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dc.contributor.authorGomis Román, Pedro
dc.contributor.authorÁlvarez García, Jesus
dc.contributor.authorCaminal Magrans, Pere
dc.contributor.authorCinca, Juan
dc.contributor.otherUniversitat Politècnica de Catalunya. Departament d'Enginyeria de Sistemes, Automàtica i Informàtica Industrial
dc.date.accessioned2018-03-05T12:19:50Z
dc.date.available2018-03-05T12:19:50Z
dc.date.issued2018
dc.identifier.citationGomis, P., Álvarez-García, Jesus, Caminal, P., Cinca, J. Analysis of heart rate variability indices after selective acute atrial ischemia in humans. A: Computing in Cardiology. "Computing in Cardiology 2017, volume 44, Rennes, France". Computing in Cardiology, 2018, p. 149-1-149-4.
dc.identifier.isbn2325-887X
dc.identifier.urihttp://hdl.handle.net/2117/114804
dc.description.abstractThe purpose of this work is to analyze the effect of selective atrial coronary artery occlusion on heart rate variability (HRV). Twelve-hour, Holter recording were studied in 109 patients undergoing elective percutaneous transluminal coronary angioplasty (PTCA) of the right or circumflex coronary artery. Accidental atrial branch occlusions (ABO) were found in 17 patients at the end of the interventions. R-R intervals from sinus origin were used to calculate standard time and frequency domain and fractal HRV indices. Fractal properties were measured by the exponent a1, using detrended fluctuation analysis (DFA) of the R-R series. During the first 10 minutes immediately after PTCA, SDNN was significantly lower in ABO patients respect to non-ABO (32.5±16.0 vs. 49.5±28.6 ms, p = 0.016), showing a reduced autonomic response. Fractal index values a1 were similar in both groups. The 12-hour RR interval series showed an averaged HR of 66±9 bpm in patients with ABO and 63±9 bpm in patients without ABO (p=0.16), and no significant differences were found in the analyzed HRV indices. A higher incidence of atrial tachycardia (41% vs. 15%, p=0.02) and atrial fibrillation (2 ABO vs. 0 non-ABO, p=0.025) was found in patients with ABO. Acute atrial ischemia can lead to a global decrease in the autonomic response that recovers after several minutes and may be associated with atrial arrhythmias.
dc.language.isoeng
dc.publisherComputing in Cardiology
dc.rightsAttribution-NonCommercial-NoDerivs 3.0 Spain
dc.rights.urihttp://creativecommons.org/licenses/by-nc-nd/3.0/es/
dc.subjectÀrees temàtiques de la UPC::Ciències de la salut::Medicina::Medicina interna
dc.subject.lcshHeart--Diseases--Case studies
dc.subject.lcshArrhythmia
dc.subject.lcshElectrocardiography
dc.subject.otherAtrial ischemia
dc.subject.otherautonomic response
dc.subject.otherHRV
dc.titleAnalysis of heart rate variability indices after selective acute atrial ischemia in humans
dc.typeConference lecture
dc.subject.lemacCor--Malalties--Estudi de casos
dc.subject.lemacArítmia
dc.subject.lemacElectrocardiografia
dc.contributor.groupUniversitat Politècnica de Catalunya. SISBIO - Senyals i Sistemes Biomèdics
dc.identifier.doi10.22489/CinC.2017.149-339
dc.description.peerreviewedPeer Reviewed
dc.relation.publisherversionhttp://www.cinc.org/archives/2017/pdf/149-339.pdf
dc.rights.accessOpen Access
local.identifier.drac21999715
dc.description.versionPostprint (published version)
dc.relation.projectidinfo:eu-repo/grantAgreement/MINECO/1PE/TEC2014-60337-R
local.citation.authorGomis, P.; Álvarez-García, Jesus; Caminal, P.; Cinca, J.
local.citation.contributorComputing in Cardiology
local.citation.publicationNameComputing in Cardiology 2017, volume 44, Rennes, France
local.citation.startingPage149-1
local.citation.endingPage149-4


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Attribution-NonCommercial-NoDerivs 3.0 Spain
Except where otherwise noted, content on this work is licensed under a Creative Commons license : Attribution-NonCommercial-NoDerivs 3.0 Spain