dc.creatorBarbic, Franca
dc.creatorMinonzio, Maura
dc.creatorCairo, Beatrice
dc.creatorShiffer, Dana
dc.creatorZamunér, Antonio
dc.creatorCavalieri, Silvia
dc.creatorDipaola, Franca
dc.creatorMagnavita, Nicola
dc.creatorPorta, Alberto
dc.creatorFurlan, Raffaello
dc.date2020-12-04T12:49:18Z
dc.date2020-12-04T12:49:18Z
dc.date2020
dc.date.accessioned2022-10-18T12:13:19Z
dc.date.available2022-10-18T12:13:19Z
dc.identifierhttp://repositorio.ucm.cl/handle/ucm/3316
dc.identifier.urihttps://repositorioslatinoamericanos.uchile.cl/handle/2250/4443555
dc.descriptionPostural orthostatic tachycardia syndrome (POTS) negatively impacts quality of life. The excessive increase in cardiac sympathetic modulation during standing, which characterizes POTS patients, leads to many symptoms and signs of orthostatic intolerance. Little is known about the consequences of the disease on work performance and its relationship with individual autonomic profiles. Twenty-two POTS patients regularly engaged in working activity (20 females, age 36 ± 12 years) and 18 gender- and age-matched controls underwent a clinical evaluation and filled out the Work Ability Index (WAI) questionnaire. POTS patients completed the Composite Autonomic Symptom Score (COMPASS31) questionnaire, underwent continuous electrocardiogram, blood pressure and respiratory activity recordings while supine and during a 75° head-up tilt (HUT). A power spectrum analysis provided the index of cardiac sympatho-vagal balance (LF/HF). WAI scores were significantly reduced in POTS patients (29.84 ± 1.40) compared to controls (45.63 ± 0.53, p < 0.01). A significant inverse correlation was found between individual WAI and COMPASS31 scores (r = −0.46; p = 0.03), HUT increase in heart rate (r = −0.57; p = 0.01) and LF/HF (r = −0.55; p = 0.01). In POTS patients, the WAI scores were inversely correlated to the intensity of autonomic symptoms and to the excessive cardiac sympathetic activation induced by the gravitational stimulus.
dc.languageen
dc.rightsAtribución-NoComercial-SinDerivadas 3.0 Chile
dc.rightshttp://creativecommons.org/licenses/by-nc-nd/3.0/cl/
dc.sourceInternational Journal of Environmental Research and Public Health, 17(21), 7836
dc.subjectAutonomic nervous system
dc.subjectHeart rate variability
dc.subjectArterial pressure
dc.subjectBaroreflex
dc.subjectSpectral analysis
dc.subjectHead-up tilt
dc.subjectWork ability
dc.titleWork ability assessment and its relationship with cardiovascular autonomic profile in postural orthostatic tachycardia syndrome
dc.typeArtículos de revistas


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