ArticleClinical and experimental nephrology2017
Quantification of autonomic nervous activity by heart rate variability and approximate entropy in high ultrafiltration rate during hemodialysis.
Article in Clinical and experimental nephrology, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.
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Who cites it
8 citing papers in PubMed, 11 citations in OpenAlex.
- In vivo and in vitro performance of a China-made hemodialysis machine: a multi-center prospective controlled study.Biomedical engineering online · 2017Trial
- Cardiovascular Entropy and Mortality Prediction in Hemodialysis Patients.Journal of clinical medicine · 2026Article
- Relationships Between Performance in the Frequency Speed Kick Test, Heart Rate Variability, and Body Composition in Amateur Muay Thai Fighters.International journal of exercise science · 2025Article
- Non-invasive evaluation of autonomic responses in patients with rotator cuff tear-related nocturnal pain.Journal of physical therapy science · 2024Article
- Evaluation of autonomic nervous system responses during isometric handgrip exercise using nonlinear analysis of heart rate variability.Journal of physical therapy science · 2022Article
- Dynamics of Cardiac Autonomic Responses During Hemodialysis Measured by Heart Rate Variability and Skin Sympathetic Nerve Activity: The Impact of Interdialytic Weight Gain.Frontiers in physiology · 2022Article
- ApEn for assessing hypoxemia severity in obstructive sleep apnea hypopnea syndrome patients.Sleep & breathing = Schlaf & Atmung · 2020Article
- Sudden Cardiac Death in Dialysis: Arrhythmic Mechanisms and the Value of Non-invasive Electrophysiology.Frontiers in physiology · 2019Review
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Authors and funding
5 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundFew studies have focused on the imbalance of the autonomic nervous system in ultrafiltration rate (UFR) subjects without blood pressure variation during maintenance hemodialysis (HD), although the role of autonomic nervous system activation during HD has been proposed to be an important factor for the maintenance of blood pressure.
methodsVariations over time in autonomic nervous activity due to differences in UFR were evaluated by measuring heart rate variability (HRV) and approximate entropy (ApEn) in 35 HD patients without blood pressure variations during HD session. The subjects were divided into 3 groups, those with UFR <10 ml/h/kg; ≥10 ml/h/kg but ≤15 ml/h/kg; and >15 ml/h/kg, and Holter ECG was recorded continuously during HD session using frequency analysis of RR intervals. High frequency (HF) and low frequency (LF) spectral components are found to be representative of the parasympathetic nervous system and sympathovagal balance, respectively, with the ratio of LF to HF of HRV providing a measure of sympathetic nervous system.
resultsIn subjects with UFR >15 ml/h/kg, HF components were significantly lower, and LF/HF and ApEn values were significantly higher, in the latter half of an HD session than before starting HD.
conclusionRemoving water from these subjects would promote sustained sympathetic nervous overactivity. These findings indicate that the UFR during HD needs to be set at ≤15 ml/h/kg.
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