Recipients with shorter cardiopulmonary bypass time achieve improvement of parasympathetic reinnervation within 6 months after heart transplantation
- PMID: 25109945
- DOI: 10.1536/ihj.14-111
Recipients with shorter cardiopulmonary bypass time achieve improvement of parasympathetic reinnervation within 6 months after heart transplantation
Abstract
Although cross-sectional late-phase reinnervation in heart transplantation (HTx) recipients has been demonstrated by several earlier studies, early-phase successive analyses especially for parasympathetic reinnervation remain unknown. Successive heart rate variability (HRV) data calculated by the MemCalc power spectral density method were obtained from 16 non-rejection recipients 1-24 weeks after HTx. High frequency (HF) level representing parasympathetic magnitude increased significantly at 6 months after HTx (from 0.9 ± 0.7 to 4.1 ± 2.8 ms(2*)). Only intraoperative shorter cardiopulmonary bypass time (181 ± 59 minutes) correlated with a higher level of HF at post-HTx 6 months among all baseline variables (r = -0.530(*)). Higher level of HF was associated with recovery of tachycardia at post-HTx 6 months (r = -0.514(*)). In conclusion, parasympathetic reinnervation emerges along with recovery of tachycardia < 6 months after HTx, which is accelerated by shorter intraoperative cardiopulmonary bypass time ((*)P < 0.05 for all).
Similar articles
-
Parasympathetic reinnervation accompanied by improved post-exercise heart rate recovery and quality of life in heart transplant recipients.Int Heart J. 2015;56(2):180-5. doi: 10.1536/ihj.14-292. Epub 2015 Feb 27. Int Heart J. 2015. PMID: 25740585
-
Evidence for differential sympathetic and parasympathetic reinnervation after heart transplantation in humans.J Auton Nerv Syst. 1997 Dec 11;67(3):176-83. doi: 10.1016/s0165-1838(97)00104-5. J Auton Nerv Syst. 1997. PMID: 9479669
-
Relative frequency of functional sympathetic and parasympathetic reinnervation after heart transplantation.J Heart Lung Transplant. 1998 Jul;17(7):725-8. J Heart Lung Transplant. 1998. PMID: 9703239
-
[The neurovegetative system in heart failure and heart transplantation].Ital Heart J Suppl. 2001 Aug;2(8):871-87. Ital Heart J Suppl. 2001. PMID: 11582720 Review. Italian.
-
Reinnervation post-heart transplantation.Eur Heart J. 2018 May 21;39(20):1799-1806. doi: 10.1093/eurheartj/ehw604. Eur Heart J. 2018. PMID: 28087606 Review.
Cited by
-
The Intrinsic Cardiac Nervous System: From Pathophysiology to Therapeutic Implications.Biology (Basel). 2024 Feb 7;13(2):105. doi: 10.3390/biology13020105. Biology (Basel). 2024. PMID: 38392323 Free PMC article. Review.
-
Factors Associated With Sinoatrial Reinnervation After Heart Transplantation.Transplant Direct. 2023 Nov 2;9(12):e1553. doi: 10.1097/TXD.0000000000001553. eCollection 2023 Dec. Transplant Direct. 2023. PMID: 37928482 Free PMC article.
-
Evaluation of Cardiac Autonomic Modulation Using Symbolic Dynamics After Cardiac Transplantation.Braz J Cardiovasc Surg. 2019 Dec 1;34(5):572-580. doi: 10.21470/1678-9741-2019-0236. Braz J Cardiovasc Surg. 2019. PMID: 31719008 Free PMC article.
-
Optimization of pressure settings during adaptive servo-ventilation support using real-time heart rate variability assessment: initial case report.BMC Cardiovasc Disord. 2017 Jan 5;17(1):11. doi: 10.1186/s12872-016-0455-4. BMC Cardiovasc Disord. 2017. PMID: 28056816 Free PMC article.
-
Early Denervation and Later Reinnervation of the Heart Following Cardiac Transplantation: A Review.J Am Heart Assoc. 2016 Nov 1;5(11):e004070. doi: 10.1161/JAHA.116.004070. J Am Heart Assoc. 2016. PMID: 27802930 Free PMC article. Review. No abstract available.
MeSH terms
LinkOut - more resources
Full Text Sources
Other Literature Sources
Medical
Research Materials
Miscellaneous