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Analysis the Characteristic of Heart Rate Variability Changes between Deficiency Pattern and Excess Pattern in Stroke Patients Admitted to the Hospital

중풍 환자의 입원 후 허실변증별 심박변이도 변화 특성에 대한 고찰

  • Lee, Hyun-Joong (Department of Cardiology and Neurology of Clinical Korean Medicine, Graduate School, Kyung Hee University) ;
  • Lee, Bo-Yun (Department of Cardiology and Neurology of Clinical Korean Medicine, Graduate School, Kyung Hee University) ;
  • Yang, Seung-Bo (Department of Cardiology and Neurology of Clinical Korean Medicine, Graduate School, Kyung Hee University) ;
  • Lee, Hyoung-Min (Department of Cardiology and Neurology of Clinical Korean Medicine, Graduate School, Kyung Hee University) ;
  • Cho, Seung-Yeon (Department of Cardiology and Neurology, College of Korean Medicine, Kyung Hee University) ;
  • Kwon, Seung-Won (Department of Cardiology and Neurology, College of Korean Medicine, Kyung Hee University) ;
  • Jung, Woo-Sang (Department of Cardiology and Neurology, College of Korean Medicine, Kyung Hee University) ;
  • Park, Seong-Uk (Department of Cardiology and Neurology, College of Korean Medicine, Kyung Hee University) ;
  • Ko, Chang-Nam (Department of Cardiology and Neurology, College of Korean Medicine, Kyung Hee University) ;
  • Park, Jung-Mi (Department of Cardiology and Neurology, College of Korean Medicine, Kyung Hee University)
  • 이현중 (경희대학교 대학원 한방순환신경내과학교실) ;
  • 이보윤 (경희대학교 대학원 한방순환신경내과학교실) ;
  • 양승보 (경희대학교 대학원 한방순환신경내과학교실) ;
  • 이형민 (경희대학교 대학원 한방순환신경내과학교실) ;
  • 조승연 (경희대학교 한의과대학 순환.신경내과) ;
  • 권승원 (경희대학교 한의과대학 순환.신경내과) ;
  • 정우상 (경희대학교 한의과대학 순환.신경내과) ;
  • 박성욱 (경희대학교 한의과대학 순환.신경내과) ;
  • 고창남 (경희대학교 한의과대학 순환.신경내과) ;
  • 박정미 (경희대학교 한의과대학 순환.신경내과)
  • Received : 2016.10.25
  • Accepted : 2016.11.22
  • Published : 2016.12.27

Abstract

Objectives : This study was designed to analyze the characteristic of heart rate variability(HRV) changes between Deficiency Pattern and Excess Pattern in Stroke Patients admitted to the hospital. Methods : We measured heart rate variability of stroke patients who were admitted to the Department of Korean Internal medicine, Stroke and Neurological Disorders Center from February 1, 2015 to May 30, 2016. We recruited a total of 28 stroke patients and heart rate variability tests were performed on the first day of admission, 2weeks after admission, and 4 weeks after admission. Results : VLF and LF/HF ratio significantly increased over time in Deficiency Pattern group compared with those in the Excess Pattern group. Conclusions : This results suggest that the parasympathetic function of Deficiency Pattern group is lower than that of the Excess Pattern group, resulting in imbalance of the autonomic nervous system.

