THE EFFECT OF LOW-INTENSITY INTERMITTENT PNEUMATIC COMPRESSION IN PERSONS WITH DIFFERENT TYPES OF REGULATION OF THE AUTONOMIC NERVOUS SYSTEM ON CENTRAL HEMODYNAMICS
D.V. Shesterina1, A.L. Palamarchuk1, S.O. Kovalenko2
- Kyiv Medical University, Ukraine
- Cherkasy Bogdan Khmelnytskiy National University, Ukraine
The purpose of our study was to determine changes in
central hemodynamics under the condition of exposure to
low-intensity IPC on the lower limbs in individuals with different types of regulation of the autonomic nervous system.
The group of 62 participants in age of 18-22 years were
investigated. Testing session 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). Before, during the exposure and recovery
period of the procedure arterial blood pressure was recorded
with Korotkov’s auscultative method by mercury tonometer
(“Dr.Frei”A-10, Switzerland). For monitoring hemodynamic
changes impedance cardiography (ICG) method was applied
(“ХАІ-medica”, Kharkiv, Ukraine), by 15 sec. Based on the
spectrum power values in the range of 0.15-0.4 (HFnorm),
which was calculated according to the formula HFnorm =
HF/(HF+LF)∙100%, 3 groups of volunteers were determined
by method of sigma deviations. The 1st group included 29
people with a predominance of the sympathetic link of regulation of the autonomic nervous system, HF norm at rest is
less than 40 nu. The 2nd - 19 people with a normotonic type
of regulation, HFnorm from 40 to 60 nu. The 3rd - 14 people
with a predominance of the parasympathetic link, HF norms
higher than 60 nu. It has been established that in persons of the
1st group blood pressure maintenance is a result of complex
neurohumoral interactions, in the 3rd group - due to vascular
components. The decrease in the heart rate and cardiac index
in the 1st and 2nd groups is caused by a decrease in venous
return to the heart, and in the 3rd group - by contractile function of the heart. The proven impact of non-invasive IPC on
peripheral blood circulation improving supports the concept
of orthostatic tolerance. Future long-term studies are needed
to evaluate the further long-term efficacy of IPC, safety and
tolerability of this approach in clinical practice.
central hemodynamics; blood pressure; lower limbs; intermittent pneumatic compression; pressure; autonomic nervous system, cardiac output.
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