Suppression of autonomic drive determined by nonlinear HRV analysis in therapeutic hypothermia after cardiac arrest

Jantanukul, Anon; Muengtaweepongsa, Sombat; Suwanprasert, Kesorn

doi:10.1109/bmeicon.2013.6687657

Cited by 3 publications

(3 citation statements)

References 13 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Both of them are gases that diffuse rapidly to cerebrospinal fluid and then in blood circulation within 30 seconds as assessed by cerebrovascular reactivity [38]. Moreover during global brain ischemia from cardiac arrest and treated with mild hypothermia to reducing brain mechanism, circulating NO and H 2 O 2 play a vital role in survivor group with correspondent of improving ANS [39]. In this study, large artery ischemic stroke have been showed profound lower NO and an increasing H 2 O 2 levels which they are similar to small artery stroke that we have reported recently.…”

Section: Discussionmentioning

confidence: 99%

Neurovascular Oxidative Stress and Autonomic Modulation Contributing to QT Interval Variations in Acute Large Artery Ischemic Stroke

Suwanprasert¹

2017

Austin J Cerebrovasc Dis & Stroke

View full text Add to dashboard Cite

show abstract

Section: Discussionmentioning

confidence: 99%

Neurovascular Oxidative Stress and Autonomic Modulation Contributing to QT Interval Variations in Acute Large Artery Ischemic Stroke

Suwanprasert¹

2017

Austin J Cerebrovasc Dis & Stroke

View full text Add to dashboard Cite

show abstract

“…Heart rate variability (HRV) is a conventional method for autonomic function assessment [74]. HRV is feasible to apply in PCAS patients [75]. However, the role of HRV in cardiac arrest prognostication remains uncertain.…”

Section: Autonomic Nervous System Assessmentmentioning

confidence: 99%

Prognostication in Post-Cardiac Arrest Patients

Piyayotai¹,

Muengtaweepongsa²

2022

Cardiac Arrhythmias - Translational Approach From Pathophysiology to Advanced Care

Self Cite

View full text Add to dashboard Cite

After resuscitation from cardiac arrest, a combination of the complex pathophysiologic process, known as post-cardiac arrest syndrome (PCAS), is attributed to multiple organ damage. Global ischemic cascade occurs in the brain due to generalized ischemia during cardiac arrest and the reperfusion process after the return of spontaneous circulation (ROSC), leading to hypoxic/ ischemic brain injury. Targeted temperature management (TTM) is a well-known neuroprotective therapy for ischemic/hypoxic brain injury. This global brain injury is a significant cause of death in PCAS. The implementation of TTM for PCAS leads to a reduction in mortality and better clinical outcomes among survivors. Prognostication is an essential part of post-resuscitation care. Before the TTM era, physicians relied on the algorithm for prognostication in comatose patients released by the American Academy of Neurology in 2006. However, TTM also announced more significant uncertainty during prognostication. During this TTM era, prognostication should not rely on just a solitary parameter. The trend of prognostication turns into a multimodal strategy integrating physical examination with supplementary methods, consisting of electrophysiology such as somatosensory evoked potential (SSEP) and electroencephalography (EEG), blood biomarkers, particularly serum neuron-specific enolase (NSE), and neuro-radiography including brain imaging with CT/MRI, to enhance prognostic accuracy.

show abstract

“…Again, the different of SDNN between maintenance phase and rewarming phase was significantly higher in patients who were survived as compared to which of patients who were expired. 2 In 2009, Chen et al reported the usefulness of some components in the HRV for predictors of 24-h mortality for successfully resuscitated patients with OHCA. 3 We proposed that not only the heart rate but also the heart rate variability should be important prognostigators in cardiac arrest.…”

Section: Should the Heart Rate Including The Heart Rate Variability Bmentioning

confidence: 99%

Should the heart rate including the heart rate variability be important prognostigators in cardiac arrest?

2016

Self Cite

View full text Add to dashboard Cite

Suppression of autonomic drive determined by nonlinear HRV analysis in therapeutic hypothermia after cardiac arrest

Cited by 3 publications

References 13 publications

Neurovascular Oxidative Stress and Autonomic Modulation Contributing to QT Interval Variations in Acute Large Artery Ischemic Stroke

Neurovascular Oxidative Stress and Autonomic Modulation Contributing to QT Interval Variations in Acute Large Artery Ischemic Stroke

Prognostication in Post-Cardiac Arrest Patients

Should the heart rate including the heart rate variability be important prognostigators in cardiac arrest?

Contact Info

Product

Resources

About