The autonomic balance of heart rhythm complexity after renal artery denervation: insight from entropy of entropy and average entropy analysis

Po Lin Lin, Ping Yen Lin, Han Ping Huang, Hamideh Vaezi, Lawrence Yu Min Liu, Ying Hsiang Lee, Chun Che Huang, Ten Fang Yang, Long Hsu, Chang Francis Hsu*

*此作品的通信作者

研究成果: Article同行評審

摘要

Background: The current method to evaluate the autonomic balance after renal denervation (RDN) relies on heart rate variability (HRV). However, parameters of HRV were not always predictive of response to RDN. Therefore, the complexity and disorder of heart rhythm, measured by entropy of entropy (EoE) and average entropy (AE), have been used to analyze autonomic dysfunction. This study evaluated the dynamic changes in autonomic status after RDN via EoE and AE analysis. Methods: Five patients were prospectively enrolled in the Global SYMPLICITY Registry from 2020 to 2021. 24-h Holter and ambulatory blood pressure monitoring (ABPM) was performed at baseline and 3 months after RDN procedures. The autonomic status was analyzed using the entropy-based AE and EoE analysis and the conventional HRV-based low frequency (LF), high frequency (HF), and LF/HF. Results: After RDN, the ABPM of all patients showed a significant reduction in blood pressure (BP) and heart rate. Only AE and HF values of all patients had consistent changes after RDN (p < 0.05). The spearman rank-order correlation coefficient of AE vs. HF was 0.86, but AE had a lower coefficient of variation than HF. Conclusions: Monitoring the AE and EoE analysis could be an alternative to interpreting autonomic status. In addition, a relative change of autonomic tone, especially an increasing parasympathetic activity, could restore autonomic balance after RDN.

原文English
文章編號32
期刊BioMedical Engineering Online
21
發行號1
DOIs
出版狀態Published - 12月 2022

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