Динамика вариабельности сердечного ритма у пациентов после ортотопической трансплантации сердца
Обследование кардиологических больных
Дата публикации: марта 14, 2018
Ключевые слова
трансплантированное сердце
денервация
реиннервация миокарда
вариабельность сердечного ритма
денервация
реиннервация миокарда
вариабельность сердечного ритма
Как цитировать
[1]
М. Х. Лепшокова, Е. Д. Космачева, и В. А. Порханов, Динамика вариабельности сердечного ритма у пациентов после ортотопической трансплантации сердца, КМКВ, вып. 1, сс. 84-88, мар. 2018.
Аннотация
Реиннервация трансплантированного сердца является одним из малоизученных феноменов современной медицины. Проводимые в данной области исследования имеют противоречивые результаты относительно сроков ее возникновения и динамики. Наиболее доступной и специфичной методикой изучения процесса реиннервации является исследование вариабельности ритма сердца. В данной статье представлены результаты исследования феномена реиннервации сердечного аллографта посредством анализа показателей вариабельности сердечного ритма в динамике у пациентов после трансплантации сердца.Литература
1. Покровский В.М. и соавт. Оценка функциональной адаптации трансплантированного сердца в организме реципиента. Кубанский научный медицинский вестник. 2014; 6: 62-65.
2. «Трансплантация сердца» Национальные клинические рекомендации, М., 2013.
3. Bernardi L. et al. Influence of Type of Surgery on the Occurrence of Parasympathetic Reinnervation After Cardiac Transplantation. Circulation. 1998; 97 (14): 1368-1374.
4. Beckers F. et al. Different Evolutions in Heart Rate Variability after Heart Transplantation: 10-Year Follow-Up. Transplantation. 2004; 78 (10): 1523-1531.
5. Bengel F. et al. Serial Assessment of Sympathetic Reinnervation After Orthotopic Heart Transplantation : A Longitudinal Study Using PET and C-11 Hydroxyephedrine. Circulation. 1999; 99 (14): 1866-1871.
6. Bengel F. et al. Effect of Sympathetic Reinnervation on Cardiac Performance after Heart Transplantation. New Engl. J. Med. 2001; 345 (10): 731-738.
7. Braith R. et al. Abnormal neuroendocrine responses during exercise in heart transplant recipients. Circulation. 1992; 86 (5): 1453-1463.
8. Buendia-Fuentes F. et al. Sympathetic Reinnervation 1 Year After Heart Transplantation, Assessed Using Iodine-123 Metaiodobenzylguanidine Imaging. Transplantation Proceedings. 2011; 43 (6): 2247-2248.
9. Cornelissen V. et al. Heart rate variability after heart transplantation: A 10-year longitudinal follow-up study. J. Cardiol. 2012; 59 (2): 220-224.
10. Electrophysiology T. Heart Rate Variability: Standards of Measurement, Physiological Interpretation, and Clinical Use. Circulation. 1996; 93 (5): 1043-1065.
11. Halpert I. et al. Reinnervation of the transplanted human heart as evidenced from heart rate variability studies. Amer. J. Cardiol. 1996; 77 (2): 180-183.
12. Hayman M. et al. Understanding exercise-induced hyperemia: central and peripheral hemodynamic responses to passive limb movement in heart transplant recipients. AJP: Heart and Circulat. Physiol. 2010; 299 (5): H1653-H1659.
13. Hunt S. Current Status of Cardiac Transplantation. J.A.M.A. 1998; 280 (19): 1692.
14. Imamura T. et al. Parasympathetic Reinnervation Accompanied by Improved Post-Exercise Heart Rate Recovery and Quality of Life in Heart Transplant Recipients. Intern. Heart J. 2015; 56 (2): 180-185. 15. Imamura T. et al. Recipients With Shorter Cardiopulmonary Bypass Time Achieve Improvement of Parasympathetic Reinnervation Within 6 Months After Heart Transplantation. J. Heart Lung Transplant. 2015; 34 (4): S293.
