Impaired Baroreflex Function during Orthostatic Challenge in Patients after Spinal Cord Injury

Result code in IS VaVaI

<a href="https://www.isvavai.cz/riv?ss=detail&h=RIV%2F00159816%3A_____%2F17%3A00068382" target="_blank" >RIV/00159816:_____/17:00068382 - isvavai.cz</a>

Alternative codes found

RIV/00216224:14110/17:00097487

Result on the web

<a href="http://dx.doi.org/10.1089/neu.2017.4989" target="_blank" >http://dx.doi.org/10.1089/neu.2017.4989</a>

DOI - Digital Object Identifier

<a href="http://dx.doi.org/10.1089/neu.2017.4989" target="_blank" >10.1089/neu.2017.4989</a>

Result language

angličtina

Original language name

Impaired Baroreflex Function during Orthostatic Challenge in Patients after Spinal Cord Injury

Original language description

The level of spinal cord injury (SCI) affects baroreflex regulation of blood pressure. While a parasympathetic cardiac chronotropic effect is preserved, baroreflex response could be impaired by sympathetic dysfunction under the SCI level. This study was aimed to evaluate the baroreflex function in SCI patients by the analysis of causal interaction between systolic blood pressure (SBP) and inter-beat intervals (IBI). Blood pressure was continuously recorded in 13 cervical SCI patients (CSCI), nine thoracic SCI (ThSCI) and 13 able-bodied controls (Con) during two phases: sitting (PS) and orthostatic challenge (PO). Beat-to-beat SBP and IBI sequences were obtained from continuous blood pressure recording. Closed loop of SBP-IBI interaction was mathematically opened by bivariate autoregressive model; causal coherence and baroreflex sensitivity (BRS) were calculated in baroreflex direction. Coherence quantifies causal synchronicity between SBP and IBI. The gain of transfer function from SBP to IBI represents BRS. PS (medians of CSCI/ThSCI/Con) coherence was 0.28/0.33/0.25 (no significant difference) and PS BRS was 6.98/7.54/6.66 (no difference). PO coherence was 0.18/0.58/0.45 (CSCI &lt; ThCSI and Con; p &lt; 0.01) and PO BRS was 2.38/5.87/6.22 (CSCI &lt; ThCSI and Con; p &lt; 0.01). For position change effect, there was no change in CSCI coherence; for ThSCI and Con, PS &lt; PO (p &lt; 0.05). For BRS in the CSCI group, PS &lt; PO (p &lt; 0.01); for ThSCI and Con, there was no change. BRS and coherence correlated negatively with SCI level (p &lt; 0.01). In conclusion, baroreflex dysfunction in SCI patients was detected using causal analysis methods during orthostatic challenge only. Baroreflex dysfunction is probably an important mechanism of the more expressed blood pressure decrease associated with CSCI. The severity of autonomic dysfunction was related to SCI level.

Czech name

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Czech description

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Type

J_imp - Article in a specialist periodical, which is included in the Web of Science database

CEP classification

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OECD FORD branch

30218 - General and internal medicine

Project

<a href="/en/project/LQ1605" target="_blank" >LQ1605: Translational Medicine</a><br>

Continuities

P - Projekt vyzkumu a vyvoje financovany z verejnych zdroju (s odkazem do CEP)

Publication year

2017

Confidentiality

S - Úplné a pravdivé údaje o projektu nepodléhají ochraně podle zvláštních právních předpisů

Name of the periodical

Journal of Neurotrauma

ISSN

0897-7151

e-ISSN

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Volume of the periodical

34

Issue of the periodical within the volume

24

Country of publishing house

US - UNITED STATES

Number of pages

7

Pages from-to

3381-3387

UT code for WoS article

000417633700007

EID of the result in the Scopus database

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