Evaluation of autonomic nervous function in patients with essential hypertension complicated with peptic ulcer

Background and Aims : The relationship between peptic ulcer, autonomic activity and the incidence of Helicobacter pylori infection in untreated hypertensive patients complicated with peptic ulcer were evaluated. Methods : Ten hypertensive patients with peptic ulcer (HT‐PU group), 15 untreated essent...

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Veröffentlicht in:Journal of gastroenterology and hepatology 2000-01, Vol.15 (1), p.40-44
Hauptverfasser: Yukinaka, Michiko, Nomura, Masahiro, Saijyo, Tetsuya, Nada, Tomomi, Miyajima, Hitoshi, Kondo, Yuki, Saito, Ken, Nakaya, Yutaka, Ito, Susumu
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container_end_page 44
container_issue 1
container_start_page 40
container_title Journal of gastroenterology and hepatology
container_volume 15
creator Yukinaka, Michiko
Nomura, Masahiro
Saijyo, Tetsuya
Nada, Tomomi
Miyajima, Hitoshi
Kondo, Yuki
Saito, Ken
Nakaya, Yutaka
Ito, Susumu
description Background and Aims : The relationship between peptic ulcer, autonomic activity and the incidence of Helicobacter pylori infection in untreated hypertensive patients complicated with peptic ulcer were evaluated. Methods : Ten hypertensive patients with peptic ulcer (HT‐PU group), 15 untreated essential hypertensive patients without peptic ulcer (HT group) and 10 normal subjects (N group) were enrolled, and a power spectral analysis was performed in each subject. A biopsy urease test was used to detect infection by H. pylori. Results : No significant differences were observed in the values of mean low‐frequency (LF) power between the three groups. However, the mean high‐frequency (HF) power in the HT‐PU group was significantly greater than those of the HT and N groups (P < 0.01). The mean LF/HF ratios in the HT‐PU and HT groups were significantly greater than that of the N group (P < 0.01). With respect to H. pylori infection, no significant differences between the three groups were observed. Sympathetic activity (LF power) was increased in the HT and HT‐PU groups. Furthermore, parasympathetic activity (HF power) was increased in the HT‐PU group. Conclusions : These findings suggest the participation of increased parasympathetic activity in peptic ulcer patients. Therefore, it is suggested that new techniques, such as spectral analysis of heart rate variability, as used in this study, will clarify the relationship between peptic ulcer and autonomic nervous function.
doi_str_mv 10.1046/j.1440-1746.2000.02052.x
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Methods : Ten hypertensive patients with peptic ulcer (HT‐PU group), 15 untreated essential hypertensive patients without peptic ulcer (HT group) and 10 normal subjects (N group) were enrolled, and a power spectral analysis was performed in each subject. A biopsy urease test was used to detect infection by H. pylori. Results : No significant differences were observed in the values of mean low‐frequency (LF) power between the three groups. However, the mean high‐frequency (HF) power in the HT‐PU group was significantly greater than those of the HT and N groups (P &lt; 0.01). The mean LF/HF ratios in the HT‐PU and HT groups were significantly greater than that of the N group (P &lt; 0.01). With respect to H. pylori infection, no significant differences between the three groups were observed. Sympathetic activity (LF power) was increased in the HT and HT‐PU groups. Furthermore, parasympathetic activity (HF power) was increased in the HT‐PU group. Conclusions : These findings suggest the participation of increased parasympathetic activity in peptic ulcer patients. Therefore, it is suggested that new techniques, such as spectral analysis of heart rate variability, as used in this study, will clarify the relationship between peptic ulcer and autonomic nervous function.</description><identifier>ISSN: 0815-9319</identifier><identifier>EISSN: 1440-1746</identifier><identifier>DOI: 10.1046/j.1440-1746.2000.02052.x</identifier><identifier>PMID: 10719746</identifier><language>eng</language><publisher>Melbourne, Australia: Blackwell Science Pty</publisher><subject>Arterial hypertension. Arterial hypotension ; autonomic nervous function ; Autonomic Nervous System - physiopathology ; Biological and medical sciences ; Blood and lymphatic vessels ; Cardiology. Vascular system ; Circadian Rhythm ; Clinical manifestations. Epidemiology. Investigative techniques. 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Methods : Ten hypertensive patients with peptic ulcer (HT‐PU group), 15 untreated essential hypertensive patients without peptic ulcer (HT group) and 10 normal subjects (N group) were enrolled, and a power spectral analysis was performed in each subject. A biopsy urease test was used to detect infection by H. pylori. Results : No significant differences were observed in the values of mean low‐frequency (LF) power between the three groups. However, the mean high‐frequency (HF) power in the HT‐PU group was significantly greater than those of the HT and N groups (P &lt; 0.01). The mean LF/HF ratios in the HT‐PU and HT groups were significantly greater than that of the N group (P &lt; 0.01). With respect to H. pylori infection, no significant differences between the three groups were observed. Sympathetic activity (LF power) was increased in the HT and HT‐PU groups. Furthermore, parasympathetic activity (HF power) was increased in the HT‐PU group. Conclusions : These findings suggest the participation of increased parasympathetic activity in peptic ulcer patients. Therefore, it is suggested that new techniques, such as spectral analysis of heart rate variability, as used in this study, will clarify the relationship between peptic ulcer and autonomic nervous function.