长期COVID姿态正静性心力衰竭综合征中的偏交感功能受损 - 一项病例对照研究
Stefano Rigo1,2, Vasile Urechie3, Andrè Diedrich3,4
1Department of Clinical Pharmacology, Vanderbilt University Medical Center, Nashville, TN, USA. s.rigo96@gmail.com.
Bioelectronic medicine
|September 5, 2023
概括
长期COVID POTS (LCP) 患者表现出心血管功能减弱但正常的同情反应. 缺陷的副交感功能可能是LCP发展的基础,影响自主心血管调节.
科学领域:
- 心脏病学 心脏病学
- 神经学 神经学
- 传染性疾病 传染性疾病
背景情况:
- 长期COVID经常导致持续的症状,其中的一个子集发展为长期COVID POTS (LCP),其特征是静止性心力衰竭.
- 自主功能障碍与长期COVID有关,但LCP中的特定心血管调节差异仍然不清楚.
研究的目的:
- 调查LCP患者和健康对照者之间自主心血管调节的差异.
- 在LCP中描述心脏自主控制和交感外周血管收缩.
主要方法:
- 一项病例对照研究涉及13名女性LCP患者和16名女性健康对照,所有人都没有服用药物.
- 在静止压力,呼吸道鼻失常和瓦萨尔瓦机动期间持续监测心电图和血压.
- 使用时间域和光谱分析分析心率和缩血压变化.
主要成果:
- 与对照组相比,LCP患者在站立时心率显著上升,静脉血压增加.
- 几乎一半的LCP患者表现出瓦萨尔瓦机动反应受损,与对照组不同.
- 谱分析显示,在LCP患者中心血管调节减少 (RMSSD,HF RRI),而同情活性 (LF SBP) 仍然可比.
结论:
- 长期COVID POTS与心血管调节的减少有关.
- 在LCP患者中,交感心脏和血管收缩功能似乎正常.
- 缺陷的副交感功能可能在长期COVID POTS的发病过程中发挥关键作用.
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