeedback in order to increase vagal effects on heart rhythm in patients with different initial levels of blood pressure (BP). Participants and methods. 33 people with normal blood pressure (group I), 20 people with uncorrected arterial hypertension (AH) grade 1-2 (group II) and 22 people with AH grade 1-2 taking antihypertensive drugs (group III) were observed. The parameters of heart rate variability (HRV), BP and pulse oximetry in the initial stage, during a single HRV biofeedback session and after this session in order to increase the total power of the HRV spectrum (each stage was 5 min). Results. In patients of group II low success of HRV biofeedback session, a high sympathetic reactivity and reduced oxygen blood saturation were determined. A reactivity of vagal mechanism is more pronounced in persons of group III than in those of group II. It is reflected in a significant increase in their total power of the HRV spectrum compared to the initial values and in uptrend saturation levels during the biofeedback session.
Conclusions. The ability to HRV biofeedback in order to increase the total power of the HRV spectrum for standard short recording (5 min) can be seen as a test to determine the safety reserves of vagal autonomic cardiovascular regulation in persons with increased blood pressure.
Keywords
About the authors
L. V. Poskotinova
The Institute of Environmental Physiology, Ural Branch of RAS, Arkhangelsk, Russian FederationInstitute of Medical-Biological Research of Northern Arctic Federal University named after M.V. Lomonosov, Arkhangelsk, Russian Federation
Author for correspondence.
Email: liliya200572@mail.ru
PhD, Doctor of Biological Sciences, Associate Professor, Head of the Biorhythmology Laboratory, The Institute of Environmental Physiology, Ural Branch of the Russian Academy of Sciences, Leading Research Worker of the Institute of Medical and Biological Research, Northern (Arctic) Federal University named after M.V. Lomonosov Address: 163000, Arkhangelsk, Lomonosov Avenue, 249; tel.: (8182) 65-29-95 Россия
D. B. Demin
The Institute of Environmental Physiology, Ural Branch of RAS, Arkhangelsk, Russian Federation
Email: denisdemin@mail.ru
PhD, Senior Research Worker, Biorhythmology Laboratory, The Institute of Environmental Physiology, Ural Branch of the Russian Academy of Sciences Address: 163000, Arkhangelsk, Lomonosov Avenue, 249; tel.: (8182) 65-29-95 Россия
E. V. Krivonogova
The Institute of Environmental Physiology, Ural Branch of RAS, Arkhangelsk, Russian Federation
Email: elena200280@mail.ru
PhD, Senior Research Worker, Biorhythmology Laboratory, The Institute of Environmental Physiology, Ural Branch of the Russian Academy of Sciences Address: 163000, Arkhangelsk, Lomonosov Avenue, 249; tel.: (8182) 65-29-95 Россия
M. N. Dieva
Arkhangelsk City Out-patients' Clinic № 2, Russian Federation
Email: khasanovanina@rambler.ru
Neuropathologist, Arkhangelsk City Clinical Hospital № 2 Address: 163069, Arkhangelsk, Severodvinskaya St., 16; tel.: (8182) 68-38-35 Россия
N. M. Khasanova
Northern State Medical University, Arkhangelsk, Russian Federation
Email: khasanovanina@rambler.ru
PhD, Assistant, Department of Family Medicine, Northern State Medical University Address: 163001, Arkhangelsk, Troitsky Prospect, 51; tel.: (8182) 28-57-91 Россия
References
- Chazova I.E., Ratova L.G., Boitsov S.A., Nebieridze D.V. Diagnosis and treatment of arterial hypertension. Recommendations of Russian medical society on hypertension and the all-Russian scientific society of Cardiology. Sistemnye Gipertenzii = System Hypertension. 2010; 3: 5–26.
- Chernova I.M., Luk'yanov M.M., Serdyuk S.E., Boitsov S.A. Risk factors, mechanisms of development, clinical course and target organ damage in young hypertensive patients. Sistemnye Gipertenzii = System Hypertension. 2008; 3: 60–65.
