EVALUATION OF THE HEART RHYTHM VARIABILITY IN ANASTHESIOLOGICAL PRACTICE
https://doi.org/10.21292/2078-5658-2016-13-1-53-58
Abstract
The article presents the data from literature on using the analysis technique on the heart rhythm variability in anasthesiological practice.
About the Authors
I. V. Khmel’nitskiy
Irkutsk State Medical Academy of Postgraduate Education, Irkutsk
Russian Federation
Russian Federation
V. I. Gorbachev
Irkutsk State Medical Academy of Postgraduate Education, Irkutsk
Russian Federation
Russian Federation
S. M. Gorbacheva
Irkutsk State Medical Academy of Postgraduate Education, Irkutsk
Russian Federation
Russian Federation
References
1. Аntonov А.А., Burov N.E. System hardware-based monitoring (physiological aspects). Vestnik Intens. Terapii, 2010, no. 3, pp. 8-12. (In Russ.)
2. Astakhov A.A. Аdaptatsionnye protsessy gemodinamiki pri razlichnykh variantakh anestezii i intensivnoy terapii u patsientov otdeleniy reanimatsii. Diss. dokt. med. nauk. [Adaptive hemodynamic processes in various variants of anasthesia in intensive therapy in the patients of critical care departments. Doct. Diss.]. Yekarinburg, 2012, 225 p.
3. Baevskiy P.M., Kletskin Z.S. Matematicheskiy analiz ritma serdtsa. [Mathematical analysis of heart rhythm]. Moscow, Nauka Publ., 1979, 116 p.
4. Baevskiy R.M., Semenov Yu.N., Chernikova А.G. Аnaliz variabel’nosti serdechnogo ritma s pomosch’yu kompleksa «Varikard» i problema raspoznavaniya funktsional’nykh sostoyaniy. Khronobiol. aspekty arterial’noy gipertenzii v praktike vrachebno-letnoy ekspertizy. [Analysis of heart rhythm variability with the help of Varicard and problem of function states recognition. Chronobiological aspects of hypertension in the practice of aviation physical examination]. Moscow, 2000, pp. 167-178.
5. Boyarkin M.V., Vakhrushev А.E., Marusanov V.E. Evaluation of the relevance of anesthesia care with the help of spectrum analysis of sinus rhythm of the heart. Anesteziol. i Reanimatol., 2003, no. 4, pp. 7-10. (In Russ.)
6. Bunatyan А.А., Mizikov V.M., Vabishhevich А.V. et al. Anasthesiological care in endoscopic surgery. Annaly VNTSKH RAMN, 1997, no. 6, pp. 67-88. (In Russ.)
7. Vorob’ev V.P., Bogolepova I.N., Golub D.M. et al. Vegetativnaya nervnaya sistema. [Vegetative nervous system]. BME, 3rd Ed., Moscow, Sovetskaya Enthiclopedia Publ., 1976, pp. 68-79. (In Russ.)
8. Golovkin E.Yu., Kulikov E.P. Zavisimost’ pokazateley variabel’nosti serdechnogo ritma ot klinicheskikh kharakteristik opukholevogo protsessa. Аktual’nye voprosy patologii: sb. nauch. tr., posvyashh. dnyu lechebnogo fakul’teta. [Dependence of heart rhythm variability rates from clinical parameters of tumor. Actual issues of pathology: coll. of articles devoted to the day of treatment department]. Ryazan’, RyazGMU Publ., 2005, pp. 30-31.
9. Gologorskiy V.А., Grinenko T.F., Vereshhagina L.V. Changes in heart rhythm and respiration within one day during the immediate post-anesthetic post- operative period. Anesteziol. i Reanimatol., 1981, no. 6, pp. 25-29. (In Russ.)
10. Gorbachev V.I., Emel’yanov V.E., Starikov А.S. et al. Use of variational beat-to-beat ratemetry for optimization of anasthesiological care in the one day surgery. Anesteziologiya i Reanimatologiya, 2003, no. 5, pp. 41-44. (In Russ.)
