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Heart Rate Turbulence: a Review

Watanabe, Mari A. (2003) Heart Rate Turbulence: a Review. [Journal (Paginated)]

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Abstract

Heart rate turbulence (HRT) is a recently coined phrase that describes the short term fluctuation in sinus cycle length that follows a ventricular premature complex (VPC). Its proven clinical significance lies in its ability to predict mortality and sudden cardiac death following myocardial infarction, although small studies suggest that it is also applicable to many other cardiac diseases. This review will attempt to summarize the literature to date, and to speculate on possible mechanisms. Because HRT is a new field, there are only a handful of full length papers on it. In order to present the full breadth of the research being carried out, the information provided here is based on conference abstracts as well as peer reviewed articles, and readers should keep this in mind. Most of the literature cited here, and downloadable HRT calculation programs (in C++) are available on the website www.h-r-t.org.

Item Type:Journal (Paginated)
Keywords:heart rate turbulence
Subjects:JOURNALS > Indian Pacing and Electrophysiology Journal
ID Code:4292
Deposited By:Indian Pacing and Electrophysiology, Journal
Deposited On:02 May 2005
Last Modified:11 Mar 2011 08:56

References in Article

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1. Roach D, Koshman ML, Sheldon R. Turbulence: a focal, inducible, source of heart period variability associated with induced, transient hypertension. PACE 2000; 23: Part II 709.

2. Schmidt G, Malik M, Barthel P, Schneider R, Ulm K, Rolnitzky L, Camm AJ, Bigger Jr. JT, Schömig A. Heart-rate turbulence after ventricular premature beats as a predictor of mortality after acute myocardial infarction. Lancet 1999; 353: 1390-96.

3. Bauer A, Barthel P, Schneider R, Malik M, Schmidt G. Impact of coupling interval on heart rate turbulence. Eur Heart J 2001; 22: Suppl. p. 438, P2324.

4. Bauer A, Barthel P, Schneider R, Schmidt G. Dynamics of heart rate turbulence. Circulation 2001; 104: Supplement II-339, 1622.

5. Watanabe MA, Josephson ME. Heart rate turbulence in the spontaneous ventricular tachy-arrhythmia database. PACE 2000; 23: Part II 686.

6. Watanabe MA, Marine JE, Sheldon M, Josephson ME. Effects of ventricular premature stimulus coupling interval on blood pressure and heart rate turbulence.

Circulation 2002; 106: 325-330.

7. Guettler N, Vukajlovic D, Berkowitsch A, Schulte B, Erdogan A, Carlsson J, Neuzner J, Pitschner HF. Effect of vagus blockade with atropine on heart rate turbulence. PACE 2001; 24: Part II 625.

8. Savelieva I, Wichterle D, Harries M, Meara M, Camm J, Malik M. Different effects of atrial and ventricular prematurity on heart rate turbulence: relation to left ventricular function. PACE 2002; 25: Part II 608.

9. Berkowitsch A, Guettler N, Neumann T, Vukajlovic D, Schulte B, Neuzner J, Pitschner HF. Turbulence jump - a new descriptor of heart-rate turbulence after paced premature ventricular beats. A study in dilated cardiomyopathy patients. Eur Heart J 2001; 22: Suppl. p. 547, P2941.

10. Schmidt G, Malik M, Barthel P, Schneider R, Ulm, K, Rolnitzky L, Bigger Jr. JT, Schömig A. Heart rate chronotropy following ventricular premature beats predicts mortality after acute myocardial infarction. Circulation 1998; 98: I-1 to I-1016; Suppl. 3713.

11. Ghuran A, Reid F, La Rovere MT, Schmidt G, Bigger JT, Camm AJ, Schwartz PJ, Malik M. Heart rate turbulence-based predictors of fatal and nonfatal cardiac arrest (The Autonomic Tone and Reflexes After Myocardial Infarction substudy). Am J Cardiol 2002; 89: 184-90.

12. Macfarlane PW. Renaissance in electrocardiography. Lancet 1999; 353:1377-1379.

13. Malik M, Schmidt G, Barthel P, Schneider R, La Rovere MT, Bigger Jr. JT, Schwartz PJ. Heart rate turbulence is a post-infarction mortality predictor which is independent of and additive to other recognised risk factors. PACE 1999; 22: Part II 741.

14. Schmidt G, Malik M, Barthel P, Schneider R, Camm AJ, Schömig A. Heart rate turbulence in post-MI patients on and off ß-blockers. PACE 2000; 23: Part II 619.

