Dynamics of cardiac autonomic regulation during isometric weight-bearing test in hypertensive patients

Authors

  • Miguel E. Sánchez-Hechavarría Departamento de Ciencias Básicas y Morfológicas, Facultad de Medicina. Universidad Católica de la Santísima Concepción. Concepción, Chile. https://orcid.org/0000-0001-9461-203X
  • Laritza Ortiz-Alcolea Departamento de Ciencias Básicas Biomédicas. Facultad de Medicina. Universidad de Ciencias Médicas de Santiago de Cuba. Santiago de Cuba, Cuba. https://orcid.org/0000-0002-4457-7667
  • Michel Torres-Leyva Medizinisches Versorgungszentrum für körperliche und psychische Gesundheit Timmermann und Partner. Cuxhaven. Alemania https://orcid.org/0000-0001-7729-9715
  • Ramón Carrazana-Escalona Departamento de Ciencias Básicas Biomédicas. Facultad de Medicina. Universidad de Ciencias Médicas de Santiago de Cuba. Santiago de Cuba, Cuba. https://orcid.org/0000-0003-0298-9425
  • Erislandis López-Galán Departamento de Ciencias Básicas Biomédicas. Facultad de Medicina. Universidad de Ciencias Médicas de Santiago de Cuba. Santiago de Cuba, Cuba. https://orcid.org/0000-0002-2622-5051
  • Felipe A. Albarrán-Torres Departamento de Ciencias Básicas y Morfológicas, Facultad de Medicina. Universidad Católica de la Santísima Concepción. Concepción, Chile. https://orcid.org/0000-0002-6927-4291
  • Gustavo A. Muñoz-Bustos Escuela de Kinesiología, Facultad de Ciencias de la Salud, Universidad de Las Américas, Concepción, Chile https://orcid.org/0000-0002-5351-3016
  • Nicolás A. Saá-Muñoz Centro de Simulación, Departamento de Ciencias Clínicas y Preclínicas, Facultad de Medicina. Universidad Católica de la Santísima Concepción, Concepción - Chile https://orcid.org/0000-0003-4407-950X
  • Ileana Cutiño-Clavel Departamento de Ciencias Básicas Biomédicas. Facultad de Medicina. Universidad de Ciencias Médicas de Santiago de Cuba. Santiago de Cuba, Cuba. https://orcid.org/0000-0002-7151-8320

Abstract

Introduction: The sustained weight test (SWT) is an isometric exercise exploration that has great practical value when performing extensive studies on high blood pressure; however, the dynamics of cardiac autonomic regulation during this test are not well known.

Objective: To determine variations in the dynamics of cardiac autonomic regulation and in hemodynamic response during SWT in hypertensive patients.

Method: A quasi-experimental study was performed on 15 hypertensive patients of both genders, compared with 30 normotensive individuals; measuring blood pressure, sample entropy and heart rate variability (HRV) in time-frequency with the Continuous Wavelet Transform Morlet-type (CWT-Morlet) through the electrocardiographic signal of the AD Instruments polygraph in the functional states of rest and during the SWT.

Results: A significant increase in heart rate and blood pressure was found, as well as a decrease in spectral entropy in the functional states of normotensive and hypertensive patients. In hypertensive patients, there was an increased early response pattern with multiple fluctuations during the SWT in time-frequency analysis of HRV with the CWT-Morlet.

Conclusions: The SWT produces an increase in blood pressure, which is more frequent and evident in patients with high blood pressure. Cardiac autonomic regulation during SWT increases the sympathetic component and decreases the parasympathetic one, which manifests –in hypertensive patients– with a pattern of imbalance in the regulation of sympathetic and parasympathetic responses.

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Author Biography

Miguel E. Sánchez-Hechavarría, Departamento de Ciencias Básicas y Morfológicas, Facultad de Medicina. Universidad Católica de la Santísima Concepción. Concepción, Chile.

Médico Especialista en Fisiología Normal y Patológica.  Departamento de Ciencias Básicas y Morfología. Facultad de Medicina. Universidad Católica de la Santísima Concepción. Chile

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Published

2022-07-31

How to Cite

1.
Sánchez-Hechavarría ME, Ortiz-Alcolea L, Torres-Leyva M, Carrazana-Escalona R, López-Galán E, Albarrán-Torres FA, et al. Dynamics of cardiac autonomic regulation during isometric weight-bearing test in hypertensive patients. CorSalud [Internet]. 2022 Jul. 31 [cited 2025 Jun. 21];14(2):135-4. Available from: https://revcorsalud.sld.cu/index.php/cors/article/view/763

Issue

Vol. 14 No. 2 (2022)

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ORIGINAL ARTICLES

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