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The Journal of Internal Korean Medicine 2008;29(1): 1-11. |
| 심박변이도(Heart Rate Variability) 측정을 통한 多汗症 환자의 自律神經系 기능 평가 |
| 이건영, 이형구, 정승기, 정희재 |
| 경희대학교 한의과대학 부속한방병원 알레르기호흡기내과 |
| Evaluation of Autonomic Function in Patients with Hyperhidrosis by Power Spectral
Analysis of Heart Rate Variability |
| Kun-young Lee, Hyung-koo Rhee, Sung-ki Jung, Hee-jae Jung |
| Division of Allergy & Respiratory System, Department of Internal Medicine, College of Oriental Medicine, Kyung-Hee University |
| Correspondence |
Hee-jae Jung ,Tel: 02-958-9273, Fax: 02-963-5075, Email: hanfish@khmc.or.kr
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Published online: March 30, 2008. |
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| ABSTRACT |
Objectives:
Essential hyperhidrosis is a socially and occupationally disabling disorder. There are many suggestions that hyperhidrosis is associated with the autonomic nervous system. This study was designed to investigate the autonomic nerve system the patients with hyperhidrosis.
Methods :
348 palmar and plantar hyperhidrosis patients and 20 systemic hyperhidrosis patients in the ambulatory care were investigated. All patients were inspected at the first medical examination, using the PSA of HRV. HRV was measured for 5 minutes after 5 minutes' bed rest. We checked the frequency domain analysis of HRV (i.e. TP, VLF, LF, HF and LF/HF) which were transformed into natural logarithm of patients against the standard measures of the HRV components. Then, we compared the means of patients with means and highest values of in the normal range of Koreans 1) between the patients with palmar and plantar hyperhidrosis and the healthy controls and 2) between the patients with the systemic hyperhidrosis and healthy controls, by the frequency domain analysis of heart rate variability (HRV), respectively. We then compared the results between 1) and 2).
Results:
The values of natural logarithmic measures of LF/HF ratio in the patients with palmar and plantar hyperhidrosis we examined were significantly higher than the values of healthy controls, but those in the patients with systemic hyperhidrosis were not higher.
Conclusion:
This study suggests that the autonomic nervous function did not simply increase but that the balance between sympathetic and parasympathetic nervous function did matter in patients with palmar and plantar hyperhidrosis. This balance included that the sympathetic nervous function aggravated comparatively with parasympathetic nervous function. On the other hand, we couldn't find any significance of the patients with the systemic hyperhidrosis as for the autonomic nervous function. |
| Key words:
Hyperhydrosis, Autonomic Nervous System(ANS), Heart Rate Variability(HRV) |
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