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ID 13831
Eprint ID
13831
FullText URL
Title Alternative
Heart rate response during face immersion test to evaluate autonomic nervous function : The responses of normal subjects compared to those of diabetic patients
Author
Honma, Nana
Abstract
We examined the heart rate response to face immesion in 17 normal subjects and 9 diabetics. The subjects immersed their face fully in a basin filled with ice water at 4-6℃ in a foward leaning position for 20 sec. Two-lead electrocardiogram (ECG) was continuously recorded from 20 sec before the immersion to 5 min after. The R-R intervals were measured on the recorded ECG. In the control group, heart rate response to face immesion showed 4 pahses : an initial increment after the immersion of the face (phase 1), decrease after the initial increment (phase 2), second increment after phase 2 (phase 3) and second decrease after the second increment (phase 4). Repeated face immersion test with a 10 min interval revealed reproducibility of the test. Parasympathetic blockade with atropine sulphate attenuated the pahse 2 response, suggenting that cardiac parasympathetic nerve tone increases in response to the initial increment in the heart rate due to sympathetic response. In diabetic patients, phase 2 response was reduced in patients with a shorter history of diabetes, while in patients with a longer history, heart rate response was diminishied in all phases. Therefore, heart rate response to face immersion was attenuated relative to the duration of the illness. The present study suggests that the analysis of the heart rate response to face immersion in useful as an autonomic nervous function test.
Keywords
自律神経機能検査
糖尿病性神経障害
心拍変動
Note
原著
Published Date
1994-10
Publication Title
岡山医学会雑誌
Publication Title Alternative
Journal of Okayama Medical Association
Volume
volume106
Issue
issue9-10
Publisher
岡山医学会
Publisher Alternative
Okayama Medical Association
Start Page
1003
End Page
1012
ISSN
0030-1558
NCID
AN00032489
Content Type
Journal Article
Official Url
https://www.jstage.jst.go.jp/article/joma1947/106/9-10/106_9-10_1003/_article/-char/ja/
Related Url
http://www.okayama-u.ac.jp/user/oma/index.html
language
日本語
Copyright Holders
岡山医学会
File Version
publisher
Refereed
True
Eprints Journal Name
joma