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dc.contributor.author Pichardo Carmona, Elias Yojairi
dc.contributor.author Reyes-Lagos, José Javier
dc.contributor.author Ceballos Juárez, Rosselin Gabriela
dc.contributor.author Ledesma Ramírez, Claudia Ivette
dc.contributor.author Mendieta Zerón, Hugo
dc.contributor.author Peña Castillo, Miguel Ángel
dc.contributor.author Nsugbe, Ejay
dc.contributor.author Porta García, Miguel Ángel
dc.contributor.author Mina Paz, Yecid
dc.date.accessioned 2024-10-29T21:23:52Z
dc.date.available 2024-10-29T21:23:52Z
dc.date.issued 2023-08-31
dc.identifier.issn 1664-3224
dc.identifier.uri http://hdl.handle.net/20.500.11799/141491
dc.description.abstract Background: Cardiorespiratory coupling (CRC) is a physiological phenomenon that reflects the mutual interaction between the cardiac and respiratory control systems. It is mainly associated with efferent vagal activity from the central autonomic network. Few studies have explored the autonomic changes of CRC in preeclampsia, a critical obstetric complication related to possible autonomic dysfunctions and inflammatory disturbances. This study examined the autonomic mechanisms of CRC in women with severe and moderate preeclampsia and healthy controls by applying nonlinear methods based on information theory, such as mutual information (MI) and Renyi’s mutual information (RMI) and the linear and nonlinear analysis of the Pulse-Respiration Quotient (PRQ). Methods: We studied three groups of parturient women in the third trimester of pregnancy with a clinical diagnosis of preeclampsia without severe symptoms (P, 38.5 ± 1.4 weeks of pregnancy, n=19), preeclampsia with severe symptoms (SP, 37.5 ± 0.9 weeks of pregnancy, n=22), and normotensive control women (C, 39.1 ± 1.3 weeks of pregnancy, n=20). 10-minutes of abdominal electrocardiograms (ECG) and respiratory signals (RESP) were recorded in all the participants. Subsequently, we obtained the maternal beat-to-beat (RR) and breath-to-breath (BB) time series from ECG and RESP, respectively. The CRC between RR and BB was quantified by nonlinear methods based on information theory, such as MI and RMI, along with the analysis of the novel index of PRQ. Subsequently, we computed the mean PRQ (mPRQ) and the normalized permutation entropy (nPermEn_PRQ) from the PRQ time series generated from BB and RR. In addition, we examined the vagal activity in the three groups by the logarithm of the median of the distribution of the absolute values of successive RR differences (logRSA). Results: The MI and RMI values were significantly lower (p<0.05) in the preeclamptic groups compared to the control group. However, no significant differences were found between the preeclamptic groups. The logRSA and nPermEn_PRQ indices were significantly lower (p<0.05) in SP compared to C and P. Conclusion: Our data suggest that parturient women with severe and mild preeclampsia may manifest an altered cardiorespiratory coupling compared with normotensive control women. Disrupted CRC in severe preeclampsia could be associated with vagal withdrawal and less complex cardiorespiratory dynamics. The difference in vagal activity between the preeclamptic groups may suggest a further reduction in vagal activity associated with the severity of the disease. es
dc.description.sponsorship This research has been funded by Universidad Libre. es
dc.language.iso eng es
dc.publisher Frontiers in Immunology es
dc.rights openAccess es
dc.rights.uri http://creativecommons.org/licenses/by/4.0 es
dc.subject Vagal withdrawal es
dc.subject Mutual information es
dc.subject Pregnancy es
dc.subject Cardiorespiratory coupling es
dc.subject Pulse-respiration quotient es
dc.subject.classification MEDICINA Y CIENCIAS DE LA SALUD es
dc.title Changes in the autonomic cardiorespiratory activity in parturient women with severe and moderate features of preeclampsia es
dc.type Artículo es
dc.provenance Científica es
dc.road Dorada es
dc.ambito Internacional es
dc.relation.vol 2023
dc.validacion.itt No es


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  • Título
  • Changes in the autonomic cardiorespiratory activity in parturient women with severe and moderate features of preeclampsia
  • Autor
  • Pichardo Carmona, Elias Yojairi
  • Reyes-Lagos, José Javier
  • Ceballos Juárez, Rosselin Gabriela
  • Ledesma Ramírez, Claudia Ivette
  • Mendieta Zerón, Hugo
  • Peña Castillo, Miguel Ángel
  • Nsugbe, Ejay
  • Porta García, Miguel Ángel
  • Mina Paz, Yecid
  • Fecha de publicación
  • 2023-08-31
  • Editor
  • Frontiers in Immunology
  • Tipo de documento
  • Artículo
  • Palabras clave
  • Vagal withdrawal
  • Mutual information
  • Pregnancy
  • Cardiorespiratory coupling
  • Pulse-respiration quotient
  • Los documentos depositados en el Repositorio Institucional de la Universidad Autónoma del Estado de México se encuentran a disposición en Acceso Abierto bajo la licencia Creative Commons: Atribución-NoComercial-SinDerivar 4.0 Internacional (CC BY-NC-ND 4.0)

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