Recipients with shorter cardiopulmonary bypass time achieve improvement of parasympathetic reinnervation within 6 months after heart transplantation

T Imamura, K Kinugawa, T Fujino, T Inaba…�- International heart�…, 2014 - jstage.jst.go.jp
T Imamura, K Kinugawa, T Fujino, T Inaba, H Maki, M Hatano, O Kinoshita, K Nawata, S Kyo…
International heart journal, 2014jstage.jst.go.jp
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�…
Summary
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 ms2*). 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).(Int Heart J 2014; 55: 440-444)
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