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Система вегетативной регуляции в остром периоде ишемического инсульта и ее влияние на реабилитационный потенциал
Система вегетативной регуляции в остром периоде ишемического инсульта и ее влияние на реабилитационный потенциал
Хасанова Д.Р., Магсумова Р.Л., Данилова Т.В. Система вегетативной регуляции в остром периоде ишемического инсульта и ее влияние на реабилитационный потенциал. Consilium Medicum. 2020 (22); 2: 13–18. DOI: 10.26442/20751753.2020.2.200030
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Аннотация
Аннотация
В статье освещены современные представления о системе вегетативной регуляции и о ее влиянии на реабилитационный потенциал у больных, перенесших острое нарушение мозгового кровообращения. Описаны такие методы исследования вегетативной нервной системы, как вариабельность сердечного ритма, вызванный кожный симпатический потенциал, тепловизионное исследование, которые возможно применить в нейрореабилитации в диагностических целях. Перспективными можно считать исследования, в которых будут разработаны алгоритмы ведения больных
с ишемическим инсультом в соответствии с их реабилитационным потенциалом с учетом типа вегетативного реагирования.
Ключевые слова: реабилитационный потенциал, система вегетативной регуляции, нейрореабилитация.
The article presents modern ideas about the system of autonomic regulation and the possibility of its influence on the rehabilitation potential in patients after stroke. The examination methods of the autonomic nervous system, such as heart rate variability, sympathetic skin response, thermal imaging research, which can be used in neurorehabilitation for diagnostic purposes, are dedicated. Studies in which algorithms for patients’s with ischemic stroke management will be developed in accordance with their rehabilitation potential, taking into account the type of autonomic response, can be considered promising.
Key words: rehabilitation potential, autonomic regulation system, neurorehabilitation.
В статье освещены современные представления о системе вегетативной регуляции и о ее влиянии на реабилитационный потенциал у больных, перенесших острое нарушение мозгового кровообращения. Описаны такие методы исследования вегетативной нервной системы, как вариабельность сердечного ритма, вызванный кожный симпатический потенциал, тепловизионное исследование, которые возможно применить в нейрореабилитации в диагностических целях. Перспективными можно считать исследования, в которых будут разработаны алгоритмы ведения больных
с ишемическим инсультом в соответствии с их реабилитационным потенциалом с учетом типа вегетативного реагирования.
Ключевые слова: реабилитационный потенциал, система вегетативной регуляции, нейрореабилитация.
________________________________________________
The article presents modern ideas about the system of autonomic regulation and the possibility of its influence on the rehabilitation potential in patients after stroke. The examination methods of the autonomic nervous system, such as heart rate variability, sympathetic skin response, thermal imaging research, which can be used in neurorehabilitation for diagnostic purposes, are dedicated. Studies in which algorithms for patients’s with ischemic stroke management will be developed in accordance with their rehabilitation potential, taking into account the type of autonomic response, can be considered promising.
Key words: rehabilitation potential, autonomic regulation system, neurorehabilitation.
Полный текст
Список литературы
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43. Ginsburg P, Bartur G, Peleg S et al. Reproducibility of heart rate variability during rest, paced breathing and light-to-moderate intense exercise in patients one month after stroke. Eur Neurol 2011; 66 (2): 117–22.
44. Lees T, Shad-Kaneez F, Simpson AM et al. Heart Rate Variability as a Biomarker for Predicting Stroke, Post-stroke Complications and Functionality. Biomark Insights. 2018; 18: 13. DOI:10.1177/1177271918786931
45. Lakusic N, Mahovic D, Babic T. Gradual recovery of impaired cardiac autonomic balance within first six months after ischemic cerebral stroke. Acta Neurol Belg 2005; 105 (1): 39–42.
46. Clark DJ, Chatterjee SA, McGuirk TE et al. Sympathetic nervous system activity measured by skin conductance quantifies the challenge of walking adaptability tasks after stroke. Gait Posture 2018; 60: 148–53.
47. Çakır T, Evcik FD, Subaşı V et al. Investigation of the H reflexes, F waves and sympathetic skin response with electromyography (EMG) in patients with stroke and the determination of the relationship with functional capacity. Acta Neurol Belg 2015; 115 (3): 295–301.
48. Linden D, Berlit P. Sympathetic skin responses (SSRs) in monofocal braim lesions: topographical aspects of central sympathetic pathways. Acta Neurol Scand 1995; 91: 372–6.
