https://doi.org/10.1140/epjs/s11734-022-00682-8
Regular Article
Recurrence plot analysis of heart rate variability in end-stage renal disease treated twice-weekly by hemodialysis with or without intradialytic hypotension
1
Plan de Estudios Combinados en Medicina, Faculty of Medicine, Universidad Nacional Autónoma de México, Mexico City, México
2
Department of Electromechanical Instrumentation, Instituto Nacional de Cardiología Ignacio Chávez, Mexico City, México
3
Department of Nephrology, Hospital General Dr. Miguel Silva, Morelia, Mexico
4
Department of Physics, Faculty of Sciences, Universidad Nacional Autónoma de México, Mexico City, México
5
Department of Electrical Engineering, Universidad Autónoma Metropolitana, Unidad Iztapalapa, Mexico City, México
6
Nefrología y Diálisis de León S.C., León, Mexico
7
Department of Nephrology, Instituto Nacional de Cardiología Ignacio Chávez, Mexico City, México
Received:
6
April
2022
Accepted:
27
September
2022
Published online:
21
October
2022
Recurrence quantitative analysis (RQA) indices of heart rate variability (HRV) have shown a different adjustment in the sympathetic-driven dynamical response to active standing (AS) and hemodialysis (HD), characterized by increased laminar states in HRV. AS test is a maneuver in which subjects actively change their body posture from supine position (SP) to AS. In end-stage renal disease (ESRD) patients treated twice-weekly by HD, we found reduced changes in RQA indices to AS before HD that are partially recovered after treatment; laminarity, trapping time and recurrence time of the second type values were significantly lower in SP than during AS (
). Patients who developed intradialytic hypotension (IDH) did not show a significant response to AS in contrast with patients who did not develop IDH. Also, the mean duration of heartbeat intervals significantly influenced RQA indices (), and this correlation depended on the observation moment (before or after HD). These findings suggest that the cardiac response to the autonomic modulation measured by RQA is different in IDH patients even before HD. Furthermore, the influence of the mean heart rate changes seems to play an important role in the short-term control of HRV behavior in ESRD.
Supplementary Information The online version contains supplementary material available at https://doi.org/10.1140/epjs/s11734-022-00682-8.
Trends in Recurrence Analysis of Dynamical Systems. Guest editors: Norbert Marwan, Charles Webber Jr., Andrzej Rysak.
Copyright comment Springer Nature or its licensor holds exclusive rights to this article under a publishing agreement with the author(s) or other rightsholder(s); author self-archiving of the accepted manuscript version of this article is solely governed by the terms of such publishing agreement and applicable law.
© The Author(s), under exclusive licence to EDP Sciences, Springer-Verlag GmbH Germany, part of Springer Nature 2022. Springer Nature or its licensor holds exclusive rights to this article under a publishing agreement with the author(s) or other rightsholder(s); author self-archiving of the accepted manuscript version of this article is solely governed by the terms of such publishing agreement and applicable law.
