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Cardiac autonomic functions derived from short-term heart rate variability recordings associated with heart rate recovery after treadmill exercise test in young individuals.

作者信息

Chen Ju-Yi, Lee Yungling Leo, Tsai Wei-Chuan, Lee Cheng-Han, Chen Po-Sheng, Li Yi-Heng, Tsai Liang-Miin, Chen Jyh-Hong, Lin Li-Jen

机构信息

Division of Cardiology, Department of Internal Medicine, National Cheng Kung University Hospital, 138 Sheng-Li Road, Tainan, 704, Taiwan.

出版信息

Heart Vessels. 2011 May;26(3):282-8. doi: 10.1007/s00380-010-0048-6. Epub 2010 Oct 30.


DOI:10.1007/s00380-010-0048-6
PMID:21052688
Abstract

Analysis of short-term heart rate variability (HRV) may provide useful information about autonomic nervous control of heart rate recovery. We studied 495 individuals (273 men), age range 19-85 years, submitted to treadmill exercise tests and short-term HRV evaluations over time (standard deviation of the normal-to-normal interval [SDNN], the square root of the mean squared differences of successive normal-to-normal intervals [RMSSD], the number of interval differences of successive normal-to-normal intervals greater than 50 ms [NN50 count], the proportion derived by dividing NN50 count by the total number of normal-to-normal intervals [pNN50]) and frequency (low-frequency power [LF], high-frequency power [HF], total power) domains. Among 495 patients, 106 patients (68 men) were elderly (age ≥ 65 years). Male gender and hypertension were significantly higher in elderly patients. The young patients had higher HRR after exercise. HRR at 4 min (54 ± 13 vs 60 ± 12 beats/min; P = 0.003) was the most significant predictor for positive exercise test result. In the young group, both time domain measures (SDNN: correlation coefficient 0.34, P < 0.001; RMSSD: correlation coefficient 0.37, P < 0.001) and frequency domain measures (LF: correlation coefficient 0.21, P < 0.001; HF: correlation coefficient 0.13, P = 0.01; total power: correlation coefficient 0.22, P < 0.001) were significantly associated with HRR at 4 min. HRR at 4 min was significantly associated with short-term HRV of time and frequency domains in young individuals, but not elderly ones, receiving treadmill exercise test.

摘要

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本文引用的文献

[1]
Vascular endothelial growth factor genetic variability and coronary artery disease in Brazilian population.

Heart Vessels. 2008-11

[2]
Heart rate recovery after treadmill electrocardiographic exercise stress test and 24-hour heart rate variability in healthy individuals.

Arq Bras Cardiol. 2008-6

[3]
Power spectral analysis of heart rate variability: normal values of subjects over 60 years old.

Int J Neurosci. 2008-8

[4]
Assessment of autonomic function in cardiovascular disease: physiological basis and prognostic implications.

J Am Coll Cardiol. 2008-5-6

[5]
Functional implications of the right ventricular myocardial performance index in patients after surgical repair of tetralogy of Fallot.

Heart Vessels. 2008-3

[6]
Analysis of heart rate variability as an index of noncardiac surgical stress.

Heart Vessels. 2008-1

[7]
Evaluation of abnormal heart-rate recovery after exercise testing in patients with diabetes mellitus: correlation with myocardial SPECT and chronotropic parameters.

Nucl Med Commun. 2007-3

[8]
The role of vagal function in the risk for cardiovascular disease and mortality.

Biol Psychol. 2007-2

[9]
Weight loss improves heart rate recovery in overweight and obese men with features of the metabolic syndrome.

Am Heart J. 2006-10

[10]
Heart-rate profile during exercise as a predictor of sudden death.

N Engl J Med. 2005-5-12

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