@article{10.11648/j.aap.20261102.11,
  author = {Abdou Khadir Sow and Joseph Salvador Mingou and Mor Diaw and Mouhammadou Hady Dieng and Binta Thiaw Ann and Fatou Ndoye and Mame Saloum Coly and Awa Ba and Salimata Diagne Houndjo and Maimouna Toure and Fabienne Bregeon and Stephane Delliaux and Abdoulaye Ba},
  title = {Evaluation of the Cardiac Autonomic Control of Patients with Arterial Hypertension},
  journal = {Advances in Applied Physiology},
  volume = {11},
  number = {2},
  pages = {18-25},
  doi = {10.11648/j.aap.20261102.11},
  url = {https://doi.org/10.11648/j.aap.20261102.11},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.aap.20261102.11},
  abstract = {Background: Hypertension remains the most prevalent risk factor for cardiovascular diseases (CVD). Scientific literature had found a dysregulation of heart by autonomic nervous system in hypertensive patients. Objective: Our objective was to evaluate the autonomic nervous control of hypertensive Senegalese patients. Methods: This was a cross-sectional evaluating the autonomic nervous control of hypertensive patients by continuous recording of heart rate, in standing and lying position, using a Holter Shiller AR4Plus® ECG. Exporting the RR duration and it’s incorporating it into the Kubios HRV Standard software made it possible to obtain the HRV parameters. HRV parameters were classified according reference values. Results: A total of 29 patients aged between 46 and 86 years were included in our study, and 21 of them were women. Controlled patients represented 27% of our population study and were, according to the use of beta-blockers, compared with patients not controlled. At rest, parasympathetic tone was found to be low in some patients. The sympathovagal balance was within normal limits except for some uncontrolled patients under beta-blockers. In orthostatic position, a significant decrease was noted in the parasympathetic tone while LF did not vary significantly. However, uncontrolled patients had a significantly higher LF in orthostatic position. But they did not show significant variation in their parameters while standing, unlike patients with good blood pressure control. Conclusion: Our results suggests that the functioning of the arterial baroreflex, which is the starting point of autonomic responses destined for the heart, is altered with rising blood pressure values.},
 year = {2026}
}

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TY  - JOUR
T1  - Evaluation of the Cardiac Autonomic Control of Patients with Arterial Hypertension
AU  - Abdou Khadir Sow
AU  - Joseph Salvador Mingou
AU  - Mor Diaw
AU  - Mouhammadou Hady Dieng
AU  - Binta Thiaw Ann
AU  - Fatou Ndoye
AU  - Mame Saloum Coly
AU  - Awa Ba
AU  - Salimata Diagne Houndjo
AU  - Maimouna Toure
AU  - Fabienne Bregeon
AU  - Stephane Delliaux
AU  - Abdoulaye Ba
Y1  - 2026/09/20
PY  - 2026
N1  - https://doi.org/10.11648/j.aap.20261102.11
DO  - 10.11648/j.aap.20261102.11
T2  - Advances in Applied Physiology
JF  - Advances in Applied Physiology
JO  - Advances in Applied Physiology
SP  - 18
EP  - 25
PB  - Science Publishing Group
SN  - 2471-9714
UR  - https://doi.org/10.11648/j.aap.20261102.11
AB  - Background: Hypertension remains the most prevalent risk factor for cardiovascular diseases (CVD). Scientific literature had found a dysregulation of heart by autonomic nervous system in hypertensive patients. Objective: Our objective was to evaluate the autonomic nervous control of hypertensive Senegalese patients. Methods: This was a cross-sectional evaluating the autonomic nervous control of hypertensive patients by continuous recording of heart rate, in standing and lying position, using a Holter Shiller AR4Plus® ECG. Exporting the RR duration and it’s incorporating it into the Kubios HRV Standard software made it possible to obtain the HRV parameters. HRV parameters were classified according reference values. Results: A total of 29 patients aged between 46 and 86 years were included in our study, and 21 of them were women. Controlled patients represented 27% of our population study and were, according to the use of beta-blockers, compared with patients not controlled. At rest, parasympathetic tone was found to be low in some patients. The sympathovagal balance was within normal limits except for some uncontrolled patients under beta-blockers. In orthostatic position, a significant decrease was noted in the parasympathetic tone while LF did not vary significantly. However, uncontrolled patients had a significantly higher LF in orthostatic position. But they did not show significant variation in their parameters while standing, unlike patients with good blood pressure control. Conclusion: Our results suggests that the functioning of the arterial baroreflex, which is the starting point of autonomic responses destined for the heart, is altered with rising blood pressure values.
VL  - 11
IS  - 2
ER  - 

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