EVALUATION OF AUTONOMIC NERVOUS SYSTEM WITH HEART RATE TURBULENCE IN PATIENTS WITH STROKE

Authors : Abdullah Güzel, Ibrahim Etem Dural, Hayri Demirbaş

Pages : 207-211

View : 37 | Download : 91

Publication Date : 2023-10-16

Article Type : Research Paper

Abstract :Introduction: Autonomic dysfunction usually develops after cerebrovascular diseases. Heart rate turbulence is one of the tests to show autonomic dysfunction. We aimed to evaluate autonomic dysfunction using heart rate turbulence parameters after acute ischemic stroke in this study. Methods: We included 30 patients hospitalized with acute ischemic stroke and 15 healthy individuals in the study. Computed tomography and magnetic resonance images taken during the hospitalization of the patients were examined. It was divided into 3 classes the right hemisphere, left hemisphere, and brainstem cerebellum lesions. Holter ECG(electrocardiography) records inserted within the first 24 hours of hospitalization of the patients were examined. Turbulence onset (TO) and turbulence slope (TS) parameters, which are heart rate turbulence parameters, were compared with the control group. Results: There was no significant difference between the groups included in the study in terms of gender, age, hypertension, hyperlipidemia smoking, and biochemical parameters. When TO and TS values were compared with the control group, no significant difference was found. (TO -0.004970 (± 0.02), -0.013627 (± 0.01) p: 0.14, TS 6.81 (± 7.30), 7.67 (± 5.30) p: 0.11). Although there were more abnormal values for TO and TS in patients with left hemisphere lesions, no statistical difference was found. Conclusion: No relationship has been shown between acute stroke and heart rate turbulence.
Keywords : İNME, KALP HIZI TURBULANSI, OTONOMİK SİNİR SİSTEMİ