CHANGES IN HEART RATE VARIABILITY AND PERIPHERAL HEMODYNAMICS DURING INTERMITTENT PNEUMATIC COMPRESSION IN PERSONS WITH DIFFERENT TYPES OF REGULATION OF THE AUTONOMIC NERVOUS SYSTEM
D.V. Shesterina1, A.L. Palamarchuk1, S.O. Kovalenko2
- Kyiv Medical University, Ukraine
- Cherkasy Bogdan Khmelnytskiy National University, Ukraine
DOI: https://doi.org/10.15407/fz69.02.062
Abstract
Intermittent pneumatic compression (IPC) widely used in the
therapy of preventing the formation of blood clots, improving
the oxygenation of peripheral tissues. IPC is an established
method in the therapy of post-operative recovery and in
geriatrics and sports medicine. The purpose of our study
was to determine functional changes in heart rate variability
(HRV) and peripheral hemodynamics during exposure to lowintensity IPC depending on different types of regulation of the
autonomic nervous system. We investigated 62 participants in
age of 18-22 years. Testing sessions that included pressure of
40 mmHg and 20-minute period of temporary occlusion of the
lower extremities was performed by intermittent pneumatic
compression with Recovery Pump PRX device (“Mego
Aftek AC Ltd”, Israel). During the procedure exposure and
recovery period, arterial blood pressure was recorded with
Korotkov’s auscultative method by mercury tonometer (“Dr.
Frei”A-10, Switzerland). Heart Rate was monitored using a
Cardio Trainer Polar H9 (“Polar Electro Oy”, Finland). For
monitoring hemodynamic changes, impedance cardiography
(ICG) method (“ХАІ-medica”, Kharkiv, Ukraine) was applied
by 15 s. Based on the spectrum power values in the range of
0.15–0.4 (HFnorm), 3 groups of volunteers were determined
using sigma deviations. Group 1 included 29 volunteers with
an advantage of the sympathetic link of regulation of the
autonomic nervous system (the background HFnorm was less
than 40 nu). Group 2 included 19 persons with a normotonic
type of autonomic nervous system regulation (HFnorm from 40
to 60 nu). Group 3 included 14 individuals with predominance
of the parasympathetic link of the autonomic nervous system
(HFnorm above 60 nu). In conclusion, IPC treatment in
groups 1 and 2 inhibited the sympathetic activation, increased
the blood flow in the large femoral arteries and tone of
small arteries. In group 3, the blood outflow from the lower
extremities was predominance, the blood flow volume and
speed decreased. Therefore, we conclude effectivity of the low
intensity IPC using. Also, HRV and peripheral hemodynamics
depend on the types of regulation of the autonomic nervous
system.
Keywords:
peripheral hemodynamics; lower extremity; intermittent pneumatic compression; pressure; autonomic nervous system.
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