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Predicate | Object |
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rdf:type | |
lifeskim:mentions | |
pubmed:issue |
7 Pt 1
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pubmed:dateCreated |
1997-9-22
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pubmed:abstractText |
Baroreflex sensitivity (BRS) is altered in a variety of circumstances and could be considered as a marker for the prognosis of some cardiovascular diseases. The present study was designed to evaluate the reproducibility of noninvasive measures of BRS, both at mid- and at long-term. Fourteen healthy volunteers were examined on three occasions (first interval = 1 week, second interval = 1 year). Each recording was performed using a noninvasive photoplethysmographic device (Finapres 2300, Ohmeda), both in supine and standing positions. Two different methods of measurement were used: the sequences method and cross spectral analysis. The reproducibility of BRS measures was as satisfactory at mid- as at long-term for the sequences method (intraclass coefficient [ICC] = 0.87 and 0.86, respectively), but it was better at mid- than at long-term for the cross-spectral analysis (ICC = 0.85 and 0.54, respectively). The measures performed in standing position were obviously more reproducible than those made in recumbent position (ICC = 0.87 and 0.70 for the sequences method, 0.85 and 0.71 for the cross-spectral analysis, respectively). Due to the high reproducibility of these noninvasive measures, the number of patients to be included in a pharmacological study was calculated as rather small: for example, only 20 patients are required for detecting a change in upright BRS of 3 msec/mm Hg, at long-term (sequences method). Likewise, the magnitude of the regression to the mean, which has to be expected in patients selected for a follow-up study, turned out to be low: for example, <15% of the difference between the patient group mean value and the reference value, both at mid- and at long-term (standing position, sequences method). We conclude that: 1) The noninvasive measures of BRS in standing position are reproducible enough to allow longitudinal studies to be conducted over either a short or a long period; 2) The long-term reliability of the sequences method seems to be higher than that of the cross-spectral analysis; and 3) Subtle changes in SBR may be noninvasively detected within small patient groups.
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pubmed:commentsCorrections | |
pubmed:language |
eng
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pubmed:journal | |
pubmed:citationSubset |
IM
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pubmed:status |
MEDLINE
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pubmed:month |
Jul
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pubmed:issn |
0895-7061
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pubmed:author | |
pubmed:issnType |
Print
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pubmed:volume |
10
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pubmed:owner |
NLM
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pubmed:authorsComplete |
Y
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pubmed:pagination |
790-7
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pubmed:dateRevised |
2009-2-24
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pubmed:meshHeading |
pubmed-meshheading:9234835-Adult,
pubmed-meshheading:9234835-Arteries,
pubmed-meshheading:9234835-Baroreflex,
pubmed-meshheading:9234835-Blood Pressure,
pubmed-meshheading:9234835-Female,
pubmed-meshheading:9234835-Heart Rate,
pubmed-meshheading:9234835-Humans,
pubmed-meshheading:9234835-Male,
pubmed-meshheading:9234835-Middle Aged,
pubmed-meshheading:9234835-Photoplethysmography,
pubmed-meshheading:9234835-Posture,
pubmed-meshheading:9234835-Reproducibility of Results
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pubmed:year |
1997
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pubmed:articleTitle |
Mid- and long-term reproducibility of noninvasive measurements of spontaneous arterial baroreflex sensitivity in healthy volunteers.
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pubmed:affiliation |
Service Cardiologie, Centre Hospitalo-Universitaire, Poitiers, France.
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pubmed:publicationType |
Journal Article,
Clinical Trial
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