Analysis of Heart Rate Variability in Individuals Affected by Amyotrophic Lateral Sclerosis

Author:

Maset-Roig Rosa1,Caplliure-Llopis Jordi2,de Bernardo Nieves3ORCID,Privado Jesús4,Alarcón-Jiménez Jorge3ORCID,Martín-Ruiz Julio5ORCID,Botella-Navas Marta2ORCID,Villarón-Casales Carlos6ORCID,Sancho-Cantus David2ORCID,de la Rubia Ortí José Enrique2ORCID

Affiliation:

1. Doctoral Degree School, Catholic University San Vicente Mártir, 46001 Valencia, Spain

2. Department of Nursing, Catholic University San Vicente Mártir, 46001 Valencia, Spain

3. Department of Physiotherapy, Catholic University San Vicente Mártir, 46001 Valencia, Spain

4. Department of Methodology of Behavioral Sciences, Universidad Complutense de Madrid, Campus de Somosaguas, Pozuelo de Alarcón, 28223 Madrid, Spain

5. Department of Health and Functional Evaluation, Faculty of Physical Activity and Sports Sciences, Catholic University San Vicente Mártir, 46001 Valencia, Spain

6. Biomechanics & Physiotherapy in Sports (BIOCAPS), Faculty of Health Sciences, Spain, European University of Valencia, 46001 Valencia, Spain

Abstract

Introduction: Amyotrophic lateral sclerosis (ALS) produces alterations in the autonomic nervous system (ANS), which explains the cardiac manifestations observed in patients. The assessment of heart rate variability (HRV) is what best reflects the activity of the ANS on heart rate. The Polar H7 Bluetooth® device proves to be a non-invasive and much faster technology than existing alternatives for this purpose. Objective: The goal of this study is to determine HRV using Polar H7 Bluetooth technology in ALS patients, comparing the obtained measurements with values from healthy individuals. Method: The sample consisted of 124 participants: 68 diagnosed with ALS and 56 healthy individuals. Using Polar H7 Bluetooth technology and the ELITE HRV application, various HRV measurements were determined for all participants, specifically the HRV index, RMSSD, RMSSD LN, SDNN index, PNN50, LF, HF, LF/HF ratio, HR average, and HF peak frequency. Results: Statistically significant differences were observed between ALS patients and healthy individuals in the HRV index, RMSSD, RMSSD LN, SDNN index, PNN50, HF, and LF, where healthy individuals exhibited higher scores. For the HR average, the ALS group showed a higher value. Values were similar when comparing men and women with ALS, with only a higher HF peak frequency observed in women. Conclusion: The Polar H7 Bluetooth® device is effective in determining heart rate variability alterations in ALS, being a promising prognostic tool for the disease.

Funder

Catholic University of Valencia San Vicente Mártir

Publisher

MDPI AG

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