Autonomic Nervous System Activity during Refractory Rise in Intracranial Pressure.

Adult Aged Autonomic Nervous System / physiology Baroreflex / physiology Brain Injuries / complications Female Heart Rate / physiology Humans Intracranial Hypertension / etiology Male Middle Aged Retrospective Studies
Granger causality autonomic nervous system refractory intracranial hypertension upper breakpoint of ICP

Journal

Journal of neurotrauma
ISSN: 1557-9042
Titre abrégé: J Neurotrauma
Pays: United States
ID NLM: 8811626

Informations de publication

Date de publication:
15 06 2021
Historique:
pubmed: 8 12 2020
medline: 1 2 2022
entrez: 7 12 2020
Statut: ppublish

Résumé

Refractory intracranial hypertension (RIH) is a dramatic increase in intracranial pressure (ICP) that cannot be controlled by treatment. Recent reports suggest that the autonomic nervous system (ANS) activity may be altered during changes in ICP. Our study aimed to assess ANS activity during RIH and the causal relationship between rising in ICP and autonomic activity. We reviewed retrospectively 24 multicenter (Cambridge, Tromso, Berlin) patients in whom RIH developed as a pre-terminal event after acute brain injury (ABI). They were monitored with ICP, arterial blood pressure (ABP), and electrocardiography (ECG) using ICM+ software. Parameters reflecting autonomic activity were computed in time and frequency domain through the measurement of heart rate variability (HRV) and baroreflex sensitivity (BRS). Our results demonstrated that a rise in ICP was associated to a significant rise in HRV and BRS with a higher significance level in the high-frequency HRV (

Identifiants

DOI: 10.1089/neu.2020.7091 PMID: 33280491 PMC: PMC8336253
pubmed: 33280491
doi: 10.1089/neu.2020.7091
pmc: PMC8336253
doi:

Types de publication

Journal Article Multicenter Study

Langues

eng

Sous-ensembles de citation

IM

Pagination

1662-1669

Subventions

Organisme : NIEHS NIH HHS
ID : K01 ES026833
Pays : United States

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Auteurs

Marta Fedriga (M)

Brain Division of Neurosurgery, Department of Clinical Neurosciences, Physics Laboratory, University of Cambridge, Cambridge, United Kingdom.
Department of Anaesthesia, Critical Care and Emergency, Spedali Civili University Hospital, Brescia, Italy.

Andras Czigler (A)

Brain Division of Neurosurgery, Department of Clinical Neurosciences, Physics Laboratory, University of Cambridge, Cambridge, United Kingdom.
Department of Neurosurgery and Szentagothai Research Center, University of Pecs, Pecs, Hungary.

Nathalie Nasr (N)

Unitè de Neurologie Vasculaire, CHU de Toulouse, Universitè de Toulouse, Toulouse, France.

Frederick A Zeiler (FA)

Division of Anaesthesia, Department of Medicine, University of Cambridge, Cambridge, United Kingdom.
Department of Surgery, Faculty of Engineering, University of Manitoba, University of Manitoba, Winnipeg, Manitoba, Canada.
Department of Human Anatomy and Cell Science, Rady Faculty of Health Sciences, Faculty of Engineering, University of Manitoba, University of Manitoba, Winnipeg, Manitoba, Canada.
Biomedical Engineering, Faculty of Engineering, University of Manitoba, University of Manitoba, Winnipeg, Manitoba, Canada.

Soojin Park (S)

Department of Neurology, Division of Hospitalist and Critical Care Neurology, Columbia University, New York, New York, USA.

Joseph Donnelly (J)

Department of Anaesthesiology, University of Auckland, Aukland, New Zealand.

Vasilios Papaioannou (V)

University Hospital of Alexandroupolis, Intensive Care Unit, Democritus University of Thrace, Alexandroupolis, Greece.

Shirin K Frisvold (SK)

Department of Intensive Care, University Hospital of North Norway, UiT The Arctic University of Norway, Tromso, Norway.

Stephan Wolf (S)

Department of Neurosurgery, Charite Hospital, Berlin, Germany.

Frank Rasulo (F)

Department of Anaesthesia, Critical Care and Emergency, Spedali Civili University Hospital, Brescia, Italy.

Marek Sykora (M)

Department of Neurology, St. John's Hospital Vienna, Medical Faculty, Sigmund Freud University, Vienna, Austria.

Peter Smielewski (P)

Brain Division of Neurosurgery, Department of Clinical Neurosciences, Physics Laboratory, University of Cambridge, Cambridge, United Kingdom.

Marek Czosnyka (M)

Brain Division of Neurosurgery, Department of Clinical Neurosciences, Physics Laboratory, University of Cambridge, Cambridge, United Kingdom.

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Classifications MeSH

questionsmedicales.fr › Personnes › Tranches d'âge › Adulte › Autonomic Nervous System Activity during...
questionsmedicales.fr › Personnes › Tranches d'âge › Adulte › Sujet âgé › Autonomic Nervous System Activity during...
questionsmedicales.fr › Système nerveux › Système nerveux périphérique › Système nerveux autonome › Autonomic Nervous System Activity during...
questionsmedicales.fr › Phénomènes physiologiques de l'appareil locomoteur et du système nerveux › Phénomènes physiologiques du système nerveux › Réflexe › Baroréflexe › Autonomic Nervous System Activity during...
questionsmedicales.fr › Plaies et blessures › Traumatismes du système nerveux › Traumatismes cranioencéphaliques › Lésions encéphaliques › Autonomic Nervous System Activity during...
questionsmedicales.fr › Phénomènes physiologiques respiratoires et circulatoires › Phénomènes physiologiques cardiovasculaires › Hémodynamique › Rythme cardiaque › Autonomic Nervous System Activity during...
questionsmedicales.fr › Eucaryotes › Animaux › Chordés › Vertébrés › Mammifères › Eutheria › Primates › Haplorhini › Catarrhini › Hominidae › Humains › Autonomic Nervous System Activity during...
questionsmedicales.fr › Maladies du système nerveux › Maladies du système nerveux central › Encéphalopathies › Hypertension intracrânienne › Autonomic Nervous System Activity during...
questionsmedicales.fr › Personnes › Tranches d'âge › Adulte › Adulte d'âge moyen › Autonomic Nervous System Activity during...
questionsmedicales.fr › Environnement et santé publique › Santé publique › Méthodes épidémiologiques › Caractéristiques des études épidémiologiques › Études épidémiologiques › Études de cohortes › Études rétrospectives › Autonomic Nervous System Activity during...