49. Fukuda H, Kitani M, Takahashi K. Body temperature correlates with functional outcome and the lesion size of cerebral infarction. Act Neurol Scand 1999; 100: 385–90.
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[Surikova I.L. The role of thermal imaging in integrated non-invasive monitoring of cerebral functions in patients with acute hemispheric stroke. Dis. … kand. med. nauk. Moscow, 2002 (in Russian).]
2. Carandang R, Seshadri S, Beiser A et al. Trends in incidence, lifetime risk, severity, and 30-day mortality of stroke over the past 50 years. JAMA 2006; 296 (24): 2939–46.
3. Gusev E.I., Skvorcova V.I. Cerebral ischemia. Moscow: Medicina, 2001 (in Russian).
4. Sacco RL, Dong C. Declining stroke incidence and improving survival in US communities: evidence for success and future challenges. JAMA 2014; 312 (3): 237–38.
5. Jauch EC, Saver JL, Adams HP et al. Guidelines for the early management of patients with acute ischemic stroke: a guideline for healthcare professionals from the American Heart Association/American Stroke Association. Stroke 2013; 44 (3): 870–947.
6. Аpanel' N. Formalized interpretation of the model of protective mechanisms of blood supply to the brain. Voennaya medicina. 2013; 4: 77–80 (in Russian).
7. Kazakov V.N., Snegir' M.A., Snegir' A.G. Ways of interaction of the nervous, endocrine and immune systems in the regulation of body functions. Arhiv klinicheskoj i eksperimental'noj mediciny. 2004; 13: 3–10 (in Russian).
8. Son A.S., Solodovnikova YU.A. The nature of autonomic disorders in the acute period of ischemic stroke. Mezhdunarodnyj nevrologicheskij zhurnal. 2010; 7 (37): 49–55 (in Russian).
9. Laowattana S, Zeger SL, Lima JA et al. Left insular stroke is associated with adverse cardiac outcome. Neurology 2006; 66: 477–83.
10. Robinson TG, James M, Youde J et al. Cardiac baroreceptorsensitivity is impaired after acute. Stroke 1997; 28: 1671–76.
11. Orlandi G, Fannucchi S, Strata G et al. Transient autonomic nervous system dysfunction during hyperacute stroke. Acta Neurol Scandinavica 2000; 102: 317–21.
12. Korpelainen JT, Sotaniemi KA, Huikuri HV et al. Abnormal heart rate variability as a manifestation of autonomic dysfunction in hemispheric brain infarction. Stroke 1996; 27: 2059–63.
13. Korpelainen JT, Sotaniemi KA, Myllylä VV. Autonomic nervous system disorders in stroke. Clin Auton Res 1999; 9 (6): 325–33.
14. Tokgozoglu SL, Batur MK, Top Uoglu MA. Effects of stroke localization on cardiac autonomic balance and sudden death. Stroke 1999; 30: 1307–11.
15. Sander D, Winbeck K, Klingelhofer J et al. Prognostic relevance of pathological sympathetic activation after acute thromboembolic stroke. Neurology 2001; 57: 833–38.
16. Colivicchi F, Bassi A, Santini M et al. Cardiac autonomic derangement and arrhythmias in right-sided stroke with insular involvement. Stroke 2004; 35: 2094–8.
17. Meyer S, Strittmatter M, Fischer C et al. Lateralization in autonomic dysfunction in ischemic stroke involving the insular cortex. Neuroreport 2004; 15: 357–61.
18. Colivicchi F, Bassi A, Santini M et al. Prognostic implications of right-sided insular damage, cardiac autonomic derangement, and arrhythmias after acute ischemic stroke. Stroke 2005; 36: 1710–5.
19. Colivicchi F, Bassi A, Santini M et al. Cardiac autonomic dysfunction and functional outcome after ischemic stroke. Eur J Neurol 2007; 14: 917–22.
20. Dutsch M, Burger M, Dofler M et al. Cardiovascular autonomic function in poststroke patients. Neurology 2007; 69: 2249–55.
21. Kwon DY, Lim HE, Park MH et al. Carotid atherosclerosis and heart rate variability in ischemic stroke. Clin Auton Res 2008; 18: 355–7.
22. McLaren A, Kerr S, Allan L et al. Autonomic function is impaired in elderly stroke survivors. Stroke 2005; 36: 1026–30.
