• Title/Summary/Keyword: 심박변이

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Role of the Baseline Heart Rate Variability to the Effect of the Huanglian-Jie-Du Granule in Hwa-Byung Patients: Supplementary Analysis from the Randomized Trial Comparing Huanglian-Jie-Du Granule and Placebo for Hwa-Byung (화병 환자의 심박변이도 차이에 따른 황련해독탕의 효과: 화병에 대한 무작위 대조 비교임상시험 결과의 추가 분석)

  • Choi, Yu-Jin;Cho, Seung-Hun
    • Stress
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    • v.26 no.4
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    • pp.305-311
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    • 2018
  • Background: The purpose of the study was to explore whether the effect of Huanglian-jie-du granule depends on the baseline heart rate variability in patients with Hwa-byung. Methods: We used the supplementary data from a randomized, double-blind, placebo-controlled trial of Huanglian-jie-du granule for Hwa-byung patients. Study drugs were taken orally three times per day for one week. Heart rate variability was measured three times; before the treatment, after the treatment, and month follow-up period. Spearman's rho test was done to explore the role of the baseline heart rate variability to the effect of Huanglian-jie-du granule. Results: Baseline low frequency power of heart rate variability was negatively correlated with the reduction of the insomnia severity index in experimental group (r=-0.493 p=0.02). Also, Huanglian-jie-de granule significantly decreased the low frequency power of heart rate variability in patients with Hwa-byung compared to placebo (mean difference 266 [95% CI: 29~503], p=0.028). In Hwa-byung symptoms, stuffy, pushing up in the chest, and flush of anger were correlated with low frequency power of heart rate variability (p=0.010, p=0.000, and p=0.016, respectively). Conclusions: The effect of the Huanglian-jie-de granule for insomnia seems to be lower when the baseline low frequency power of heart rate variability is higher in Hwa-byung patients. Also, Huanglian-jie-de granule is likely to decrease the sympathetic activity in patients with Hwa-byung. Measurement of heart rate variability may be the useful to understand the state of Hwa-byung patients.

Circadian Disruptions of heart rate variability according to sleepiness and work intensity among 5 days-concecutive-12-hour shift workers in the automobile factory in Korea (한 자동차공장의 5일 연속 12시간주기 주야 맞교대 근무 노동자들의 작업직후의 각성도와 주관적인 노동강도의 차이에 따른 심박동수변이)

  • Son Mi-A;Yeom Myeong-Geol;Gong Jeong-Ok;Kim In-A;Kim Jeong-Yeon;Lee Hye-Eun;Jin Eun-Jeong
    • 대한예방의학회:학술대회논문집
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    • 2004.10a
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    • pp.57-58
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    • 2004
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Measuring Stress Using HRV sensor and Standard-based IoT Platforms (HRV 센서와 표준 사물인터넷 플랫폼을 활용한 스트레스 측정 시스템)

  • Ahn, Eunsol;Yun, Jaeseok
    • Proceedings of the Korean Society of Computer Information Conference
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    • 2019.01a
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    • pp.457-458
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    • 2019
  • 본 논문에서는 심장 박동 변이 (HRV: heart rate variability) 센서와 표준 기반 사물인터넷 (IoT: Internet of Things) 플랫폼을 활용한 스트레스 측정 시스템을 구현하고 그 활용 방법을 제안한다. HRV를 측정하기 위해 맥파 (PPG)센서와 오픈소스 하드웨어를 이용해 센싱 시스템을 구축하고 표준 사물인터넷 플랫폼을 이용하여 서버 시스템을 구축하였다. 추후 분석을 통해 유추한 스트레스 정도에 따라 플랫폼에 연결된 다양한 기기들을 이용하여 스트레스를 낮추기 위한 개인별 스트레스 관리 솔루션을 구현할 수 있음을 알 수 있다.

