The Autonomic Nervous System in Human SCI - Uniklinik Balgrist
The Autonomic Nervous System in Human SCI - Uniklinik Balgrist
The Autonomic Nervous System in Human SCI - Uniklinik Balgrist
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Heart Rate Variability: An Objective Measure of <strong>Autonomic</strong> Activity and<br />
Bladder Sensations Dur<strong>in</strong>g Urodynamics<br />
Ulrich Mehnert, Peter A. Knapp, Nicole Mueller, Andre´ Reitz, and Brigitte Schurch<br />
Sp<strong>in</strong>al Cord Injury Center, <strong>Balgrist</strong> University Hospital, Zürich, Switzerland<br />
Aims: … cardiac autonomic activity dur<strong>in</strong>g standard fill<strong>in</strong>g cystometry (FC) us<strong>in</strong>g heart rate variability (HRV)<br />
Results: <strong>in</strong> 12 healthy subjects the LF/HF ratio showed a reproducible activation pattern with a stable sympathovagal balance<br />
until FDV.<br />
Before SDV was <strong>in</strong>dicated, the sympathovagal balance started to shift towards sympathetic activation and caused a significant<br />
<strong>in</strong>crease <strong>in</strong> LF/HF.<br />
Conclusion: HRV analysis seems to be a useful <strong>in</strong>dicator for the general activation pattern of the sympathovagal balance dur<strong>in</strong>g<br />
FC, correlat<strong>in</strong>g the <strong>in</strong>tensity of the bladder fill<strong>in</strong>g sensation to stress and sympathetic activation.<br />
Neurourol. Urodynam. 28:313–319, 2009