Short-term HRV metrics as a method for intraoperative assessment of cardiac parasympathetic response to rapid atrial pacing

Rapid AP evokes a robust, repeatable parasympathetic response detectable using ultra-short HRV metrics-expressed as an increase in RMSSD and ΔPP. These parameters allow real-time intraoperative assessment of parasympathetic influence on the sinus node. This approach warrants validation in future studies involving CNA, atropine challenge, and ECVS.

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Publication Details

Journal
Frontiers in Physiology
Published
2026-02-26
DOI
https://doi.org/10.3389/fphys.2026.1753958
Primary Topic
Heart Rate Variability and Autonomic Control
Type
article
Field-Weighted Citation Impact
0.00
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Short-term HRV metrics as a method for intraoperative assessment of cardiac parasympathetic response to rapid atrial pacing

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Short-term HRV metrics as a method for intraoperative assessment of cardiac parasympathetic response to rapid atrial pacing

Antoni Wileczek, Krystian Josiak, Bartosz Biel, Bruno Hrymniak, Przemysław Skoczyński, Dorota Zyśko, Katarzyna Czarnecka, Waldemar Banasiak, Dariusz Jagielski, Bartosz Skonieczny
article en

Abstract

Rapid AP evokes a robust, repeatable parasympathetic response detectable using ultra-short HRV metrics-expressed as an increase in RMSSD and ΔPP. These parameters allow real-time intraoperative assessment of parasympathetic influence on the sinus node. This approach warrants validation in future studies involving CNA, atropine challenge, and ECVS.

Frontiers in PhysiologyVol. 17
Panacea Biotec (India) (IN), University of Science and Technology (YE), Military Hospital (PK), Wroclaw Medical University (PL), Ministry of Interior (IT), American Heart of Poland (PL), Action Network (US)
Openalex Percentile: Top 46%
Heart Rate Variability and Autonomic Control
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