Search results for "Orthostatic"

Cardiovascular and respiratory variability during orthostatic and mental stress: A comparison of entropy estimators

2017

The aim of this study is to characterize cardiovascular and respiratory signals during orthostatic and mental stress as reflected in indices of entropy and complexity, providing a comparison between the performance of different estimators. To this end, the heart rate variability, systolic blood pressure, diastolic blood pressure and respiration time series were extracted from the recordings of 61 healthy volunteers undergoing a protocol consisting of supine rest, head-up tilt test and mental arithmetic task. The analysis was performed in the information domain using measures of entropy and conditional entropy, estimated through model-based (linear) and model-free (binning, nearest neighbor)…

Information-theoretic assessment of cardiovascular variability during postural and mental stress

2016

This study was aimed at investigating the individual and combined effects of postural and mental stress on short-term cardiovascular regulation. To this end, we applied measures taken from the emerging framework of information dynamics on the beat-to-beat spontaneous variability of RR interval and systolic arterial pressure (SAP) measured from healthy subjects in the resting supine position and during the separate and simultaneous execution of experimental protocols performing head-up tilt (HUT) and mental arithmetics (MA). The information stored in RR interval variability, a measure inversely related to the complexity of the time series, increased significantly during HUT and HUT+MA compar…

Towards human exploration of space: the THESEUS review series on cardiovascular, respiratory, and renal research priorities

2016

International audience; The THESEUS project (Towards Human Exploration of Space: aEUropean Strategy) was initiated within the seventh FrameworkProgramme by the European Commission. This project aimed toprovide a cross-cutting, life science-based roadmap for Europe’sstrategy towards human exploration of space, especially for deepspace missions and its relevance to applications on Earth. Toaddress these challenges, relevance of space research on thecardiovascular system, the lungs and kidneys, was discussed in anexpert group and its principal conclusions will be presented in thisarticle.

Orthostatic hypotension and health outcomes: an umbrella review of observational studies

2019

To investigate potential relationships between orthostatic hypotension (OH) and negative health outcomes and mortality, through an umbrella review with integrated meta-analyses. Orthostatic hypotension is significantly associated with several negative outcomes in older people, but a suggestive evidence is available only for higher risk of coronary heart disease congestive heart failure, stroke, falls dementia, and all-cause mortality. Orthostatic hypotension seems to be significantly associated with several negative health outcomes in older people, even if only associations with coronary heart disease, congestive heart failure, stroke, falls, dementia, and all-cause mortality are supported …

Bascule syndrome associated with syncopal episodes.

2018

Bascule syndrome is a recently described benign vasomotor dermatosis characterized by Bier anemic spots, cyanosis, and urticaria-like eruption. We report a case of a 13-year-old girl with cutaneous lesions consistent with Bascule syndrome who had had three exercise-related syncopal episodes. It would be recommended to exclude orthostatic intolerance or postural orthostatic tachycardia syndrome when evaluating patients with Bascule syndrome.

2019

OBJECTIVE With a combination of different sympathetic tests, we aimed to elucidate whether impairment of sympathetic function in Parkinson's disease (PD) is the consequence of a central or peripheral efferent dysfunction. METHODS Thirty-five patients with early-to-intermediate PD (median age: 63 years; IQR: 57-67 years; disease duration 1-9 years, 15 women) and 20 age- and sex-matched healthy controls (median age: 64.5 years; IQR: 58-68 years; 10 women) were recruited. Autonomic testing was performed in two subgroups and included the assessment of resting cardiovascular parameters, postprandial hypotension (PPH), orthostatic hypotension (OH), and vasoconstriction induced by intradermal micr…

Hypovitaminosis D and orthostatic hypotension: A systematic review and meta-analysis

2016

Objectives: Orthostatic hypotension is a common condition among older adults and is associated with a range of deleterious outcomes. Recently, interest has developed in hypovitaminosis D (defined as low 25 hydroxiyVitamin D levels) as a potential risk factor for orthostatic hypotension. We conducted a systematic review and meta-analysis examining the association of orthostatic hypotension between study participants with and without hypovitaminosis D, including the adjustment of potential confounders (age, sex, BMI, renal function, comorbidities, seasonality, use of antihypertensive medications, and supplementation with cholecalciferol). Methods: A systematic literature search of major elect…

Health-Related Quality of Life Is Severely Affected in Primary Orthostatic Tremor

2018

International audience; Background: Primary orthostatic tremor (POT) is a movement disorder characterized by unsteadiness upon standing still due to a tremor affecting the legs. It is a gradually progressive condition with limited treatment options. Impairments in health-related quality of life (HQoL) seem to far exceed the physical disability associated with the condition.Methods: A multi-center, mixed-methodology study was undertaken to investigate 40 consecutive patients presenting with POT to four movement disorder centers in France. HQoL was investigated using eight quantitative scales and a qualitative study which employed semi-structured interviews. Qualitative data were analyzed wit…

2019

Objective: In two independent study arms, we determine the effects of strength training (ST) and high-intensity interval training (HIIT) overload on cardiac autonomic modulation by measuring heart rate (HR) and vagal heart rate variability (HRV). Methods: In the study, 37 well-trained athletes (ST: 7 female, 12 male; HIIT: 9 female, 9 male) were subjected to orthostatic tests (HR and HRV recordings) each day during a 4-day baseline period, a 6-day overload microcycle, and a 4-day recovery period. Discipline-specific performance was assessed before and 1 and 4 days after training. Results: Following ST overload, supine HR, and vagal HRV (Ln RMSSD) were clearly increased and decreased (small …

Orthostatic Hypotension and Complications

2020

Orthostatic hypotension prevalence exponentially increases with age, and an early detection of it can prevent the severe complications it may lead to. Among those, we mention (orthostatic) syncope and falls, cardiovascular diseases, and neurological diseases. Increased blood pressure variability related to standing which can provoke brain hypoperfusion and ischemia, higher arterial stiffness, and activated systematic inflammation, which have both been strongly involved in the pathogenesis of atherosclerosis, finally leading to CVD.