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Effects of bilateral lung transplantation on cardiac autonomic modulation and cardiorespiratory coupling: a prospective study

Tobaldini, E. ; Rodrigues, G. D. ; Mantoan, G. ; Monti, A. ; Zelati, G. Coti ; Furlan, Ludovico ; Tarsia, P. ; Morlacchi, L. C. ; Rossetti, V. ; Righi, I. ; Rosso, L. ; Nosotti, M. ; Soares, P. P. S. ; Montano, N. ; Aliberti, S. ; Blasi, F.

Respiratory research, 2021-05, Vol.22 (1), p.1-156, Article 156 [Periódico revisado por pares]

London: BioMed Central Ltd

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Título:
Effects of bilateral lung transplantation on cardiac autonomic modulation and cardiorespiratory coupling: a prospective study
Autor: Tobaldini, E. ; Rodrigues, G. D. ; Mantoan, G. ; Monti, A. ; Zelati, G. Coti ; Furlan, Ludovico ; Tarsia, P. ; Morlacchi, L. C. ; Rossetti, V. ; Righi, I. ; Rosso, L. ; Nosotti, M. ; Soares, P. P. S. ; Montano, N. ; Aliberti, S. ; Blasi, F.
Assuntos: Cardiac autonomic modulation ; Cardiovascular system ; Chronic effects ; Complexity ; EKG ; Entropy ; Evaluation ; Health aspects ; Heart beat ; Heart rate ; Heart rate variability ; Hypotheses ; Lung transplantation ; Lung transplants ; Lungs ; Modulation ; Nervous system, Autonomic ; Pacemakers ; Patients ; Power ; Respiratory diseases ; Software ; Spectral analysis ; Surgery ; Symbolic analysis ; Syngeneic grafts ; Transplantation ; Vagus nerve ; Variance analysis
É parte de: Respiratory research, 2021-05, Vol.22 (1), p.1-156, Article 156
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Descrição: Abstract Background Although cardiac autonomic modulation has been studied in several respiratory diseases, the evidence is limited on lung transplantation, particularly on its acute and chronic effects. Thus, we aimed to evaluate cardiac autonomic modulation before and after bilateral lung transplantation (BLT) through a prospective study on patients enrolled while awaiting transplant. Methods Twenty-two patients on the waiting list for lung transplantation (11 women, age 33 [24–51] years) were enrolled in a prospective study at Ospedale Maggiore Policlinico Hospital in Milan, Italy. To evaluate cardiac autonomic modulation, ten minutes ECG and respiration were recorded at different time points before (T0) and 15 days (T1) and 6 months (T2) after bilateral lung transplantation. As to the analysis of cardiac autonomic modulation, heart rate variability (HRV) was assessed using spectral and symbolic analysis. Entropy-derived measures were used to evaluate complexity of cardiac autonomic modulation. Comparisons of autonomic indices at different time points were performed. Results BLT reduced HRV total power, HRV complexity and vagal modulation, while it increased sympathetic modulation in the acute phase (T1) compared to baseline (T0). The HRV alterations remained stable after 6 months (T2). Conclusion BLT reduced global variability and complexity of cardiac autonomic modulation in acute phases, and these alterations remain stable after 6 months from surgery. After BLT, a sympathetic predominance and a vagal withdrawal could be a characteristic autonomic pattern in this population.
Editor: London: BioMed Central Ltd
Idioma: Inglês

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Effects of bilateral lung transplantation on cardiac autonomic modulation and cardiorespiratory coupling: a prospective study

Tobaldini, E. ; Rodrigues, G. D. ; Mantoan, G. ; Monti, A. ; Zelati, G. Coti ; Furlan, Ludovico ; Tarsia, P. ; Morlacchi, L. C. ; Rossetti, V. ; Righi, I. ; Rosso, L. ; Nosotti, M. ; Soares, P. P. S. ; Montano, N. ; Aliberti, S. ; Blasi, F.

London: BioMed Central Ltd

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