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The Clinical Significance and Application of Heart Rate Variability in Dialysis Patients: A Narrative Review.

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Název: The Clinical Significance and Application of Heart Rate Variability in Dialysis Patients: A Narrative Review.
Autoři: Jhen, Rong-Na, Wang, Ping-Chen, Chang, Yu-Ming, Kao, Jsun-Liang, Wu, Eric Chien-Hwa, Shiao, Chih-Chung
Zdroj: Biomedicines; Jul2024, Vol. 13 Issue 7, p1547, 16p
Témata: HEART beat, CHRONIC kidney failure, MAJOR adverse cardiovascular events, AUTONOMIC nervous system, HEMODIALYSIS patients
Abstrakt: Autonomic nervous system (ANS) dysfunction is prevalent in end-stage kidney disease (ESKD) patients, carrying significant risks for morbidity and mortality. Heart rate variability (HRV) is a simple and non-invasive method to evaluate ANS functions and predict prognoses in specific patient populations. Since there is a lack of a clear understanding of the clinical significance of HRV in predicting prognoses in ESKD patients, an updated review on this topic is urgently warranted. The clinical significance of HRV in dialysis patients includes its associations with metabolic syndrome, nutritional status, intradialytic hypotension, vascular access failure, major adverse cardiovascular events, and mortality. These findings underscore the essential role of the autonomic reserve, which might denote the elevation of ANS activity as a response to external stimulus. Patients with a higher level of sympathetic activity at the resting stage, but who are unable to adequately elevate their sympathetic activity under stress might be susceptible to a worse outcome in critical circumstances. Further applications of HRV include HRV biofeedback, risk classification, and real-time HRV monitoring. Overall, HRV is an optimal tool for predicting prognoses in dialysis patients. Further study is encouraged in order to gain a clearer understanding of the clinical significance and application of HRV, and thereby enhance the care of ESKD patients. [ABSTRACT FROM AUTHOR]
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  Data: The Clinical Significance and Application of Heart Rate Variability in Dialysis Patients: A Narrative Review.
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  Data: <searchLink fieldCode="AR" term="%22Jhen%2C+Rong-Na%22">Jhen, Rong-Na</searchLink><br /><searchLink fieldCode="AR" term="%22Wang%2C+Ping-Chen%22">Wang, Ping-Chen</searchLink><br /><searchLink fieldCode="AR" term="%22Chang%2C+Yu-Ming%22">Chang, Yu-Ming</searchLink><br /><searchLink fieldCode="AR" term="%22Kao%2C+Jsun-Liang%22">Kao, Jsun-Liang</searchLink><br /><searchLink fieldCode="AR" term="%22Wu%2C+Eric+Chien-Hwa%22">Wu, Eric Chien-Hwa</searchLink><br /><searchLink fieldCode="AR" term="%22Shiao%2C+Chih-Chung%22">Shiao, Chih-Chung</searchLink>
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  Data: Biomedicines; Jul2024, Vol. 13 Issue 7, p1547, 16p
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  Data: <searchLink fieldCode="DE" term="%22HEART+beat%22">HEART beat</searchLink><br /><searchLink fieldCode="DE" term="%22CHRONIC+kidney+failure%22">CHRONIC kidney failure</searchLink><br /><searchLink fieldCode="DE" term="%22MAJOR+adverse+cardiovascular+events%22">MAJOR adverse cardiovascular events</searchLink><br /><searchLink fieldCode="DE" term="%22AUTONOMIC+nervous+system%22">AUTONOMIC nervous system</searchLink><br /><searchLink fieldCode="DE" term="%22HEMODIALYSIS+patients%22">HEMODIALYSIS patients</searchLink>
– Name: Abstract
  Label: Abstract
  Group: Ab
  Data: Autonomic nervous system (ANS) dysfunction is prevalent in end-stage kidney disease (ESKD) patients, carrying significant risks for morbidity and mortality. Heart rate variability (HRV) is a simple and non-invasive method to evaluate ANS functions and predict prognoses in specific patient populations. Since there is a lack of a clear understanding of the clinical significance of HRV in predicting prognoses in ESKD patients, an updated review on this topic is urgently warranted. The clinical significance of HRV in dialysis patients includes its associations with metabolic syndrome, nutritional status, intradialytic hypotension, vascular access failure, major adverse cardiovascular events, and mortality. These findings underscore the essential role of the autonomic reserve, which might denote the elevation of ANS activity as a response to external stimulus. Patients with a higher level of sympathetic activity at the resting stage, but who are unable to adequately elevate their sympathetic activity under stress might be susceptible to a worse outcome in critical circumstances. Further applications of HRV include HRV biofeedback, risk classification, and real-time HRV monitoring. Overall, HRV is an optimal tool for predicting prognoses in dialysis patients. Further study is encouraged in order to gain a clearer understanding of the clinical significance and application of HRV, and thereby enhance the care of ESKD patients. [ABSTRACT FROM AUTHOR]
– Name: Abstract
  Label:
  Group: Ab
  Data: <i>Copyright of Biomedicines is the property of MDPI and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
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        Value: 10.3390/biomedicines12071547
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        Text: English
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      – SubjectFull: MAJOR adverse cardiovascular events
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      – SubjectFull: AUTONOMIC nervous system
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      – SubjectFull: HEMODIALYSIS patients
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              Text: Jul2024
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