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      KCI등재 SCOPUS SCIE

      심박수 변이도, 혈압 변이도 및 압반사 민감도를 이용한 간경화 환자의 심혈관 자율신경계 평가 = Assessment of Cardiovascular Autonomic Function in Patients with Liver Cirrhosis Using Heart Rate Variability, Blood Pressure Variability and Baroreflex Sensitivity

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      https://www.riss.kr/link?id=A104348668

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      다국어 초록 (Multilingual Abstract)

      Background: Liver cirrhosis is associated with several hemodynamic abnormalities, including an impairment of autonomic nervous system reflexes, but very few have compared the disease severity with cardiovascular autonomic dysfunction assessed by spectral analysis of blood pressure and electrocardiogram. The aim of this study was to investigate the relationship between Child-Turcotte-Pugh (CTP) score and autonomic indices in patients with liver cirrhosis using the heart rate variability (HRV), blood pressure variability (BPV) and baroreflex sensitivity (BRS).
      Methods: Fifty patients scheduled for liver transplantation recipients under general anesthesia were enrolled in the study. Beat-to-beat blood pressure and RR interval were measured for five minutes before anesthesia induction. HRV and BPV were estimated by power spectral analysis of RR interval and systolic blood pressure. BRS was estimated by both the sequence method (Sequence BRS) and high frequency (HF) gain of transfer function analysis (HF BRS).
      Results: Significant inverse correlations between CTP score and Sequence BRS (r = -0.61), HF BRS (r = -0.59), low frequency (LF) and HF power of HRV (r = -0.57, r = -0.46), LF power of BPV (r = -0.37) were found. However, no significant correlations were observed between CTP score and LF/HF ratio of HRV (r = -0.02) and HF power of BPV (r = 0.27).
      Conclusions: These results showed that autonomic dysfunction assessed by spectral analysis was associated with increasing severity of liver cirrhosis. Further study will be needed to clarify relationship between our findings and hemodynamic fluctuations during anesthesia for liver transplantation. (Korean J Anesthesiol 2006; 50: 655~62)
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      Background: Liver cirrhosis is associated with several hemodynamic abnormalities, including an impairment of autonomic nervous system reflexes, but very few have compared the disease severity with cardiovascular autonomic dysfunction assessed by spec...

      Background: Liver cirrhosis is associated with several hemodynamic abnormalities, including an impairment of autonomic nervous system reflexes, but very few have compared the disease severity with cardiovascular autonomic dysfunction assessed by spectral analysis of blood pressure and electrocardiogram. The aim of this study was to investigate the relationship between Child-Turcotte-Pugh (CTP) score and autonomic indices in patients with liver cirrhosis using the heart rate variability (HRV), blood pressure variability (BPV) and baroreflex sensitivity (BRS).
      Methods: Fifty patients scheduled for liver transplantation recipients under general anesthesia were enrolled in the study. Beat-to-beat blood pressure and RR interval were measured for five minutes before anesthesia induction. HRV and BPV were estimated by power spectral analysis of RR interval and systolic blood pressure. BRS was estimated by both the sequence method (Sequence BRS) and high frequency (HF) gain of transfer function analysis (HF BRS).
      Results: Significant inverse correlations between CTP score and Sequence BRS (r = -0.61), HF BRS (r = -0.59), low frequency (LF) and HF power of HRV (r = -0.57, r = -0.46), LF power of BPV (r = -0.37) were found. However, no significant correlations were observed between CTP score and LF/HF ratio of HRV (r = -0.02) and HF power of BPV (r = 0.27).
      Conclusions: These results showed that autonomic dysfunction assessed by spectral analysis was associated with increasing severity of liver cirrhosis. Further study will be needed to clarify relationship between our findings and hemodynamic fluctuations during anesthesia for liver transplantation. (Korean J Anesthesiol 2006; 50: 655~62)

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      참고문헌 (Reference)

      1 "Within-breath modulation of left ventricular function during normal breathing and positive- pressure ventilation in man" 460 : 487-502, 1993

      2 "Transfer function analysis of the circulation:unique insights into cardiovascular regulation" 261 : -45, 1991

      3 "Sympathetic unit activity associated with Mayer waves in the spinal dog" 219 : 1768-71, 1970

      4 "Sympathetic restraint of baroreflex control of heart period in normotensive and hyperten- sive subjects" 547-56, 1994

      5 "Spectral analysis of sympathetic discharge,R-R interval and systolic arterial pressure in decerebrate cats" 40 : 21-31, 1992

      6 "Short-term cardiovascular oscillations in man:measuring and modelling the physiologies" 542 : 669-683, 2002

      7 "Role of short-term cardiovascular regulation in heart period variability:a modeling study" 284 : H1479-1493, 2003

      8 "Respiration-synchronous fluctuations in stroke volume,heart rate and arterial pressure in humans" 472 : 501-12, 1993

      9 "Relationship between spectral components of cardiovas- cular variabilities and direct measures of muscle sympathetic nerve activity in humans" 95 : 1441-1448, 1997

      10 "Quantitative beat-to-beat analysis of heart rate dynamics during exercise" 271 : H244-252, 1996

      1 "Within-breath modulation of left ventricular function during normal breathing and positive- pressure ventilation in man" 460 : 487-502, 1993

      2 "Transfer function analysis of the circulation:unique insights into cardiovascular regulation" 261 : -45, 1991

      3 "Sympathetic unit activity associated with Mayer waves in the spinal dog" 219 : 1768-71, 1970

      4 "Sympathetic restraint of baroreflex control of heart period in normotensive and hyperten- sive subjects" 547-56, 1994

      5 "Spectral analysis of sympathetic discharge,R-R interval and systolic arterial pressure in decerebrate cats" 40 : 21-31, 1992

