ArticleThe American journal of tropical medicine and hygiene2020
Heart Rate Variability as an Indicator of Autonomic Nervous System Disturbance in Tetanus.
Article in The American journal of tropical medicine and hygiene, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers.
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Who cites it
20 citing papers in PubMed.
- The Impact of Additional Respiratory Dead Space Volume Mask During Warm-Up on Skin Blood Flow and Choice Reaction Time in Cyclists: A Randomized Crossover Trial.Journal of clinical medicine · 2026Article
- Effect of BPM music on post-exercise heart rate variability in male collegiate sprinters.Frontiers in sports and active living · 2026Article
- Sleep structure and autonomic nervous system state during four months of isolation in a space analogue mission.Frontiers in human neuroscience · 2026Article
- Long-Term Continuous Heart Rate Variability Monitoring Over 20 Days for Severe Tetanus: A Case Report.The American journal of case reports · 2025Article
- Cardiac adaptations in early equine pregnancy: heart rate elevation without heart rate variability alteration in Thai native crossbred mares.Veterinary world · 2025Article
- Heart Rate Variability, Microvascular Dysfunction, and Inflammation: Exploring the Potential of taVNS in Managing Heart Failure in Type 2 Diabetes Mellitus.Biomolecules · 2025Review
- Relationship Between Frequency Domain Indicators of Heart Rate Variability and Both Age and Duration of Illness in Patients with Headache: A Cross-Sectional Study.Biomedicines · 2024Article
- Maternal and fetal neurocognitive outcomes in preeclampsia and eclampsia; a narrative review of current evidence.European journal of medical research · 2024Review
- Feasibility of wearable monitors to detect heart rate variability in children with hand, foot and mouth disease.BMC infectious diseases · 2024Observational
- Risk assessment of severe adult tetanus using the NLR and AST level and construction of a nomogram prediction model.Heliyon · 2024Article
- Heart Rate Variability Measured from Wearable Devices as a Marker of Disease Severity in Tetanus.The American journal of tropical medicine and hygiene · 2024Article
- Using iVR to deliver optimal psychotherapy experience-current perspectives on VRET for acrophobia.Frontiers in psychology · 2024Article
- Magnitude, Patterns, and Associated Predictors of Cardiovascular Events in Tetanus: A 2-Year, Single-Center, Ambidirectional Cohort Study Involving 572 Patients.Open forum infectious diseases · 2023Article
- 2D-WinSpatt-Net: A Dual Spatial Self-Attention Vision Transformer Boosts Classification of Tetanus Severity for Patients Wearing ECG Sensors in Low- and Middle-Income Countries.Sensors (Basel, Switzerland) · 2023Article
- Heart Rate Variability and Pregnancy Complications: Systematic Review.Interactive journal of medical research · 2023Review
- Phenotyping the autonomic nervous system in pregnancy using remote sensors: potential for complication prediction.Frontiers in physiology · 2023Article
- Classification of Tetanus Severity in Intensive-Care Settings for Low-Income Countries Using Wearable Sensing.Sensors (Basel, Switzerland) · 2022Article
- Vital sign monitoring using wearable devices in a Vietnamese intensive care unit.BMJ innovations · 2021Article
- The management of tetanus in adults in an intensive care unit in Southern Vietnam.Wellcome open research · 2021Article
- Severity detection tool for patients with infectious disease.Healthcare technology letters · 2020Article
Corrections and comments
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Authors and funding
16 authors.
Funding
Abstract
Autonomic nervous system dysfunction (ANSD) is a significant cause of mortality in tetanus. Currently, diagnosis relies on nonspecific clinical signs. Heart rate variability (HRV) may indicate underlying autonomic nervous system activity and represents a potentially valuable noninvasive tool for ANSD diagnosis in tetanus. HRV was measured from three 5-minute electrocardiogram recordings during a 24-hour period in a cohort of patients with severe tetanus, all receiving mechanical ventilation. HRV measurements from all subjects-five with ANSD (Ablett Grade 4) and four patients without ANSD (Ablett Grade 3)-showed HRV was lower than reported ranges for healthy individuals. Comparing different severities of tetanus, raw data for both time and frequency measurements of HRV were reduced in those with ANSD compared with those without. Differences were statistically significant in all except root mean square SD, indicating HRV may be a valuable tool in ANSD diagnosis.
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