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Work ability assessment and its relationship with cardiovascular autonomic profile in postural orthostatic tachycardia syndrome

dc.contributor.authorBarbic, Franca
dc.contributor.authorMinonzio, Maura
dc.contributor.authorCairo, Beatrice
dc.contributor.authorShiffer, Dana
dc.contributor.authorZamunér, Antonio
dc.contributor.authorCavalieri, Silvia
dc.contributor.authorDipaola, Franca
dc.contributor.authorMagnavita, Nicola
dc.contributor.authorPorta, Alberto
dc.contributor.authorFurlan, Raffaello
dc.date.accessioned2020-12-04T12:49:18Z
dc.date.available2020-12-04T12:49:18Z
dc.date.issued2020
dc.identifier.urihttp://repositorio.ucm.cl/handle/ucm/3316
dc.description.abstractPostural orthostatic tachycardia syndrome (POTS) negatively impacts quality of life. The excessive increase in cardiac sympathetic modulation during standing, which characterizes POTS patients, leads to many symptoms and signs of orthostatic intolerance. Little is known about the consequences of the disease on work performance and its relationship with individual autonomic profiles. Twenty-two POTS patients regularly engaged in working activity (20 females, age 36 ± 12 years) and 18 gender- and age-matched controls underwent a clinical evaluation and filled out the Work Ability Index (WAI) questionnaire. POTS patients completed the Composite Autonomic Symptom Score (COMPASS31) questionnaire, underwent continuous electrocardiogram, blood pressure and respiratory activity recordings while supine and during a 75° head-up tilt (HUT). A power spectrum analysis provided the index of cardiac sympatho-vagal balance (LF/HF). WAI scores were significantly reduced in POTS patients (29.84 ± 1.40) compared to controls (45.63 ± 0.53, p < 0.01). A significant inverse correlation was found between individual WAI and COMPASS31 scores (r = −0.46; p = 0.03), HUT increase in heart rate (r = −0.57; p = 0.01) and LF/HF (r = −0.55; p = 0.01). In POTS patients, the WAI scores were inversely correlated to the intensity of autonomic symptoms and to the excessive cardiac sympathetic activation induced by the gravitational stimulus.es_CL
dc.language.isoenes_CL
dc.rightsAtribución-NoComercial-SinDerivadas 3.0 Chile*
dc.rights.urihttp://creativecommons.org/licenses/by-nc-nd/3.0/cl/*
dc.sourceInternational Journal of Environmental Research and Public Health, 17(21), 7836es_CL
dc.subjectAutonomic nervous systemes_CL
dc.subjectHeart rate variabilityes_CL
dc.subjectArterial pressurees_CL
dc.subjectBaroreflexes_CL
dc.subjectSpectral analysises_CL
dc.subjectHead-up tiltes_CL
dc.subjectWork abilityes_CL
dc.titleWork ability assessment and its relationship with cardiovascular autonomic profile in postural orthostatic tachycardia syndromees_CL
dc.typeArticlees_CL
dc.ucm.facultadFacultad de Ciencias de la Saludes_CL
dc.ucm.indexacionScopuses_CL
dc.ucm.indexacionIsies_CL
dc.ucm.doidoi.org/10.3390/ijerph17217836es_CL


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