11. Gorbachev V.I., Emel’yanov V.E., Khmel’nitskiy I.V. et al. Beat-to-beat ratemetry in optimization of anasthesiological care in the short term surgery. Vestnik Intens. Terapii, 2006, no. 5, pp. 95-98. (In Russ.)
12. Gorbachev V.I., Khmel’nitskiy I.V., Dobrynina Yu.V. et al. Testing vegetative tone type in the on-line mode. Ul’trazvukovaya i Funktsional’naya Diagnostika, 2009, no. 3, pp. 60-66. (In Russ.)
13. Gorbachev V.I., Khmel’nitskiy I.V., Dobrynina Yu.V. The evaluation of vegetative tone with the help of complex testing of continuous wavelet transformation and beat-to-beat ratemetry. Vestn. Novykh Med. Tekhnologiy, 2011, no. 3, pp. 154-157. (In Russ.)
14. Gorbachev V.I., Khmel’nitskiy I.V., Rusanov D.N. et al. Sposob opredeleniya tipa vegetativnogo tonusa. [Testing technique of vegetative tone type]. Patent RUS 2373839 as of 09.07.2008.
15. Denisova N.Yu. Razrabotka metodov prognozirovaniya i profilaktiki arterial’noy gipotonii, vyzvannoy spinal’noy anesteziey pri kesarevom sechenii. Diss. kand. med. nauk. [Development of prognostic and prevention techniques of hypertension caused by spinal anesthesia in cesarean section. Cand. Diss.]. Voronezh, 2006, 126 p.
16. Emelyanov V.E. Primenenie kardiointervalografii v optimizatsii anesteziologicheskogo obespecheniya pri miniinvazivnykh khirurgicheskikh vmeshatel’stvakh. Diss. kand. med. nauk. [Use of beat-to-beat ratemetry in the optimization of anasthesiological care in minimally invasive surgery. Cand. Diss.]. Moscow, 2005, 22 p.
17. Znoskova I.A. Changes in the rates of heart rhythm variations in peri-operative period of otomicrosurgery in various variants of sedation. Ukrainsky Journal Ekstremalnoy Meditsiny im. G.O. Mozhaeva, 2009, no. 1, pp. 77-81.
18. Kalakutskiy L.I., Manelis E.S. Аpparatura i metody klinicheskogo monitoringa. Uchebnoe posobie. [Hardware and methods of clinical monitoring. Manual]. Samara, Samar. Gos. Aerokosm. Un. Publ., 1999, 161 p.
19. Kamyshov Ya.M. Vnutrivennaya obschaya anesteziya v ambulatorno-poliklinicheskoy praktike. [Intravenous general anesthesia in the out-patient practice]. Moscow, Meditsina Publ., 1987, 155 p.
20. Kitiashvili I.Z. Komponenty i metody obschey anestezii pri malykh khirurgicheskikh operatsiyakh i travmatichnykh manipulyatsiyakh. Diss. kand. med. nauk. [Components and methods of general anesthesia in minor surgery and traumatic surgery. Cand. Diss.]. Moscow, 1997, 28 p.
21. Kletskin S.Z. Problemy kontrolya i otsenki operatsionnogo stressa (na osnove analiza ritma serdtsa s pomoshh’yu EVM). Diss. dokt. med. nauk. [Problems of control and evaluation of surgical stress (based on computer analysis of heart rhythm. Doct. Diss.]. Moscow, 1980, 32 p.
22. Kusnetsov P.S. Osobennosti vegetativnykh disfunktsiy u bol’nykh yazvennoy bolezn’yu zheludka i dvenadtsatiperstnoy kishki, ikh diagnostika, korrektsiya metodami refleksoterapii. Diss. kand. med. nauk. [Specific vegetative dysfunction in peptic and doudenal ulcer patients, their diagnostics and management by reflexotherapy techniques. Cand. Diss.]. Razyan, 2003, 20 p.
