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عضویت

جستجوی مقالات مرتبط با کلیدواژه « Heart Rate » در نشریات گروه « پزشکی »

  • Maryam Bagheri, Sajjad Salari*
    Introduction

    High-tempo music is commonly used during exercise to enhance physical activity. Post-exercise parasympathetic reactivation, responsible for cardiac recovery, is crucial for predicting cardiac arrhythmia and overall heart health. Previous studies have demonstrated positive effects of music on exercise performance in healthy individuals. However, little is known about its impact on diabetic (Type II) females and young adults. Therefore, we aimed to investigate the effect of listening to high-tempo music during exercise on workout performance and parasympathetic reactivation in these populations.

    Material & Methods

    We evaluated a total of 70 females, including healthy individuals (n=36) and diabetic (Type II) females (n=34). Prior to the experiment, lipid profile and cardiac risk ratio were measured in blood samples taken one week before the active sessions. Each participant underwent two separate active sessions: one session involved running without music, and the other involved running while listening to music for a duration of 6 minutes. Heart rate was measured before running and at zero, five, and ten minutes after exercise. Running distance was also recorded.

    Results

    In healthy adults, running distance significantly increased when listening to music during exercise compared to the non-music session (P<0.0001). Additionally, heart rate was significantly higher at time zero during running with music compared to the non-music session (P<0.0001). However, heart rate recovery was superior 10 minutes after exercise in the music group compared to the non-music group in diabetic females (P<0.0001).

    Conclusion

     Listening to high-tempo music during exercise may increase sympathetic activity and enhance exercise performance, particularly in healthy young adults. Interestingly, listening to music during exercise may accelerate parasympathetic reactivation to a greater extent in diabetic females, potentially reducing the risk of arrhythmias during the resting period without enhancing exercise performance

    Keywords: Music, Parasympathetic Nervous System, Heart Rate, Diabetes Mellitus, Type 2}
  • رضا حیدری، ابراهیم زرین کلام*
    سابقه و هدف

     متخصصان قلب و عروق و ورزش برای کنترل فشار کار در ورزش و توان بخشی، استفاده از شاخص های هزینه ی اکسیژن مصرفی، ضربان قلب و شاخص خستگی را توصیه می کنند. در این میان، کنترل شدت ورزش به وسیله ی شاخص ضربان قلب بسیار رایج است. بااین حال، در ابتدا باید حداکثر ضربان قلب (HRmax) به عنوان مبنای محاسبات، اندازه گیری یا برآورد شود. هدف از مطالعه ی حاضر، ارزیابی روایی معادلات برآورد HRmax در دانش آموزان 8 تا 12ساله ی سالم بود.

    مواد و روش ها

     در مطالعه ی کاربردی حاضر که از نوع هم بستگی بود، شاخص HRmax به دو روش آزمون ورزشی فزاینده و معادلات رگرسیونی ویژه ی کودکان در 205 پسر سالم 8 تا 12ساله به ترتیب اندازه گیری و برآورد شد. به منظور مقایسه ی HRmax برآوردشده و اندازه گیری شده از هم بستگی پیرسون، تی همبسته و ریشه ی میانگین مربعات خطا استفاده شد.

    یافته ها

     هم بستگی ضعیفی بین HRmax برآوردشده و اندازه گیری شده مشاهده شد (0.18 - 0.09=R). اختلاف معناداری بین HRmax برآوردشده و اندازه گیری شده وجود داشت (ضربه در دقیقه 4.8-1.4= میانگین اختلاف) (0.05>P)، به طوری که معادله ی Nikolaidis به بیش تخمینی معنادار و معادلات Shargal و Gelbert به کم تخمینی معنادار HRmax منجر شد. همچنین، مقادیر ریشه ی میانگین مربعات خطا در معادلات برآورد HRmax، بالا بود (ضربه در دقیقه 7.4 - 6.9 = RMSE).

    نتیجه گیری

     با توجه به ناکارآمدی معادلات خارجی برآورد HRmax در کودکان ایرانی، طراحی معادلات بومی توصیه می شود

    کلید واژگان: دانش آموزان, شدت تمرینات, ضربان قلب}
    Reza Heidary, Ebrahim Zarrinkalam*
    Background and Objective

    Cardiovascular and sports experts recommend the use of oxygen consumption cost indicators, heart rate and fatigue index to control work pressure in sports and rehabilitation. Meanwhile, it is very common to control the intensity of exercise by heart rate index. However, the maximum heart rate (HRmax) must first be measured or estimated as the basis for the calculations. The purpose of the present study is to evaluate the validity of HRmax estimation equations in healthy children.

    Materials and Methods

    The HRmax was measured and estimated in 205 healthy boys between 8 and 12 years old by two methods, Bruce's incremental exercise test and special equations for children. In order to compare the estimated and measured HRmax, Pearson's correlation, t-correlated and root mean square error (RMSE) were used.

    Results

    A weak correlation between estimated and measured HRmax was observed (R=0.09-0.18). A significant difference was observed between the estimated and measured HRmax (beats per minute = 1.4-4.8) (P<0.05). So, the Nikolaidis equation led to a significant overestimation and the Shargal and Gelbert equations led to a significant underestimation of the HRmax. Also, the root mean square error values for HRmax estimation equations were high (RMSE = 6.9 - 7.4 beats per minute).

    Conclusion

    Considering the ineffectiveness of foreign equations for estimating the HRmax in Iranian children, it is recommended to design native equations for estimating the HRmax for Iranian children.

