Annals of the Russian academy of medical sciencesAnnals of the Russian academy of medical sciencesВестник Российской академии медицинских наук0869-60472414-3545"Paediatrician" Publishers LLC16310.15690/vramn.v68i7.707CARDIOLOGY AND CARDIOVASCULAR SURGERY: CURRENT ISSUESАКТУАЛЬНЫЕ ВОПРОСЫ КАРДИОЛОГИИ И СЕРДЕЧНО-СОСУДИСТОЙ ХИРУРГИИTHE SUCCESS OF HEART RATE VARIABILITY BIOFEEDBACK PARAMETERS IN PERSONS WITH DIFFERENT LEVELS OF BLOOD PRESSUREУСПЕШНОСТЬ БИОУПРАВЛЕНИЯ ПАРАМЕТРАМИ ВАРИАБЕЛЬНОСТИ СЕРДЕЧНОГО РИТМА У ЛИЦ С РАЗЛИЧНЫМ УРОВНЕМ АРТЕРИАЛЬНОГО ДАВЛЕНИЯPoskotinovaL. V.ПоскотиноваЛ. В.
Russian Federation

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

liliya200572@mail.ruDeminD. B.ДеминД. Б.
Russian Federation

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

denisdemin@mail.ruKrivonogovaE. V.КривоноговаЕ. В.
Russian Federation

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

elena200280@mail.ruDievaM. N.ДиеваМ. Н.
Russian Federation

Neuropathologist, Arkhangelsk City Clinical Hospital № 2 Address: 163069, Arkhangelsk, Severodvinskaya St., 16; tel.: (8182) 68-38-35

khasanovanina@rambler.ruKhasanovaN. M.ХасановаН. М.
Russian Federation

PhD, Assistant, Department of Family Medicine, Northern State Medical University Address: 163001, Arkhangelsk, Troitsky Prospect, 51; tel.: (8182) 28-57-91

khasanovanina@rambler.ruThe 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 FederationИнститут физиологии природных адаптаций УрО РАН, Архангельск, Российская Федерация Институт медико-биологических исследований ФГАУ ПО «Северный Арктический федеральный университет им. М.В. Ломоносова», Архангельск, Российская ФедерацияThe Institute of Environmental Physiology, Ural Branch of RAS, Arkhangelsk, Russian FederationИнститут физиологии природных адаптаций УрО РАН, Архангельск, Российская ФедерацияArkhangelsk City Out-patients' Clinic № 2, Russian FederationАрхангельская городская поликлиника №2, Российская ФедерацияNorthern State Medical University, Arkhangelsk, Russian FederationСеверный государственный медицинский университет, Архангельск, Российская Федерация19072013687Vestnik Rossiiskoi akademii medetsinskikh nauk / Annals of the Russian academy of medical sciencesВестник Российской академии медицинских наук202307082015Copyright ©; 1970, "Paediatrician" Publishers LLCCopyright ©; 1970, Издательство "Педиатръ"1970"Paediatrician" Publishers LLCИздательство "Педиатръ"https://vestnikramn.spr-journal.ru/jour/about/submissionshttps://vestnikramn.spr-journal.ru/jour/article/view/163

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.

Цель исследования: определить характер сердечно-сосудистых реакций в процессе однократного сеанса биоуправления с целью усиления вагусных влияний на ритм сердца у лиц с различным исходным уровнем артериального давления (АД). Пациенты и методы. Обследовано 33 человека с нормальным АД (группа I), 20 человек с некорригированной артериальной гипертензией (АГ) 1–2 степени (группа II) и 22 человека с АГ 1–2 степени, принимающих антигипертензивные препараты (группа III). Регистрировали показатели вариабельности сердечного ритма (ВСР), АД и пульсоксиметрии в фоне, во время однократного сеанса и после сеанса биоуправления с целью повышения суммарной мощности спектра ВСР (этапы по 5 мин). Результаты. У лиц группы II выявлена низкая успешность биоуправления параметрами ВСР на фоне высокой симпатической реактивности и снижения сатурации крови. У лиц группы III реактивность вагусных механизмов более выражена, чем у лиц группы II, что отражено в значимом повышении у них суммарной мощности спектра ВСР по сравнению с фоном и в тенденции к повышению сатурации крови во время сеанса биоуправления. Выводы. Способность к биоуправлению параметрами ритма сердца с целью повышения суммарной мощности спектра ВСР в течение стандартной короткой записи (5 мин) может рассматриваться как тест для определения сохранности вагусных резервов вегетативной регуляции сердечной деятельности у лиц с повышенным АД.

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