@article{AlbersBernsteinBrachmannetal.2016, author = {Albers, Gregory W. and Bernstein, Richard A. and Brachmann, Johannes and Camm, John and Easton, J. Donald and Fromm, Peter and Goto, Shinya and Granger, Christopher B. and Hohnloser, Stefan H. and Hylek, Elaine and Jaffer, Amir K. and Krieger, Derk W. and Passman, Rod and Pines, Jesse M. and Reed, Shelby D. and Rothwell, Peter M. and Kowey, Peter R.}, title = {Heart Rhythm Monitoring Strategies for Cryptogenic Stroke: 2015 Diagnostics and Monitoring Stroke Focus Group Report}, series = {Journal of the American Heart Association}, volume = {5}, journal = {Journal of the American Heart Association}, number = {e00294}, doi = {10.1161/JAHA.115.002944}, url = {http://nbn-resolving.de/urn:nbn:de:bvb:20-opus-165709}, pages = {1-11}, year = {2016}, abstract = {No abstract available.}, language = {en} } @article{BuchhornBaumannWillaschek2021, author = {Buchhorn, Reiner and Baumann, Christoph and Willaschek, Christian}, title = {Pathophysiological mechanisms of bradycardia in patients with anorexia nervosa}, series = {Health Science Reports}, volume = {4}, journal = {Health Science Reports}, number = {3}, doi = {10.1002/hsr2.331}, url = {http://nbn-resolving.de/urn:nbn:de:bvb:20-opus-244724}, year = {2021}, abstract = {Background The purpose of this investigation was to examine heart rate variability (HRV), interbeat interval (IBI), and their interrelationship in healthy controls, bradycardic hyperpolarization-activated cyclic nucleotide-gated channel 4 (HCN4) mutation carriers, and patients with anorexia nervosa (AN). We tested the hypothesis that neural mechanisms cause bradycardia in patients with AN. Therefore, we assumed that saturation of the HRV/IBI relationship as a consequence of sustained parasympathetic control of the sinus node is exclusively detectable in patients with AN. Methods Patients with AN between the ages of 12 and 16 years admitted to our hospital due to malnutrition were grouped and included in the present investigation (N = 20). A matched-pair group with healthy children and adolescents was created. Groups were matched for age and sex. A 24-hour Holter electrocardiography (ECG) was performed in controls and patients. More specifically, all patients underwent two 24-hour Holter ECG examinations (admission; refeeding treatment). Additionally, the IBI was recorded during the night in HCN4 mutation carriers (N = 4). HRV parameters were analyzed in 5-minute sequences during the night and plotted against mean corresponding IBI length. HRV, IBI, and their interrelationship were examined using Spearman's rank correlation analyses, Mann-Whitney U tests, and Wilcoxon signed-rank tests. Results The relationship between IBI and HRV showed signs of saturation in patients with AN. Furthermore, signs of HRV saturation were present in two HCN4 mutation carriers. In contrast, signs of HRV saturation were not present in controls. Conclusions The existence of HRV saturation does not support the existence of parasympathetically mediated bradycardia. Nonneural mechanisms, such as HCN4 downregulation, may be responsible for bradycardia and HRV saturation in patients with AN.}, language = {en} } @article{OhlmannBoemickeBehnischetal.2022, author = {Ohlmann, Brigitte and B{\"o}micke, Wolfgang and Behnisch, Rouven and Rammelsberg, Peter and Schmitter, Marc}, title = {Variability of sleep bruxism — findings from consecutive nights of monitoring}, series = {Clinical Oral Investigations}, volume = {26}, journal = {Clinical Oral Investigations}, number = {4}, issn = {1436-3771}, doi = {10.1007/s00784-021-04314-8}, url = {http://nbn-resolving.de/urn:nbn:de:bvb:20-opus-307645}, pages = {3459-3466}, year = {2022}, abstract = {Objectives To determine sleep bruxism (SB) behavior during five consecutive nights and to identify correlations between SB episodes per hour (SB index) and sleep-time masseter-muscle activity (sMMA). Material and methods Thirty-one participants were included in the study. Of these, 10 were classified as sleep bruxers (group SB-1) and nine as non-sleep bruxers (group non-SB). The bruxism status of these 19 patients was identified by means of questionnaires, an assessment of clinical symptoms, and electromyographic/electrocardiographic data (Bruxoff® device). The remaining 12 participants were also identified as bruxers, but based exclusively on data from the Bruxoff device (group SB-2). Data analysis included descriptive statistics and Spearman's correlation to assess the relationship between the SB index and sMMA. Results Participants in group SB-1 showed an overall mean SB index of 3.1 ± 1.6 and a mean total sMMA per night of 62.9 ± 38.3. Participants in group SB-2 had an overall mean SB index of 2.7 ± 1.5 and a mean total sMMA of 56.0 ± 29.3. In the non-SB group, participants showed an overall mean SB index of 0.8 ± 0.5 and a mean total sMMA of 56.8 ± 30.3. Spearman's correlation yielded values of - 0.27 to 0.71 for the correlation between sMMA and SB index. Conclusions The data revealed variable SB activity and the absence of a reliable correlation between sMMA and the SB index. Clinical relevance The high variation in SB activity and lack of correlation between sMMA and the SB index should be considered when diagnosing SB. Trial registration Clinical Trials [NIH], clinical trial no. NCT03039985.}, language = {en} }