Heart Rate Variability During Early Mobilization in Patients with Acute Ischemic Stroke

Eur Neurol. 2018;80(1-2):50-54. doi: 10.1159/000492794. Epub 2018 Sep 11.

Abstract

Autonomic dysfunction is one of the predictors of poor outcome in patients with acute ischemic stroke. We compared the heart rate variability (HRV) during early mobilization in patients with or without neurological deterioration (ND). We enrolled 7 acute ischemic patients with ND and 14 without ND and measured their HRV in the rest and mobilization by electrocardiography. There was a significant difference in sympathetic nervous activity during mobilization between the 2 groups. However, no significant differences in blood pressure, heart rate, and parasympathetic nerve activity were observed. In patients with acute ischemic stroke, it is likely that the increase in sympathetic nervous activity during mobilization is associated with ND.

Keywords: Acute stroke treatment; Autonomic nervous system; Ischemic stroke.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Aged
  • Autonomic Nervous System / physiopathology
  • Central Nervous System Diseases / etiology
  • Early Ambulation / adverse effects*
  • Female
  • Heart Rate / physiology*
  • Humans
  • Male
  • Middle Aged
  • Recovery of Function / physiology*
  • Stroke / complications*