23. Chen PL, Kuo TB, Yang CC et al. Parasympathetic activity correlates with early outcome in patients with large artery atherosclerotic stroke. J Neurol Sci 2012; 12: 57–61.
24. Xiong L, Leung HH, Chen HU et al. Preliminary findings of the effects of autonomic dysfunction on functional outcome after acute ischemic stroke. Clin Neurol Neurosurg 2012; 114: 316–20.
25. Xiong L, Leung HH, Chen HU et al. Autonomic dysfunction in different subtypes of post-acute ischemic stroke. J Neurol Sci 2014; 337: 141–6.
26. Gonchar I.A. Kardiointervalometricheskie pokazateli bol'nykh s progressiruiushchim infarktom mozga. Med. novosti. 2010; 1: 59–64 (in Russian).
27. Gonchar I.A. The state of heart rate variability in patients with progressive atherothrombotic infarction of the brain. Dal'nevostochnyj medicinskij zhurnal. 2011; 2: 12–5. (in Russian).
28. Graff B, Gąsecki D, Rojek A et al. Heart rate variability and functional outcome in ischemic stroke: a multiparameter approach. Hypertension 2013; 31 (8): 1629–36.
29. Samohvalova E.V., Fonyakin A.V., Geraskina L.A. Heart rate variability in the dynamics of the acute period of ischemic stroke and the nature of cerebral lesions. Kardiovaskulyarnaya terapiya i profilaktika (Prilozhenie). 2004; 4 (4): 338 (in Russian).
30. Samohvalova E.V., Fonyakin A.V., Geraskina L.A. Brain infarctions in the carotid system and heart rate variability depending on the lesion of the islet lobe. Nevrologicheskij zhurnal. 2006; 4: 10–5 (in Russian).
31. Vejn A.M. Vegetative-vascular dystonia. Moscow: Medicina, 2005. (in Russian)
32. De Raedt S, De Vos A, De Keyser J. Autonomic dysfunction in acute ischemic stroke: An underexplored therapeutic area? J Neurol Sci 2015; 348: 24–7.
33. Capes SE, Hunt D, Malmberg K et al. Stress hyperglycemia and prognosis of stroke in nondiabetic and diabetic patients: a systematic overview. Stroke 2001; 32: 2426–32.
34. Siccoli MM, Valko PO, Hermann DM et al. Central periodic breathing during sleep in 74 patients with acute ischemic stroke – neurogenic and cardiogenic factors. J Neurol 2008; 255: 1687–92.
35. Xu T, Yu X, Ou S et al. Efficacy and safety of very early mobilization in patients with acute stroke: a systematic review and meta-analysis. Sci Rep 2017; 7: 6550.
36. Chippala P, Sharma R. Effect of very early mobilisation on functional status in patients with acute stroke: a single-blind, randomized controlled trail. Clin Rehabil 2016; 30: 669–75.
37. Langhorne P, Wu O, Rodgers H et al. A Very Early Rehabilitation Trial after stroke (AVERT): a Phase III, multicentre, randomised controlled trial. Health Technol Assess 2017; 21 (54): 1–120.
38. Langhorne P, Wu O, Rodgers H et al. Efficacy and safety of very early mobilisation within 24 h of stroke onset (AVERT): a randomised controlled trial. Lancet 2015; 386 (9988): 46–55.
39. Petruseviciene D, Krisciūnas A. Evaluation of activity and effectiveness of occupational therapy in stroke patients at the early stage of rehabilitation. Medicina (Kaunas) 2008; 44 (3): 216–24.
40. Lauretani F, Saccavini M, Zaccaria B et al; ICR2 Group. Rehabilitation in patients affected by different types of stroke. A one-year follow-up study. Eur J Phys Rehabil Med 2010; 46 (4): 511–6.
41. Chippala P, Sharma R. Effect of very early mobilisation on functional status in patients with acute stroke: a single-blind, randomized controlled trail. Clin Rehabil 2016; 30: 669–75.
42. Utochkina I.M., Shamurov Yu.S., Mironov V.A. The prognostic value of autonomous heart deregulation in cerebral strokes. Byulleten' sibirskoj mediciny. 2008; 5: 188–92 (in Russian).
43. Ginsburg P, Bartur G, Peleg S et al. Reproducibility of heart rate variability during rest, paced breathing and light-to-moderate intense exercise in patients one month after stroke. Eur Neurol 2011; 66 (2): 117–22.