    Keywords: Exercise Intensity, Heart Rate, Students}
  • Shams Anmar Burhan *, Raed Ghazi Reshan, Abdelaziz El Refaeey, Amoura Abou-El-Naga
    Background &
    Objective
     The presence of anesthetic drugs in the serum with possible negative effects on FSH and LH hormone concentration and vital signs has been shown in a number of experimental and human research.To measure the effects on blood hormone concentration and the effect on the vital signs (blood pressure and heart rate) of two different medications (remifentanil vs. fentanyl) used for general anesthesia during oocyte retrieval.Materials &
    Methods
     The present prospective comparative study was carried out at Iraq's "High Institute of Infertility Diagnosis and Assisted Reproductive Technologies/Reproductive Physiology/Al-Nahrain University/Baghdad/Iraq" infertility center with the approval of the Faculty of Science's ethical committee. Mansoura University approved the study's validity. Ninety infertile women who are undergoing intracytoplasmic sperm injections (ICSI) for a variety of infertility-related reasons. The women ranged in age from 25 to 45. The study's original December 2022 deadline was pushed out to December 2023. Patients were split into two groups based on the general anesthesia technique for oocyte retrieval. Group one (45 patients) received midazolam, propofol, and fentanyl; group two (45 patients) received remifentanil, midazolam, and propofol.
    Results
     We compared the FSH and LH hormone levels before and after anesthesia and also compared the effect of anesthesia on vital signs between two groups of patients before and after anesthesia; accordingly, there was significantly higher systolic blood pressure in remifentanil group (p=0.30); however, there were no significant differences in diastolic blood pressure (p=0.767) and heart rates (p=0.512).
    Conclusion
     The associations of LH and FSH with anesthesia are different depending on the type of anesthetic drugs.
    Keywords: Intracytoplasmic Sperm Injection, Lutelizing Hormone, Blood Pressure, Heart Rate, Fentanyl, Remifentanil, Hormones}
  • عباسعلی دهقانی، وحید فتاحی، وحیده رحمانی، علی شریفی*
    مقدمه

    نتایج متناقضی در زمینه اثرات سیکل قاعدگی بر تغییرات فشار خون، ضربان قلب، تهویه و هورمون اکسی توسین در حین بیهوشی بیماران کاندید جراحی کوله سیستکتومی لاپاراسکوپیک وجود دارد؛ لذا مطالعه حاضر با هدف بررسی تاثیر قاعدگی بر تغییرات همودینامیک بیماران در حین جراحی کوله سیستکتومی لاپاراسکوپیک انجام شد.

    روش کار

    این مطالعه توصیفی مقطعی در سال 1397 بر روی 100 نفر از بیماران کاندید جراحی کوله سیستکتومی لاپاراسکوپیک مراجعه کننده به بیمارستان امام رضا (وابسته به دانشگاه علوم پزشکی تبریز) انجام شد. بیماران به دو گروه فاز لوتئال و فاز فولیکولار تقسیم شدند و وضعیت همودینامیک (ضربان قلب، فشار خون، میزان اشباع اکسیژن شریانی و CO2 انتهای بازدمی) بین آنان مقایسه شد. اطلاعات دموگرافیک و وضعیت همودینامیک قبل و حین بیهوشی در چک لیست محقق ساخته وارد شد. تجزیه و تحلیل داده ها با استفاده از نرم افزار آماری SPSS (نسخه 22) و آزمون های تی تست، کای اسکوئر و آزمون اندازه گیری های تکراری استفاده شد. میزان p کمتر از 05/0 معنی دار در نظر گرفته شد.

    یافته ها

    بر اساس نتایج آزمون تی تست، بین دو گروه در هیچ یک از زمان ها اختلاف آماری معناداری در میزان متوسط فشار شریانی، CO2 انتهای بازدمی و میزان اشباع اکسیژن شریانی وجود نداشت (05/0˃p)، اما بر اساس نتایج آزمون اندازه گیری های تکراری، تغییرات متوسط فشار شریانی در طی مطالعه در گروه فاز فولیکولار (031/0=p) نسبت به گروه فاز لوتئال (059/0=p) به طور معناداری بیشتر بود. همچنین بر اساس آزمون تی تست، مقایسه وضعیت ضربان قلب بین دو گروه در هیچ یک از زمان ها اختلاف آماری معناداری نشان نداد (05/0˃p)؛ بر اساس نتایج آزمون اندازه گیری های تکراری، تغییرات ضربان قلب در طی مطالعه در گروه فاز فولیکولار (019/0=p) نسبت به گروه فاز لوتئال (126/0=p) به طور معناداری بیشتر بود.

    نتیجه گیری

    چرخه قاعدگی، اثرات قابل توجهی بر پارامترهای همودینامیک حین بیهوشی در بیماران کاندید کوله سیستکتومی لاپاراسکوپیک دارد که این تغییرات در طول فاز فولیکولی در مقایسه با فاز لوتئال بارزتر می باشد.

    کلید واژگان: تغییرات همودینامیک, ضربان قلب, فشار خون, قاعدگی, کوله سیستکتومی لاپاراسکوپیک}
    Abbasali Dehghani, Vahid Fattahi, Vahideh Rahmani, Ali Sharifi *
    Introduction

    There are contradictory results regarding the effects of the menstrual cycle on changes in blood pressure, heart rate, ventilation, and oxytocin hormone during anesthesia in patients who are candidates for laparoscopic cholecystectomy surgery. Therefore, the present study was performed with aim to investigate the effect of menstrual phases on the hemodynamic changes of patients during laparoscopic cholecystectomy.

    Methods

    This cross-sectional descriptive study was conducted in 2018 on 100 patients who were candidates for laparoscopic cholecystectomy referred to Imam Reza Hospital (affiliated to Tabriz University of Medical Sciences). Patients were divided into two groups: luteal phase and follicular phase. Hemodynamic parameters, including heart rate, blood pressure, arterial oxygen saturation, and end-expiratory CO2 were compared between these groups. Demographic information and hemodynamic status before and during anesthesia were recorded in a researcher-made checklist. Data analysis was performed using SPSS software (version 22) and t-test, chi-square, and repeated measures tests. P<0.05 was considered statistically significant.

