Dysautonomia involvement in maternal cardiac arrhythmia
Introduction. The role of autonomic imbalance in maternal cardiac arrhythmia (CA) is still debatable. The objective of the study was to assess the relationship between maternal autonomic tone and CA in pregnant women. Materials and methods. The cross-sectional study was carried out among pregnant...
| Main Authors: | , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Balkan Medical Union
2022-03-01
|
| Series: | Archives of the Balkan Medical Union |
| Subjects: | |
| Online Access: | https://umbalk.org/wp-content/uploads/2022/03/02.DYSAUTONOMIA-INVOLVEMENT-IN-MATERNAL.pdf |
| _version_ | 1828404383113543680 |
|---|---|
| author | Igor LAKHNO Iryna KNIAZKOVA2 Olga LAKHNO Kemine UZEL |
| author_facet | Igor LAKHNO Iryna KNIAZKOVA2 Olga LAKHNO Kemine UZEL |
| author_sort | Igor LAKHNO |
| collection | DOAJ |
| description | Introduction. The role of autonomic imbalance in maternal cardiac arrhythmia (CA) is still debatable.
The objective of the study was to assess the relationship between maternal autonomic tone and CA in pregnant women.
Materials and methods. The cross-sectional study was carried out among pregnant women admitted to Kharkiv Municipal Perinatal Center between 1 December 2015 and 31 July 2020. 117 patients at 28-36 weeks of gestation were enrolled. 20 of them had sinus rhythm and were included in Group I (control). In Group II, 55 pregnant women with CA and cardiovascular comorbidity were observed. 42 patients with idiopathic CA were monitored in Group III. The daily electrocardiogram and heart rate variability (HRV) were obtained. The density of ectopic beats (DEB) was defined as the percentage of ectopic to total beats.
Results. The investigation of the HRV revealed heterogeneity in the groups of study. The enhanced sympathetic activity was determined in women with CA and structural heart disease. Pregnant women with idiopathic CA demonstrated a parasympathetic pattern of autonomic nervous regulation. The revealed relations between DEB and sympathetic or parasympathetic regulation demonstrate an increased sympathetic tone in patients with structural heart disease. In women with idiopathic CA, parasympathetic regulation played a significant role in the scenario of cardiac ectopy.
Conclusions. The idiopathic CA could be the result of abnormally elevated parasympathetic regulation in the second half of pregnancy. |
| first_indexed | 2024-12-10T10:35:22Z |
| format | Article |
| id | doaj.art-df5351eb4e964fd1a8c793058427e6b9 |
| institution | Directory Open Access Journal |
| issn | 1584-9244 2558-815X |
| language | English |
| last_indexed | 2024-12-10T10:35:22Z |
| publishDate | 2022-03-01 |
| publisher | Balkan Medical Union |
| record_format | Article |
| series | Archives of the Balkan Medical Union |
| spelling | doaj.art-df5351eb4e964fd1a8c793058427e6b92022-12-22T01:52:27ZengBalkan Medical UnionArchives of the Balkan Medical Union1584-92442558-815X2022-03-01571182210.31688/ABMU.2022.57.1.02Dysautonomia involvement in maternal cardiac arrhythmiaIgor LAKHNO0Iryna KNIAZKOVA21Olga LAKHNO2Kemine UZEL3Kharkiv Medical Academy of Postgraduate Education, Kharkiv, UkraineKharkiv National Medical University, Kharkiv, UkraineKharkiv National Medical University, Kharkiv, UkraineDepartment of Gynecology and Obstetrics, Erzincan Binali Yildirim University, Mengucek Gazi Training and Research Hospital, Erzincan, TurkeyIntroduction. The role of autonomic imbalance in maternal cardiac arrhythmia (CA) is still debatable. The objective of the study was to assess the relationship between maternal autonomic tone and CA in pregnant women. Materials and methods. The cross-sectional study was carried out among pregnant women admitted to Kharkiv Municipal Perinatal Center between 1 December 2015 and 31 July 2020. 117 patients at 28-36 weeks of gestation were enrolled. 20 of them had sinus rhythm and were included in Group I (control). In Group II, 55 pregnant women with CA and cardiovascular comorbidity were observed. 42 patients with idiopathic CA were monitored in Group III. The daily electrocardiogram and heart rate variability (HRV) were obtained. The density of ectopic beats (DEB) was defined as the percentage of ectopic to total beats. Results. The investigation of the HRV revealed heterogeneity in the groups of study. The enhanced sympathetic activity was determined in women with CA and structural heart disease. Pregnant women with idiopathic CA demonstrated a parasympathetic pattern of autonomic nervous regulation. The revealed relations between DEB and sympathetic or parasympathetic regulation demonstrate an increased sympathetic tone in patients with structural heart disease. In women with idiopathic CA, parasympathetic regulation played a significant role in the scenario of cardiac ectopy. Conclusions. The idiopathic CA could be the result of abnormally elevated parasympathetic regulation in the second half of pregnancy.https://umbalk.org/wp-content/uploads/2022/03/02.DYSAUTONOMIA-INVOLVEMENT-IN-MATERNAL.pdfmaternal arrhythmiastructural heart diseaseheart rate variabilityautonomic malfunction |
| spellingShingle | Igor LAKHNO Iryna KNIAZKOVA2 Olga LAKHNO Kemine UZEL Dysautonomia involvement in maternal cardiac arrhythmia Archives of the Balkan Medical Union maternal arrhythmia structural heart disease heart rate variability autonomic malfunction |
| title | Dysautonomia involvement in maternal cardiac arrhythmia |
| title_full | Dysautonomia involvement in maternal cardiac arrhythmia |
| title_fullStr | Dysautonomia involvement in maternal cardiac arrhythmia |
| title_full_unstemmed | Dysautonomia involvement in maternal cardiac arrhythmia |
| title_short | Dysautonomia involvement in maternal cardiac arrhythmia |
| title_sort | dysautonomia involvement in maternal cardiac arrhythmia |
| topic | maternal arrhythmia structural heart disease heart rate variability autonomic malfunction |
| url | https://umbalk.org/wp-content/uploads/2022/03/02.DYSAUTONOMIA-INVOLVEMENT-IN-MATERNAL.pdf |
| work_keys_str_mv | AT igorlakhno dysautonomiainvolvementinmaternalcardiacarrhythmia AT irynakniazkova2 dysautonomiainvolvementinmaternalcardiacarrhythmia AT olgalakhno dysautonomiainvolvementinmaternalcardiacarrhythmia AT kemineuzel dysautonomiainvolvementinmaternalcardiacarrhythmia |