Analysis of HRV during the Menstrual Cycle and Postmenopause

Analysis of HRV during the Menstrual Cycle and Postmenopause

Kirti Rawal, Barjinder Singh Saini, Indu Saini
DOI: 10.4018/978-1-5225-0660-7.ch011
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Abstract

Every woman experiences an extensive fluctuation in HRV during her menstrual cycle and even after menopause. A woman who lives long enough will experience menopause as a normal physiologic event. The study of the influence of premenopausal and postmenopausal symptoms on HRV has not been adequate. During this period, health management is an important factor to be considered as it affects the entire quality of women life. Many women having diverse physical, behavioural as well as psychological symptoms at the time of menopause and even after the menopause. Thus, HRV analysis is an appropriate tool to examine the physiological effects of the menstrual cycle in young healthy women and the postmenopause in old women. This chapter intends to study the influence of the menstrual cycle, and postmenopause on autonomic modulation of heart with a perspective of signal processing approach.
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Background

Various studies have investigated the effects of menstrual cycle on HRV using linear methods of HRV. Mckinley et al. (2009), Sato et al. (1995), Saeki et al. (1997), Guasti et al. (1999), Yildirir et al. (2002) and Ghildiyal et al. (2011) reported that sympathetic activities were lower in the follicular phase in comparison with the luteal phase. The increase in LF/HF ratio in the luteal phase as compared to the follicular phase was also reported by Sheema et al. (2014). Baker et al. (2008) analyzed that parasympathetic activity was decreased in the late luteal phase of women with premenstrual symptoms as compared to the follicular phase. Ageing effects on HRV in the menstrual cycle was also demonstrated by Bindiya et al. (2011). Some studies such as Nakagawa et al. (2006) and Vishrutha et al. (2012) reported that time domain methods were not able to differentiate the HRV variations between different phases of the menstrual cycle.

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