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Autonomic heart rate modulation in patients with coronavirus disease 2019 in mechanical ventilation
de Jesus, Pammela; Zangirolami-Raimundo, Juliana; Miranda, Johnny de Araújo; Sorpreso, Isabel Cristina Esposito; Raimundo, Rodrigo Daminello.
  • de Jesus, Pammela; Universidade Municipal de São Caetano do Sul. Departamento de Fisioterapia. São Caetano do Sul. BR
  • Zangirolami-Raimundo, Juliana; Universitário Fundação Santo André. Faculdade de Medicina do ABC. Laboratório de Delineamento de Estudos e Escrita Científica. Santo André. BR
  • Miranda, Johnny de Araújo; Universidade Municipal de São Caetano do Sul. Departamento de Fisioterapia. São Caetano do Sul. BR
  • Sorpreso, Isabel Cristina Esposito; Universidade de São Paulo. Faculdade de Medicina. Departamento de Obstetrícia e Ginecologia. São Paulo. BR
  • Raimundo, Rodrigo Daminello; Universitário Fundação Santo André. Faculdade de Medicina do ABC. Laboratório de Delineamento de Estudos e Escrita Científica. Santo André. BR
Rev. Assoc. Med. Bras. (1992, Impr.) ; 69(1): 181-185, Jan. 2023. tab, graf
Article in English | LILACS-Express | LILACS | ID: biblio-1422601
ABSTRACT
SUMMARY

BACKGROUND:

Patients with coronavirus disease 2019 on automatic mechanical ventilation have greater heart rate modulation with greater parasympathetic modulation.

OBJECTIVE:

To analyze the autonomic modulation of heart rate in critically ill patients with coronavirus disease 2019 on invasive mechanical ventilation.

METHODS:

A cross-section study was carried out with 36 individuals divided into two groups. The control group included patients of both genders, in orotracheal intubation with invasive mechanical ventilation under controlled assisted mode, hospitalized in the intensive care unit for another 24 h. In the non-COVID group, patients diagnosed with coronavirus disease 2019 in the same condition mentioned in the control group.

RESULTS:

There was a significant increase in heart rate variability (standard deviation of all normal RR intervals recorded at an interval of time; p=0.001; triangular interpolation histogram of RR intervals; p=0.048; and SD2; p=0.014) in the coronavirus disease group compared to the non-COVID group. Successively, the parameters that demonstrate parasympathetic modulation are shown to be higher in the group of patients with coronavirus disease 2019 (root mean square of the square of differences between adjacent normal RR intervals in an interval of time; p<0.001; pNN50; p<0.001; SD1; p=0.002; and high frequency; p=0.022).

CONCLUSIONS:

There was a greater autonomic modulation of heart rate with a greater parasympathetic modulation in patients with coronavirus disease 2019 on mechanical ventilation.


Full text: Available Index: LILACS (Americas) Language: English Journal: Rev. Assoc. Med. Bras. (1992, Impr.) Journal subject: Educa‡Æo em Sa£de / GestÆo do Conhecimento para a Pesquisa em Sa£de / Medicine Year: 2023 Type: Article Affiliation country: Brazil Institution/Affiliation country: Universidade Municipal de São Caetano do Sul/BR / Universidade de São Paulo/BR / Universitário Fundação Santo André/BR

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Full text: Available Index: LILACS (Americas) Language: English Journal: Rev. Assoc. Med. Bras. (1992, Impr.) Journal subject: Educa‡Æo em Sa£de / GestÆo do Conhecimento para a Pesquisa em Sa£de / Medicine Year: 2023 Type: Article Affiliation country: Brazil Institution/Affiliation country: Universidade Municipal de São Caetano do Sul/BR / Universidade de São Paulo/BR / Universitário Fundação Santo André/BR