Étude du système nerveux autonome par la variabilité de la fréquence cardiaque dans le syndrome clinique d’hyperactivité vésicale idiopathique View Full Text


Ontology type: schema:ScholarlyArticle     


Article Info

DATE

2007-12

AUTHORS

K. Hubeaux, X. Deffieux, S. S. Ismael, P. Raibaut, G. Amarenco

ABSTRACT

Plusieurs études suggèrent un dysfonctionnement du système nerveux autonome (SNA) dans le syndrome clinique d’hyperactivité vésicale idiopathique (SCHV). L’étude de la variabilité de la fréquence cardiaque instantanée (VFc) est une méthode de mesure, non invasive et validée, de l’activité du SNA. Nous avons donc appliqué cette méthode au cours du remplissage vésical dans une population témoin (femmes présentant une incontinence urinaire d’effort pure:IUE) et à des patientes présentant un SCHV idiopathique. Sept patientes IUE pure et trois patientes SCHV idiopathique ont été étudiées. L’enregistrement électrocardiographique a été réalisé sur dix minutes au repos, vessie vide, puis au cours du remplissage vésical en cystomanométrie. La VFc est étudiée par des indices fréquentiels: composés de basses fréquences, qui reflètent principalement la modulation sympathique, et de hautes fréquences, qui sont liées au système parasympathique. Dans le groupe témoin, nous n’avons observé aucune modification significative des paramètres de la VFc lors du remplissage. En revanche, dans le groupe SCHV, le contrôle neurovégétatif cardiaque est différent des témoins et varie lors du remplissage, passant d’une hypertonie parasympathique vessie vide à une hypertonie sympathique en fin de remplissage. En fin de remplissage, au moment même où la continence vésicale est assurée par le sympathique, nous observons une élévation significative du tonus sympathique (p = 0,001), associée à une baisse du tonus parasympathique cardiaque (p < 0,0001). Ces résultats évoquent un dysfonctionnement de la balance végétative dans le SCHV. More... »

PAGES

295-300

Identifiers

URI

http://scigraph.springernature.com/pub.10.1007/s11608-007-0162-9

DOI

http://dx.doi.org/10.1007/s11608-007-0162-9

DIMENSIONS

https://app.dimensions.ai/details/publication/pub.1045725407


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