16. Keeley E., Toth Z., Goldberg A. Long-term assessment of heart rate variability in cardiac transplant recipients. J. Heart Lung Transplant. 2000; 19 (3): 310-312.
17. Kоndo Y., Matheny J., Hardy J. Autonomic Reinnervation of Cardiac Transplants. Ann. Surgery. 1972; 176 (1): 42-48.
18. Lovric S. et al. Sympathetic reinnervation after heart transplantation, assessed by iodine-123 metaiodobenzylguanidine imaging, and heart rate variability. Eur. J. Cardio-Thoracic Surgery. 2004; 26 (4): 736-741.
19. Mohanty P. et al. Impairment of cardiopulmonary baroreflex after cardiac transplantation in humans. Circulation. 1987; 75 (5): 914-921.
20. Raczak G. Arterial baroreflex modulation of heart rate in patients early after heart transplantation: lack of parasympathetic reinnervation. J. Heart Lung Transplant. 1999; 18 (5): 399-406.
21. Roper S.Taylor B. Reinnervation of denervated parasympathetic neurons in cardiac ganglia from Rana pipiens. J. Physiol. 1982; 326 (1): 155-171.
22. Sands K. et al. Power spectrum analysis of heart rate variability in human cardiac transplant recipients. Circulation. 1989; 79 (1): 76-82.
23. Savin W. et al. Cardiorespiratory responses of cardiac transplant patients to graded, symptom-limited exercise. Circulation. 1980; 62 (1): 55-60.
24. Schwaiger M. et al. Evidence for regional catecholamine uptake and storage sites in the transplanted human heart by positron emission tomography. J. Clin. Invest. 1991; 87 (5): 1681-1690.
25. Stehlik J. et al. The Registry of the International Society for Heart and Lung Transplantation: 29th Official Adult Heart Transplant Report—2012. J. Heart and Lung Transplant. 2012; 31 (10): 1052-1064. 26. Toledo E. et al. Functional restitution of cardiac control in heart transplant patients. Amer. J. Physiol - Regulatory, Integrative and Comparative Physiology. 2001; 282 (3): R900-R908.
27. Überfuhr P. Signs of vagal reinnervation 4 years after heart transplantation in spectra of heart rate variability. Eur. J. Cardio-Thoracic Surgery. 1997; 12 (6): 907-912.
28. Wilson R. et al. Evidence for structural sympathetic reinnervation after orthotopic cardiac transplantation in humans. Circulation. 1991; 83 (4): 1210-1220.
2. «Трансплантация сердца» Национальные клинические рекомендации, М., 2013.
3. Bernardi L. et al. Influence of Type of Surgery on the Occurrence of Parasympathetic Reinnervation After Cardiac Transplantation. Circulation. 1998; 97 (14): 1368-1374.
4. Beckers F. et al. Different Evolutions in Heart Rate Variability after Heart Transplantation: 10-Year Follow-Up. Transplantation. 2004; 78 (10): 1523-1531.
5. Bengel F. et al. Serial Assessment of Sympathetic Reinnervation After Orthotopic Heart Transplantation : A Longitudinal Study Using PET and C-11 Hydroxyephedrine. Circulation. 1999; 99 (14): 1866-1871.
6. Bengel F. et al. Effect of Sympathetic Reinnervation on Cardiac Performance after Heart Transplantation. New Engl. J. Med. 2001; 345 (10): 731-738.
7. Braith R. et al. Abnormal neuroendocrine responses during exercise in heart transplant recipients. Circulation. 1992; 86 (5): 1453-1463.
8. Buendia-Fuentes F. et al. Sympathetic Reinnervation 1 Year After Heart Transplantation, Assessed Using Iodine-123 Metaiodobenzylguanidine Imaging. Transplantation Proceedings. 2011; 43 (6): 2247-2248.