23. Kulev A.G. Аnaliz variabel’nosti ritma serdtsa v otsenke effektivnosti i bezopasnosti neyroaksial’nykh blokad u detey. Diss. kand. med. nauk. [Analysis of heart rhythm variations in the efficiency and safety evaluation of neuro-axial blocks in children. Cand. Diss.]. St. Petersburg, 2006, 22 p.
24. Kulikov E.P., Lapkin M.M., Golovkin E.Yu. Role of investigation of heart rhythm variation in prognosis of immediate outcomes of surgical treatment in stomach cancer patients. Oncokhirurgiya, 2010, vol. 2, no. 1, pp. 26-29. (In Russ.)
25. Lapkin M.M., Semenov Yu.N., Shalkin P.V. Soft and hardware for evaluation of non-specific adaptation opportunities of the human. Vestn. Novykh Med. Tekhnologiy, 1995, vol. 2, no. 3-4, pp. 122-126. (In Russ.)
26. Lapkin M.M., Kulikov E.P., Golovkin E.Yu. Physiological approach to prognosis of surgery outcomes in stomach cancer patients. Ros. Med.-Biol. Vestnik Im. Akad. I.P. Pavlova, 2007, no. 1, pp. 7-12. (In Russ.)
27. Man’kov А.V., Gorbachev V.I. Changes in vegetative homeostasis and hemodynamics under conditions of spinal anesthesia. Sib. Med. Journal (Irkutsk), 2010, vol. 97, no. 6, pp. 145-148. (In Russ.)
28. Mikhaylova E.F., Аntonov А.M. Beat-to-beat ratemetry of state of vegetative nervous system during surgeries with the use of regional and general anesthesia. Kazan. Med. Journal, 2011, vol. 92, no. 3, pp. 353-356. (In Russ.)
29. Nikitina E.V., Sergeenko N.I. Reaction of blood and pituitary-adrenal system in the pre-operative period depending on the functional state of vegetative nervous system. Mat. XI s»ezda Vserossiyskogo kongressa anesteziologov-reanimatologov. [Abst. book of the XIth All-Russian Conference of Anesthesiologists and Emergency Physicians]. St. Petersburg, 2008, pp. 433.
30. Ovechkin A.M. Profilaktika posleoperatsionnogo bolevogo sindroma. Patogeneticheskie osnovy i klinicheskoe primenenie. Diss. dokt. med. nauk. [Prevention of the post-surgery pain syndrome. Pathogenic basis and clinical use. Doct. Diss.]. Moscow, 2000, 42 p.
31. Selivonenko S.V. Spectrum analysis of heart rhythm as a rate of vegetative regulation of cardio-vascular system. Terapevt. Arkhiv, 2002, no. 1, pp. 59-61. (In Russ.)
32. Semionkin E.I., Kulikov E.P., Trushin S.N. et al. Adaptation evaluation in surgical and oncological practice by heart rhythm mathematical analysis technique. Ros. Med.-Biol. Vestnik Im. Akad. I.P. Pavlova, 2012, no. 2, pp. 244-247. (In Russ.)
33. Sergeenko N.I., Yurchenko S.А. Hormone rates of hypophysis and adrenal cortex depending on the functional state of vegetative system under conditions of general and spinal anesthesia. Novosti Khirurgii. 2011, no. 4, pp. 100-106. (In Russ.)
34. Sitkin S.I. Аnesteziologicheskogo obespecheniya operatsiy na bryushnoy aorte i arteriyakh nizhnikh konechnostey. Diss. dokt. med. nauk. [Anasthesiological care of surgery on abdominal aorta and arteries of lower limbs. Doct. Diss.]. Moscow, 2008, 225 p.
35. Skoroplyot O.I., Georgiyants M.А. Post-operative cognitive dysfunction and variations of heart rhythm in young patients after surgery due to maxillo-facial pathology. Ukrainsky Journal Ekstremalnoy Meditsiny im. G.O. Mozhaeva, 2013, vol. 14, no. 1, pp. 58-62. (In Russ.)
