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Complex nonlinear autonomic nervous system modulation link cardiac autonomic neuropathy and peripheral vascular disease

Overview of attention for article published in Frontiers in Physiology, March 2015
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Title
Complex nonlinear autonomic nervous system modulation link cardiac autonomic neuropathy and peripheral vascular disease
Published in
Frontiers in Physiology, March 2015
DOI 10.3389/fphys.2015.00101
Pubmed ID
Authors

Kinda Khalaf, Herbert F. Jelinek, Caroline Robinson, David J. Cornforth, Mika P. Tarvainen, Hayder Al-Aubaidy

Abstract

Physiological interactions are abundant within, and between, body systems. These interactions may evolve into discrete states during pathophysiological processes resulting from common mechanisms. An association between arterial stenosis, identified by low ankle-brachial pressure index (ABPI) and cardiovascular disease (CVD) as been reported. Whether an association between vascular calcification-characterized by high ABPI and a different pathophysiology-is similarly associated with CVD, has not been established. The current study aims to investigate the association between ABPI, and cardiac rhythm, as an indicator of cardiovascular health and functionality, utilizing heart rate variability (HRV). Two hundred and thirty six patients underwent ABPI assessment. Standard time and frequency domain, and non-linear HRV measures were determined from 5-min electrocardiogram. ABPI data were divided into normal (n = 101), low (n = 67) and high (n = 66) and compared to HRV measures.(DFAα1 and SampEn were significantly different between the low ABPI, high ABPI and control groups (p < 0.05). A possible coupling between arterial stenosis and vascular calcification with decreased and increased HRV respectively was observed. Our results suggest a model for interpreting the relationship between vascular pathophysiology and cardiac rhythm. The cardiovascular system may be viewed as a complex system comprising a number of interacting subsystems. These cardiac and vascular subsystems/networks may be coupled and undergo transitions in response to internal or external perturbations. From a clinical perspective, the significantly increased sample entropy compared to the normal ABPI group and the decreased and increased complex correlation properties measured by DFA for the low and high ABPI groups respectively, may be useful indicators that a more holistic treatment approach in line with this more complex clinical picture is required.

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Mendeley readers

Mendeley readers

The data shown below were compiled from readership statistics for 29 Mendeley readers of this research output. Click here to see the associated Mendeley record.

Geographical breakdown

Country Count As %
Unknown 29 100%

Demographic breakdown

Readers by professional status Count As %
Student > Postgraduate 5 17%
Student > Ph. D. Student 4 14%
Student > Master 3 10%
Student > Doctoral Student 2 7%
Other 2 7%
Other 4 14%
Unknown 9 31%
Readers by discipline Count As %
Engineering 4 14%
Medicine and Dentistry 3 10%
Social Sciences 2 7%
Sports and Recreations 2 7%
Psychology 2 7%
Other 7 24%
Unknown 9 31%
Attention Score in Context

Attention Score in Context

This research output has an Altmetric Attention Score of 1. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 27 March 2015.
All research outputs
#20,265,771
of 22,796,179 outputs
Outputs from Frontiers in Physiology
#9,349
of 13,562 outputs
Outputs of similar age
#223,155
of 263,558 outputs
Outputs of similar age from Frontiers in Physiology
#68
of 102 outputs
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