9. Cornelissen V. et al. Heart rate variability after heart transplantation: A 10-year longitudinal follow-up study. J. Cardiol. 2012; 59 (2): 220-224.
10. Electrophysiology T. Heart Rate Variability: Standards of Measurement, Physiological Interpretation, and Clinical Use. Circulation. 1996; 93 (5): 1043-1065.
11. Halpert I. et al. Reinnervation of the transplanted human heart as evidenced from heart rate variability studies. Amer. J. Cardiol. 1996; 77 (2): 180-183.
12. Hayman M. et al. Understanding exercise-induced hyperemia: central and peripheral hemodynamic responses to passive limb movement in heart transplant recipients. AJP: Heart and Circulat. Physiol. 2010; 299 (5): H1653-H1659.
13. Hunt S. Current Status of Cardiac Transplantation. J.A.M.A. 1998; 280 (19): 1692.
14. Imamura T. et al. Parasympathetic Reinnervation Accompanied by Improved Post-Exercise Heart Rate Recovery and Quality of Life in Heart Transplant Recipients. Intern. Heart J. 2015; 56 (2): 180-185. 15. Imamura T. et al. Recipients With Shorter Cardiopulmonary Bypass Time Achieve Improvement of Parasympathetic Reinnervation Within 6 Months After Heart Transplantation. J. Heart Lung Transplant. 2015; 34 (4): S293.
16. Keeley E., Toth Z., Goldberg A. Long-term assessment of heart rate variability in cardiac transplant recipients. J. Heart Lung Transplant. 2000; 19 (3): 310-312.
17. Kоndo Y., Matheny J., Hardy J. Autonomic Reinnervation of Cardiac Transplants. Ann. Surgery. 1972; 176 (1): 42-48.
18. Lovric S. et al. Sympathetic reinnervation after heart transplantation, assessed by iodine-123 metaiodobenzylguanidine imaging, and heart rate variability. Eur. J. Cardio-Thoracic Surgery. 2004; 26 (4): 736-741.
19. Mohanty P. et al. Impairment of cardiopulmonary baroreflex after cardiac transplantation in humans. Circulation. 1987; 75 (5): 914-921.
20. Raczak G. Arterial baroreflex modulation of heart rate in patients early after heart transplantation: lack of parasympathetic reinnervation. J. Heart Lung Transplant. 1999; 18 (5): 399-406.
21. Roper S.Taylor B. Reinnervation of denervated parasympathetic neurons in cardiac ganglia from Rana pipiens. J. Physiol. 1982; 326 (1): 155-171.
22. Sands K. et al. Power spectrum analysis of heart rate variability in human cardiac transplant recipients. Circulation. 1989; 79 (1): 76-82.
23. Savin W. et al. Cardiorespiratory responses of cardiac transplant patients to graded, symptom-limited exercise. Circulation. 1980; 62 (1): 55-60.
24. Schwaiger M. et al. Evidence for regional catecholamine uptake and storage sites in the transplanted human heart by positron emission tomography. J. Clin. Invest. 1991; 87 (5): 1681-1690.
25. Stehlik J. et al. The Registry of the International Society for Heart and Lung Transplantation: 29th Official Adult Heart Transplant Report—2012. J. Heart and Lung Transplant. 2012; 31 (10): 1052-1064. 26. Toledo E. et al. Functional restitution of cardiac control in heart transplant patients. Amer. J. Physiol - Regulatory, Integrative and Comparative Physiology. 2001; 282 (3): R900-R908.
27. Überfuhr P. Signs of vagal reinnervation 4 years after heart transplantation in spectra of heart rate variability. Eur. J. Cardio-Thoracic Surgery. 1997; 12 (6): 907-912.
28. Wilson R. et al. Evidence for structural sympathetic reinnervation after orthotopic cardiac transplantation in humans. Circulation. 1991; 83 (4): 1210-1220.