      6 "Short-term cardiovascular oscillations in man:measuring and modelling the physiologies" 542 : 669-683, 2002

      7 "Role of short-term cardiovascular regulation in heart period variability:a modeling study" 284 : H1479-1493, 2003

      8 "Respiration-synchronous fluctuations in stroke volume,heart rate and arterial pressure in humans" 472 : 501-12, 1993

      9 "Relationship between spectral components of cardiovas- cular variabilities and direct measures of muscle sympathetic nerve activity in humans" 95 : 1441-1448, 1997

      10 "Quantitative beat-to-beat analysis of heart rate dynamics during exercise" 271 : H244-252, 1996

      11 "Prognostic value of baroreflex sensitivity testing after acute myocardial infarction" 67 : 129-37, 1992

      12 "Presence of autonomic neuropathy is a poor prognostic indicator in patients with ad- vanced liver disease" 23 : 471-475, 1996

      13 "Power spectral analysis of heart rate and arterial pressure variabilities as a marker of sympatho-vagal interaction in man and conscious dog" 59 : 178-93, 1986

      14 "Power spectral analysis of blood pressure variability in traumatic quadriplegic humans" 260 : -7, 1991

      15 "Peripheral and cardiovascular au- tonomic impairment in chronic liver disease:prevalence and relation to hepatic function" 16 : 177-83, 1992

      16 "Noninvasive assessment of spontaneous baroreflex sensitivity in patients with liver cirrhosis" 18 : 420-426, 1998

      17 "Natural history of autonomic neuropathy in chronic liver disease" 339 : 1462-4, 1992

      18 "Methodology of spon- taneous baroreflex relationship assessed by surrogate data analysis" 268 : H1682-1687, 1995

      19 "Insight into blood-pressure control in SHR via the response to acute hemorrhage:a spectral analysis approach" 55 : 146-154, 1995

      20 "Increased sympathetic outflow in cirrhosis and ascites:direct evidence from intraneural recordings" 114 : 373-80, 1991

      21 "Impaired cardiovascular responsiveness in liver disease" 2 : 382-5, 1975

      22 "Human autonomic rhythms:vagal cardiac mechanisms in tetraplegic subjects" 474 : 483-95, 1994

      23 "Hemodynamic regulation:investigation by spectral analysis" 249 : -75, 1985

      24 "Hemodynamic fluctua- tions and baroreflex sensitivity in humans:a beat-to-beat model" 253 : -9, 1987

      25 "Fundamental relations between short-term RR interval and arterial pressure oscillations in humans" 93 : 1527-1532, 1996

      26 "Evidence for a central origin of the low- frequency oscillation in RR-interval variability" 98 : 556-561, 1998

      27 "Evaluation of the baroreceptor-heart rate reflex by 24-hour intra-arterial blood pressure monitoring in humans" 12 : 214-22, 1988

      28 "Effects of respiration on blood pressure and heart rate variability in humans" 18 : 735-42, 1991

      29 "Correlations among time and frequency domain measures of heart period variability two weeks after acute myocardial infarction" 69 : 891-8, 1992

      30 "Contrasting effects of phentolamine and nitroprusside on neural and cardiovascular variability" 281 : H559-565, 2001

      31 "Central vagotonic effects of atropine modulate spectral oscillations of sympathetic nerve activity" 98 : 1394-1399, 1998

      32 "Cardiovascular neural regulation explored in the frequency domain" 84 : 482-92, 1991

      33 "Cardiovascular autonomic modulation in essential hyperten- sion.Effect of tilting" 24 : 556-63, 1994

      34 "Blood pressure modulation by central venous pressure and respiration.Buffering effects of the heart rate reflexes" 89 : 169-79, 1994

      35 "Baroreflex sensitivity and heart-rate variability in prediction of total cardiac mortality after myocardial infarction. ATRAMI (Autonomic Tone and Reflexes After Myocardial Infarction) Investigators." 351 : 478-484, 1998

      36 "Baroreflex sensitivity and electrophysiological correlates in patients after acute myocardial infarction" 83 : 945-52, 1991

      37 "Autonomic function in cirrhosis assessed by cardi- ovascular reflex tests and 24-hour heart rate variability" 89 : 1544-7, 1994

      38 "Analysis of a periodic breathing pattern associated with Mayer waves" 228 : 768-74, 1975

      39 "Absence of low-frequency variability of sympathetic nerve activity in severe heart failure" 95 : 1449-1454, 1997

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      학술지 이력

      학술지 이력
      연월일 이력구분 이력상세 등재구분
      2023 평가예정 해외DB학술지평가 신청대상 (해외등재 학술지 평가)
      2020-01-01 평가 등재학술지 유지 (해외등재 학술지 평가) KCI등재
      2013-11-27 학회명변경 한글명 : 대한마취과학회 -> 대한마취통증의학회 KCI등재
      2011-01-01 평가 등재학술지 유지 (등재유지) KCI등재
      2010-07-20 학술지명변경 한글명 : 대한마취과학회지 -> Korean Journal of Anesthesiology KCI등재
      2009-01-01 평가 등재학술지 유지 (등재유지) KCI등재
      2007-01-01 평가 등재 1차 FAIL (등재유지) KCI등재
      2004-01-01 평가 등재학술지 선정 (등재후보2차) KCI등재
      2003-01-01 평가 등재후보 1차 PASS (등재후보1차) KCI등재후보
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      학술지 인용정보

      학술지 인용정보
      기준연도 WOS-KCI 통합IF(2년) KCIF(2년) KCIF(3년)
      2016 0.09 0.09 0.1
      KCIF(4년) KCIF(5년) 중심성지수(3년) 즉시성지수
      0.09 0.09 0.27 0.01
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