Keywords

References

  1. The Society of Pathology in Korean Medicine. Pathology in Korean Medicine. Seoul. Hanuimunhwa publishing company. 2007 ; 288.
  2. Lee JA, lee JS, Kang BK, Ko MM, Mun TU, Cho KH, et al. Report on the Korean Standard Pattern Identifications for Stroke-. Korean J. Orient. Int. Med. 2011 ; 32(2) : 232-42.
  3. The Society of Korean Medicine Diagnostics. Biofunctional Medicine. Seoul. Koonja publishing incorporated. 2008 ; 8-12, 81-101.
  4. Graff B, Gąsecki D, Rojek A, Boutouyrie P, Nyka W, Laurent S, et al. Heart rate variability and functional outcome in ischemic stroke: a multiparameter approach. J. Hypertens. 2013 ; 31(8) : 1629-36. https://doi.org/10.1097/HJH.0b013e328361e48b
  5. Yoon BW, Morillo CA, Cechetto DF, Hachinski V. Cerebral hemispheric lateralization in cardiac autonomic control. Arch Neurol. 1997 ; 54 : 741-4. https://doi.org/10.1001/archneur.1997.00550180055012
  6. Korpelainen JT, Sotaniemi KA, Huikuri HV, Myllyla VV. Circadian rhythm of heart rate variability is reversibly abolished in ischemic stroke. Stroke. 1997 ; 28 : 2150-4. https://doi.org/10.1161/01.STR.28.11.2150
  7. Korpelainen JT, Sotaniemi KA, Huikuri HV, Myllyla VV. Abnormal heart rate variability as a manifestation of autonomic dysfunction in hemispheric brain infarction. Stroke. 1996 ; 27 : 2059-63. https://doi.org/10.1161/01.STR.27.11.2059
  8. Barron SA, Rogovski Z, Henmli J. Autonomic consequences of cerebral hemispheric infarction. Stroke. 1994 ; 25 : 113-6. https://doi.org/10.1161/01.STR.25.1.113
  9. Lakusic N, Mahovic D, Babic T, Sporis D. Changes in autonomic control of heart rate after ischemic cerebral stroke. Acta Medica Croatica. 2003 ; 57(4) : 269-73.
  10. Thayer JF, Yamamoto SS, Brosschot JF. The relationship of autonomic imbalance, heart rate variability and cardiovascular disease risk factors. Int. J. Cardiol. 2010 ; 141(2) : 122-31. https://doi.org/10.1016/j.ijcard.2009.09.543
  11. Choi HA, Jeon SB, Samuel S, Allison T, Lee KW. Paroxysmal Sympathetic Hyperactivity after Acute Brain Injury. Curr Neurol Neurosci Rep. 2013 ; 13 : 370-81. https://doi.org/10.1007/s11910-013-0370-3
  12. Park JJ, Lee MS, Kong KH, Go HY. Relationship between heart rate variability and Cold-Heat patternization in patient with chronic constipation. Korean J. Orient. Int. Med. 2012 ; 33(2) : 209-21.
  13. Lee SH, Kim JH, Roh YL, Rhee HK, Jeong SY, Jung SK, et al. Correlation between oriental medicine diagnosis and the autonomic nervous system functions of hyperhidrosis patients. Korean J. Orient. Int. Med 2008 ; 29(2) : 359-74.
  14. Choi SO, Park SY, Jeong HJ, Jung SY, Ahn SY, Kim KM, et al. Clinical study on relationship between pattern identifications and heart rate variability. Korea. J. Oriental physiology & pathology, 2013 ; 27(3) : 318-26.
  15. Department of Biofunctional Medicine and Diagnosis, Kyung Hee University Hospital at Gangdong. Guidelines for clinical use of biofunctional testing. 2012.
  16. Kim JS, Hwang W, Bae KT, Nam SS, Kim YS. Effect of acupuncture for mental stress on short-term analysis of heart rate variability. The Acupuncutre. 2004 ; 21(5) : 227-39.
  17. Malliani A, Lombardi F, Pagani M. Power spectrum analysis of heart rate variability: a tool to explore neural regulatory mechanisms. Br Heart J. 1994 ; 71(1) : 1-2.
  18. Montano N, Ruscone TG, Porta A, Lombardi F, Pagani M, Malliani A. Power spectrum analysis of heart rate variability to assess the changes in sympathovagal balance during graded orthostatic tilt. Circulation. 1994 ; 90(4) : 1826-31. https://doi.org/10.1161/01.CIR.90.4.1826
  19. Task Force of the European Society of Cardiology and the North American Society of Pacing and Electrophysiology. Heart rate variability: standards of measurement, physiological interpretation and clinical use. Circulation. 1996 ; 93(5) : 1043-65. https://doi.org/10.1161/01.CIR.93.5.1043
  20. Association of Korean Medicine Professors for Cardiovascular and Neurological Medicine. Cardiovascular and Neurological Medicine in Korean Medicine. Seoul. Koonja publishing incorporated. 2006 ; 331-2.
  21. Dong Woo Kim. Clinical review on complications of stroke patients admitted Oriental medical hospital. Korea. J. Oriental physiology & pathology, 2007 ; 17(3) : 258-62.
  22. Park YJ, Park YB. A study on standardization of Bian Zheng by some statistical methods. J Kor Inst Orient Med Diagn. 2001 ; 5(2) : 306-30.
  23. Klerger RE, Miller JP, Bigger JT, Moss AJ. Decreased heart rate variability and its association with increased mortality after acute myocardial infarction. Am J Cardiol. 1987 ; 59 : 256-62. https://doi.org/10.1016/0002-9149(87)90795-8
  24. Park YJ, Nam TH, Park YB. A atudy on correlation between Bian Zheng with autonomic functions. J Kor Inst Orient Med Diagn. 2002 ; 6(1) : 123-34.