Affiliations: [a] School of Medicine, Autonomous University of the State of Mexico, Toluca, Mexico | [b] “Mónica Pretelini Sáenz” Maternal-Perinatal Hospital, Health Institute of the State of Mexico, Toluca, Mexico | [c] Basic Sciences and Engineering Division, Metropolitan Autonomous University Campus Iztapalapa, Mexico City, Mexico
Correspondence:
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Corresponding author: José Javier Reyes-Lagos, Universidad Autónoma del Estado de México (UAEMéx), Facultad de Medicina, Paseo Tollocan S/N esquina con Jesús Carranza, Col. Moderna de la Cruz, C.P. 50180, Toluca de Lerdo, Estado de México, México. E-mail: jjreyesl@uaemex.mx.
Note: [1] These authors contributed equally.
Abstract: BACKGROUND: It is known that acceleration and deceleration patterns in heart rate variability (HRV) are asymmetrically distributed in healthy subjects. Accordingly, novel approaches for assessing the asymmetrical properties of HRV, such as the multiscale asymmetry (MSA), have been applied in the perinatal field. OBJECTIVE: To study the asymmetry of accelerations and decelerations of maternal short-term cardiac dynamics of thirty-six normotensive and preeclamptic women during labor/nonlabor by MSA analysis. METHODS: The RR interval time series obtained from these participants were classified into four groups: normotensive (control) without labor C-NL, n= 10; control with labor C-L, n= 10; and two preeclamptic groups with absence or presence of labor P-NL, n= 6; and P-L, n= 10, respectively. Multiscale indices of heart rate asymmetry (HRA) such as Porta (P%), Guzik (G%) and Ehlers (E) were used to explore the changes of HRA in the normotensive and preeclamptic groups in the presence or absence of labor. RESULTS: The main result of this study shows that preeclamptic women manifest decreased magnitude of decelerations of heart rate dynamics compared to normotensive women indicated by G% and E. We speculate that a lower cardiac parasympathetic response may be manifested in preeclamptic women during labor/nonlabor compared to normotensive women. CONCLUSIONS: These observations represented a new insight into the autonomic cardiovascular regulation in preeclampsia, which could contribute to the perinatal field in the future.
