ABSTRACT
OBJECTIVES: We aimed to evaluate the effects of cataract surgery on cardiac autonomic modulation. METHODS: A cross-sectional and analytical study was conducted at the Hospital Maria Braido in the city of São Caetano do Sul, São Paulo, between 2015 and 2016. We investigated 19 patients of both sexes who were all over 50 years old; all patients had a diagnosis of senile or bilateral cataracts and were recommended to undergo implantation of the intraocular lens. Heart rate variability (HRV) was evaluated before, during and after cataract surgery. RESULTS: There were no significant changes in the time and geometric domains of HRV before, during or after surgery. The high-frequency (HF) band in normalized units (nu) on the spectral analysis significantly increased (p=0.02, Cohen's d=0.9, large effect size). However, the low-frequency (LF) band in nu significantly decreased during surgery (p=0.02, Cohen's d=0.9, large effect size). CONCLUSION: Throughout the intraocular lens implantation cataract surgery, there was an increase in parasympathetic modulation and a decrease in the sympathetic component of the heart rate (HR). We propose that this result is attributable to the supine position of the patients during surgery and the trigeminal reflex.
Subject(s)
Humans , Male , Female , Middle Aged , Aged , Autonomic Nervous System/physiopathology , Cataract Extraction/adverse effects , Lens Implantation, Intraocular/adverse effects , Heart Rate/physiology , Reference Values , Time Factors , Trigeminal Nerve/physiopathology , Body Mass Index , Cross-Sectional Studies , Prospective Studies , Statistics, NonparametricABSTRACT
OBJECTIVES: There are no data in the literature with regard to the acute effects of different styles of music on the geometric indices of heart rate variability. In this study, we evaluated the acute effects of relaxant baroque and excitatory heavy metal music on the geometric indices of heart rate variability in women. METHODS: We conducted this study in 21 healthy women ranging in age from 18 to 35 years. We excluded persons with previous experience with musical instruments and persons who had an affinity for the song styles. We evaluated two groups: Group 1 (n = 21), who were exposed to relaxant classical baroque musical and excitatory heavy metal auditory stimulation; and Group 2 (n = 19), who were exposed to both styles of music and white noise auditory stimulation. Using earphones, the volunteers were exposed to baroque or heavy metal music for five minutes. After the first music exposure to baroque or heavy metal music, they remained at rest for five minutes; subsequently, they were re-exposed to the opposite music (70-80 dB). A different group of women were exposed to the same music styles plus white noise auditory stimulation (90 dB). The sequence of the songs was randomized for each individual. We analyzed the following indices: triangular index, triangular interpolation of RR intervals and Poincaré plot (standard deviation of instantaneous beat-by-beat variability, standard deviation of the long-term RR interval, standard deviation of instantaneous beat-by-beat variability and standard deviation of the long-term RR interval ratio), low frequency, high frequency, low frequency/high frequency ratio, standard deviation of all the normal RR intervals, root-mean square of differences between the adjacent normal RR intervals and the percentage of adjacent RR intervals with a difference of duration greater than 50 ms. Heart rate variability was recorded at rest for 10 minutes. ...
Subject(s)
Adolescent , Adult , Female , Humans , Young Adult , Acoustic Stimulation/methods , Autonomic Nervous System/physiology , Heart Rate/physiology , Music , Analysis of Variance , Body Mass Index , Music Therapy , Reference Values , Statistics, Nonparametric , Time FactorsABSTRACT
A literatura já demonstrou que a estimulação auditiva por meio de música influencia o sistema cardiovascular. Neste estudo, foi realizada uma revisão da literatura, a fim de investigar a relação entre os mecanismos auditivos e a regulação autonômica cardíaca. Os estudos selecionados indicaram forte correlação entre a intensidade do ruído e o equilíbrio simpatovagal. Além disso, foi relatado que a terapia com música melhorou a variabilidade da frequência cardíaca em pacientes com câncer de mama tratados com antraciclinas. Postula-se que a dopamina liberada no sistema estriatal, induzida por canções alegres, está envolvida na regulação autonômica. Estudos posteriores sãonecessários para adicionar novos elementos na literatura, para melhorar a novas terapias e para o tratar doenças cardiovasculares.