</description><subject>Arterial hypertension. Arterial hypotension</subject><subject>autonomic nervous function</subject><subject>Autonomic Nervous System - physiopathology</subject><subject>Biological and medical sciences</subject><subject>Blood and lymphatic vessels</subject><subject>Cardiology. Vascular system</subject><subject>Circadian Rhythm</subject><subject>Clinical manifestations. Epidemiology. Investigative techniques. Etiology</subject><subject>Electrocardiography, Ambulatory - methods</subject><subject>essential hypertension</subject><subject>Female</subject><subject>Heart Rate - physiology</subject><subject>heart rate variability</subject><subject>Helicobacter Infections - complications</subject><subject>Helicobacter Infections - microbiology</subject><subject>Helicobacter Infections - physiopathology</subject><subject>Helicobacter pylori - isolation &amp; purification</subject><subject>Humans</subject><subject>Hypertension - complications</subject><subject>Hypertension - physiopathology</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>peptic ulcer</subject><subject>Peptic Ulcer - complications</subject><subject>Peptic Ulcer - microbiology</subject><subject>Peptic Ulcer - physiopathology</subject><subject>Reference Values</subject><subject>Signal Processing, Computer-Assisted</subject><issn>0815-9319</issn><issn>1440-1746</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2000</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqNkMFu1DAQhi0EokvhFVAOiFuCHSdxfOCAqu4upSpSBerRmnjHqpfECXbS7r49TrMqHJEs2aP5_hn5IyRhNGO0qD7tM1YUNGWiqLKcUprRnJZ5dnhBVs-Nl2RFa1amkjN5Rt6EsI9gQUX5mpwxKpiMzIq4ywdoJxht75LeJDCNves7qxOH_qGfQmImp5-61iVD5NCNIXm0432CIcTCQpvcHwf0I7owc7rvhtZqGHG3cAMOYxw4tRr9W_LKQBvw3ek-Jz_Xlz8utun1983Xiy_XqS54nqeYGyaqqgCOdYHM5EYyaSiFeErZgBay4mXDmYGdgIqVWJq60RwY5I0Bwc_Jx2Xu4PvfE4ZRdTZobFtwGH-lBJUVFXQG6wXUvg_Bo1GDtx34o2JUza7VXs1K1axUza7Vk2t1iNH3px1T0-Hun-AiNwIfTgAEDa3x4LQNfzley0LO2OcFe7QtHv97v7rabOdXzKdL3oYRD8958L9UJbgo1d3NRt1uv13d3K3X6pb_ATcIrCg</recordid><startdate>200001</startdate><enddate>200001</enddate><creator>Yukinaka, Michiko</creator><creator>Nomura, Masahiro</creator><creator>Saijyo, Tetsuya</creator><creator>Nada, Tomomi</creator><creator>Miyajima, Hitoshi</creator><creator>Kondo, Yuki</creator><creator>Saito, Ken</creator><creator>Nakaya, Yutaka</creator><creator>Ito, Susumu</creator><general>Blackwell Science Pty</general><general>Blackwell Science</general><scope>BSCLL</scope><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>200001</creationdate><title>Evaluation of autonomic nervous function in patients with essential hypertension complicated with peptic ulcer</title><author>Yukinaka, Michiko ; Nomura, Masahiro ; Saijyo, Tetsuya ; Nada, Tomomi ; Miyajima, Hitoshi ; Kondo, Yuki ; Saito, Ken ; Nakaya, Yutaka ; Ito, Susumu</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c4322-e2f17664a3e84e1f2f919f00a00a59bac79635b31fad7a615e5f8bc3a1a2bfa73</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2000</creationdate><topic>Arterial hypertension. 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Methods : Ten hypertensive patients with peptic ulcer (HT‐PU group), 15 untreated essential hypertensive patients without peptic ulcer (HT group) and 10 normal subjects (N group) were enrolled, and a power spectral analysis was performed in each subject. A biopsy urease test was used to detect infection by H. pylori. Results : No significant differences were observed in the values of mean low‐frequency (LF) power between the three groups. However, the mean high‐frequency (HF) power in the HT‐PU group was significantly greater than those of the HT and N groups (P &lt; 0.01). The mean LF/HF ratios in the HT‐PU and HT groups were significantly greater than that of the N group (P &lt; 0.01). With respect to H. pylori infection, no significant differences between the three groups were observed. Sympathetic activity (LF power) was increased in the HT and HT‐PU groups. Furthermore, parasympathetic activity (HF power) was increased in the HT‐PU group. Conclusions : These findings suggest the participation of increased parasympathetic activity in peptic ulcer patients. Therefore, it is suggested that new techniques, such as spectral analysis of heart rate variability, as used in this study, will clarify the relationship between peptic ulcer and autonomic nervous function.</abstract><cop>Melbourne, Australia</cop><pub>Blackwell Science Pty</pub><pmid>10719746</pmid><doi>10.1046/j.1440-1746.2000.02052.x</doi><tpages>5</tpages></addata></record>
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source Wiley Online Library - AutoHoldings Journals; MEDLINE
subjects Arterial hypertension. Arterial hypotension
autonomic nervous function
Autonomic Nervous System - physiopathology
Biological and medical sciences
Blood and lymphatic vessels
Cardiology. Vascular system
Circadian Rhythm
Clinical manifestations. Epidemiology. Investigative techniques. Etiology
Electrocardiography, Ambulatory - methods
essential hypertension
Female
Heart Rate - physiology
heart rate variability
Helicobacter Infections - complications
Helicobacter Infections - microbiology
Helicobacter Infections - physiopathology
Helicobacter pylori - isolation & purification
Humans
Hypertension - complications
Hypertension - physiopathology
Male
Medical sciences
Middle Aged
peptic ulcer
Peptic Ulcer - complications
Peptic Ulcer - microbiology
Peptic Ulcer - physiopathology
Reference Values
Signal Processing, Computer-Assisted
title Evaluation of autonomic nervous function in patients with essential hypertension complicated with peptic ulcer
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