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Predictor role of heart rate variability in subarachnoid hemorrhage: A systematic review.
Agrawal, Sanket; Nijs, Kristof; Subramaniam, Sudhakar; Englesakis, Marina; Venkatraghavan, Lashmi; Chowdhury, Tumul.
  • Agrawal S; Department of Anesthesia and Pain Medicine, Toronto Western Hospital, Toronto, Canada.
  • Nijs K; Department of Anesthesia and Pain Medicine, Toronto Western Hospital, Toronto, Canada.
  • Subramaniam S; Department of Anesthesia, Thunder Bay Regional Health Sciences Center, Thunder Bay, ON, Canada.
  • Englesakis M; Library and Information Services, University Health Network, Toronto, ON, Canada.
  • Venkatraghavan L; Department of Anesthesia and Pain Medicine, Toronto Western Hospital, Toronto, Canada.
  • Chowdhury T; Department of Anesthesia and Pain Medicine, Toronto Western Hospital, Toronto, Canada. Tumul.Chowdhury@uhn.ca.
J Clin Monit Comput ; 38(1): 177-185, 2024 Feb.
Article en En | MEDLINE | ID: mdl-37335412
Background- Subarachnoid hemorrhage (SAH) is one of the most devastating diseases with a high rate of morbidity and mortality. The heart rate variability (HRV) is a non-invasive method of monitoring various components of the autonomic nervous system activity that can be utilized to delineate autonomic dysfunctions associated with various physiological and pathological conditions. The reliability of HRV as a predictor of clinical outcome in aneurysmal subarachnoid hemorrhage (aSAH) is not yet well investigated in literature. Methods- A systematic review and in depth analysis of 10 articles on early HRV changes in SAH patients was performed. Results- This systematic review demonstrates a correlation between early changes in HRV indices (time and frequency domain) and the development of neuro-cardiogenic complications and poor neurologic outcome in patients with SAH. Conclusions- A correlation between absolute values or changes of the LF/HF ratio and neurologic and cardiovascular complications was found in multiple studies. Because of significant limitations of included studies, a large prospective study with proper handling of confounders is needed to generate high-quality recommendations regarding HRV as a predictor of post SAH complications and poor neurologic outcome.
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Texto completo: 1 Banco de datos: MEDLINE Asunto principal: Hemorragia Subaracnoidea Tipo de estudio: Guideline / Observational_studies / Prognostic_studies / Risk_factors_studies / Systematic_reviews Límite: Humans Idioma: En Año: 2024 Tipo del documento: Article

Texto completo: 1 Banco de datos: MEDLINE Asunto principal: Hemorragia Subaracnoidea Tipo de estudio: Guideline / Observational_studies / Prognostic_studies / Risk_factors_studies / Systematic_reviews Límite: Humans Idioma: En Año: 2024 Tipo del documento: Article