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DOI: https://doi.org/10.31071/kit2021.17.02 Inventory reference ISSN 1812-7231(print), ISSN 2786-5800 (Online) Klin. inform. telemed. Volume 16, Issue 17, 2021, Pages 53-60 Author(s) G.Raimondi1, P. Mobilia1, L. Barsi1, A. Martynenko2 Institution(s) 1University of Roma «Sapienza», Roma, Italy; 2V. N. Karazin Kharkiv National University, Kharkiv, Ukraine Article title Fuzzy logic approach for analysis of the heart rate variability of dialyzed patients Abstract (resume) Introduction. The number of patients with chronic kidney disease (CKD) has increased over the last few decades because of the increasing incidence of chronic diseases, including diabetes and hypertension. Cardiovascular events account for a majority of deaths in patients with CKD, and they can be attributed to hypertension, deranged lipid metabolism, fluid overload, and autonomic nervous system dysfunction. Some investigations have evaluated the association between heart rate variability (HRV) indices and hemodynamic status during hemodialysis [7–8]. A lower HRV has been shown to be an adverse outcome predictor of cardiovascular events, congestive heart failure, sudden cardiac death, CKD-related hospitalization, and incident end-stage renal disease in patients with CKD [9–13]. Keywords Dialysis; Heart rate variability; Fuzzy logic. References 1. S. Uchino. The epidemiology of acute renal failure in the world. Current Opinion in Critical Care, 2006, vol. 12, iss. 6, p. 538. 2. A. J. Bleyer, J. Hartman, P. C. Brannon, A. Reeves-Daniel, S. G. Satko, G. Russell. Characteristics of sudden death in hemodialysis patients. Kidney International, 2006, vol. 69, p. 2268. 3. C. A. Herzog, J. M. Mangrum, R. Passman. Sudden cardiac death and dialysis patients. Semin Dial., 2008, vol. 21, p. 300. 4. E. Tzanakaki, V. Boudouri, A. Stavropoulou, K. Stylianou, M. Rovithis, Z. Zidianakis. Causes and complications of chronic kidney disease in patients on dialysis. Health Science Journal, 2008, vol. 8, iss. 343, p. 1014. 5. E. Tzanakaki, V. Boudouri, A. Stavropoulou, K. Stylianou, M.Rovithis, Z. Zidianakis. Definition and classification of chronic kidney disease: A position statement from Kidney Disease: Improving Global Outcomes (KDIGO). Kidney International., 2005, vol. 67, p. 2089. 6. N. M. Rogovoy, S. J. Howell, T. L. Lee, C. Hamilton, E. A. Perez-Alday, M. M. Kabir, Y. Zhang, E. D. Kim, J. Fitzpatrick, J. M. Monroy-Trujillo, M. M. Estrella, S. M. Sozio, B.G.Jaar, R. S. Parekh, L. G. Tereshchenko. Hemodialysis Procedure Associated Autonomic Imbalance and Cardiac Arrhythmias: Insights From Continuous 14-Day ECG Monitoring. J Am Heart Assoc., 2019, vol. 8: e013748. doi: 10.1161/JAHA.119.013748. 7. G. Kuo, S. Chen, J. Huang, C. Wu, C. Fu, C. Chang, S. Liu, Y. Chan Y. Wu, H. Yang. Short-term heart rate variability as a predictor of long-term survival in patients with chronic hemodialysis: A prospective cohort study. Journal of the Formosan Medical Association, 2018, vol. 117, p. 12. 8. R. Ranpuria, M. Hall, C. T. Chan, M. Unruh. Heart rate variability (HRV) in kidney failure: measurement and consequences of reduced HRV. Nephrol Dial Transplant., 2018, vol.23, p. 444. 9. G. Seravalle, F. Quarti-Trevano, J. Vanoli, C. Lovati, G. Grassi. Autonomic cardiovascular alterations as therapeutic targets in chronic kidney disease. Clin Auton Res., 2021, vol. 31, p. 91. 10. Y. M. Chang, C. C. Shiao. Heart rate variability is an indicator for intradialytic hypotension among chronic hemodialysis patients. Clinical and experimental nephrology, 2016, vol. 20, p. 650. 11. C. Lal, M. Kaur, A. K. Jaryal, K .K. Deepak, D. Bhowmik, S. K. Agarwal. Reduced Baroreflex Sensitivity, Decreased Heart Rate Variability with Increased Arterial Stiffness in Predialysis. Indian J Nephrol., 2017, vol. 27, p. 446. 12. C. F. Vieira, M. M. Lima, H. S. Costa, K. M. Diniz, J.P. Guião, F. L. Alves, E. H. Maciel, V. G. Brandao, P. H. Figueiredo. Correlation between indexes of autonomic maneuvers and heart rate variability in hemodialysis patients. Clin Auton Res., 2016, iss. 26, p. 181. 13. N. Kida, Y. Tsubakihara, H. Kida, S. Ageta, M. Arai, Y. Hamada, N. Matsuura. Usefulness of measurement of heart rate variability by holter ECG in hemodialysis patients. BMC Nephrology, 2017, vol. 18, no. 8. 14. Task force of the European society of cardiology and the North American society of pacing and electrophysiology. Heart rate variability – standards of measurement, physiological interpretation, and clinical use. Circulation, 1996, vol. 93, iss. 5, pp. 1043–1065. doi: https://doi.org/10.1161/01.CIR.93.5.1043 15. Yabluchansky N., Martynenko A. [Heart Rate Variability for clinical practice.] Kharkiv, Univer. Press. Publ., 2010, 131 p. (In Russ.) Depositary: http://dspace.univer.kharkov.ua/handle/123456789/1462 16. Shafler F, Ginsberg JP. An Overview of Heart Rate variability Metrics and Norms. Frontiers in Public Health., 2017, vol. 5 (258), pp. 1–17. doi: https://doi.org/10.3389/fpubh.2017.00258. 17. Martynenko A., Raimondi G., Budreiko N., Maliarova L. Fuzzy logic approach for heart rate variability. J. V. N. Karazin Khark. Nat. Univ., Ser. Med., 2021, iss. 42: pp. 5–13. doi: https://doi.org/10.26565/2313-6693-2021-42-01 18.Martynenko A., Raimondi G., Budreiko N. [Robust entropy estimator for heart rate variability]. J. Klin. inform. telemed., 2019, vol. 14, iss. 15, pp. 67–73. doi: https://doi.org/10.31071/kit2019.15.06 19. Martynenko A. Robust correlation dimension estimator for heart rate variability. J. Klin. inform. telemed., 2020, vol. 15, iss. 16, pp. 1-7. doi:https://doi.org/10.31071/kit2020.16.06 Full-text version http://kit-journal.com.ua/en/viewer_en.html?doc/2021_17/002.pdf |
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