Recurrence plot analysis of heart rate variability in end-stage renal disease treated twice-weekly by hemodialysis with or without intradialytic hypotension

Recurrence quantitative analysis (RQA) indices of heart rate variability (HRV) have shown a different adjustment in the sympathetic-driven dynamical response to active standing (AS) and hemodialysis (HD), characterized by increased laminar states in HRV. AS test is a maneuver in which subjects activ...

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Published in:The European physical journal. ST, Special topics Special topics, 2023-02, Vol.232 (1), p.99-110
Main Authors: Calderón-Juárez, Martín, Gutiérrez Alvarado, Dafne Anaid, González Gómez, Gertrudis Hortensia, Echeverría, Juan C., Arellano-Martínez, Jesús, Pérez-Granados, Emmanuel, López-Gil, Salvador, Campos-González, Israel David, Mariscal-Ramírez, Luis Alfonso, Pérez-Negrete, Diana Laura, Lerma, Claudia
Format: Article
Language:English
Subjects:
Atomic
Classical and Continuum Physics
Condensed Matter Physics
Heart rate
Hemodialysis
Hypotension
Kidney diseases
Materials Science
Measurement Science and Instrumentation
Molecular
Optical and Plasma Physics
Physics
Physics and Astronomy
Regular Article
Supine position
Trends in Recurrence Analysis of Dynamical Systems
Variability
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Summary:Recurrence quantitative analysis (RQA) indices of heart rate variability (HRV) have shown a different adjustment in the sympathetic-driven dynamical response to active standing (AS) and hemodialysis (HD), characterized by increased laminar states in HRV. AS test is a maneuver in which subjects actively change their body posture from supine position (SP) to AS. In end-stage renal disease (ESRD) patients treated twice-weekly by HD, we found reduced changes in RQA indices to AS before HD that are partially recovered after treatment; laminarity, trapping time and recurrence time of the second type values were significantly lower in SP than during AS ( p < 0.05 ). Patients who developed intradialytic hypotension (IDH) did not show a significant response to AS in contrast with patients who did not develop IDH. Also, the mean duration of heartbeat intervals significantly influenced RQA indices ( p < 0.05 ), and this correlation depended on the observation moment (before or after HD). These findings suggest that the cardiac response to the autonomic modulation measured by RQA is different in IDH patients even before HD. Furthermore, the influence of the mean heart rate changes seems to play an important role in the short-term control of HRV behavior in ESRD.
ISSN:1951-6355
1951-6401
DOI:10.1140/epjs/s11734-022-00682-8