    Results

    According to the results of t-test, there was no statistically significant difference between the two groups at any time in the mean arterial pressure, end-expiratory CO2, and arterial oxygen saturation (P>0.05). However, according to the results of repeated measures tests, the mean arterial pressure changes during the study were significantly higher in the follicular phase group (P=0.031) than in the luteal phase group (P=0.059). Also, according to the results of t-test, the comparison of the heart rate status between the two groups did not show a significant statistical difference at any time (P˃0.05); However, according to the results of repeated measures tests, heart rate changes during the study were significantly higher in the follicular phase group (P=0.019) than in the luteal phase group (P=0.126).

    Conclusion

    Menstrual cycle significantly affects hemodynamic parameters during anesthesia in patients undergoing laparoscopic cholecystectomy. These changes are more pronounced during the follicular phase compared to the luteal phase.

    Keywords: Blood Pressure, Heart Rate, Hemodynamic Changes, Laparoscopic Cholecystectomy, Menstruation}
  • سینا ملک رئیسی، سید مهدی موسوی، حبیب الله دهقان*
    مقدمه

    مواجهه با گرما به عنوان یکی از عوامل خطر مرتبط با کار، می تواند به طور قابل توجهی بر سلامت انسان تاثیر بگذارد. هدف از انجام پژوهش حاضر، طراحی و ساخت یک شلوارک خنک کننده تبخیری و ارزیابی اثربخشی آن در کاهش استرین گرمایی در شرایط گرم آزمایشگاهی بود.

    روش ها

    این مطالعه در سه مرحله شامل «طراحی و ساخت شلوارک خنک کننده تبخیری، محاسبه توان خنک کنندگی در شرایط آزمایشگاهی و ارزیابی اثر بخشی شلوارک طراحی شده» انجام شد. در مرحله ارزیابی اثر بخشی، 12 مرد سالم دو مرحله آزمایش شامل تست با شلوار معمولی و تست با شلوارک خنک کننده تبخیری را انجام دادند. در طی انجام مراحل تست، شاخص های فیزیولوژیک شامل ضربان قلب، دمای پوست ران، دمای گوش و شاخص استرین فیزیولوژیک (Physiological Strain Index یا PSI) هر 5 دقیقه یک بار اندازه گیری گردید. داده ها در نرم افزار SPSS مورد تجزیه و تحلیل قرار گرفت.

    یافته ها

    شلوارک خنک کننده تبخیری طراحی شده، موجب کاهش دمای پوست در ناحیه ران (به میزان 3 درجه سانتی گراد) شد (05/0 > P). همچنین، ارتباط معنی داری بین دو حالت شلوار معمولی و شلوارک خنک کننده در شاخص های فیزیولوژیک ضربان قلب، دمای گوش و PSI مشاهده نگردید (05/0 < P).

    نتیجه گیری

    شلوارک خنک کننده طراحی شده می تواند نقش مثبتی در کاهش دمای پوست ایفا کند و پیشنهاد می گردد عملکرد آن در محیط های واقعی تحت ارزیابی قرار گیرد.

    کلید واژگان: استرین گرمایی, ضربان قلب, دمای پوست, شاخص استرین فیزیولوژیک}
    Sina Malek Raisi, Seyed Mahdi Mousavi, Habibollah Dehghan*
    Background

    Heat exposure, as a work-related risk factor, can have a significant effect on human health. This study aimed to design and manufacture evaporative cooling pants and evaluate their effectiveness in reducing heat strain under controlled laboratory conditions.

    Methods

    The study consisted of three stages: developing evaporative cooling pants, assessing their cooling power in a laboratory and evaluating their effectiveness. 12 men wore regular pants and then switched to evaporative cooling pants while their heart rate, skin and ear temperature, and PSI were measured every 5 minutes. Data was analyzed using SPSS software.

    Findings

    The study revealed that the specially designed evaporative shorts lowered the temperature of the thigh skin by 3 °C (P < 0.05). However, there was no significant relationship between the two groups in terms of physiological parameters such as heart rate, ear temperature, and Physiological Strain Index (P > 0.05).

    Conclusion

    The use of designed evaporative cooling pants can have a positive impact on reducing skin temperature. However, it is recommended to test in actual work environments.

    Keywords: Heat stress, Heart rate, Skin temperature, Cooling garments}
  • Nahid Yaghoobi*, Sepideh Hekmat, Hadi Malek, Raheleh Hedayati, Saba Salimian
    Background and Aim

    Previous studies on heart response rate (HRR) were conducted in diabetic patients. This study aims to evaluate HRR in end-stage renal disease (ESRD) patients and its correlation with myocardial perfusion imaging (MPI) findings and patients’ prognosis.

    Materials and Methods

    The present study was conducted on patients with chronic kidney disease (CKD) who visited Shahid Hasheminejad Hospital between October 1, 2011, and September 30, 2019. Before the stress test, the patient was asked to rest in a supine position for 3 minutes while an electrocardiogram, blood pressure, and heart rate were recorded. Dipyridamole was then administered as an infusion with a dose of approximately 0.56 mg/kg of the patient’s monitoring of the electrocardiogram. The patient’s heart rate was recorded at 2-minute intervals after the start of the dipyridamole injection. Three minutes after the completion of the dipyridamole injection, radiopharmaceutical was injected. Finally, the findings of the myocardial perfusion scan were analyzed.

    Results

    The summed stress score (SSS), and summed rest score (SRS) had a significant relationship with the female gender and ejection fraction (EF) with the male gender (P<0.05). These results were not significantly related to patients’ age and disease history (P>0.05). No significant difference was observed in the incidence of blunted HRR in patients with cardiac events by age, gender, and renal disease condition (P>0.05).

    Conclusion

    The frequency of blunted HRR in patients with CKD based on various variables was determined for the first time in the country in the present study, which can be an introduction for future research.

