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Year 2017 Vol. 25 No 4

REVIEWS

O.L. BOCKERIA, K.A.VULF, V.A. SHVARTZ

HEART RATE VARIABILITY IN INTERATRIAL SEPTAL DEFECT

FSBE “A.N. Bakulev National Scientific and Practical Center for Cardiovascular Surgery ”,
Moscow,
The Russian Federation

Over recent decades effect of the autonomic nervous system on heart has raised considerable interest so as its evaluation as a predictor of mortality due to cardiac problems and development of cardiovascular complications. Heart rate variability (HRV) analysis has emerged as a simple, noninvasive and safe method to study the autonomic control of the human cardiovascular system. In the view of some authors in patients suffering from structural heart disease due to volume overload may cause a decrease in HRV via the elevation of pressure, possible dysfunction of ventricular baroreceptor and resulted in autonomic imbalance. Within the surgery neurovegetative homeostasis is extremely vulnerable that makes one think about the surgical stress influence on the autonomic nervous system. Despite numerous studies to date to clinicul research has shown a logistic approach for determining the body’s response to cardiac operation. Generally, reduced heart rate variability gradually recovers in the incisional period within the several months. This paper is performed as a literature review of the data concerning HRV features in the patients with interatrial septal defects (IASD), as well as of the regularities of its dynamics after the surgical or X-ray endovascular correction. The issues of possible pathophysiology of these autonomic abnormalities are also discussed.

Keywords: cardiovascular system, heart rate variability, interatrial septum defect, children, neurovegetative homeostasis, autonomic abnormalities, mortality.
p. 421-430 of the original issue
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Address for correspondence:
121552, Russian Federation, Moscow,
Rublyovskoye sh., 135,
FSBE A.N. Bakulev National Scientific
and Practical Center for
Cardiovascular Surgery”,
department of surgical treatment
of interactive pathology,
Tel.: +7 903 261-92-92,
E-mail: shvartz.va@ya.ru,
Vladimir A. Shvarts
Information about the authors:
Bockeria O.L. Corresponding member of RAS, MD, Professor, Chief Researcher of FSBE “A.N. Bakulev National Scientific and Practical Center for Cardiovascular Surgery ”.
Vulf K.A. Post-graduate student, Fellow Worker of FSBE “A.N. Bakulev National Scientific and Practical Center for Cardiovascular Surgery ”.
Shvartz V.A. PhD, Researcher of FSBE “A.N. Bakulev National Scientific and Practical Center for Cardiovascular Surgery ”.
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