44. Lees T, Shad-Kaneez F, Simpson AM et al. Heart Rate Variability as a Biomarker for Predicting Stroke, Post-stroke Complications and Functionality. Biomark Insights. 2018; 18: 13. DOI:10.1177/1177271918786931
45. Lakusic N, Mahovic D, Babic T. Gradual recovery of impaired cardiac autonomic balance within first six months after ischemic cerebral stroke. Acta Neurol Belg 2005; 105 (1): 39–42.
46. Clark DJ, Chatterjee SA, McGuirk TE et al. Sympathetic nervous system activity measured by skin conductance quantifies the challenge of walking adaptability tasks after stroke. Gait Posture 2018; 60: 148–53.
47. Çakır T, Evcik FD, Subaşı V et al. Investigation of the H reflexes, F waves and sympathetic skin response with electromyography (EMG) in patients with stroke and the determination of the relationship with functional capacity. Acta Neurol Belg 2015; 115 (3): 295–301.
48. Linden D, Berlit P. Sympathetic skin responses (SSRs) in monofocal braim lesions: topographical aspects of central sympathetic pathways. Acta Neurol Scand 1995; 91: 372–6.
49. Fukuda H, Kitani M, Takahashi K. Body temperature correlates with functional outcome and the lesion size of cerebral infarction. Act Neurol Scand 1999; 100: 385–90.
50. Surikova I.L. The role of thermal imaging in integrated non-invasive monitoring of cerebral functions in patients with acute hemispheric stroke. Dis. … kand. med. nauk. Moscow, 2002 (in Russian).
2. Carandang R, Seshadri S, Beiser A et al. Trends in incidence, lifetime risk, severity, and 30-day mortality of stroke over the past 50 years. JAMA 2006; 296 (24): 2939–46.
3. Гусев Е.И., Скворцова В.И. Ишемия головного мозга. М.: Медицина, 2001.
[Gusev E.I., Skvorcova V.I. Cerebral ischemia. Moscow: Medicina, 2001 (in Russian).]
4. Sacco RL, Dong C. Declining stroke incidence and improving survival in US communities: evidence for success and future challenges. JAMA 2014; 312 (3): 237–38.
5. Jauch EC, Saver JL, Adams HP et al. Guidelines for the early management of patients with acute ischemic stroke: a guideline for healthcare professionals from the American Heart Association/American Stroke Association. Stroke 2013; 44 (3): 870–947.
6. Апанель Е.Н. Формализованная интерпретация модели защитных механизмов кровоснабжения мозга. Военная медицина. 2013; 4: 77–80.
[Аpanel' N. Formalized interpretation of the model of protective mechanisms of blood supply to the brain. Voennaya medicina. 2013; 4: 77–80 (in Russian).]
7. Казаков В.Н., Снегирь М.А., Снегирь А.Г. Пути взаимодействия нервной, эндокринной и иммунной систем в регуляции функций организма. Архив клинической и экспериментальной медицины. 2004; 13: 3–10.
[Kazakov V.N., Snegir' M.A., Snegir' A.G. Ways of interaction of the nervous, endocrine and immune systems in the regulation of body functions. Arhiv klinicheskoj i eksperimental'noj mediciny. 2004; 13: 3–10 (in Russian).]
8. Сон А.С., Солодовникова Ю.А. Характер вегетативных расстройств в остром периоде ишемического инсульта. Международный неврологический журнал. 2010; 7 (37): 49–55.
[Son A.S., Solodovnikova YU.A. The nature of autonomic disorders in the acute period of ischemic stroke. Mezhdunarodnyj nevrologicheskij zhurnal. 2010; 7 (37): 49–55 (in Russian).]
9. Laowattana S, Zeger SL, Lima JA et al. Left insular stroke is associated with adverse cardiac outcome. Neurology 2006; 66: 477–83.
10. Robinson TG, James M, Youde J et al. Cardiac baroreceptorsensitivity is impaired after acute. Stroke 1997; 28: 1671–76.
11. Orlandi G, Fannucchi S, Strata G et al. Transient autonomic nervous system dysfunction during hyperacute stroke. Acta Neurol Scandinavica 2000; 102: 317–21.
12. Korpelainen JT, Sotaniemi KA, Huikuri HV et al. Abnormal heart rate variability as a manifestation of autonomic dysfunction in hemispheric brain infarction. Stroke 1996; 27: 2059–63.
