Source:http://linkedlifedata.com/resource/pubmed/id/15754838
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rdf:type | |
lifeskim:mentions | |
pubmed:dateCreated |
2005-3-9
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pubmed:abstractText |
Autonomic activity is important in the pathophysiology of neurally mediated syncope (NMS) patients diagnosed by the head-up tilt (HUT) test, and prolonged systole induced by HUT is associated with a malignant vasovagal syndrome. This study investigated whether or not daily autonomic activity evaluated by heart rate variability (HRV) assessed through 24-hour ambulatory ECG monitoring was augumented in HUT-induced asystole (AS; > 30 s) and whether or not HRV differed between NMS patients with and without AS. Ambulatory ECG monitoring was performed in 176 patients with suspected NMS and in 62 age-matched healthy control subjects (C group, age: 36 +/- 13 yr), with HRV time and frequency domain indices measured within 48 hours of HUT. Six patients displayed prolonged AS (PAS group, age: 33 +/- 12 yr), and 109 patients had positive HUT (P group, age: 29 +/- 17 yr), while 61 patients had negative HUT (N group, age: 40 +/- 18 yr). Several HRV indices in the P group were higher than those in the N and C groups. However, HRV indices did not differ between the P group and the PAS group. It is concluded that impairment of autonomic activity specifically related to orthostatic stress could be important in the pathophysiology of HUT-induced prolonged asystole, while impairment of autonomic activity in daily life is not as important in NMS patients with HUT-induced prolonged asystole.
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pubmed:language |
eng
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pubmed:journal | |
pubmed:citationSubset |
IM
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pubmed:status |
MEDLINE
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pubmed:month |
Oct
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pubmed:issn |
0753-3322
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pubmed:author | |
pubmed:issnType |
Print
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pubmed:volume |
58 Suppl 1
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pubmed:owner |
NLM
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pubmed:authorsComplete |
Y
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pubmed:pagination |
S40-4
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pubmed:dateRevised |
2006-11-15
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pubmed:meshHeading |
pubmed-meshheading:15754838-Activities of Daily Living,
pubmed-meshheading:15754838-Adult,
pubmed-meshheading:15754838-Autonomic Nervous System,
pubmed-meshheading:15754838-Electrocardiography, Ambulatory,
pubmed-meshheading:15754838-Female,
pubmed-meshheading:15754838-Heart Arrest,
pubmed-meshheading:15754838-Heart Rate,
pubmed-meshheading:15754838-Humans,
pubmed-meshheading:15754838-Japan,
pubmed-meshheading:15754838-Male,
pubmed-meshheading:15754838-Patient Selection,
pubmed-meshheading:15754838-Posture,
pubmed-meshheading:15754838-Syncope,
pubmed-meshheading:15754838-Tilt-Table Test,
pubmed-meshheading:15754838-Time Factors
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pubmed:year |
2004
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pubmed:articleTitle |
Assessment of autonomic activity during daily life of patients with head-up tilt-induced prolonged asystole.
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pubmed:affiliation |
National Defense Medical College Research Institute, Division of Biomedical Engineering, 3-2, Namiki Tokorozawa City, Saitama 359-8513, Japan. dui1577@db3.so-net.ne.jp
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pubmed:publicationType |
Journal Article,
Clinical Trial,
Comparative Study,
Controlled Clinical Trial,
Multicenter Study
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