Normal values and reproducibility of the real-time index of vagal tone in healthy humans: a multi-center study

 
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Annals of Gastroenterology
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Τμήμα περιοδικού (EL)
2014 (EL)
Normal values and reproducibility of the real-time index of vagal tone in healthy humans: a multi-center study (EN)
Botha, Claude
Van Oudenhove, Lukas
Giao Ly, Huynh
Coen, Steven J.
Kano, Michiko
Paine, Peter A.
Aziz, Qasim
Farmer, Adam Donald
Weltens, Nathalie
Background The parasympathetic nervous system has been implicated in the pathogenesis of a number of gastrointestinal disorders including irritable bowel syndrome. Within the field, cardiometric parameters of parasympathetic/vagal tone are most commonly derived from time, or frequency, domain analysis of heart rate variability (HRV), yet it has limited temporal resolution. Cardiac vagal tone (CVT) is a non-invasive beat-to-beat measure of brainstem efferent vagal activity that overcomes many of the temporal limitations of HRV parameters. However, its normal values and reproducibility in healthy subjects are not fully described. The aim of this study was to address these knowledge gaps.Methods 200 healthy subjects (106 males, median age 28 years, range 18-59 years) were evaluated across three study centers. Aft er attachment of CVT recording equipment, 20 min of data (resting/no stimulation) was acquired. 30 subjects, selected at random, were restudied after 1 year.Results The mean CVT was 9.5±4.16 linear vagal scale (LVS). Thus, the normal range (mean±2 standard deviations) for CVT based on this data was 1.9-17.8 LVS. CVT correlated negatively with heart rate (r=-0.6, P=0.001). CVT reproducibility over 1 year, as indexed by an intra-class correlational coeffi cient of 0.81 (95% confi dence interval 0.64-0.91), was good.Conclusions In healthy subjects, the normal range for CVT should be considered to be 1.9-17.8 LVS and is reproducible over 1 year. Future research utilizing CVT should refer to these values although further study is warranted in patient groups.Keywords Autonomic nervous system, parasympathetic nervous system, cardiac vagal toneAnn Gastroenterol 2014; 27 (4): 362-368 (EN)
info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
Ελληνική Γαστροεντερολογική Εταιρία
Annals of Gastroenterology
Αγγλική γλώσσα
2014-10-01
http://www.annalsgastro.gr/index.php/annalsgastro/article/view/1802
Hellenic Society of Gastroenterology (EN)
1792-7463
1108-7471
Annals of Gastroenterology; Volume 27, No 4 (2014); 362 (EN)



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