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The Effects of Estrogen Replacement Therapy on Blood Pressure, Heart Rate Variability, and Climacteric Symptoms in Postmenopausal Women (에스트로젠 호르몬 대치요법이 혈압, 심박동변이, 갱년기증상에 미치는 효과)

  • Lee, Hae-Kyung
    • Women's Health Nursing
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    • v.8 no.2
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    • pp.151-164
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    • 2002
  • PURPOSE: Estrogen replacement therapy is indicated for the relief of hot flushes and urogenital atrophy, the prevention of osteoporosis and the reduction in risk of cardiovascular disease. The present study assessed by blood pressure, heart rate variability, and climacteric symptoms in menopausal women before treatment and at 1 month during estrogen replacement therapy. METHODS: The study sample consisted of 16 healthy menopausal women (range 49 to 59 years, mean : 53.4 years) attending menopausal clinics for the complaint of climateric symptoms at S. hospital in Chunchoen. They were all non-smokers and no patient had symptoms or evidence of cardiovascular disease. They took estrogen replacement therapy (conjugated estrogen 0.625 mg with or without medroxy progesteron 2.5mg) for 1 month. Blood pressure, heart rate variability(heart period and vagal tone) through ECG, and climacteric symptom were measured in all subjects before treatment and at 1 month during treatment. Climacteric symptom questionnaire which was developed by Neugarten et al.(1963) was modified with 20 items of question(Cronbach's alpha = 88 -.89). The data was collected from Sept. 1. 2000 to July. 30. 2001. RESULTS: There was no significant difference in mean systolic and diastolic pressure between the baseline and at 1 month during treatment. The mean heart period and vagal tone were slightly increased, but difference of mean heart period and vagal tone were not statistically significant between the baseline and at 1 month during treatment. The score of climacteric symptoms decreased significantly from the baseline after treatment. CONCLUSIONS: Even though, this study did not show that estrogen replacement therapy led decrease of blood pressure and increase heart rate variability, climacteric symptoms reduced much in all subjects after taking drugs. These results suggest that there is need to repeat study with long term period.

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Postprandial Hypotension and Heart Rate Variability in Older Adults (노인의 식후 저혈압과 심박동변이)

  • Jang, Ae-Lee;Hwang, Sun-Kyung
    • Korean Journal of Adult Nursing
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    • v.24 no.2
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    • pp.139-148
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    • 2012
  • Purpose: A study was designed to compare heart rate variability (HVR) of older adults with postprandial hypotension (PPH) with older adults with no PPH. Methods: The samples were community-dwelling older adults (${\geq}$ 60 years old) with PPH (n=35) and without PPH (n=35). HRV was measured by 10 minutes of electrocardiography using Physiolab 400 and analyzed in time domain (SDNN) and with power spectral analysis in frequency domain (TP, LF, HF, LF/HF). Blood pressure was measured every 15 minutes before and until 120 minutes after the meal. Results: All HRV parameters were lower in the PPH group compared to those with no PPH. Specifically the measures of SDNN, TP, LF, and LF/HF of the PPH group were significantly lower (U=385.0, $p$=.008; U=361.0, $p$=.003; U=375.0, $p$=.005; U=368.0, $p$=.004, respectively). Further, the LF and LF/HF of SBP (${\geq}140$ mmHg) group and the LF/HF of DBP (${\geq}$ 90 mmHg) group were significantly lower ($x^2$=6.33, $p$=.042; $x^2$=33.10, $p$ <.001; $x^2$=11.03, $p$=.004, respectively). Conclusion: These findings indicate that the autonomic nervous functions in persons with PPH are less activated than those persons with no PPH. The findings contribute to an understanding of HRV and the association of autonomic nervous function with the mechanism of PPH.