- Fomin V.V. Adherence to treatment - one of the key determinants of the effectiveness of antihypertensive therapy: Opportunities combination of irbesartan and hydrochlorothiazide. Sistemnye Gipertenzii = System Hypertension. 2010; 3: 30–34.
- Baibursyan E.D., Kryukov N.N., Kiseleva G.I., Malofeeva N.S., Germanova I.K. Heart rate variability in the assessment of the severity of arterial hypertension. Kardiovaskulyarnaya terapiya i profilaktika = Cardiovascular Therapy and Prevention. 2005; 4 (S2): 30.
- Abramkin D.V., Yavelov I.S., Gratsianskii N.A. Relationship between heart rate changes during reflex tests and heart rate variability. Kardiologiya = Cardiology. 2004; 44 (8): 27–34.
- Lehrer P.M., Vaschillo E., Vaschillo B., Lu S., Eckberg D.L., Edelberg R. et.al. Heart rate variability biofeedback increases baroreflex gain and peak expiratory flow. Psychosomatic Medicine. 2003; 65: 796–805.
- Lin G., Xiang Q., Fu X., Wang S, Wang S, Chen S. et.al. Heart rate variability biofeedback decreases blood pressure in prehypertensive subjects by improving autonomic function and baroreflex. J. Alt. Complement. Med. 2012; 18 (2): 143–152.
- Wang S.Z., Li S., Xu X.Y., Lin G.P., Shao L, Zhao Y., Wang T.H. Effect of slow abdominal breathing combined with biofeedback on blood pressure and heart rate variability in prehypertension. J. Alt. Complement. Med. 2010; 16 (10): 1039–1045.
- Wheat A.L., Larkin K.T. Biofeedback of heart rate variability and related physiology: a critical review. App. Psychophysiol. Biofeedback. 2010; 35 (3): 229–242.
- Demin D.B. The assessment of polygraphic reactions at biofeedback heart rate parameters in adolescents with different variants of vegetative status. Vestnik Rossiiskoi akademii meditsinskikh nauk = Annals of the Russian Academy of Medical Sciences. 2012; (2): 11–15.
- Krivonogova E.V., Poskotinova L.V., Demin D.B. Comparative analysis of the EEG components and heart rate variability during biofeedback training in girls of 15-17 year old with different serotonin level in blood serum. Byulleten' sibirskoi meditsiny = Bulletin of siberian medicine. 2011; 10 (4): 21–26.
- Demin D.B., Poskotinova L.V., Krivonogova E.V. Thyroid effect on brain activity in adolescents during heart rhythm biofeedback session. Rossiiskii fiziologicheskii zhurnal im. I.M. Sechenova = I.M. Sechenov Physiological Journal. 2011; 97 (11): 1262–1269.
- Sudakov K.V. The cerebral mechanisms in the genesis of arterial hypertension at emotional stress. Vestnik Rossiiskoi akademii meditsinskikh nauk = Annals of the Russian Academy of Medical Sciences. 2003; 12: 70–74.
- Baevskii R.M., Ivanov G.G., Chireikin L.V., Gavrilushkin A.P., Dovgalevskii P.Ya., Kukushkin Yu.A. i dr. Analysis of heart rate variability using different electrocardiographic systems (guidelines). Vestnik aritmologii = Bulletin arrhythmology. 2001; 24: 65–87.
- Poskotinova L.V., Semenov Yu.N. Sposob korrektsii vegetativnykh disbalansov s pomoshch'yu kompleksa dlya obrabotki kardiointervalogramm i analiza variabel'nosti serdechnogo ritma «Varikard 2.51», rabotayushchego pod upravleniem komp'yuternoi programmy ISCIM 6.1 (BUILD 2.8), s ispol'zovaniem biologicheskoi obratnoi svyazi [The method of correcting vegetative imbalances using the complex for cardiointervalogram processing and heart rate variability analysis "Varikard 2.51" controlled by the computer program ISCIM 6.1 (BUILD 2.8), with the use of biofeedback]. Patent RF, № 2317771. 2008. Bulletin. № 6.