13. Korpelainen JT, Sotaniemi KA, Myllylä VV. Autonomic nervous system disorders in stroke. Clin Auton Res 1999; 9 (6): 325–33.
14. Tokgozoglu SL, Batur MK, Top Uoglu MA. Effects of stroke localization on cardiac autonomic balance and sudden death. Stroke 1999; 30: 1307–11.
15. Sander D, Winbeck K, Klingelhofer J et al. Prognostic relevance of pathological sympathetic activation after acute thromboembolic stroke. Neurology 2001; 57: 833–38.
16. Colivicchi F, Bassi A, Santini M et al. Cardiac autonomic derangement and arrhythmias in right-sided stroke with insular involvement. Stroke 2004; 35: 2094–8.
17. Meyer S, Strittmatter M, Fischer C et al. Lateralization in autonomic dysfunction in ischemic stroke involving the insular cortex. Neuroreport 2004; 15: 357–61.
18. Colivicchi F, Bassi A, Santini M et al. Prognostic implications of right-sided insular damage, cardiac autonomic derangement, and arrhythmias after acute ischemic stroke. Stroke 2005; 36: 1710–5.
19. Colivicchi F, Bassi A, Santini M et al. Cardiac autonomic dysfunction and functional outcome after ischemic stroke. Eur J Neurol 2007; 14: 917–22.
20. Dutsch M, Burger M, Dofler M et al. Cardiovascular autonomic function in poststroke patients. Neurology 2007; 69: 2249–55.
21. Kwon DY, Lim HE, Park MH et al. Carotid atherosclerosis and heart rate variability in ischemic stroke. Clin Auton Res 2008; 18: 355–7.
22. McLaren A, Kerr S, Allan L et al. Autonomic function is impaired in elderly stroke survivors. Stroke 2005; 36: 1026–30.
23. Chen PL, Kuo TB, Yang CC et al. Parasympathetic activity correlates with early outcome in patients with large artery atherosclerotic stroke. J Neurol Sci 2012; 12: 57–61.
24. Xiong L, Leung HH, Chen HU et al. Preliminary findings of the effects of autonomic dysfunction on functional outcome after acute ischemic stroke. Clin Neurol Neurosurg 2012; 114: 316–20.
25. Xiong L, Leung HH, Chen HU et al. Autonomic dysfunction in different subtypes of post-acute ischemic stroke. J Neurol Sci 2014; 337: 141–6.
26. Гончар И.А. Кардиоинтервалометрические показатели больных с прогрессирующим инфарктом мозга. Мед. новости. 2010; 1: 59–64.
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28. Graff B, Gąsecki D, Rojek A et al. Heart rate variability and functional outcome in ischemic stroke: a multiparameter approach. Hypertension 2013; 31 (8): 1629–36.
29. Самохвалова Е.В., Фонякин А.В., Гераскина Л.А. Вариабельность ритма сердца в динамике острого периода ишемического инсульта и характер церебрального поражения. Кардиоваскулярная терапия и профилактика (Приложение). 2004; 4 (4): 338.
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32. De Raedt S, De Vos A, De Keyser J. Autonomic dysfunction in acute ischemic stroke: An underexplored therapeutic area? J Neurol Sci 2015; 348: 24–7.
33. Capes SE, Hunt D, Malmberg K et al. Stress hyperglycemia and prognosis of stroke in nondiabetic and diabetic patients: a systematic overview. Stroke 2001; 32: 2426–32.
34. Siccoli MM, Valko PO, Hermann DM et al. Central periodic breathing during sleep in 74 patients with acute ischemic stroke – neurogenic and cardiogenic factors. J Neurol 2008; 255: 1687–92.
35. Xu T, Yu X, Ou S et al. Efficacy and safety of very early mobilization in patients with acute stroke: a systematic review and meta-analysis. Sci Rep 2017; 7: 6550.
36. Chippala P, Sharma R. Effect of very early mobilisation on functional status in patients with acute stroke: a single-blind, randomized controlled trail. Clin Rehabil 2016; 30: 669–75.
37. Langhorne P, Wu O, Rodgers H et al. A Very Early Rehabilitation Trial after stroke (AVERT): a Phase III, multicentre, randomised controlled trial. Health Technol Assess 2017; 21 (54): 1–120.
