Heart rate variability arterial hypertension in young heart‐transplanted recipients: Association progression of cardiac allograft vasculopathy?

作者: Ugo Giordano , Guido Michielon , Francesca Calò Carducci , Lucilla Ravà , Sara Alfieri

DOI: 10.1111/PETR.12105

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摘要: Hypertension and reduced HRV are frequent in heart-transplanted recipients. We studied 26 young recipients to investigate the relationship between BP during simultaneous 24-h monitoring. Presence of CAV was considered. All measures were significantly lower than normal values. Significant correlations found mean daytime systolic rMSSD (p = 0.04), DBP SDANN for all 5-min segments (p = 0.03) nighttime (p = 0.03). Four patients hypertensive daytime, seven had a nocturnal fall two rise BP. Eight showed severe grade (grade IV) on Stanford scale, 13 moderate III) five mild I-II). After follow-up time 30 months, four (30%) with III an increase IV abnormalities both ABPM patterns. The arterial hypertension should be further explored.

参考文章(15)
Robert E. Kleiger, Phyllis K. Stein, Matthew S. Bosner, Jeffrey N. Rottman, Time Domain Measurements of Heart Rate Variability Cardiology Clinics. ,vol. 10, pp. 487- 498 ,(1992) , 10.1016/S0733-8651(18)30230-3
S. Lucy Roche, John J. O’Sullivan, Paul F. Kantor, Hypertension after pediatric cardiac transplantation: detection, etiology, implications and management. Pediatric Transplantation. ,vol. 14, pp. 159- 168 ,(2010) , 10.1111/J.1399-3046.2009.01205.X
R F Wilson, B V Christensen, M T Olivari, A Simon, C W White, D D Laxson, Evidence for structural sympathetic reinnervation after orthotopic cardiac transplantation in humans Circulation. ,vol. 83, pp. 1210- 1220 ,(1991) , 10.1161/01.CIR.83.4.1210
Usman Zulfiqar, Donald A. Jurivich, Weihua Gao, Donald H. Singer, Relation of High Heart Rate Variability to Healthy Longevity The American Journal of Cardiology. ,vol. 105, pp. 1181- 1185 ,(2010) , 10.1016/J.AMJCARD.2009.12.022
M. Zakliczynski, M. Swierad, H. Zakliczynska, M. Maruszewski, P. Buszman, M. Zembala, Usefulness of Stanford Scale of Intimal Hyperplasia Assessed by Intravascular Ultrasound to Predict Time of Onset and Severity of Cardiac Allograft Vasculopathy International Congress of the Transplantation Society. ,vol. 37, pp. 1343- 1345 ,(2005) , 10.1016/J.TRANSPROCEED.2004.12.143
Mark E. Thompson, Alvin P. Shapiro, Anna-Margareta Johnsen, Jerome M. Itzkoff, Robert L. Hardesty, Bartley P. Griffith, Henry T. Bahnson, Robert H. McDonald, Andrea Hastillo, Michael Hess, The contrasting effects of cyclosporin-A and azathioprine on arterial blood pressure and renal function following cardiac transplantation International Journal of Cardiology. ,vol. 11, pp. 219- 229 ,(1986) , 10.1016/0167-5273(86)90181-6
Malek Kass, Rebecca Allan, Haissam Haddad, Diagnosis of graft coronary artery disease. Current Opinion in Cardiology. ,vol. 22, pp. 139- 145 ,(2007) , 10.1097/HCO.0B013E328021066B
John J. O’Sullivan, G. Derrick, J. Gray, Blood pressure after cardiac transplantation in childhood. Journal of Heart and Lung Transplantation. ,vol. 24, pp. 891- 895 ,(2005) , 10.1016/J.HEALUN.2004.05.025
Marianne Soergel, Martin Kirschstein, Christopher Busch, Thomas Danne, Jutta Gellermann, Reinhard Holl, Friedrich Krull, Hagen Reichert, György S. Reusz, Wolfgang Rascher, Oscillometric twenty-four-hour ambulatory blood pressure values in healthy children and adolescents : A multicenter trial including 1141 subjects The Journal of Pediatrics. ,vol. 130, pp. 178- 184 ,(1997) , 10.1016/S0022-3476(97)70340-8
Igor Izrailtyan, J.Yasha Kresh, Rohinton J. Morris, Susan C. Brozena, Steven P. Kutalek, Andrew S. Wechsler, Early detection of acute allograft rejection by linear and nonlinear analysis of heart rate variability. The Journal of Thoracic and Cardiovascular Surgery. ,vol. 120, pp. 737- 745 ,(2000) , 10.1067/MTC.2000.108930