    Keywords: Heart Rate, Chronic Kidney Disease, Myocardial Perfusio Imaging, Dipyridamole}
  • Mohammad Hossein Vafaie *, Ebrahim Ahmadi Beni

    In this article, a patient monitoring system is proposed that is able to obtain heart rate and oxygen saturation (SpO2) levels of patients, identify abnormal conditions, and inform emergency status to the nurses. The proposed monitoring system consists of smart patient wristbands, smart nurse wristbands, central monitoring user interface (UI) software, and a wireless communication network. In the proposed monitoring system, a unique smart wristband is dedicated to each of the patients and nurses. To measure heart rate and SpO2 level, a pulse oximeter sensor is used in the patient wristbands. The output of this sensor is transferred to the wristband’s microcontroller where heart rate and SpO2 are calculated through advanced signal processing algorithms. Then, the calculated values are transmitted to central UI software through a wireless network. In the UI software, received values are compared with their normal values and a predefined message is sent to the nurses’ wristband if an abnormal condition is identified. Whenever this message is received by a nurse’s wristband, an acoustic alarm with vibration is generated to inform an emergency status to the nurse. By doing so, health services are delivered to the patients more quickly and as a result, the probability of the patient recovery is increased effectively.

    Keywords: Heart rate, oxygen saturation level, patient monitoring system, pulse oximeter, Smart wristband, wireless network}
  • پیمان کیخسرو دولتیاری، صدیقه حسین پور دلاور، مهران قهرمانی*، محمد روزبهانی
    مقدمه

    تمرینات ورزشی با تعدیل فشارخون و ضربان قلب نقش حفاظتی در بیماران قلبی میانسال دارد، هدف از پژوهش حاضر مقایسه اثر هشت هفته تمرین هوازی و ترکیبی بر برخی شاخص های همودینامیکی در بیماران مرد میانسال تحت عمل جراحی عروق کرونر بود.

    روش بررسی

    در این مطالعه کارآزمایی بالینی، در سال 1401 تعداد 30 مرد میانسال عمل جراحی عروق کرونر به صورت تصادفی ساده به سه گروه هوازی (10نفر)، ترکیبی (10نفر) و کنترل (10نفر) تقسیم شدند. آزمودنی های دو گروه مداخله به مدت هشت هفته، هفته ای سه جلسه تمرینات منتخب هوازی و ترکیبی (با شدت 55 تا 75 درصد حداکثر ضربان قلب بیشینه، به مدت 60 دقیقه) انجام دادند. قبل و بعد از مداخله اندازه گیری فشارخون، تعداد ضربان قلب و درصد اشباع اکسیژن خون انجام شد. تجزیه و تحلیل داده ها با استفاده از روش های آماری تی وابسته، تحلیل واریانس یک طرفه و آزمون تعقیبی توکی با سطح معنا داری (0/05≤ P) انجام شد.

    نتایج

    تمرینات هوازی موجب کاهش معنادار فشارخون سیستولی (0/036=P)، فشارخون دیاستولی (0/040=P) و تعداد ضربان قلب (0/013=P) شد اما میزان کاهش در گروه ترکیبی معنادار نبود (0/05<P)، تفاوت اثر بین گروهی هم معنادار نبود (0/05<P). افزایش درصد اشباع اکسیژن خون در هر دو گروه هوازی (0/000=P) و ترکیبی (0/007=P) و تفاوت اثر بین دو گروه معنادار بود (0/004=P).

    نتیجه گیری

    به نظر می رسد تمرینات هوازی و ترکیبی به عنوان یک استراتژی مداخله ای مفید در بهبود شاخص های همودینامیک موجب سازگاری بیشتر بیمار با شرایط پس از عمل جراحی قلب می شود.

    کلید واژگان: فشارخون, تعداد ضربان قلب, درصد اشباع اکسیژن خون, تمرینات هوازی و ترکیبی, عمل جراحی عروق کرونر}
    Peyman Kaikhosro Doulatyari, Sedigheh Hosseinpour Delavar, Mehran Ghahramani*, Mohammad Rouzbahani
    Introduction

    Exercise training by modulating blood pressure and heart rate have a protective role for middle-aged cardiac patients. Aim of this study was to compare the effect of eight weeks of aerobic and combined exercise on some hemodynamic indicators in middle-aged male patients undergoing coronary artery bypass graft surgery.

    Methods

    In this clinical trial, a sample of 30 middle-aged men who underwent coronary artery surgery in 2023 were enrolled after meeting predetermined eligibility criteria and randomized for participation. They were divided into three aerobic (n=10), combined (n=10) and control (n=10) groups. The individuals of the 2 intervention groups performed selected aerobic and combined exercises (with an intensity of 55 - 75% of the maximum heart rate, for 60 minutes) for 8 weeks, 3 sessions per week. Blood pressure, heart rate and peripheral oxygen saturation (SpO2) were measured before and after the intervention. The parametric paired sample t-test, one-way ANOVA test and Tukey's Test were used to examine differences at a significance level of P ≤ 0.05.

    Results

    The effect of aerobic exercises on systolic blood pressure (P=0.036), diastolic blood pressure (P=0.040) and heart rate (P=0.013) was significant and caused a decrease in these indicators, but the decrease in the combined group was not significant (P>0.05). The intergroup effect difference was not significant (P>0.05). In both aerobic (P=0.000) and combined (P=0.007) groups, the peripheral oxygen saturation has increased significantly and intergroup mean difference was significant (P=0.004).

    Conclusion

    It seems that aerobic and combined exercises as a helpful intervention strategy to improve hemodynamic indicators, make the patient more adaptable to the conditions after coronary artery bypass graft surgery.

    Keywords: Blood pressure, Heart rate, Peripheral oxygen saturation, Aerobic, combined exercises, Coronary artery bypass graft surgery}
  • Besir Shaqiri, Abedin Bahtiri
    Background

    Most of the people with Down syndrome have short stature compared to general population. There is also a high prevalence of overweight and obesity, mainly in the adolescence and in the adult life. The aim of this study was to compare some anthropometric parameters, heart rate and blood pressure of children with Down syndrome and those with normal development. Down syndrome is among the most commonly classified categories of mental sub normality, with the incidence at birth being around 1: 700 and 1: 750 in live births in most countries worldwide, with the risk of increasing with mother’s age.

