Acute effects of expiratory positive pressure on autonomic cardiac modulation during spontaneous and slow deep breathing in COPD patients

Acute effects of expiratory positive pressure on autonomic cardiac modulation during spontaneous and slow deep breathing in COPD patients

Abstract Aim: to evaluate the acute effects of expiratory positive airway pressure on cardiac autonomic modulation in chronic obstructive pulmonary disease patients during spontaneous breathing and slow deep breathing. Methods: 17 patients were evaluated. The R-R intervals were collected (Polar® S810i) during spontaneous breathing (10 minutes) and slow deep breathing (4 minutes), with and without 5 cmH2O expiratory positive airway pressure. Stable signals were analyzed by Kubios®. Heart rate variability indices were computed in time domain and in frequency domain. Results: Expiratory positive airway pressure application affected low frequency (spontaneous breathing: 62.5±4.1 vs slow deep breathing: 28.2±4.2, p<0.001) and high frequency (spontaneous breathing: 37.4±17.3 vs slow deep breathing: 58.9±18.1, p<0.001). Interactions were observed between expiratory positive airway pressure effect and slow deep breathing effect for low frequency (p<0.001), high frequency (p<0.001) and low frequency/high frequency ratio (p<0.001). When patients were stratified by disease’s severity, we identified a significant low frequency reduction (p<0.001) and high frequency increase (p<0.001) for all stages when slow deep breathing was associated with expiratory positive airway pressure. Conclusion: A 5 cmH2O expiratory positive airway pressure during spontaneous and slow deep breathing can elicit an acute response, resulting in a cardiac autonomic control improvement in moderate-to-very severe patients.

