Statements in which the resource exists as a subject.
PredicateObject
rdf:type
lifeskim:mentions
pubmed:issue
1
pubmed:dateCreated
1996-2-20
pubmed:abstractText
Measures of heart rate variability in the frequency domain quantify autonomic activity. However, the relation of these measures to the severity of ventricular dysfunction in patients with congestive heart failure remains uncertain. We applied spectral analysis of heart rate variability to 24-hour Holter monitor recordings obtained from 20 patients with congestive heart failure who were not treated with angiotensin-converting enzyme inhibitors to determine whether significant changes in parameters of heart rate variability reflect the progression of symptoms in patients with ventricular failure. Both total and low-frequency heart rate spectral power were seen to decrease with worsening New Heart Associate (NYHA) functional class. A significant (p = 0.04) higher total power was noted in NYHA class II than in class III patients (3.0 x 10(-3) +/- 3.6 10(-4) and 2.5 x 10(-3) +/- 5.9 x 19(-4) [beats/min]2, respectively). Similarly, low-frequency heart rate spectral power was significantly (p = 0.008) higher in class II than in class III patients (1.7 x 10(-3) +/- 4.6 x 10(-4) and 1.1 x 10(-3) +/- 3.5 x 10(-4) [beats/min]2, respectively). Only the low-frequency component of the spectrum was directly correlated with left ventricular ejection fraction (LVEF) (r = 0.40) with a trend toward statistical significance (p = 0.07). Measures of heart rate variability and the changes in autonomic tone that they reflect may therefore serve as markers of the extent of disease progression in patients with congestive heart failure.
pubmed:language
eng
pubmed:journal
pubmed:citationSubset
AIM
pubmed:chemical
pubmed:status
MEDLINE
pubmed:month
Jan
pubmed:issn
0002-8703
pubmed:author
pubmed:issnType
Print
pubmed:volume
131
pubmed:owner
NLM
pubmed:authorsComplete
Y
pubmed:pagination
153-7
pubmed:dateRevised
2007-11-15
pubmed:meshHeading
pubmed-meshheading:8554003-Adult, pubmed-meshheading:8554003-Aged, pubmed-meshheading:8554003-Angiotensin-Converting Enzyme Inhibitors, pubmed-meshheading:8554003-Autonomic Nervous System, pubmed-meshheading:8554003-Chronic Disease, pubmed-meshheading:8554003-Disease Progression, pubmed-meshheading:8554003-Double-Blind Method, pubmed-meshheading:8554003-Electrocardiography, Ambulatory, pubmed-meshheading:8554003-Heart Failure, pubmed-meshheading:8554003-Heart Rate, pubmed-meshheading:8554003-Humans, pubmed-meshheading:8554003-Middle Aged, pubmed-meshheading:8554003-Placebos, pubmed-meshheading:8554003-Quinolines, pubmed-meshheading:8554003-Signal Processing, Computer-Assisted, pubmed-meshheading:8554003-Stroke Volume, pubmed-meshheading:8554003-Vasodilator Agents, pubmed-meshheading:8554003-Ventricular Dysfunction, pubmed-meshheading:8554003-Ventricular Function, Left
pubmed:year
1996
pubmed:articleTitle
Role of spectral measures of heart rate variability as markers of disease progression in patients with chronic congestive heart failure not treated with angiotensin-converting enzyme inhibitors.
pubmed:affiliation
Ohio State University, Columbus, USA.
pubmed:publicationType
Journal Article, Clinical Trial, Controlled Clinical Trial, Research Support, Non-U.S. Gov't, Multicenter Study