    Methods

    The sample consisted of 82 children, 32 with Down syndrome and 50 healthy children, male, aged 14-15 yr from the population of Kosovo in 2022. There were no health problems present in the healthy children.

    Results

    About 53% of children with Down syndrome have normal body mass, 15.62% are overweight, and 21.8 are obese. In terms of blood pressure, Down syndrome children have higher systolic pressure (121.94mm/hg), sd ±21.69 than healthy children (111.18mm/hg, sd ±10.88).

    Conclusion

    Children with Down syndrome had significantly higher body mass index, heart rate, and systolic pressure at rest compared to healthy children. However, after short physical activity, healthy children exhibited greater diastolic pressure than children with Down syndrome.

    Keywords: Healthy adolescents, Down syndrome, Anthropometry, Blood pressure, Heart rate}
  • Yeganeh Shaverdi, Gila Pirzad Jahromi, Gholamhossein Meftahi, Mohammadshahab Sharif, Narges Mojabi, Boshra Hatef
    Introduction

    The flexibility of the heart is important for cardiovascular health. The heart rate variation (HRV) is a metric of heart flexibility. Muslims perform praying (Namaz) which has some significant effects on general health regularity. The study aimed to assess the impact of real Namaz on HRV.

    Materials and Methods

    Eighty-two participants who performed Namaz daily were categorized into three groups, including more minor, more than, and equal to the normal cortisol level range based on salivary cortisol. The electrocardiography was recorded before, during (divided into standing, bowing, prostration, and sitting positions), and after a four-cycle Namaz around noon. The linear and non-linear features of HRV were extracted.

    Results

    The two-way analysis of variance showed that the standard deviation (SD)1 and SD2 of the Poincare plots of all groups increased after Namaz (P<0.0001). During Namaz, the indexes of sympathetic tone decreased in the prostration and bowing compared to the sitting and standing positions (P<0.00001). The SD of the mean of the R peaks interval, SD1, and SD2 of the Poincare plot also increased in those comparisons (P<0.00001). In addition, the spectral entropy was decreased in the bowing and prostration compared with standing and sitting positions (P<0.001).

    Conclusion

    Namaz significantly increased the performance of the cardiovascular system and decreased the effect of daily stress on it.

    Keywords: Praying, Islam, Heart Rate, Complexity}
  • Abolfazl Akbari *, Gholamalii Jelodar, Saeid Hosseinzadeh
    Objective (s)

    High levels of resistin are associated with metabolic diseases and their complications, including hypertension. The paraventricular nucleus (PVN) is also involved in metabolic disorders and cardiovascular diseases, such as hypertension. Therefore, this study aimed to study cardiovascular (CV) responses evoked by the injection of resistin into the lateral ventricle (LV) and PVN and determine the mechanism of these responses in the rostral ventrolateral medulla (RVLM).

    Materials and Methods

    Arterial pressure (AP) and heart rate (HR) were evaluated in urethane-anesthetized male rats (1.4 g/kg intraperitoneally) before and after all injections. This study was carried out in two stages. Resistin was injected into LV at the first stage, and AP and HR were evaluated. After that, the paraventricular, supraoptic, and dorsomedial nuclei of the hypothalamus were chosen to evaluate the gene expression of c-Fos. Afterward, resistin was injected into PVN, and cardiovascular responses were monitored. Then to detect possible neural mechanisms of resistin action, agonists or antagonists of glutamatergic, GABAergic, cholinergic, and aminergic transmissions were injected into RVLM. 

    Results

    Resistin injection into LV or PVN could increase AP and HR compared to the control group and before injection. Resistin injection into LV also increases the activity of RVLM, paraventricular, supraoptic, and dorsomedial areas. Moreover, the CV reflex created by the administration of resistin in PVN is probably mediated by glutamatergic transmission within RVLM. 

    Conclusion

    It can be concluded that hypothalamic nuclei, including paraventricular, are important central areas for resistin actions, and glutamatergic transmission in RVLM may be one of the therapeutic targets for high AP in obese people or with metabolic syndrome.

    Keywords: Arterial Pressure, Glutamatergic transmission, Heart rate, Paraventricular hypothalamic nucleus, Resistin}
  • Chunxiao Xu, Yu Guo, Zheng Bian, Zhengming Chen, Liming Li, Min Yu *
    Background

    A resting heart rate may be correlated with an increased risk of stroke. Therefore, we explored the independent and joint influences of heart rate and body mass index on the incidence of stroke and its sub-types in a Chinese rural population.

    Methods

    Cox proportional hazard models were adopted for measuring the influence exerted by heart rate on stroke in the Tongxiang China Kadoorie Biobank prospective cohort analyses, in which 23,132 men and 32,872 women were included. Incident stroke refers to ‘24-hour acute focal disorder, considered to result from ische-mia or intracranial hemorrhage’.

    Results

    Over a 6.9 year mean follow up period, 986 men and 925 women developed stroke, representing an incidence of 6.35 and 4.00 per 1,000 person-years. In contrast to men with heart rate < 69 beats/minute, men at heart rate ≥ 90 beats/minute could more probably develop stroke and ischemic stroke with representing hazard ratio [95% confidence interval (CI)] 1.29 (1.05 – 1.58), and 1.35 (1.06 – 1.71). An adjusted hazard ratio of 1.37 (95% CI = 1.06 - 1.74) and 1.46 (95% CI = 1.08 – 1.96) were respectively identified for stroke and is-chemic stroke in non-overweight/obese male patients with heart rate ≥ 90 beats/minute. Joint analyses also favored the results. Unfortunately, non-significant results were found in women.

    Conclusion

    Higher resting heart rate acts as an independent predictor of any stroke and ischemic stroke risk in adult Chinese male but not in female. This relationship was particularly evident among non-overweight/obese male participants.

