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May 17, 2017Journal of Clinical NeurophysiologyOpen Access

Disruption of Brain–Heart Coupling in Sepsis

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Key result

Sepsis was associated with significantly lower variability of both heart rate and EEG relative alpha power, and a reduction of their coupled oscillations compared with controls.

Why the study?

Does sepsis alter heart rate and EEG variability and their coupling compared to controls?

Population

52 patients with sepsis (30 comatose, 22 noncomatose) and 11 control subjects

Comparison

30-minute EEG and electrocardiogram recording vs 11 control subjects

Design

Cohort

Authors

MAMarjolein M. AdmiraalLund UniversityEGEmily J. GilmoreYale UniversityMPMichel J. A. M. van PuttenLeiden University

Discussion

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Implication

Suggests neurocardiac uncoupling may serve as a noninvasive marker for sepsis.

Study Design

Type

Observational (n=63)

Structured PICO

Does sepsis alter heart rate and EEG variability and their coupling compared to controls?

P
Population
63 participants including 52 patients with sepsis (30 comatose, 22 noncomatose) and 11 control subjects.
E
Exposure
30-minute EEG and electrocardiogram recording
C
Comparator
11 control subjects
O
Outcome
Heart rate variability, EEG variability (measured by variability of relative power in a modified alpha band), and their coupled oscillationssurrogate

Sepsis is associated with reduced heart rate and EEG variability and their uncoupling, which correlates with the severity of encephalopathy.

Cite This Study

Admiraal et al. (2017) conducted an observational in Sepsis (n=63). Sepsis vs. Control subjects was evaluated on Heart rate variability, EEG variability, and their coupled oscillations. Sepsis was associated with significantly lower variability of both heart rate and EEG relative alpha power, and a reduction of their coupled oscillations compared with controls.

synapsesocial.com/papers/6a8b8ec7510c7253b5decf55https://doi.org/10.1097/wnp.0000000000000381
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Abnormal heart rate variability reflecting autonomic dysfunction in brainstem infarction1996 · 83 citations
  2. 2Uncoupling of biological oscillators1996 · 385 citations
  3. 3Heart Rate Variability in Emergency Department Patients with Sepsis2002 · 88 citations
  4. 4Uncoupling of the autonomic and cardiovascular systems in acute brain injury1998 · 197 citations
  5. 5Infraslow oscillations modulate excitability and interictal epileptic activity in the human cortex during sleep2004 · 535 citations