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1. Contents Vol. 75, 2016

Author

Reinhard Klingel, Andreas J. Steck, Wolfgang Köhler, Youping Zhou, Henry C. Weinstein, Albrecht Günther, Jae-Sung Lim, MingHua Li, Jae-Won Jang, Anna Jonas, Joshua A Hirsch, Leshi Zhang, YueQi Zhu, Fernando Gómez-Pajares, Mami Takemoto, José Luis García Herrera, Yan Wang, Lan Liu, Arne Riedlinger, Qiaoshu Wang, Thierry Kuntzer, Young Chul Youn, Fangfang Hu, Jingxia Dang, Lalitha Rajanala, Young Ho Park, Noriko Hatanaka, Mingrui Song, Geneviève Aubert, Michal Katz-Leurer, Stefania Puttini, Jinglong Zhao, Alla A. Vein, Peter J. Koehler, Carmen Albelda Puig, Bastiaan C. Ter Meulen, Laxmaiah Manchikanti, JunGong Zhao, Bonaventura Casanova Estruch, So Young Park, Pinelopi Tsouni, Jungeun Kim, Jürgen Faiss, Kerstin Witte, Min Jeong Wang, Wanshen Guo, Druckerei Stückle, Qimin Hu, Andrea Kraft, Nachum Soroker, HaiTao Lu, Toru Yamashita, Cordula Fassbender, Yasuyuki Ohta, Luyan Ji, Sara Ribes García, Srinivasulu Athina, Sridhar Amalakanti, Murali Gopala Krishna Potharlanka, Sven Ehrlich, Anne Wacongne, Noa Raphaely Beer, Lourdes Álvarez-Ossorio, Jiaoting Jin, Carlos Vila, Shuangyi Fan, Zhifang Li, Lutz Harms, Veeramma Uppala, Rama Krishna Gajula, Xusheng Huang, Sebastian Schimrigk, Louis R. Caplan, Xin Chen, Geng Zhou, Dimitri Renard, Frank Hoffmann, Huaguang Qi, Koji Abe, Sundarachary Nagarjunakonda, Raymond W. J. G. Ostelo, SangYun Kim, Anne Le Floch, Petrica-Adrian Panaite, Jan Galle, Binbin Sun, Natan M. Bornstein, Rui Jia, Kota Sato, Brynhildur Hafsteinsdottir, Lixue Liu, Elias Olafsson, Rajeswari Daggumati, Nozomi Hishikawa, Michael Haupts, Eric Thouvenot, Li Xiang, and Axel Eberl

Subjects
Neurology, Neurology (clinical)
Published
2016
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2. Heart rate autonomic regulation system at rest and during paced breathing among patients with CRPS as compared to age-matched healthy controls

Author

Gadi Bartur, Michal Katz-Leurer, Sara Peleg, Noa Raphaely-Beer, and Jean-Jacques Vatine

Subjects
Tachycardia, Adult, Male, Respiratory rate, Adolescent, Rest, Breath Holding, Disability Evaluation, Young Adult, Heart Conduction System, Heart Rate, Heart rate, medicine, Heart rate variability, Outpatient clinic, Humans, Anthropometry, business.industry, General Medicine, Middle Aged, medicine.disease, Autonomic nervous system, Anesthesiology and Pain Medicine, Complex regional pain syndrome, Anesthesia, Case-Control Studies, Breathing, Female, Neurology (clinical), medicine.symptom, business, Complex Regional Pain Syndromes
Abstract

Objective The objective of this study is to assess the autonomic nerve heart rate regulation system at rest and its immediate response to paced breathing among patients with complex regional pain syndrome (CRPS) as compared with age-matched healthy controls. Design Quasiexperimental. Setting Outpatient clinic. Subjects Ten patients with CRPS and 10 age- and sex-matched controls. Methods Participants underwent Holter ECG (NorthEast Monitoring, Inc., Maynard, MA, USA) recording during rest and biofeedback-paced breathing session. Heart rate variability (HRV), time, and frequency measures were assessed. Results HRV and time domain values were significantly lower at rest among patients with CRPS as compared with controls. A significant association was noted between pain rank and HRV frequency measures at rest and during paced breathing; although both groups reduced breathing rate significantly during paced breathing, HRV time domain parameters increased only among the control group. Conclusions The increased heart rate and decreased HRV at rest in patients with CRPS suggest a general autonomic imbalance. The inability of the patients to increase HRV time domain values during paced breathing may suggest that these patients have sustained stress response with minimal changeability in response to slow-paced breathing stimuli.

Published
2014

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