ALTERED AUTONOMIC BALANCE IN NORMAL TENSION GLAUCOMA
DOI:
https://doi.org/10.22159/ajpcr.2017.v10i2.15001Abstract
Objective: To study autonomic imbalance if any in normal tension glaucoma (NTG)patients by heart rate variability (HRV)and head-up tilt (HUT)test.
Methods: The study subjects of age between 45 and 65 years of either sex comprised 20 patients with NTG (Group ІІ)and 20 age- and sex-matched healthy controls (Group І). Different variables of time and frequency domain of HRV were analyzed at rest, during HUT and the recovery period.
Results: Highly significant decrease in value of root mean square successive difference observed in Group ІІ (p<0.000)in comparison to controls. The high-frequency variables (HF [nu]and HF [ms2])were significantly less (p<0.000)and low frequency (LF)/HF ratio was significantly high (p<0.000) in Group ІІ.
Conclusion: During stress test, i.e., HUT there was the greater withdrawal of parasympathetic input to heart; hence, there was relatively over
sympathetic activity due to sympatho-vagal imbalance.
Keywords: Stress test, Sympatho-vagal imbalance, Autonomic function test.
Downloads
References
Leske MC. Open-angle glaucoma - An epidemiologic overview.
Ophthalmic Epidemiol 2007;14(4):166-72.
Kumarswamy NA, Lam FS, Wang AL, Theoharides TC. Glaucoma: Current and developing concepts for inflammation, pathogenesis and treatment. Eur J Inflamm 2006;4(3):129-37.
Shields MB. Textbook of Glaucoma. 3rd ed. Baltimore: Williams and
Wilkins, Lippincott; 1984.
Flammer J, Pache M, Resink T. Vasospasm, its role in the pathogenesis of diseases with particular reference to the eye. Prog Retin
Eye Res 2001;20(3):319-49.
Flammer J, Mozaffarieh M. Autoregulation, a balancing act between supply and demand. Can J Ophthalmol 2008;43(3):317-21.
Gasser P. Ocular vasospasm: A risk factor in the pathogenesis of low-tension glaucoma. Int Ophthalmol 1989;13(4):281-90.
Gugleta K, Orgül S, Hasler P, Flammer J. Circulatory response to blood gas perturbations in vasospasm. Invest Ophthalmol Vis Sci
;46(9):3288-94.
Nicolela MT, Ferrier SN, Morrison CA, Archibald ML, LeVatte TL, Wallace K, et al. Effects of cold-induced vasospasm in glaucoma: The role of endothelin-1. Invest Ophthalmol Vis Sci 2003;44(6):2565-72.
Pagani M, Lombardi F, Guzzetti S, Rimoldi O, Furlan R, Pizzinelli P, et al.
Power spectral analysis of heart rate and arterial pressure variabilities as a marker of sympatho-vagal interaction in man and conscious dog. Circ Res 1986;59(2):178-93.
Goldberger JJ. Sympathovagal balance: How should we measure it?
Am J Physiol 1999;276(4 Pt 2):H1273-80.
Kenny RA, Ingram A, Bayliss J, Sutton R. Head-up tilt: A useful test for investigating unexplained syncope. Lancet 1986;1(8494):1352-5.
Gherghel D, Hosking SL, Armstrong R, Cunliffe IA. Autonomic dysfunction in unselected and untreated primary open angle glaucoma patients: A pilot study. Ophthalmic Physiol Opt 2007;27(4):336-41.
Sharma P, Paudel BH, Singh PN, Limbu P. Heart rate variability: Response to graded head up tilt in healthy men. Kathmandu Univ Med J (KUMJ)2009;7(27):252-7.
Brown SJ, Raman A, Barnes MJ, Mündel T. Autonomic cardiovascular response to acute hypoxia and passive head-up tilting in humans. Eur J Appl Physiol 2013;113(7):1731-6.
Kouakam C, Lacroix D, Zghal N, Logier R, Klug D, Le Franc P, et al. Inadequate sympathovagal balance in response to orthostatism in patients with unexplained syncope and a positive head up tilt test. Heart
;82(3):312-8.
Published
How to Cite
Issue
Section
The publication is licensed under CC By and is open access. Copyright is with author and allowed to retain publishing rights without restrictions.