{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,1]],"date-time":"2026-09-01T02:25:04Z","timestamp":1788229504971,"version":"build-2803163510"},"reference-count":16,"publisher":"SAGE Publications","issue":"1","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["THC"],"published-print":{"date-parts":[[2023,1,6]]},"abstract":"<jats:p>BACKGROUND: It is known that acceleration and deceleration patterns in heart rate variability (HRV) are asymmetrically distributed in healthy subjects. Accordingly, novel approaches for assessing the asymmetrical properties of HRV, such as the multiscale asymmetry (MSA), have been applied in the perinatal field. OBJECTIVE: To study the asymmetry of accelerations and decelerations of maternal short-term cardiac dynamics of thirty-six normotensive and preeclamptic women during labor\/nonlabor by MSA analysis. METHODS: The RR interval time series obtained from these participants were classified into four groups: normotensive (control) without labor C-NL, n= 10; control with labor C-L, n= 10; and two preeclamptic groups with absence or presence of labor P-NL, n= 6; and P-L, n= 10, respectively. Multiscale indices of heart rate asymmetry (HRA) such as Porta (P%), Guzik (G%) and Ehlers (E) were used to explore the changes of HRA in the normotensive and preeclamptic groups in the presence or absence of labor. RESULTS: The main result of this study shows that preeclamptic women manifest decreased magnitude of decelerations of heart rate dynamics compared to normotensive women indicated by G% and E. We speculate that a lower cardiac parasympathetic response may be manifested in preeclamptic women during labor\/nonlabor compared to normotensive women. CONCLUSIONS: These observations represented a new insight into the autonomic cardiovascular regulation in preeclampsia, which could contribute to the perinatal field in the future.<\/jats:p>","DOI":"10.3233\/thc-220042","type":"journal-article","created":{"date-parts":[[2022,7,12]],"date-time":"2022-07-12T11:54:30Z","timestamp":1657626870000},"page":"95-101","source":"Crossref","is-referenced-by-count":6,"title":["Multiscale asymmetry reveals changes in the maternal short-term heart rate dynamics of preeclamptic women during labor"],"prefix":"10.1177","volume":"31","author":[{"given":"Rosselin Gabriela","family":"Ceballos-Ju\u00e1rez","sequence":"first","affiliation":[{"name":"School of Medicine, Autonomous University of the State of Mexico, Toluca, Mexico"},{"name":"School of Medicine, Autonomous University of the State of Mexico, Toluca, Mexico"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Elias Yojairi","family":"Pichardo-Carmona","sequence":"additional","affiliation":[{"name":"School of Medicine, Autonomous University of the State of Mexico, Toluca, Mexico"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hugo","family":"Mendieta-Zer\u00f3n","sequence":"additional","affiliation":[{"name":"School of Medicine, Autonomous University of the State of Mexico, Toluca, Mexico"},{"name":"\u201cM\u00f3nica Pretelini S\u00e1enz\u201d Maternal-Perinatal Hospital, Health Institute of the State of Mexico, Toluca, Mexico"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Juan Carlos","family":"Echeverr\u00eda","sequence":"additional","affiliation":[{"name":"Basic Sciences and Engineering Division, Metropolitan Autonomous University Campus Iztapalapa, Mexico City, Mexico"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jos\u00e9 Javier","family":"Reyes-Lagos","sequence":"additional","affiliation":[{"name":"School of Medicine, Autonomous 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