38. Langhorne P, Wu O, Rodgers H et al. Efficacy and safety of very early mobilisation within 24 h of stroke onset (AVERT): a randomised controlled trial. Lancet 2015; 386 (9988): 46–55.
39. Petruseviciene D, Krisciūnas A. Evaluation of activity and effectiveness of occupational therapy in stroke patients at the early stage of rehabilitation. Medicina (Kaunas) 2008; 44 (3): 216–24.
40. Lauretani F, Saccavini M, Zaccaria B et al; ICR2 Group. Rehabilitation in patients affected by different types of stroke. A one-year follow-up study. Eur J Phys Rehabil Med 2010; 46 (4): 511–6.
41. Chippala P, Sharma R. Effect of very early mobilisation on functional status in patients with acute stroke: a single-blind, randomized controlled trail. Clin Rehabil 2016; 30: 669–75.
42. Уточкина И.М., Шамуров Ю.С., Миронов В.А. Прогностическое значение автономной дезрегуляции сердца при церебральных инсультах. Бюллетень сибирской медицины. 2008; 5: 188–92.[Utochkina I.M., Shamurov Yu.S., Mironov V.A. The prognostic value of autonomous heart deregulation in cerebral strokes. Byulleten' sibirskoj mediciny. 2008; 5: 188–92 (in Russian).]
43. Ginsburg P, Bartur G, Peleg S et al. Reproducibility of heart rate variability during rest, paced breathing and light-to-moderate intense exercise in patients one month after stroke. Eur Neurol 2011; 66 (2): 117–22.
44. Lees T, Shad-Kaneez F, Simpson AM et al. Heart Rate Variability as a Biomarker for Predicting Stroke, Post-stroke Complications and Functionality. Biomark Insights. 2018; 18: 13. DOI:10.1177/1177271918786931
45. Lakusic N, Mahovic D, Babic T. Gradual recovery of impaired cardiac autonomic balance within first six months after ischemic cerebral stroke. Acta Neurol Belg 2005; 105 (1): 39–42.
46. Clark DJ, Chatterjee SA, McGuirk TE et al. Sympathetic nervous system activity measured by skin conductance quantifies the challenge of walking adaptability tasks after stroke. Gait Posture 2018; 60: 148–53.
47. Çakır T, Evcik FD, Subaşı V et al. Investigation of the H reflexes, F waves and sympathetic skin response with electromyography (EMG) in patients with stroke and the determination of the relationship with functional capacity. Acta Neurol Belg 2015; 115 (3): 295–301.
48. Linden D, Berlit P. Sympathetic skin responses (SSRs) in monofocal braim lesions: topographical aspects of central sympathetic pathways. Acta Neurol Scand 1995; 91: 372–6.
49. Fukuda H, Kitani M, Takahashi K. Body temperature correlates with functional outcome and the lesion size of cerebral infarction. Act Neurol Scand 1999; 100: 385–90.
50. Сурикова И.Л. Роль тепловидения в комплексном неинвазивном мониторинге церебральных функций у больных в остром периоде полушарного инсульта. Дис. … канд. мед. наук. М., 2002.
[Surikova I.L. The role of thermal imaging in integrated non-invasive monitoring of cerebral functions in patients with acute hemispheric stroke. Dis. … kand. med. nauk. Moscow, 2002 (in Russian).]
________________________________________________
2. Carandang R, Seshadri S, Beiser A et al. Trends in incidence, lifetime risk, severity, and 30-day mortality of stroke over the past 50 years. JAMA 2006; 296 (24): 2939–46.
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8. Son A.S., Solodovnikova YU.A. The nature of autonomic disorders in the acute period of ischemic stroke. Mezhdunarodnyj nevrologicheskij zhurnal. 2010; 7 (37): 49–55 (in Russian).
9. Laowattana S, Zeger SL, Lima JA et al. Left insular stroke is associated with adverse cardiac outcome. Neurology 2006; 66: 477–83.
10. Robinson TG, James M, Youde J et al. Cardiac baroreceptorsensitivity is impaired after acute. Stroke 1997; 28: 1671–76.
11. Orlandi G, Fannucchi S, Strata G et al. Transient autonomic nervous system dysfunction during hyperacute stroke. Acta Neurol Scandinavica 2000; 102: 317–21.
12. Korpelainen JT, Sotaniemi KA, Huikuri HV et al. Abnormal heart rate variability as a manifestation of autonomic dysfunction in hemispheric brain infarction. Stroke 1996; 27: 2059–63.
