Article
Cardiovascular autonomic response during the Cuban dynamic weight-bearing test
Cardiovascular autonomic response during the Cuban dynamic weight-bearing test;
Respuesta autonómica cardiovascular durante la prueba isométrica cubana del peso sostenido
Registro en:
CorSalud, volumen 11, número 1, ene.-mar. 2019, páginas:
Autor
Torres Leyva, Michel
Carrazana Escalona, Ramón
Ormigó Polo, Laura E.
Ricardo Ferro, Beatriz T.
López Galán, Erislandis
Ortiz Alcolea, Laritza
Sánchez Hechavarría, Miguel E.
Resumen
Artículo de publicación Scielo Introduction: The dynamic weight-bearing test (WBT) is a Cuban isometric exercise, similar to the hand grip test, which is very useful to induce hemodynamic modifications to identify cardiovascular hyperreactivity in at-risk populations. However, changes in the cardiovascular autonomic response during weight-bearing test are poorly understood. Objectives: To determine the cardiovascular autonomic response during the Cuban dynamic WBT. Method: Quasi-experimental crossover trial with 16 healthy subjects; blood pressure and heart rate variability were assessed, 5 minutes before (rest) and during the WBT (2 minutes for maneuver and 3 minutes for recovery), through the frequency (Fourier) and time-frequency (Wavelet) analysis of high-frequency (HF: 0.15-0.4 Hz) and low-frequency (LF: 0.04-0.15 Hz) bands, as well as temporal and non-linear analysis (Shannon entropy) of the RR interval series. Results: Although temporal indicators (SDNN, RMSSD, pNN50) showed no significant differences (p>0.05) nor the frequencies (LF, HF, LF/HF); we found an increase (p<0.05) in blood pressure and a significant decrease (p<0.05) in complexity (entropy) in the WBT with respect to rest, associated with an HF peak and LF/HF ratio at nearly 2 minutes reflected with the time-frequency methods. Conclusions: There was a dynamic increase in the cardiovascular sympathetic response during the WBT associated with a decrease in the complexity of this physiological process, which is not evident with the traditional linear methods of heart rate variability.