title: A lower level of entropy in circadian rhythm of the sinus R-R intervals suggests a prevalence of the cardiac sympathetic regulation in early physiological pregnancy.
abstract: The study estimates the unpredictable disorder (chaos) within the 24 h pattern of sinus R-R intervals (SRRI) in clinically healthy pregnant women (CHPW) and clinically healthy non-pregnant women (CHNPW), in order to evaluate the early gestational changes in neurovegetative cardiac pacing. SRRI were provided by the 24-h Holter ECG of 10 CHPW and 10 CHNPW. SRRI were investigated by descriptive conventional statistics by means of the Time and Frequency Domain Analysis, and subsequently, in their chaotic component by means of entropy analysis. Both the SRRI and entropy were tested via the Cosinor method to better decipher whether or not the periodic disorder in heart rate variability is modified in pregnancy as a result of a gestational tonic resetting of the cardiac sympatho-vagal regulation. Cosinor analysis documented that the circadian rhythm of both the SRRI and entropy were preserved in CHNPW and CHPW. However, the circadian rhythm of SRRI and entropy in CHPW exhibited a significantly decreased 24 h mean. Via the analysis of the rhythmicity of entropy, this study has documented that the chaos in the 24 h pattern of SRRI is less prominent in CHPW than in CHNPW. Such a reduction of level in the deterministic periodic chaos of heart rate variability provides evidence that, in early pregnancy, a tonic elevation of the sympathetic activity regulates cardiac pacing.
authors.affiliation: Department of Clinical Sciences, 1st Faculty of Medicine, University of Rome La Sapienza, Rome, Italy. mario.curione@uniroma1.it
authors.forename: M
authors.initials: M
authors.lastname: Curione
authors.forename: P
authors.initials: P
authors.lastname: Cugini
authors.forename: A
authors.initials: A
authors.lastname: Napoli
authors.forename: A
authors.initials: A
authors.lastname: Colatrella
authors.forename: S
authors.initials: S
authors.lastname: Di Bona
authors.forename: C
authors.initials: C
authors.lastname: Cammarota
authors.forename: S
authors.initials: S
authors.lastname: Amato
authors.forename: C
authors.initials: C
authors.lastname: Castro
authors.forename: F
authors.initials: F
authors.lastname: Fallucca
mesh_terms: D000328:Adult; D002940:Circadian Rhythm / Q000502:physiology*; D015716:Electrocardiography, Ambulatory; D019277:Entropy; D005260:Female; D006321:Heart / Q000294:innervation; D006339:Heart Rate / Q000502:physiology*; D006801:Humans; D011247:Pregnancy; D011261:Pregnancy Trimester, First / Q000502:physiology*; D013564:Sympathetic Nervous System / Q000502:physiology*