13. Korpelainen JT, Sotaniemi KA, Myllylä VV. Autonomic nervous system disorders in stroke. Clin Auton Res 1999; 9 (6): 325–33.
14. Tokgozoglu SL, Batur MK, Top Uoglu MA. Effects of stroke localization on cardiac autonomic balance and sudden death. Stroke 1999; 30: 1307–11.
15. Sander D, Winbeck K, Klingelhofer J et al. Prognostic relevance of pathological sympathetic activation after acute thromboembolic stroke. Neurology 2001; 57: 833–38.
16. Colivicchi F, Bassi A, Santini M et al. Cardiac autonomic derangement and arrhythmias in right-sided stroke with insular involvement. Stroke 2004; 35: 2094–8.
17. Meyer S, Strittmatter M, Fischer C et al. Lateralization in autonomic dysfunction in ischemic stroke involving the insular cortex. Neuroreport 2004; 15: 357–61.
18. Colivicchi F, Bassi A, Santini M et al. Prognostic implications of right-sided insular damage, cardiac autonomic derangement, and arrhythmias after acute ischemic stroke. Stroke 2005; 36: 1710–5.
19. Colivicchi F, Bassi A, Santini M et al. Cardiac autonomic dysfunction and functional outcome after ischemic stroke. Eur J Neurol 2007; 14: 917–22.
20. Dutsch M, Burger M, Dofler M et al. Cardiovascular autonomic function in poststroke patients. Neurology 2007; 69: 2249–55.
21. Kwon DY, Lim HE, Park MH et al. Carotid atherosclerosis and heart rate variability in ischemic stroke. Clin Auton Res 2008; 18: 355–7.
22. McLaren A, Kerr S, Allan L et al. Autonomic function is impaired in elderly stroke survivors. Stroke 2005; 36: 1026–30.
23. Chen PL, Kuo TB, Yang CC et al. Parasympathetic activity correlates with early outcome in patients with large artery atherosclerotic stroke. J Neurol Sci 2012; 12: 57–61.
24. Xiong L, Leung HH, Chen HU et al. Preliminary findings of the effects of autonomic dysfunction on functional outcome after acute ischemic stroke. Clin Neurol Neurosurg 2012; 114: 316–20.
25. Xiong L, Leung HH, Chen HU et al. Autonomic dysfunction in different subtypes of post-acute ischemic stroke. J Neurol Sci 2014; 337: 141–6.
26. Gonchar I.A. Kardiointervalometricheskie pokazateli bol'nykh s progressiruiushchim infarktom mozga. Med. novosti. 2010; 1: 59–64 (in Russian).
27. Gonchar I.A. The state of heart rate variability in patients with progressive atherothrombotic infarction of the brain. Dal'nevostochnyj medicinskij zhurnal. 2011; 2: 12–5. (in Russian).
28. Graff B, Gąsecki D, Rojek A et al. Heart rate variability and functional outcome in ischemic stroke: a multiparameter approach. Hypertension 2013; 31 (8): 1629–36.
29. Samohvalova E.V., Fonyakin A.V., Geraskina L.A. Heart rate variability in the dynamics of the acute period of ischemic stroke and the nature of cerebral lesions. Kardiovaskulyarnaya terapiya i profilaktika (Prilozhenie). 2004; 4 (4): 338 (in Russian).
30. Samohvalova E.V., Fonyakin A.V., Geraskina L.A. Brain infarctions in the carotid system and heart rate variability depending on the lesion of the islet lobe. Nevrologicheskij zhurnal. 2006; 4: 10–5 (in Russian).
31. Vejn A.M. Vegetative-vascular dystonia. Moscow: Medicina, 2005. (in Russian)
32. De Raedt S, De Vos A, De Keyser J. Autonomic dysfunction in acute ischemic stroke: An underexplored therapeutic area? J Neurol Sci 2015; 348: 24–7.
33. Capes SE, Hunt D, Malmberg K et al. Stress hyperglycemia and prognosis of stroke in nondiabetic and diabetic patients: a systematic overview. Stroke 2001; 32: 2426–32.
34. Siccoli MM, Valko PO, Hermann DM et al. Central periodic breathing during sleep in 74 patients with acute ischemic stroke – neurogenic and cardiogenic factors. J Neurol 2008; 255: 1687–92.