Saved in:
Bibliographic Details
Main Authors: SILVA,ANDRÉA L.G. DA, GOULART,CÁSSIA L., MANSOUR,KAMILA M.K., BACK,GUILHERME D., CABIDDU,RAMONA, TRIMER,RENATA, BORGHI-SILVA,AUDREY
Format: Digital revista
Language:English
Published: Academia Brasileira de Ciências 2020
Online Access:http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0001-37652020000300904
Tags: Add Tag
No Tags, Be the first to tag this record!
id oai:scielo:S0001-37652020000300904
record_format ojs
spelling oai:scielo:S0001-376520200003009042020-07-17Acute effects of expiratory positive pressure on autonomic cardiac modulation during spontaneous and slow deep breathing in COPD patientsSILVA,ANDRÉA L.G. DAGOULART,CÁSSIA L.MANSOUR,KAMILA M.K.BACK,GUILHERME D.CABIDDU,RAMONATRIMER,RENATABORGHI-SILVA,AUDREY autonomic nervous system COPD HRV positive-pressure respiration sinus arrhythmia Abstract Aim: to evaluate the acute effects of expiratory positive airway pressure on cardiac autonomic modulation in chronic obstructive pulmonary disease patients during spontaneous breathing and slow deep breathing. Methods: 17 patients were evaluated. The R-R intervals were collected (Polar® S810i) during spontaneous breathing (10 minutes) and slow deep breathing (4 minutes), with and without 5 cmH2O expiratory positive airway pressure. Stable signals were analyzed by Kubios®. Heart rate variability indices were computed in time domain and in frequency domain. Results: Expiratory positive airway pressure application affected low frequency (spontaneous breathing: 62.5±4.1 vs slow deep breathing: 28.2±4.2, p<0.001) and high frequency (spontaneous breathing: 37.4±17.3 vs slow deep breathing: 58.9±18.1, p<0.001). Interactions were observed between expiratory positive airway pressure effect and slow deep breathing effect for low frequency (p<0.001), high frequency (p<0.001) and low frequency/high frequency ratio (p<0.001). When patients were stratified by disease’s severity, we identified a significant low frequency reduction (p<0.001) and high frequency increase (p<0.001) for all stages when slow deep breathing was associated with expiratory positive airway pressure. Conclusion: A 5 cmH2O expiratory positive airway pressure during spontaneous and slow deep breathing can elicit an acute response, resulting in a cardiac autonomic control improvement in moderate-to-very severe patients.info:eu-repo/semantics/openAccessAcademia Brasileira de CiênciasAnais da Academia Brasileira de Ciências v.92 n.2 20202020-01-01info:eu-repo/semantics/articletext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S0001-37652020000300904en10.1590/0001-3765202020190361
institution SCIELO
collection OJS
country Brasil
countrycode BR
component Revista
access En linea
databasecode rev-scielo-br
tag revista
region America del Sur
libraryname SciELO
language English
format Digital
author SILVA,ANDRÉA L.G. DA
GOULART,CÁSSIA L.
MANSOUR,KAMILA M.K.
BACK,GUILHERME D.
CABIDDU,RAMONA
TRIMER,RENATA
BORGHI-SILVA,AUDREY
spellingShingle SILVA,ANDRÉA L.G. DA
GOULART,CÁSSIA L.
MANSOUR,KAMILA M.K.
BACK,GUILHERME D.
CABIDDU,RAMONA
TRIMER,RENATA
BORGHI-SILVA,AUDREY
Acute effects of expiratory positive pressure on autonomic cardiac modulation during spontaneous and slow deep breathing in COPD patients
author_facet SILVA,ANDRÉA L.G. DA
GOULART,CÁSSIA L.
MANSOUR,KAMILA M.K.
BACK,GUILHERME D.
CABIDDU,RAMONA
TRIMER,RENATA
BORGHI-SILVA,AUDREY
author_sort SILVA,ANDRÉA L.G. DA
title Acute effects of expiratory positive pressure on autonomic cardiac modulation during spontaneous and slow deep breathing in COPD patients
title_short Acute effects of expiratory positive pressure on autonomic cardiac modulation during spontaneous and slow deep breathing in COPD patients
title_full Acute effects of expiratory positive pressure on autonomic cardiac modulation during spontaneous and slow deep breathing in COPD patients
title_fullStr Acute effects of expiratory positive pressure on autonomic cardiac modulation during spontaneous and slow deep breathing in COPD patients
title_full_unstemmed Acute effects of expiratory positive pressure on autonomic cardiac modulation during spontaneous and slow deep breathing in COPD patients
title_sort acute effects of expiratory positive pressure on autonomic cardiac modulation during spontaneous and slow deep breathing in copd patients
description Abstract Aim: to evaluate the acute effects of expiratory positive airway pressure on cardiac autonomic modulation in chronic obstructive pulmonary disease patients during spontaneous breathing and slow deep breathing. Methods: 17 patients were evaluated. The R-R intervals were collected (Polar® S810i) during spontaneous breathing (10 minutes) and slow deep breathing (4 minutes), with and without 5 cmH2O expiratory positive airway pressure. Stable signals were analyzed by Kubios®. Heart rate variability indices were computed in time domain and in frequency domain. Results: Expiratory positive airway pressure application affected low frequency (spontaneous breathing: 62.5±4.1 vs slow deep breathing: 28.2±4.2, p<0.001) and high frequency (spontaneous breathing: 37.4±17.3 vs slow deep breathing: 58.9±18.1, p<0.001). Interactions were observed between expiratory positive airway pressure effect and slow deep breathing effect for low frequency (p<0.001), high frequency (p<0.001) and low frequency/high frequency ratio (p<0.001). When patients were stratified by disease’s severity, we identified a significant low frequency reduction (p<0.001) and high frequency increase (p<0.001) for all stages when slow deep breathing was associated with expiratory positive airway pressure. Conclusion: A 5 cmH2O expiratory positive airway pressure during spontaneous and slow deep breathing can elicit an acute response, resulting in a cardiac autonomic control improvement in moderate-to-very severe patients.
publisher Academia Brasileira de Ciências
publishDate 2020
url http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0001-37652020000300904
work_keys_str_mv AT silvaandrealgda acuteeffectsofexpiratorypositivepressureonautonomiccardiacmodulationduringspontaneousandslowdeepbreathingincopdpatients
AT goulartcassial acuteeffectsofexpiratorypositivepressureonautonomiccardiacmodulationduringspontaneousandslowdeepbreathingincopdpatients
AT mansourkamilamk acuteeffectsofexpiratorypositivepressureonautonomiccardiacmodulationduringspontaneousandslowdeepbreathingincopdpatients
AT backguilhermed acuteeffectsofexpiratorypositivepressureonautonomiccardiacmodulationduringspontaneousandslowdeepbreathingincopdpatients
AT cabidduramona acuteeffectsofexpiratorypositivepressureonautonomiccardiacmodulationduringspontaneousandslowdeepbreathingincopdpatients
AT trimerrenata acuteeffectsofexpiratorypositivepressureonautonomiccardiacmodulationduringspontaneousandslowdeepbreathingincopdpatients
AT borghisilvaaudrey acuteeffectsofexpiratorypositivepressureonautonomiccardiacmodulationduringspontaneousandslowdeepbreathingincopdpatients
_version_ 1756372312762875904

Similar Items