Use of spectral index of heart rate variability as a predictor of poor clinical outcome in patients with severe combined chest trauma
- Authors: Sakhin V.T1, Gordienko A.V1, Sotnikov A.V1
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Affiliations:
- Issue: Vol 337, No 11 (2016)
- Pages: 37-42
- Section: Articles
- URL: https://journals.eco-vector.com/0026-9050/article/view/73788
- DOI: https://doi.org/10.17816/RMMJ73788
- ID: 73788
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Abstract
The article provides information on results of research of connection between spectral index of heart rate variability, got during 5-minutes record of echocardiography in acute period of traumatic disease, and severity of trauma, severity of health condition and level of impairment of consciousness in patients with combined chest trauma. Defined correlating connections between separate indexes of spectral analysis of heart rate variability and scales, reflecting health status severity and severity of trauma when admission the patients. Defined accurate differences between indexes of a power of very low frequency, low frequency and high-frequency waves, indexes of a vagosympathetic balance in groups of patients with poor clinical outcome and lethal outcome. Proved the possibility of the use of definite, during 12 hours after getting injury, relative powers of low-frequency and high-frequency waves, expressed in normalized units, index of a vagosympathetic balance as physiological markers of poor clinical outcome in patients with severe combined chest trauma.
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About the authors
V. T Sakhin
Email: SahinVT@yandex.ru
A. V Gordienko
Email: gord503@mail.ru
A. V Sotnikov
Email: sotnikovav@inbox.ru
References
- Баевский Р.М., Иванов Г.Г. Вариабельность сердечного ритма: теоретические аспекты и возможности клинического применения. - М.: Медицина, 2000. - 295 с.
- Гуманенко Е.К. Сочетанные травмы с позиций объективной оценки тяжести травм: Автореф. дис.. д-ра мед. наук. - СПб, 1992. - 50 с.
- Гуманенко Е.К. Бояринцев В.В., Супрун Т.Ю. Объективная оценка тяжести травм // Клин. мед. и патофизиол. - 1996. - № 1. - С. 24-37.
- Шапот Ю.Б., Карташкин В.Л., Селезнёв С.А. Осложнения раннего периода травматической болезни у пострадавших с закрытой сочетанной травмой груди, сопровождающейся шоком // Российский сборник научных трудов. - СПб, 1994. - С. 87-95.
- Baker S.P., O’Neill B., Haddon W., Long W.B. The injury severity score: a method for describing patients with multiple injuries and evaluating emergency care // J. Trauma. - 1974. - Vol. 14, N 3. - P. 187-196.
- Frink M., Mommsen P., Andruszkow H. et al. Challenges of surgical trauma emergency admission // Langenbecks Arch. Surg. - 2011. - Vol. 396, N 4. - P. 499-505.
- Heart rate variability: Standarts of measurement, physiological interpretation, and clinical use // Europ. Heart J. - 1996. - Vol. 17, N 3. - P. 354-381.
- Hoff S.J., Shotts S.D., Eddy V.A. et al. Outcome of isolated pulmonary contusion in blunt trauma patients // Amer. J. Surg. - 1994. - Vol. 60, N 2. - P. 138-142.
- Kamath M.V., Fallen E.L. Power Spectral Analysis of Heart Rate Variability: A Noninvasive Signature of Cardiac Autonomic Function // Critical Reviews in Biomechanical Engineering. - 1993. - Vol. 21, Iss. 3. - P. 245-311.
- Ryan L.M., Ogilvie M.P., Pereira B.M.T. et al. Heart Rate Variability Is an Independent Predictor of Morbidity and Mortality in Hemodynamically Stable Trauma Patients // J. Trauma. - 2011. -Vol. 70, N 6. - P. 1371-1380.
- Orlinsky M., Shoemaker W., Reis E.D. et al. Current controversies in shock and resuscitation // Kerstein Surg. Clin. North. Am. - 2001. - Vol. 81. - P. 1217-1262.
- William H.С., Salinas J., Convertino A.V. et. al. Heart Rate Variability and Its Association with Mortality in Prehospital Trauma Patients // J. Trauma. - 2006. - Vol. 60, N 2. - P. 363-370.
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СМИ зарегистрировано Федеральной службой по надзору в сфере связи, информационных технологий и массовых коммуникаций (Роскомнадзор).