Interaction Effect of Three Recumbent Postures and Heart Disease Severity on the Autonomic Nervous System (세 가지 누운 자세와 심장질환의 중증 정도가 교감-부교감 신경계의 균형에 미치는 상호작용 효과)

  • Bae Jang-Ho;Choi Hyoung-Min;Jang Eun-Hye;Kim Wuon-Shik
    • Science of Emotion and Sensibility
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    • v.8 no.1
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    • pp.29-36
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    • 2005
  • This study investigated which recumbent posture can give rise to the highest vagal modulation in patients with coronary artery disease(CAD), among three recumbent postures; namely, the supine, left lateral, and right lateral postures. For this purpose, 43 patients as CAD group and 31 patients as control group were studied. Heart rate variability(HRV) was measured on these patients for three recumbent postures in random order Normalized high-frequency power was the highest, whereas normalized low-frequency power was the lowest in the right lateral postures, among the three recumbent postures.

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Severity of Obstructive Sleep Apnea and Heart Rate Variability : Detrended Fluctuation Analysis (폐쇄성 수면 무호흡증의 심각도와 심박동 변이율 : 탈경향변동분석)

  • Ju, Gawon;Shin, Chul-Jin;Park, Doo-Heum
    • Korean Journal of Biological Psychiatry
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    • v.16 no.2
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    • pp.69-75
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    • 2009
  • Objectives : The detrended fluctuation analysis is one of the nonlinear methods for the investigation of biological time series. It quantifies the fractal scaling properties and is known to be useful in the evaluation of long-range correlations in time series. The heart rate variability(HRV) of obstructive sleep apnea syndrome (OSAS) patients during nighttime was analyzed by detrended fluctuation analysis to assess its relationship with the severity of the symptoms. Methods : Fifty nine untreated male OSAS patients with moderate to severe symptoms(mean age=45.4${\pm}$11.7 years, apnea-hypopnea index, AHI${\geq}$15) underwent nocturnal polysomnography. Moderate(AHI=15-30, N=22) and severe(AHI>30, N=37) OSAS patients were compared for the indices derived from detrended fluctuation analysis and frequency domain analysis of HRV. Results : In the detrended fluctuation analysis, the alpha values were 0.75${\pm}$0.11 and 0.82${\pm}$0.07 for the severe and the moderate OSAS groups respectively. The difference was significant(p<.01). The alpha value had negative correlation with AHI(r=-.425, p=.001). Negative correlation coefficients were also found in the relationships between the alpha values and very low frequency(VLF)(r=-.425, p=.001), low frequency(LF)(r=-.633, p= <.001) and the LF/HF ratio(r=-.305, p=.019) respectively. LF/HF ratio(p=.005) was higher in the severe OSAS group compared to that of the moderate OSAS group. Conclusion : In this study, the detrended fluctuation analysis showed the significant difference between the two OSAS groups classified according to their severity of symptoms. The scaling exponent showed the negative correlation with AHI and indicies of frequency domain analysis. This result suggests that detrended fluctuation analysis can be helpful to estimate the severity of OSAS.

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Testing of Autonomic Nervous System by Deep Breathing Using a Smartphone (스마트폰을 이용한 심호흡 기반 자율신경계 테스트)

  • Sangho Ha;Chang Woo Choo;Jin Myoung Seok;Jongkyu Park;Sang-Heum Park
    • KIPS Transactions on Computer and Communication Systems
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    • v.12 no.7
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    • pp.227-234
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    • 2023
  • Measuring heart rate variability by deep breathing and using this to evaluate the autonomic nervous system is a well-known method widely used in various clinical fields. In hospitals, expensive equipment is installed and managed by experts for this purpose. This paper discusses an app we developed that can easily test the autonomic nervous system by deep breathing anytime, anywhere using a smartphone, and then reviews experiments performed to verify the results. The experiments were conducted in the clinical room of the Department of Neurology at Soonchunhyang University Cheonan Hospital on eight volunteers. We tested the autonomic nervous systems of the volunteers first with an electromyography device installed in the hospital and then with the app under identical conditions. We performed a correlation analysis on the results of these two methods using the Pearson method, and this yielded a very high correlation of 0.98.