scholarly journals Heart Rate Variability and Heart Rate Recovery as prognostic factors

2015 ◽  
Vol 88 (3) ◽  
pp. 304-309 ◽  
Author(s):  
Cosmin Grad
Keyword(s):  
Heart Rate ◽  
Heart Rate Variability ◽  
Nervous System ◽  
Heart Disease ◽  
Autonomic Nervous System ◽  
Ischemic Heart Disease ◽  
Heart Rate Recovery ◽  
Ischemic Heart ◽  
Exercise Stress ◽  
Autonomic Nervous

Background Heart rate (HR) can appear static and regular at a time at rest, during exercise or recovery after exercise. However, HR is constantly adjusted due to factors such as breathing, blood pressure control, thermoregulation and the renin-angiotensin system, leading to a more dynamic response that can be quantified using HRV (heart rate variability) . HRV is defined as the deviation in time between successive normal heart beat and is a noninvasive method to measure the total variation in a number of HR interval. HRV can serve as measure of autonomic activity of sino atrial node . The aim of the study was to determine the influence of certain clinical and paraclinical parameters on heart rate recovery after exercise in patients with ischemic heart disease and the relation with HRV using 24 h Holter monitoring.MethodsThe study included 46 patients who were subjected to cardiovascular exercise stress test and also to 24 h Holter EKG monitoring. Subjects had a mean age of 56.2±11,2 years, with a minimum of 25 and a maximum of 79 years. The study included 22 (47,8%) men and 24 (52,2%) women.  Statistical analysis was performed using MedCalc software version 14.8.1. Multivariate analysis consisted of the construction of several multiple linear regression models. A p value of 0.05 was considered statistically significant.ResultsThe HRV values (time domain) were all lower in the IHD compared with the group without coronary heart disease, even if the difference is not statistically significant. Also rest and maximal HR values were similar  but during the test varies in the sense that  those with IHD had higher values of rest and maximal  HR and lower HRR, but not statistically significant.ConclusionsHRV is a very easy and safe method if there is an available device and it is used for evaluation of the autonomic nervous system in many cardiovascular diseases, but also in other pathologies.In uncomplicated ischemic heart disease HRV is depressed, but not significant. HRR, which is also considered an indicator of the parasympathetic activityafter exercise termination, is also non-significantlly decreased in ischemic patients and the correlation between them is weak. Both HRV and HRR parameters can be easily measured, but the best algorythm of this issue requires further studies, conducted in larger patient populations. Although HRR and HRV are tools to measure the autonomic nervous system activity the relation between them need more studies to be able to quantify the arrhythmogenic risk.

scholarly journals Heart rate recovery in patients with ischemic heart disease - risk factors

2014 ◽  
Vol 87 (4) ◽  
pp. 220-225 ◽  
Author(s):  
Cosmin Grad ◽  
Dumitru Zdrenghea
Keyword(s):  
Risk Factors ◽  
Heart Rate ◽  
Nervous System ◽  
Multivariate Analysis ◽  
Heart Disease ◽  
Ischemic Heart Disease ◽  
Heart Rate Recovery ◽  
Stress Test ◽  
Ischemic Heart ◽  
Central Nervous System Dysfunction

Background and aim. Central nervous system dysfunction is associated with mortality and morbidity in patients with cardiovascular disease, post-workout recovery and faster heart rate being mediated by the dynamic interaction between the sympathetic nervous system (SNS) and the parasympathetic nervous system (PNS), as components of the autonomic nervous system. Heart rate recovery is the decline in heart rate after exercise. The aim of the study was to determine the influence of certain clinical and paraclinical parameters on heart rate recovery after exercise in patients with ischemic heart disease. Methods. The study included 260 patients who were subjected to cardiovascular stress test. The following parameters were measured in each patient: blood pressure and pulse rate prior to exercise, during exercise and at protocol-established time intervals, as well as 1 and 3 minutes after the end of the stress test. Statistical analysis was performed usingMedCalc software version 14.8.1 Results. Elderly patients had slower heart rate recovery at 1 minute after effort. Female patients have recovered significantly better the heart rate, at 1 minute and 3 minutes after effort compared to the males. This difference was maintained in multivariate analysis, independent of age or comorbidities of patients. The presence of ischemic heart disease was the most important factor independently associated with HRR1.Triglyceride values were negatively correlated with both HRR3 and HRR1 and independent of other factors present in the multivariate analysis. Conclusions. Autonomic dysfunction is involved in the development of cardiovascular risk factors like hypertension, diabetes, dyslipidemia and was directly correlated with morbidity and mortality caused by coronary heart disease.

scholarly journals Heart rate: control mechanisms, pathophysiology and assessment of the neurocardiac system in health and disease

QJM ◽  
2021 ◽  
Author(s):  
R Armstrong ◽  
P Wheen ◽  
L Brandon ◽  
A Maree ◽  
R -A Kenny
Keyword(s):  
Heart Rate ◽  
Heart Rate Variability ◽  
Nervous System ◽  
Autonomic Nervous System ◽  
Clinical Setting ◽  
Recovery Time ◽  
Heart Rate Recovery ◽  
Modern Medicine ◽  
Control Mechanisms ◽  
Autonomic Nervous

