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심박변이도를 이용한 중환자실 입원 환자의 자율신경계 일중변동성에 대한 예비연구

Other Titles
 A Preliminary Study on the Circadian Rhythm of Autonomic Nervous System in Patients Admitted to Intensive Care Unit, Using the Heart Rate Variability 
Authors
 오주영  ;  조동래  ;  김종인  ;  박재섭  ;  허재석  ;  김재진  ;  라세희  ;  신증수  ;  이보름  ;  박진영 
Citation
 Korean Journal of Biological Psychiatry (생물정신의학), Vol.24(1) : 26-31, 2017 
Journal Title
 Korean Journal of Biological Psychiatry (생물정신의학) 
ISSN
 1225-8709 
Issue Date
2017
Keywords
Heart rate variability ; Circadian rhythm ; Autonomic nervous system ; Intensive care unit
Abstract
Objectives : A normal circadian rhythm of autonomic nervous system function stands for the daily change of sympathetic and parasympathetic modulation, which can be measured by heart rate variability (HRV). Generally, patients in the intensive care unit (ICU) are prone to sleep-wake cycle dysregulation, therefore, it may have an influence on the circadian rhythm of autonomic nervous system. This study was designed to interpret possible dysregulation of autonomic nervous system in ICU patients by using HRV. Methods : HRV was assessed every 3 hours in 21 ICU patients during a 7-minute period. The statistical differences of HRV features between the morning (AM 6 : 00-PM 12 : 00), and the afternoon (PM 12 : 00-PM 18 : 00) periods were evaluated in time domain and frequency domain. Results : Patients showed significantly increased normalized power of low frequencey (nLF), absolute power of low frequencey (LF)/absolute power of high frequencey (HF) in the afternoon period as compared to the morning period. However, normalized power of high frequency (nHF) was significantly decreased in the afternoon period. There was no statistically significant difference between the morning period and the afternoon period in the time domain analysis. Conclusions : The increased sympathetic tone in the afternoon period supports possible dysregulation in the circadian rhythm of autonomic nervous system in ICU patients. Future studies can help to interpret the association between autonomic dysregulation and negative outcomes of ICU patients.
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Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Psychiatry (정신과학교실) > 1. Journal Papers
1. College of Medicine (의과대학) > Dept. of Anesthesiology and Pain Medicine (마취통증의학교실) > 1. Journal Papers
Yonsei Authors
Kim, Jae Jin(김재진) ORCID logo https://orcid.org/0000-0002-1395-4562
Na, Se Hee(라세희) ORCID logo https://orcid.org/0000-0003-4208-0769
Park, Jaesub(박재섭)
Park, Jin Young(박진영) ORCID logo https://orcid.org/0000-0002-5351-9549
Shin, Cheung Soo(신증수) ORCID logo https://orcid.org/0000-0001-7829-8458
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/154693
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