DISASTER MEDICINE No. 1 •2024

https://doi.org/10.33266/2070-1004-2024-1

Original article

Dynamics of Heart Rate Variability Indicators in Emergency Medical Workers

Bolobonkina T.A.1, Minaeva N.V.1, Filimonova E.I.1, Intyakova A.S.1

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1 I.P. Pavlov Ryazan State Medical University of the Ministry of Health of Russia, Ryazan, Russian Federation

UDC 613.6.02:616.12

Pp. 39-43

Summary. The purpose of our study was to study the influence of professional activity on the functional state of the body of medical workers of emergency medical teams (SMP).
Materials and methods of research. The study involved 65 medical workers from mobile ambulance teams. The distribution of those examined by gender was 19 men and 46 women; by position – 16 doctors and 49 paramedics. The study was carried out from May to October 2021. The work schedule of the subjects was: work shift – 24 hours, rest period – 72 hours. The indicators recorded before and after work (n=46), between adjacent shifts after rest (n=23) were assessed, as well as at different periods of the year (n=16).
HRV monitoring was used as a method for objective analysis of fatigue. The choice of methodology was determined by the specifics of the work of mobile ambulance teams during the COVID-19 pandemic, which was characterized by a large number of people in need of emergency medical care with a shortage of time and personnel.
Research results and their analysis. The predominance of the activity of the parasympathetic department before work, the increased activity of sympathetic influences and the predominance of central regulatory mechanisms over autonomous ones after work were established; the greater severity of negative changes at the end of work in doctors compared with paramedics; negative dynamics of off-season indicators, confirming the persistence of negative changes in the functional state of employees.

Keywords: dynamics of indicators, emergency medical care, emergency medical workers, functional state, heart rate variability, operating mode

For citation: Bolobonkina T.A., Minaeva N.V., Filimonova E.I., Intyakova A.S. Dynamics of Heart Rate Variability Indicators in Emergency Medical Workers. Meditsina Katastrof = Disaster Medicine. 2024;1:39-43 (In Russ.). https://doi.org/10.33266/2070-1004-2024-1-39-43

 

СПИСОК ИСТОЧНИКОВ / REFERENCES

  1. Dekker JM, Crow RS, Folsom AR, et al. Low Heart Rate Variability in a 2-minute Rhythm Strip Predicts Risk of Coronary Heart Disease and Mortality from Several Causes: the ARIC Study. Atherosclerosis Risk in Communities. Circulation. 2000;102(11):1239-1244. doi:10.1161/01.cir.102.11.12397
  2. Kwon JW, Lee SB, Sung S, et al. Which Factors Affect the Stress of Intraoperative Orthopedic Surgeons by Using Electroencephalography Signals and Heart Rate Variability?. Sensors (Basel). 2021;21(12):4016. Published 2021 Jun 10. doi:10.3390/s21124016
  3. Stapelberg NJ, Hamilton-Craig I, Neumann DL, Shum DH, McConnell H. Mind and Heart: Heart Rate Variability in Major Depressive Disorder and Coronary Heart Disease – a Review and Recommendations. Aust.N.Z.J.Psychiatry. 2012;46(10):946-957. doi:10.1177/0004867412444624
  4. Järvelin-Pasanen S, Sinikallio S, Tarvainen MP. Heart Rate Variability and Occupational Stress-Systematic Review. Ind Health. 2018;56(6):500-511. doi:10.2486/indhealth.2017-0190.
  5. Thielmann B, Pohl R, Böckelmann I. Heart Rate Variability as a Strain Indicator for Psychological Stress for Emergency Physicians During Work and Alert Intervention: a Systematic Review. J Occup Med Toxicol. 2021;16(1):24. Published 2021 Jun 29. doi:10.1186/s12995-021-00313-3
  6. Schöniger C, Pyrc J, Siepmann M, Herhaus B, Petrowski K. Continuous HRV Analysis of Hems Emergency Physicians to Specify the Work Load Over the Different Working Days. Int Arch Occup Environ Health. 2020;93(4):525-533. doi:10.1007/s00420-019-01507-3
  7. Borchini R, Veronesi G, Bonzini M, Gianfagna F, Dashi O, Ferrario MM. Heart Rate Variability Frequency Domain Alterations among Healthy Nurses Exposed to Prolonged Work Stress. Int J Environ Res Public Health. 2018;15(1):113. Published 2018 Jan 11. doi:10.3390/ijerph15010113
  8. Jarczok MN, Koenig J, Wittling A, Fischer JE, Thayer JF. First Evaluation of an Index of Low Vagally-Mediated Heart Rate Variability as a Marker of Health Risks in Human Adults: Proof of Concept. J Clin Med. 2019;8(11):1940. Published 2019 Nov 11. doi:10.3390/jcm8111940
  9. Болобонкина Т. А., Дементьев А. А., Шатрова Н. В., и др. Факторы биологической природы в работе медицинских работников выездных бригад станции скорой медицинской помощи накануне пандемии новой коронавирусной инфекции (COVID-19) // Российский медико-биологический вестник имени академика И.П. Павлова. 2020. Т. 28, №3. C. 283-289.
  10. Sammito S, Böckelmann I. Analyse der Herzfrequenzvariabilität. Mathematische Basis und praktische Anwendung [Analysis of heart rate variability. Mathematical Description and Practical Application]. Herz. 2015;40 Suppl 1:76-84. doi:10.1007/s00059-014-4145-7
  11. Dobbs WC, Fedewa MV, MacDonald HV, et al. The Accuracy of Acquiring Heart Rate Variability from Portable Devices: a Systematic Review and Meta-Analysis. Sports Med. 2019;49(3):417-435. doi:10.1007/s40279-019-01061-5
  12. Schneider F, Martin J, Hapfelmeier A, Jordan D, Schneider G, Schulz CM. The Validity of Linear and Non-Linear Heart Rate Metrics as Workload Indicators of Emergency Physicians. PLoS One. 2017;12(11):e0188635. Published 2017 Nov 30. doi:10.1371/journal.pone.0188635
  13. Баевский Р. М. Анализ вариабельности сердечного ритма: история и философия, теория и практика // Клиническая информатика и телемедицина. 2004. № 1. С. 54-64.
  14. Voss A, Heitmann A, Schroeder R, Peters A, Perz S. Short-Term Heart Rate Variability–Age Dependence in Healthy Subjects. Physiol Meas. 2012;33(8):1289-1311. doi:10.1088/0967-3334/33/8/1289
  15. Umetani K, Singer DH, McCraty R, Atkinson M. Twenty-Four Hour Time Domain Heart Rate Variability and Heart Rate: Relations to Age and Gender over Nine Decades. J Am Coll Cardiol. 1998;31(3):593-601. doi:10.1016/s0735-1097(97)00554-8
  16. Болобонкина Т.А., Дементьев А.А., Шатрова Н.В. Тяжесть и напряженность трудового процесса медицинских работников выездных бригад скорой медицинской помощи в условиях модернизации здравоохранения // Наука молодых (Eruditio Juvenium). 2019. Т. 7, №4. С. 501-508.

 

The material was received 21.12.23; the article after peer review procedure 25.12.23; the Editorial Board accepted the article for publication 13.03.24
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