Impaired T-wave amplitude adaptation to heart-rate induced by cardiac deconditioning after 5-days of head-down bed-rest

• Tipo: Artigo em Livro de Atas de Conferência Internacional
• Data: 2012

Autores

Caiani, EC (Autor) Outra; Pellegrini, A (Autor) Outra; Bolea, J (Autor) Outra; Sotaquira, M (Autor) Outra; Soria, ML (Autor) Outra; Almeida, R (Autor) FCUP; Laguna, P (Autor) Outra; Vaida, P (Autor) Outra

Ata de Conferência Internacional

Título: Proceedings of the International Astronautical Congress, IAC

Páginas: 114-121

63rd International Astronautical Congress 2012, IAC 2012

Naples, 1 October 2012 through 5 October 2012

Indexação

ISI Web of Knowledge - 11 Citações

Scopus - 0 Citações

Outras Informações

ID Authenticus: P-00F-XYG

DOI: 10.1016/j.actaastro.2013.05.016

Abstract (EN): The study of QT/RR relationship is important for the clinical evaluation of possible risk of acquired or congenital ventricular tachyarrhythmia, predisposing to life-threatening arrhythmias. We hypothesised that microgravity exposure could induce changes in the repolarization mechanisms, and thus in the QT/RR relationship and repolarization heterogeneity, with potential effects on increasing the risk of arrhythmia susceptibility. Accordingly, our aim was to test if even a short 5-days strict 6c head-down bed-rest (HDBR) manoeuvre could induce alterations on the QT/RR relationship and repolarization heterogeneity. 12 healthy men (mean age 35±3) were enrolled at MEDES (Toulouse, France) as part of the European Space Agency BR studies. High fidelity (1000 Hz) Holter ECG (12-leads, Mortara Instrument) was acquired before (PRE), the last day of HDBR (HDT5), and four days after its conclusion (POST). The night period (23:00-06:30) was selected for analysis. X,Y,Z leads were derived using inverse Dower matrix and vectorcardiogram computed. Selective beat averaging was used to obtain averages of P- QRS-T complexes preceded by the same RR (10 msec bin amplitude, in the range 900-1200 msec). For each averaged waveform (i.e., one for each bin), T-wave maximum amplitude (Tmax), T-wavc area (Tarea), RT-apex and -end were measured. Also, the ventricular gradient (VG) magnitude and the spatial QRS-T angle, reflecting the difference in directions of propagation of depolarization and repolarization, were computed. Non-parametric Friedman test was applied to evaluate the effect of HDBR on the computed parameters among timepoints (PRE, HDT5 and POST); to study the relationship with RR, median values for each bin among all subjects were linearly correlated, and Pearson coefficient computed. Changes both in QT temporal, amplitude, VG and QRS-T angle parameters were detected showing that, despite the short duration HDBR, alterations in the cardiac electrophysiology were present. In particular, the decrease in VG together with the increase in QRS-T angle found at HDT5 underlines augmented repolarization heterogeneity, potentially associated with risk of life-threatening arrhythmias. Also, a marked loss in strength of the linear regression with RR, and a reduced slope, was found at HDT5 in Tmax and Tarea parameters, evidencing and impaired T-wave amplitude adaptation to heart-rate compared with PRE, that could represent a new dynamic marker of increased risk for life-threatening arrhythmias. Additional studies conducted on longer periods (2Id and 90d) could confirm what observed in this short-term HDBR. ©(2012) by the International Astronautieal Federation.

Idioma: Inglês

Tipo (Avaliação Docente): Científica

Nº de páginas: 7