36. Khamidov D.D., Muradov А.M., Sharipov M.M. et al. Neurovegetative regulation of heart rhythm during anasthesiological care in patients with complicated liver echinococcosis. Nauch. Prakt. Journal TIPPMK, 2014, no. 1, pp. 43-46. (In Russ.)
37. Khmel’nitskiy I.V., Gorbachev V.I. Sposob opredeleniya tipa vegetativnogo tonusa v rezhime real’nogo vremeni. [Testing technique for vegetative tone in real time mode]. Permit to use new medical technology FS no. 2010/054 as of 02.03.2010.
38. Cherniy V.I., Smirnova N.N. Intra-operative monitoring of heart rhythm variation as evaluation technique of functional state of stress systems of the host. Vestn. Neotlozhnoy i Vosstanovitel’noy Meditsiny, 2012, no. 4, pp. 525-528. (In Russ.)
39. Cherniy V.I., Smirnova N.N.. Experience of using ebrantil for intra-operative management of hypertension. Vestn. Neotlozhnoy i Vosstanovitel’noy Meditsiny, 2012, no. 3, pp. 333-334. (In Russ.)
40. Beheiry H.El., Mak P. Effects of aging and propofol on the cardiovascular component of the autonomic nervous system. J. Clin. Anesth., 2013, vol. 25, no. 8, pp. 637-643.
41. Dorantes-Mendez G., Aletti F., Toschi N. Effects of propofol anesthesia induction on the relationship between arterial blood pressure and heart rate. Conf. Proc. IEEE Eng. Med. Biol., Soc., 2012, pp. 2835-2838.
42. Furgaa А. Autonomic system disturbances in patients with increased intracranial pressure caused by brain tumors evaluated by heart rate variability. Folia Med. Cracov., 2007, vol. 48, no. 1-4, pp. 35-44.
43. Galletly D.C., Westenberg A.M., Robinson B.J. et al. Effect of halothane, isoflurane and fentanyl on spectral components of heart rate variability. Br. J. Anaesth., 1994, vol. 72, no. 2, pp. 177-180.
44. Guzzetti S., Bassani T., Latini R. Autonomic cardiovascular modulation with three different anesthetic strategies during neurosurgical procedures. Minerva Anestesiol., 2015, vol. 81, no. 1, pp. 3-11.
45. Hmelnickiy I., Gorbachev V. Evaluation of anaesthesia adequacy by means of pulse variability analysis method. 1st International Baltic Congress of Anaesthesiology and Intensive Care. Riga. 2005, pp. 30,
46. Howell S.J., Wanigasekera V., Young J.D. et al. Effect of propofol and thiopentone, and benzodiazepine premedication on heart rate variability measured by spectral analysis. Br. J. Anaesth., 1995, vol. 74, no. 2, pp. 168-173.
47. Mäenpää M., Penttilä J., Laitio T. The effects of surgical levels of sevoflurane and propofol anaesthesia on heart rate variability. Eur. J. Anaesth., 2007, vol. 24, no. 7, pp. 626-633.
48. Martini C.H., Boon M., Broens S.J. et al. Ability of the nociception level, a multi-parameter composite of autonomic signals, to detect noxious stimuli during pro-pofol-remifentanil anesthesia. Anesthesiology, 2015, vol. 123, no. 3, pp. 524-534.
49. Neukirchen M., Kienbaum P. Sympathetic nervous system: Evaluation and impor-tance for clinical general anesthesia. Anesthesiology, 2008, vol. 109, no. 6, pp. 1113-1131.
50. Tekin G. Altered autonomic neural control of the cardiovascular system in patients with polycystic ovary syndrome. Int. J. Cardiology, 2008, vol. 130, no. 1, pp. 49-55.
Review
For citations:
Khmel’nitskiy I.V., Gorbachev V.I., Gorbacheva S.M. EVALUATION OF THE HEART RHYTHM VARIABILITY IN ANASTHESIOLOGICAL PRACTICE. Messenger of ANESTHESIOLOGY AND RESUSCITATION. 2016;13(1):53-58. (In Russ.) https://doi.org/10.21292/2078-5658-2016-13-1-53-58
Email this article 