35. Xu T, Yu X, Ou S et al. Efficacy and safety of very early mobilization in patients with acute stroke: a systematic review and meta-analysis. Sci Rep 2017; 7: 6550.
36. Chippala P, Sharma R. Effect of very early mobilisation on functional status in patients with acute stroke: a single-blind, randomized controlled trail. Clin Rehabil 2016; 30: 669–75.
37. Langhorne P, Wu O, Rodgers H et al. A Very Early Rehabilitation Trial after stroke (AVERT): a Phase III, multicentre, randomised controlled trial. Health Technol Assess 2017; 21 (54): 1–120.
38. Langhorne P, Wu O, Rodgers H et al. Efficacy and safety of very early mobilisation within 24 h of stroke onset (AVERT): a randomised controlled trial. Lancet 2015; 386 (9988): 46–55.
39. Petruseviciene D, Krisciūnas A. Evaluation of activity and effectiveness of occupational therapy in stroke patients at the early stage of rehabilitation. Medicina (Kaunas) 2008; 44 (3): 216–24.
40. Lauretani F, Saccavini M, Zaccaria B et al; ICR2 Group. Rehabilitation in patients affected by different types of stroke. A one-year follow-up study. Eur J Phys Rehabil Med 2010; 46 (4): 511–6.
41. Chippala P, Sharma R. Effect of very early mobilisation on functional status in patients with acute stroke: a single-blind, randomized controlled trail. Clin Rehabil 2016; 30: 669–75.
42. Utochkina I.M., Shamurov Yu.S., Mironov V.A. The prognostic value of autonomous heart deregulation in cerebral strokes. Byulleten' sibirskoj mediciny. 2008; 5: 188–92 (in Russian).
43. Ginsburg P, Bartur G, Peleg S et al. Reproducibility of heart rate variability during rest, paced breathing and light-to-moderate intense exercise in patients one month after stroke. Eur Neurol 2011; 66 (2): 117–22.
44. Lees T, Shad-Kaneez F, Simpson AM et al. Heart Rate Variability as a Biomarker for Predicting Stroke, Post-stroke Complications and Functionality. Biomark Insights. 2018; 18: 13. DOI:10.1177/1177271918786931
45. Lakusic N, Mahovic D, Babic T. Gradual recovery of impaired cardiac autonomic balance within first six months after ischemic cerebral stroke. Acta Neurol Belg 2005; 105 (1): 39–42.
46. Clark DJ, Chatterjee SA, McGuirk TE et al. Sympathetic nervous system activity measured by skin conductance quantifies the challenge of walking adaptability tasks after stroke. Gait Posture 2018; 60: 148–53.
47. Çakır T, Evcik FD, Subaşı V et al. Investigation of the H reflexes, F waves and sympathetic skin response with electromyography (EMG) in patients with stroke and the determination of the relationship with functional capacity. Acta Neurol Belg 2015; 115 (3): 295–301.
48. Linden D, Berlit P. Sympathetic skin responses (SSRs) in monofocal braim lesions: topographical aspects of central sympathetic pathways. Acta Neurol Scand 1995; 91: 372–6.
49. Fukuda H, Kitani M, Takahashi K. Body temperature correlates with functional outcome and the lesion size of cerebral infarction. Act Neurol Scand 1999; 100: 385–90.
50. Surikova I.L. The role of thermal imaging in integrated non-invasive monitoring of cerebral functions in patients with acute hemispheric stroke. Dis. … kand. med. nauk. Moscow, 2002 (in Russian).
Авторы
Д.Р. Хасанова, Р.Л. Магсумова*, Т.В. Данилова
ФГБОУ ВО «Казанский государственный медицинский университет» Минздрава России, Казань, Россия;
ГАУЗ «Межрегиональный клинико-диагностический центр», Казань, Россия
*airat87@list.ru
Kazan State Medical University, Kazan, Russia;
Interregional Clinical Diagnostic Center, Kazan, Russia
*airat87@list.ru
ФГБОУ ВО «Казанский государственный медицинский университет» Минздрава России, Казань, Россия;
ГАУЗ «Межрегиональный клинико-диагностический центр», Казань, Россия
*airat87@list.ru
________________________________________________
Kazan State Medical University, Kazan, Russia;
Interregional Clinical Diagnostic Center, Kazan, Russia
*airat87@list.ru
Цель портала OmniDoctor – предоставление профессиональной информации врачам, провизорам и фармацевтам.