Dar, Muhammad Abass, Charak, Garima, Var, Nazir Ahmad, Naik, Saboor Ahmad, Qadir, Muneeb, Azad, Ahmar Javid, Siddiqqi, Kashif Naem, Wani, Mudasir Ahmad, Prakash, Ved, and Abbass, Adil
Background: This research examined autonomic dysfunction in heart rate variability and spectral disturbances in COPD patients. The research included 100 COPD patients and 100 healthy as control. The research covered Mild & Moderate COPD patients. Excludes severe and very severe COPD patients also avoided sand miners and passive smokers. Study used case-control design. The result revealed that COPD sufferers had a lower FEV1% (1.90.39) than controls. COPD patients had a lower FVC% (56.428.41) than controls. COPD sufferers had a 2.750.62 higher RV (L) than controls. COPD sufferers had a 2.750.62 higher TLC (L) than controls. Cases and controls HRV and frequency parameters (LF/HF) ratio shows a considerable difference, although LF nu and HF nu indicate no difference. A high ratio of low to high frequency activity indicates parasympathetic activation. Comparing Time Domain Parameters, HRV of Cases and Controls, the mean RR interval of the control group appears to rise, giving the appearance that the smaller mean RR interval in cases reflects a fast heart rate due to a shift toward sympathetic activity. COPD patients have lower HRV, which indicates ANS dysfunction with sympathetic hyperactivity. Regulated breathing increases parasympathetic activity and HRV, although not much. So the study will try to show that weather controlled breathing slow and deep will affect the ANS controlling of the heart variables are not. Materials & Methods: Research techniques are methods for tackling research problems in an organized and methodical manner. Researchers employ a range of procedures, including interviews, observation, and observational data collection, to obtain new information from the subject. To achieve our research objectives, the researcher used an evaluative strategy. This study was duration based case control study, carried out for a period of one year on clinically confirmed cases of COPD patients visiting OPD and in patients at Index Medical College & Hospital in Indore. A total of 200 subjects are recruited, 100 COPD patients as interventional and 100 healthy as controls. Easy on PC programme was used to get the flow volume curve, analyze it, and determine the % expected value for FEV1 and FVC. All patients had their FEV1 and FVC measured, and all COPD patients had their FEV1% computed using the GOLD standard criteria. HRV was analyzed by using the VarioWin-HR analysis programme. Results: The chosen studies found a substantial drop in HRV in COPD patients, as measured by indices that evaluate parasympathetic activity in addition to dealing with global autonomic regulation. We also discovered that supervised exercise may help COPD patients decrease these negative consequences. Pulmonary function result reveals that FEV1 was found to be less in COPD cases. FEV1 % was found to be less in COPD cases. FVC % was found to be less in COPD cases. RV (L) was found to be greater than in COPD cases. TLC (L) was found to be greater than in COPD cases. TLC (L) was found to be greater than in COPD cases. In comparison to healthy people, COPD patients had a faster heart rate (p 0.05) and lower average NN, SDNN, RMSSD, pNN50, HF, LF, and TP (all p 0.05), but a comparable QTc interval (p = 0.185). SDNN and TP (both p 0.05) rose throughout rehabilitation, as did the outcomes of the 6MWT, ISWT, and SGRQ (both p 0.05). Conclusion: Following regulated breathing, there is a little increase in parasympathetic activity and a rise in HRV, although these effects are not statistically significant. As a consequence, it is difficult to determine if regulated breathing had any effect on this study. Regularly practised controlled, slow, and deep breathing improves ANS control of HR. [ABSTRACT FROM AUTHOR]