Deceleration capacity of heart rate variability as a predictor of sedation related hypotension

Abstract High risk and geriatric patients are supposed to suffer higher risks of hypotension underwent painless endoscopic procedures. This study evaluated different biomarkers associated with hypotension in off-site patients and aimed to determine the most relevant risk factors in space and monitor...

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Autores principales:	Feng-Fang Tsai, Chih-Min Liu, Hsiu-Po Wang, Jia-Rong Yeh, Shou-Zen Fan
Formato:	article
Lenguaje:	EN
Publicado:	Nature Portfolio 2021
Materias:	Medicine R Science Q
Acceso en línea:	https://doaj.org/article/8ab12be6872a4a83926be3c5827df89a
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spelling	oai:doaj.org-article:8ab12be6872a4a83926be3c5827df89a2021-12-02T15:49:50ZDeceleration capacity of heart rate variability as a predictor of sedation related hypotension10.1038/s41598-021-90342-z2045-2322https://doaj.org/article/8ab12be6872a4a83926be3c5827df89a2021-05-01T00:00:00Zhttps://doi.org/10.1038/s41598-021-90342-zhttps://doaj.org/toc/2045-2322Abstract High risk and geriatric patients are supposed to suffer higher risks of hypotension underwent painless endoscopic procedures. This study evaluated different biomarkers associated with hypotension in off-site patients and aimed to determine the most relevant risk factors in space and monitoring limited environment. The inclusions of this observational cohort study underwent complex endoscopic procedures were sedated with age-adjusted doses of target-controlled infusion of propofol. The following pre-sedative parameters were analysed: time domain, frequency domain, and Deceleration capacity (DC) of heart rate variability, estimated cardiac output data and the index of cardiac contractility from the cardiometer. Patients were divided into hypotension group (blood pressure < 90 mmHg or a > 35% decrease) and non-hypotension group according to peri-sedative blood pressure, regression analysis is used to examine the association between factors and hypotension. Total data from 178 patients (age range: 33–94 years) were analysed. Age was not significantly different between the hypotension and non-hypotension groups (p = 0.978). Among all the factors, DC was most associated with hypotension (p = 0.05), better than cardiometer, age, and ASA status. In conclusion, DC, which can be interpreted as the indicator of parasympathetic activity and was significantly and negatively correlated with sedation-related hypotension. Pre-sedative measuring DC from routine ECG monitoring is simple and cost-effective and should be added to haemodynamic monitoring in the endoscopic room.Feng-Fang TsaiChih-Min LiuHsiu-Po WangJia-Rong YehShou-Zen FanNature PortfolioarticleMedicineRScienceQENScientific Reports, Vol 11, Iss 1, Pp 1-7 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Medicine R Science Q
spellingShingle	Medicine R Science Q Feng-Fang Tsai Chih-Min Liu Hsiu-Po Wang Jia-Rong Yeh Shou-Zen Fan Deceleration capacity of heart rate variability as a predictor of sedation related hypotension
description	Abstract High risk and geriatric patients are supposed to suffer higher risks of hypotension underwent painless endoscopic procedures. This study evaluated different biomarkers associated with hypotension in off-site patients and aimed to determine the most relevant risk factors in space and monitoring limited environment. The inclusions of this observational cohort study underwent complex endoscopic procedures were sedated with age-adjusted doses of target-controlled infusion of propofol. The following pre-sedative parameters were analysed: time domain, frequency domain, and Deceleration capacity (DC) of heart rate variability, estimated cardiac output data and the index of cardiac contractility from the cardiometer. Patients were divided into hypotension group (blood pressure < 90 mmHg or a > 35% decrease) and non-hypotension group according to peri-sedative blood pressure, regression analysis is used to examine the association between factors and hypotension. Total data from 178 patients (age range: 33–94 years) were analysed. Age was not significantly different between the hypotension and non-hypotension groups (p = 0.978). Among all the factors, DC was most associated with hypotension (p = 0.05), better than cardiometer, age, and ASA status. In conclusion, DC, which can be interpreted as the indicator of parasympathetic activity and was significantly and negatively correlated with sedation-related hypotension. Pre-sedative measuring DC from routine ECG monitoring is simple and cost-effective and should be added to haemodynamic monitoring in the endoscopic room.
format	article
author	Feng-Fang Tsai Chih-Min Liu Hsiu-Po Wang Jia-Rong Yeh Shou-Zen Fan
author_facet	Feng-Fang Tsai Chih-Min Liu Hsiu-Po Wang Jia-Rong Yeh Shou-Zen Fan
author_sort	Feng-Fang Tsai
title	Deceleration capacity of heart rate variability as a predictor of sedation related hypotension
title_short	Deceleration capacity of heart rate variability as a predictor of sedation related hypotension
title_full	Deceleration capacity of heart rate variability as a predictor of sedation related hypotension
title_fullStr	Deceleration capacity of heart rate variability as a predictor of sedation related hypotension
title_full_unstemmed	Deceleration capacity of heart rate variability as a predictor of sedation related hypotension
title_sort	deceleration capacity of heart rate variability as a predictor of sedation related hypotension
publisher	Nature Portfolio
publishDate	2021
url	https://doaj.org/article/8ab12be6872a4a83926be3c5827df89a
work_keys_str_mv	AT fengfangtsai decelerationcapacityofheartratevariabilityasapredictorofsedationrelatedhypotension AT chihminliu decelerationcapacityofheartratevariabilityasapredictorofsedationrelatedhypotension AT hsiupowang decelerationcapacityofheartratevariabilityasapredictorofsedationrelatedhypotension AT jiarongyeh decelerationcapacityofheartratevariabilityasapredictorofsedationrelatedhypotension AT shouzenfan decelerationcapacityofheartratevariabilityasapredictorofsedationrelatedhypotension
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Deceleration capacity of heart rate variability as a predictor of sedation related hypotension

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