    Keywords: Heart rate, Stroke, Body mass index, Prospective study}
  • Sahar Seifzadeh, Vahid Asayesh, Majid Torabi Nikjeh, Mahdi Dehghani, Elham Rabbani Parsa, Fatemeh Asgharianasl

    Autonomous Sensory Meridian Response is a novel phenomenon that is very popular these days on Youtube and Reddit to its anti-anxiety effects. As the name suggests, ASMR is a relaxing warm sensation that begins on the scalp and spreads throughout the body. This technique is also known as "brain massage," and it relies on soothing sights and sounds, like whispers and slow movements.One of the most substantial reasons for investigating these videos is to find out their scientific roots, which can be from different approaches. In this paper, we intended to examine the physiological changes such as Heart Rate (HR) as well as Galvanic Skin Conductance (GSC) levels before and after watching a single session ASMR video. The dependent t-test statistical analysis by SPSS results with P-value <=0.01 indicated that after a single session of ASMR watching, the heart rate decreased significantly comparing the baseline data. In addition, the skin conductance was slightly reduced as well, but not significantly. These physiological findings prove that ASMR could be an affordable, portable, and immediate anxiety relief for those struggling with anxiety-based disorders, especially for patients who do not respond well to medication or seek alternatives to anti-anxiety medications due to the wide range of side effects or would like to try it for better results along with the prescribed drugs.

    Keywords: Autonomous Sensory Meridian Response, Heart Rate, Skin Conductance, Anxiety-Based Disorders, Primary Insomnia, Anti-Anxiety Methods}
  • محسن غلامی، عباس علیپور، فرهاد غلامی*، محمود موسی زاده
    سابقه و هدف

    لمس نبض محیطی یک ابزار بالینی ارزشمند و از مفیدترین معاینه های فیزیکی در مراقبت های پزشکی است. در مطالعه حاضر، همبستگی بین تعداد ضربان های نبض اندازه گیری شده از شریان رادیال با ضربان های نبض ثبت شده توسط الکتروکاردیوگرام بررسی شد.

    مواد و روش ها

    این مطالعه از نوع همبستگی بود. جامعه پژوهش شامل افراد مراجعه کننده به اورژانس بیمارستان امام خمینی ساری بودند. ضربان نبض نمونه ها، با استفاده از اندازه گیری ضربان نبض رادیال دست چپ و با استفاده از دستگاه الکتروکاردیوگرام ثبت شد. در صورت ریتم منظم، تعداد ضربان در زمان های 15، 30 و 60 ثانیه با کرنومتر دیجیتال اندازه گیری شد و سپس در 4، 2 و 1 به ترتیب ضرب شد.

    یافته ها

    اختلاف مشاهده شده بین اندازه های نبض با روش 15 ثانیه با تعداد ضربان قلب با الکتروکاردیوگرام ناچیز ولی از نظر آماری معنی دار بوده است (0/001<p) ولی اختلاف مشاهده شده بین اندازه نبض با روش های 30 و 60 ثانیه با تعداد ضربان قلب با روش الکتروکاردیوگرام از نظر آماری معنی دار نبوده است (0/05>p). ضریب همبستگی ICC بین اندازه های نبض با روش های 15 و 30 و 60 ثانیه با تعداد ضربان قلب ثبت شده با روش الکتروکاردیوگرام عالی (بالای 0/98) بوده است.

    استنتاج

    براساس نتایج مطالعه حاضر می توان از شمارش نبض شریان رادیال در 30 ثانیه و ضرب آن در 2 در شرایط بالینی و به ویژه اورژانس به جای شمارش نبض در 60 ثانیه استفاده کرد.

    کلید واژگان: ضربان نبض, ضربان قلب, دقت, شمارش}
    Mohsen Gholami, Abbas Alipour, Farhad Gholami*, Mahmood Moosazadeh
    Background and purpose

    Palpation of the radial pulse is a valuable clinical tool and one of the most useful physical examinations in medical care. The aim of the present study was to investigate the correlation between the number of pulses measured by the radial artery and the pulses recorded by electrocardiogram (ECG).

    Materials and methods

    We conducted a correlational study and the research population included patients attending Emergency Department in Sari Imam Khomeini Hospital. The pulse rate was recorded by measuring the radial pulse rate of the left hand and the heart rate using an electrocardiogram device. In case of regular rhythm, the number of beats was measured for 15, 30, and 60 seconds using a digital stopwatch and multiplied by 4, 2, and 1, respectively.

    Results

    There was a slight difference in pulse rate between the radial artery measurement for 15 seconds and the ECG that was statistically significant (P<0.001), but this difference was not significant for 30 and 60 seconds (P>0.05). The ICC correlation coefficient between pulse rates for 15, 30, and 60 seconds and ECG was high (above 0.98).

    Conclusion

    Based on the present study, instead of electrocardiogram, radial pulse count for 30 seconds multiplied by 2 can be used in clinical conditions, especially in emergency.

    Keywords: heart rate, pulse rate, accuracy, counting}
  • Atiyeh Ghorbani, Reza Mohebbati, Alireza Rahimi, Vida Alikhani, MohammadNaser Shafei *
    Objective (s)

    Due to the presence of the cholinergic system in the lateral periaqueductal gray (lPAG) column, the cardiovascular effects of Acetylcholine (ACH) and its receptors in normotensive and hydralazine (HYD) hypotensive rats in this area were evaluated.

    Materials and Methods

    After anesthesia, the femoral artery was cannulated and systolic blood pressure (SBP), mean arterial pressure (MAP), heart rate (HR), and also electrocardiogram for evaluation of low frequency (LF) and high frequency (HF) bands, important components of heart rate variability (HRV), were recorded. ACH, atropine (Atr, a muscarinic antagonist), and hexamethonium (Hex, an antagonist nicotinic) alone and together microinjected into lPAG, changes (Δ) of cardiovascular responses and normalized (n) LF, HF, and LF/HF ratio were analyzed.

