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2019, Number 1

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CorSalud 2019; 11 (1)

Cardiovascular autonomic response during the Cuban dynamic weight-bearing test

Torres-Leyva M, Carrazana-Escalona R, Ormigó-Polo LE, Ricardo-Ferro BT, López-Galán E, Ortiz-Alcolea L, Sánchez-Hechavarría ME

Language: Spanish
References: 41
Page: 1-10
PDF size: 786.96 Kb.


ABSTRACT

Introduction: The dynamic weight-bearing test (WBT) is a Cuban isometric exercise, similar to the hand grip test, which is very useful to induce hemodynamic modifications to identify cardiovascular hyperreactivity in at-risk populations. However, changes in the cardiovascular autonomic response during weight-bearing test are poorly understood.
Objectives: To determine the cardiovascular autonomic response during the Cuban dynamic WBT.
Method: Quasi-experimental crossover trial with 16 healthy subjects; blood pressure and heart rate variability were assessed, 5 minutes before (rest) and during the WBT (2 minutes for maneuver and 3 minutes for recovery), through the frequency (Fourier) and time-frequency (Wavelet) analysis of high-frequency (HF: 0.15-0.4 Hz) and low-frequency (LF: 0.04-0.15 Hz) bands, as well as temporal and non-linear analysis (Shannon entropy) of the RR interval series.
Results: Although temporal indicators (SDNN, RMSSD, pNN50) showed no significant differences (p>0.05) nor the frequencies (LF, HF, LF/HF); we found an increase (p<0.05) in blood pressure and a significant decrease (p<0.05) in complexity (entropy) in the WBT with respect to rest, associated with an HF peak and LF/HF ratio at nearly 2 minutes reflected with the time-frequency methods.
Conclusions: There was a dynamic increase in the cardiovascular sympathetic response during the WBT associated with a decrease in the complexity of this physiological process, which is not evident with the traditional linear methods of heart rate variability.


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