Correlation between Palpitations below the Heart in Traditional Chinese Medicine and Autonomic Nerve Function Based on Heart Rate Variability: A Case-Control Study

Objective. To explore the autonomic nerve rhythm and the correlation between palpitations below the heart (PBTH) and autonomic nerve function in patients with PBTH based on heart rate variability (HRV). Methods. The outpatients or ward patients of Wenzhou Hospital of Traditional Chinese Medicine wer...

Descripción completa

Guardado en:

Detalles Bibliográficos
Autores principales:	Chengcheng Song, Kelong Chen, Ziqian Wu, Wei Liu, Ling Chen, Wenzong Zhu
Formato:	article
Lenguaje:	EN
Publicado:	Hindawi Limited 2021
Materias:	Other systems of medicine RZ201-999
Acceso en línea:	https://doaj.org/article/bae4f6f417a64782b7da4941cb87e383
Etiquetas:	Agregar Etiqueta Sin Etiquetas, Sea el primero en etiquetar este registro!

id	oai:doaj.org-article:bae4f6f417a64782b7da4941cb87e383
record_format	dspace
spelling	oai:doaj.org-article:bae4f6f417a64782b7da4941cb87e3832021-11-08T02:37:11ZCorrelation between Palpitations below the Heart in Traditional Chinese Medicine and Autonomic Nerve Function Based on Heart Rate Variability: A Case-Control Study1741-428810.1155/2021/1945488https://doaj.org/article/bae4f6f417a64782b7da4941cb87e3832021-01-01T00:00:00Zhttp://dx.doi.org/10.1155/2021/1945488https://doaj.org/toc/1741-4288Objective. To explore the autonomic nerve rhythm and the correlation between palpitations below the heart (PBTH) and autonomic nerve function in patients with PBTH based on heart rate variability (HRV). Methods. The outpatients or ward patients of Wenzhou Hospital of Traditional Chinese Medicine were collected and divided into two groups: the PBTH group and the normal group. The HRV of each group was detected. Single-factor statistical methods, Spearman correlation analysis, and logistic regression were used to describe and analyze the rhythm and characteristics of autonomic nerves in patients with PBTH and the correlation between PBTH and autonomic nerve function. Results. (1) In the comparison of HRV in different time periods in the same group, the SDNN, RMSSD, pNN50, TP, and HF in the PBTH group at night were significantly higher than those in the daytime (P<0.01), while the LF/HF ratio was significantly lower than that in the daytime (P<0.01). (2) In the comparison of HRV between the two groups in the same time period, the RMSSD and pNN50 of the PBTH group during the daytime period were significantly higher than those of the normal control group (P<0.05), and the LF/HF was significantly lower than that of the normal group (P<0.05). (3) In the Spearman correlation analysis, PBTH was significantly correlated with RMSSD, pNN50, and LF/HF ratio in the daytime period, with correlation coefficients of 0.424, 0.462, and −0.524, respectively (P<0.05). (4) Logistic regression analysis showed that the decrease of LF/HF ratio during the daytime period was an independent risk factor for PBTH in TCM (OR = 0.474, 95% CI: 0.230–0.977, P<0.05). Conclusions. The changes in parasympathetic nerve function in patients with PBTH have a circadian rhythm, which is characterized by increased activity during the nighttime. At the same time, the autonomic nerve activity of people with PBTH during the daytime is unbalanced, and the decrease of LF/HF ratio during the day is an independent high risk factor for PBTH.Chengcheng SongKelong ChenZiqian WuWei LiuLing ChenWenzong ZhuHindawi LimitedarticleOther systems of medicineRZ201-999ENEvidence-Based Complementary and Alternative Medicine, Vol 2021 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Other systems of medicine RZ201-999
spellingShingle	Other systems of medicine RZ201-999 Chengcheng Song Kelong Chen Ziqian Wu Wei Liu Ling Chen Wenzong Zhu Correlation between Palpitations below the Heart in Traditional Chinese Medicine and Autonomic Nerve Function Based on Heart Rate Variability: A Case-Control Study