    Results

    In normotensive rats, ACH decreased SBP and MAP, and enhanced HR while Atr and Hex did had no effects. In co-injection of Atr and Hex with ACH, only ACH+Atr significantly attenuated parameters. In HYD hypotension, ACH had no affect but Atr and Hex significantly improved the hypotensive effect. Co-injection of Atr and Hex with ACH decreased the hypotensive effect but the effect of Atr+ACH was higher. In normotensive rats, ACH decreased nLF, nHF, and nLF/nHF ratio. These parameters in the Atr +ACH group were significantly higher than in ACH group. In HYD hypotension nLF and nLF/nHF ratio increased which was attenuated by ACH. Also, Atr+ACH decreased nLF and nLF/nHF ratio and increased nHF.

    Conclusion

    The cholinergic system of lPAG mainly via muscarinic receptors has an inhibitory effect on the cardiovascular system. Based on HRV assessment, peripheral cardiovascular effects are mostly mediated by the parasympathetic system.

    Keywords: Acetylcholine, blood pressure, Heart rate, heart rate variability, Hydralazine, Lateral periaqueductal gray}
  • The Effect of Gentle Touch on Cardiorespiratory Indices and Pain Behaviors Related to Venipuncture and Blood Sampling in Preterm Infants Under Intensive Care
    Pariya Bahrami, Elaheh Sheikhan, Zohre Shams Soulari, Mehri Golchin
    Background

    Infants undergo extremely painful procedures in a Neonatal Intensive Care Unit (NICU), which if left uncontrolled may cause complications. Therefore, this study was conducted to investigate gentle touch effect on cardiorespiratory indices and pain behaviors related to venipuncture and blood sampling in preterm infants.

    Materials and Methods

    A quasi‑experimental study was undertaken in gentle touch and control groups in three stages. The population included premature infants in NICU of Al‑Zahra Hospital, Isfahan, Iran. Using convenience sampling, 52 infants were randomly selected and assigned to two groups (n = 26). Gentle touch technique and measurement of cardiorespiratory indices were performed 5 minutes before, during, and 5 minutes after procedure, and routine care was provided for control group. Neonatal pain and cardiorespiratory indices were assessed using the Neonatal Infant Pain Scale (NIPS) and an intensive care monitor. Data was analyzed using repeated measures ANOVA, independent t‑test, and Chi‑square test in SPSS software.

    Results

    The independent t‑test revealed a significant difference between mean pain score of the infants in two groups during the procedures (t50 = ‑3.32, p </em>= 0.002), but no significant different was between groups before and after the procedure (p > 0.05). However, the cardiorespiratory indices were not significantly different before, during, and after the procedure (p > 0.05).

    Conclusions

    The results suggest that gentle touch reduced the infants’ pain during venipuncture and blood sampling. Thus, it is recommended this method be applied to mitigate pain in premature infants.

    Keywords: Blood pressure, heart rate, oxygen saturation, pain, premature birth, respiration rate, touch}
  • مریم کاظمی پور، مصطفی مهربان، فاطمه اولیاء*
    مقدمه

    پایش علایم حیاتی در بیماران اورژانس درمان ریشه از اهمیت بالایی برخوردار می باشد. استرس، به عنوان اولین دغدغه در درمان ریشه، باید حین مراحل درمان کنترل گردد. هدف از مطالعه حاضر ارزیابی تاثیر پروتکل ارتباطی کلینسین-بیمار بر روی کنترل علایم حیاتی بیماران  بود.

    مواد و روش ها

    در این مطالعه ی مداخله ای، 70 بیمار اورژانس درمان ریشه در رده سنی60-18 سال، در سال 1398مورد ارزیابی قرار گرفتند. بیماران به دو گروه مساوی 35 تایی تقسیم شدند. مراحل درمان در گروه مورد مطالعه با مداخله پروتکل کلینسین-بیمار انجام گردید. فشارخون (سیستول و دیاستول) و تعداد نبض بیماران در پنج مرحله قبل از تزریق بی حسی، حین تزریق بی حسی، هنگام تراش دندان، بعد از درمان و یک هفته بعد از خاتمه درمان به عنوان پایه اندازه گیری گردید. اطلاعات با استفاده از نرم افزار SPSS نسخه 22 و تست های آماری کای-دو و تی مستقل آنالیز گردیدند. سطح معنی داری 05/0 تعیین گردید.

    یافته ها

    بر اساس آنالیز انجام شده، سن و جنس بیمار، سابقه درمان ریشه، بیماری پالپی و پری اپیکالی و نوع بی حسی موضعی به عنوان عوامل مخدوشگر در تغییرات علایم حیاتی نبودند. در مقابل، شدت درد با تغییرات علایم حیاتی در بیماران مداخله داشت. پروتکل ارتباطی کلینسین-بیمار به طور معنی داری فشار خون سیستول را در مراحل حین تزریق بی حسی، حین تراش دندان و بعد از درمان کاهش داد. همچنین پروتکل ارتباطی کلینسین-بیمار به طور معنی داری فشار دیاستولیک را حین تزریق بی حسی، حین تراش دندان و بعد از درمان کاهش داد. با توجه به ضربان نبض، پروتکل ارتباطی کلینسین-بیمار به طور معنی داری تعداد ضربان قلب را تنها در مرحله تراش دندان کاهش داد.

    نتیجه گیری

    بر اساس نتایج مطالعه حاضر، به کارگیری پروتکل ارتباطی کلینسین-بیمار به طور معنی داری در کنترل علایم حیاتی بیماران اورژانس درمان ریشه موثر بود.

    کلید واژگان: استرس, اندودانتیک, تعداد نبض, فشار خون, پایش}
    Maryam Kazemipoor, Mostafa Mehraban, Fatemeh Owlia *
    Introduction

    Monitoring of vital signs in endodontic emergency patients is of significant importance. Stress as a primary concern in root canal therapy should be controlled during the treatment procedures. The present study aimed to evaluate the effect of patient-clinician relationship protocol on controlling patients’ vital signs.