Abstract The monitoring of physiological function and dysfunction is an important principle in modern medicine. Heart rate is a basic example of this type of observation, particularly assessing the neurocardiac system, which entails the autonomic nervous system and intracardiac processes. The neurocardiac axis is an underappreciated and often overlooked system which, if measured appropriately in the clinical setting, may allow identification of patients at risk of disease progression and even mortality. While heart rate itself is a simplistic tool, more information may be gathered through assessing heart rate variability and heart rate recovery time. Studies have demonstrated an association of slow heart rate recovery and lower heart rate variability as markers of elevated sympathetic and lower parasympathetic tone. These parameters have additionally been shown to relate to development of arrhythmia, heart failure, systemic inflammatory processes, ischaemic heart disease and an increased rate of mortality. The aim of this review is to detail how heart rate is homeostatically controlled by the autonomic nervous system, how heart rate can impact on pathophysiological processes, and how heart rate variability and heart rate recovery time may be used in the clinical setting to allow the neurocardiac system to be assessed.

Efeito da manipulação vertebral sobre a modulação autonômica cardíaca

2016 ◽  
Vol 17 (5) ◽  
pp. 498
Author(s):  
Alyssa Conte Da Silva ◽  
Juliana Falcão Padilha ◽  
Jefferson Luiz Brum Marques ◽  
Cláudia Mirian De Godoy Marques
Keyword(s):  
Heart Rate ◽  
Heart Rate Variability ◽  
Nervous System ◽  
Autonomic Nervous System ◽  
Spinal Manipulation ◽  
Autonomic Modulation ◽  
Autonomic Nervous ◽  
Cardiac Autonomic Modulation

Introdução: Existem poucos estudos que evidenciam a manipulação vertebral relacionada à modulação autonômica cardíaca. Objetivo: Revisar a literatura sobre os efeitos da manipulação vertebral sobre a modulação autonômica cardíaca. Métodos: Foi realizada uma busca bibliográfica nas bases de dados da saúde Medline, Pubmed e Cinahl, no período correspondido entre setembro e novembro de 2014. Foram utilizados os descritores em inglês Spinal Manipulation, Cardiac Autonomic Modulation, Autonomic Nervous System, Heart Rate Variability, além de associações entre eles. Resultados: Foram encontrados 190 artigos, sendo excluídos 39 por serem repetidos, restando 151. Destes, 124 não se encaixaram nos critérios de inclusão e após leitura crítica e análise dos materiais foram selecionados 7 artigos. Grande parte dos estudos revelou que a manipulação da coluna, independente do segmento, demonstra alterações autonômicas, tanto em nível simpático quanto parassimpático. Conclusão: Existem diferentes metodologias para avaliação da modulação autonômica cardíaca, sendo a Variabilidade da Frequência cardíaca através do eletrocardiograma a mais utilizada. A manipulação vertebral exerceu influência, na maioria dos artigos, sobre a modulação autonômica cardíaca.Palavras-chave: manipulação da coluna, sistema nervoso autônomo, variabilidade da frequência cardíaca. 

scholarly journals Assessment of Cardiac Autonomic Nervous System Involvement in Systemic Sclerosis via Exercise Heart Rate Recovery

2014 ◽  
Vol 24 (1) ◽  
pp. 17-22 ◽  
Author(s):  
Ugur Nadir Karakulak ◽  
Sercan Okutucu ◽  
Levent Şahiner ◽  
Naresh Maharjan ◽  
Elifcan Aladag ◽  
...  
Keyword(s):  
Heart Rate ◽  
Nervous System ◽  
Autonomic Nervous System ◽  
Systemic Sclerosis ◽  
Heart Rate Recovery ◽  
Exercise Heart Rate ◽  
Cardiac Autonomic Nervous System ◽  
System Involvement ◽  
Autonomic Nervous

DIAGNOSTICS OF THE ISCHEMIC HEART DISEASE WITH THE USE OF HEART RATE VARIABILITY AND DISPERSION MAPPING OF THE MYOCARDIUM DURING STRESS-ECHOCARDIOGRAPHY

2021 ◽  
Vol 55 (5) ◽  
pp. 53-58
Author(s):  
S.V. Zhuravlev ◽  
◽  
V.N. Ardashev ◽  
E.M. Novikov ◽  
O.M. Maslennikova ◽  
...  
Keyword(s):  
Heart Rate ◽  
Heart Rate Variability ◽  
Heart Disease ◽  
Ischemic Heart Disease ◽  
Sensitivity And Specificity ◽  
Stress Echocardiography ◽  
Ischemic Heart ◽  
Diagnostic Tools ◽  
Heart Rate Variability Analysis ◽  
Variability Analysis

The authors present a stress-echocardiography (stress-echoECG) technique enhanced with dispersion mapping and heart rate variability analysis. This combination of diagnostic tools increases IHD diagnostics sensitivity and specificity to 96 and 89 % respectively.

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