description	Objective. To explore the autonomic nerve rhythm and the correlation between palpitations below the heart (PBTH) and autonomic nerve function in patients with PBTH based on heart rate variability (HRV). Methods. The outpatients or ward patients of Wenzhou Hospital of Traditional Chinese Medicine were collected and divided into two groups: the PBTH group and the normal group. The HRV of each group was detected. Single-factor statistical methods, Spearman correlation analysis, and logistic regression were used to describe and analyze the rhythm and characteristics of autonomic nerves in patients with PBTH and the correlation between PBTH and autonomic nerve function. Results. (1) In the comparison of HRV in different time periods in the same group, the SDNN, RMSSD, pNN50, TP, and HF in the PBTH group at night were significantly higher than those in the daytime (P<0.01), while the LF/HF ratio was significantly lower than that in the daytime (P<0.01). (2) In the comparison of HRV between the two groups in the same time period, the RMSSD and pNN50 of the PBTH group during the daytime period were significantly higher than those of the normal control group (P<0.05), and the LF/HF was significantly lower than that of the normal group (P<0.05). (3) In the Spearman correlation analysis, PBTH was significantly correlated with RMSSD, pNN50, and LF/HF ratio in the daytime period, with correlation coefficients of 0.424, 0.462, and −0.524, respectively (P<0.05). (4) Logistic regression analysis showed that the decrease of LF/HF ratio during the daytime period was an independent risk factor for PBTH in TCM (OR = 0.474, 95% CI: 0.230–0.977, P<0.05). Conclusions. The changes in parasympathetic nerve function in patients with PBTH have a circadian rhythm, which is characterized by increased activity during the nighttime. At the same time, the autonomic nerve activity of people with PBTH during the daytime is unbalanced, and the decrease of LF/HF ratio during the day is an independent high risk factor for PBTH.
format	article
author	Chengcheng Song Kelong Chen Ziqian Wu Wei Liu Ling Chen Wenzong Zhu
author_facet	Chengcheng Song Kelong Chen Ziqian Wu Wei Liu Ling Chen Wenzong Zhu
author_sort	Chengcheng Song
title	Correlation between Palpitations below the Heart in Traditional Chinese Medicine and Autonomic Nerve Function Based on Heart Rate Variability: A Case-Control Study
title_short	Correlation between Palpitations below the Heart in Traditional Chinese Medicine and Autonomic Nerve Function Based on Heart Rate Variability: A Case-Control Study
title_full	Correlation between Palpitations below the Heart in Traditional Chinese Medicine and Autonomic Nerve Function Based on Heart Rate Variability: A Case-Control Study
title_fullStr	Correlation between Palpitations below the Heart in Traditional Chinese Medicine and Autonomic Nerve Function Based on Heart Rate Variability: A Case-Control Study
title_full_unstemmed	Correlation between Palpitations below the Heart in Traditional Chinese Medicine and Autonomic Nerve Function Based on Heart Rate Variability: A Case-Control Study
title_sort	correlation between palpitations below the heart in traditional chinese medicine and autonomic nerve function based on heart rate variability: a case-control study
publisher	Hindawi Limited
publishDate	2021
url	https://doaj.org/article/bae4f6f417a64782b7da4941cb87e383
work_keys_str_mv	AT chengchengsong correlationbetweenpalpitationsbelowtheheartintraditionalchinesemedicineandautonomicnervefunctionbasedonheartratevariabilityacasecontrolstudy AT kelongchen correlationbetweenpalpitationsbelowtheheartintraditionalchinesemedicineandautonomicnervefunctionbasedonheartratevariabilityacasecontrolstudy AT ziqianwu correlationbetweenpalpitationsbelowtheheartintraditionalchinesemedicineandautonomicnervefunctionbasedonheartratevariabilityacasecontrolstudy AT weiliu correlationbetweenpalpitationsbelowtheheartintraditionalchinesemedicineandautonomicnervefunctionbasedonheartratevariabilityacasecontrolstudy AT lingchen correlationbetweenpalpitationsbelowtheheartintraditionalchinesemedicineandautonomicnervefunctionbasedonheartratevariabilityacasecontrolstudy AT wenzongzhu correlationbetweenpalpitationsbelowtheheartintraditionalchinesemedicineandautonomicnervefunctionbasedonheartratevariabilityacasecontrolstudy
_version_	1718443033665470464

Correlation between Palpitations below the Heart in Traditional Chinese Medicine and Autonomic Nerve Function Based on Heart Rate Variability: A Case-Control Study

Ejemplares similares