    Materials and Methods

    This interventional study investigated 70 endodontic emergency patients with an age range of 18-60 years in 2019. The patients were divided into two groups of 35. The treatment procedure in the experimental group was accomplished with an intervention of patient-clinician relationship protocol. Blood pressure (systolic and diastolic) and heart rate of patients in five stages before local anesthesia, at the time of local anesthesia, during tooth drilling, after treatment, and one week after the termination of the treatment were measured as a baseline. Data were analyzed using SPSS software (version 22) through the Chi-square and independent statistical t-test. The significant level was set at 0.05.

    Results

    Based on the results, patients’ age, gender, history of root canal therapy, pulpal and periapical disease, as well as the type of local anesthesia, were not regarded as interfering factors in changing the vital signs among patients. In contrast, pain intensity interfered with changes in vital signs among patients. Patient-clinician relationship protocol significantly reduced the systolic blood pressure at the time of local anesthesia, during tooth drilling, and after treatment. Moreover, patient-clinician relationship protocol also significantly reduced diastolic pressure at the time of local anesthesia, during tooth drilling, and after treatment. Considering heart rate, the patient-clinician relationship protocol significantly reduced heart rate only during tooth drilling.

    Conclusion

    Considering the results of the present study, the application of patient-clinician relationship protocol significantly affects the control of vital signs in emergency endodontic patients.

    Keywords: stress, Endodontic, Heart rate, blood pressure, Monitoring}
  • Kedsara Rakpongsiri, Pornchai Rakpongsiri
    Background

    Physical fitness refers to the ability of the body to perform tasks or do one of the physical activities well without being tired quickly. The objective of this research is to develop a physical fitness instrument for measuring oneself heart rate, grip strength, and reaction time that could develop a model for a self‑check‑up on physical fitness which helps to plan the improvement for health which is called the “FIBER‑FIT” model.

    Methods

    The physical fitness measuring instrument is composed of three modules; (1) heart rate meter module using a green light emitting diode and a photosensor, (2) grip strength meter module using a load cell transducer, and (3) reaction time meter module using a computer graphical function. All modules are controlled by computer programming, LabVIEW. The program could measure the physical fitness parameters in real‑time and display the results in graphs, values on a computer monitor. The data could be recorded on cloud storage and could be retrieved for viewing and analyzing from anywhere via the internet.

    Results

    Getting the “FIBER‑FIT” model, a physical fitness measuring instrument to evaluate and analyze the results in real time. Overall performance test results were comparable to the standard commonly used instruments. The satisfaction survey scores from the participants were 33.33% and 66.67% for the highest level and the high level, respectively.

    Conclusions

    The Cloud “FIBER‑FIT” model is recommended for physical fitness applications for health improvement.

    Keywords: Cloud storage, grip strength, heart rate, physical fitness, reaction time}
  • Maryam Farokhipour, Farzaneh Ketabchi
    Background

    Heart rate variability (HRV) is calculated by electrocardiography (ECG-HRV) or blood pressure (BP-HRV). The purpose of this study was to determine the validity of the above methods in rats with normal and ischemic hearts during the baroreflex maneuver.

    Methods

    The study was conducted at Shiraz University of Medical Sciences, Shiraz, Iran, in 2021. Sprague-Dawley rats were divided into a sham group and an isoproterenol-mediated cardiac ischemia (ISO) group. Saline and isoproterenol (150 mg/kg) injected subcutaneously for 2 consecutive days in the sham and ISO groups, respectively. Then, the animals were anesthetized with an intraperitoneal injection of sodium thiopental (60 mg/kg), and the femoral artery and vein were cannulated. Baroreflex was activated using an intravenous injection of phenylephrine (10 µg/100 µL saline). ECG, BP, and heart rate (HR) were recorded, and the time domain of HRV and baroreflex gain were calculated.

    Results

    Baroreflex gain in the ISO group (male, weight=275.8±2.8 g, n=8) was lower than that in the sham group (male, weight=258±2.3 g, n=8) (P<0.05). ECG-HRV indicated an increase in the standard deviation of the RR interval (SDRR), the index of overall HRV, and the parasympathetic index of the root mean square of successive differences (RMSSD) in both groups. However, the rise in SDRR and RMSSD in the ISO group was less than that in the sham group (P<0.05). SDRR and RMSSD obtained from BP did not show a difference between the sham and ISO groups, nor did they correspond with the results seen in baroreflex gain.

    Conclusion

    BP-HRV was not as valuable as ECG-HRV in assessing cardiac ischemia.

    Keywords: Baroreflex, Blood pressure, Electrocardiography, Heart rate}
  • Seyed Hamzeh Hosseini *, Mostafa Behzad Khamesloo, Armin Allahverdy, Mansour Ranjbar
    Background

    Anxiety disorders are among the most common mental health concerns in people’s lifestyles. There are many traditional psychological methods to manage anxiety. Heart rate is the most relevant biomarker of the autonomic nervous system among the various physiological markers. Hence, the increase in the heart rate is associated with a wide range of negative psychological events.

    Objectives

    In this study, a wearable device called a "smart bracelet" was developed and tested to make mechanical oscillations similar to normal people’s heart rates, and then the effect of it was evaluated among taekwondo athletes wearing this device before the matches.

    Methods

    In order to evaluate the results, the heart rate was measured five minutes before the competition, with an average of 81 bpm in the group using the bracelet and 84.42 bpm in the group without the bracelet. The average heart rate in the group with the bracelet was 78.5, and without a bracelet was 92.14 bpm.

    Results

    The results of this study showed that wearable technology inducing mechanical waves is similar to normal people’s heartbeat through the radial nerve, which reduces stress significantly and can prevent an increase in stress.

    Keywords: Anxiety Reduction, Smart Bracelet, Heart Rate}
نکته
  • نتایج بر اساس تاریخ انتشار مرتب شده‌اند.
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