15. Barthel P, Schmidt G, Schneider R, Ulm K, Malik M, Schömig A. Heart rate turbulence in patients with and without autonomic dysfunction. J Am Coll Cardiol 1999; 33: Suppl. A 136A.

16. Barthel P, Schmidt G, Malik M, Schneider R, Hierl A, Camm AJ, Schömig A. Heart rate turbulence in post-mi patients with and without diabetes. J Am Coll Cardiol 2000; 35: Suppl. A 144A.

17. Morley-Davies A, Dargie HJ, Cobbe SM, Schneider R, Schmidt G. Heart rate turbulence: a novel holter derived measure and mortality in chronic heart failure. Eur Heart J 2000; 21:Abstr. Suppl. 408.

18. Koyama J, Toda S, Kon-No Y, Yamada A, Koseki Y, Watanabe J, Shirato K. Evaluation of heart-rate turbulence as a new prognostic marker in patients with chronic heart failure. PACE 2002; 25: Part II 608.

19. De Martino G, Dello Russo A, Sanna T, Pelargonie G, Antonaci S, Belloni F, Messano L, Zecchi P, Lanza GA, Bellocci F. Prognostic role of heart rate turbulence in patients with idiopathic dilated cardiomyopathy. Eur Heart J 2001; 22: Suppl. p. 436, P2314.

20. Voss A, Baier V, Schumann A, Hasart A, Reinsperger F, Schirdewan A, Osterziel KJ, Leder U. Postextrasystolic regulation patterns of blood pressure and heart rate in patients with idopathic dilated cardiomyopathy. J Physiol 2002; 538: 271-8.

21. Grimm W, Sharkova J, Maisch B. Prognostic significance of heart rate turbulence in patients with idiopathic dilated cardiomyopathy. Europace 2002; 3: A153 146/2.

22. Sousa MR, Ribeiro AL, Schmidt G, Lombardi F, Perez AA, Gomes ME, Barros MV, Machado FS, O Rocha M. Heart rate turbulence in Chagas disease. Europace 2002; 3: A42 58/5.

23. Marine JE, Watanabe MA, Smith TW, Monahan, KM. Effect of atropine on heart rate turbulence. Am J Cardiol 2002; 89: 767-9.

24. Lin LY, Lai LP, Lin JL, Du CC, Shau WY, Chan HL, Tseng YZ, Huang SK. Tight mechanism correlation between heart rate turbulence and baroreflex sensitivity: sequential autonomic blockade analysis. J Cardiovasc Electrophysiol 2002; 13: 427-31.

25. Mrowka R, Persson PB, Theres H, Patzak A. Blunted arterial baroreflex causes "pathological" heart rate turbulence. Am J Physiol Regulatory Integrative Comp Physiol 2000; 279: R1171-5.

26. Savelieva I, Wichterle D, Ghuran A, Meara M, Camm J, Malik M. Heart rate turbulence can be detected after atrial premature beat. J Am Coll Cardiol 2002; 39: Suppl. A.

27. Indik JH, Ott P, Marcus FI. Heart rate turbulence and fractal scaling coefficient in response to premature atrial and ventricular complexes and relationship to the degree of prematurity. J Am Coll Cardiol 2002; 39: Suppl. A.

28. Binkley PF, Nunziata E, Haas GJ, Neslwon SD, Cody RJ. Parasympathetic withdrawal is an integral componment of autonomic imbalance in congestive heart failure: Demonstration in human subjects and verification in a paced canine model of ventricular failure. J Am Coll Cardiol 1991; 18: 464-472.

29. Bauer A, Schneider R, Barthel P, Malik M, Schmidt G. Heart rate turbulence dynamicity. Eur Heart J 2001; 22: Suppl, p. 436, P2316.

30. Schwab JO, Coch M, Veit G, Eichner G, Waldecker B. Post-extrasystolic heart rate turbulence in healthy subjects: influence of gender and basic heart rate. Circulation 2001; 104: II-490, 2324.

31. Bauer A, Barthel P, Schneider R, Malik M, Schmidt G. Dynamics of heart rate turbulence as independent risk predictor after dynamic myocardial infarction. PACE 2002; 25: Part II 608.

32. Schmidt G, Bauer A, Schneider R, Barthel P, Malik M, Camm AJ, Schömig A. Heart rate turbulence: Impact of coupling interval and preceding sinus interval. Eur Heart J 2000; 21: Suppl 552.

33. Yap YG, Camm AJ, Schmidt G, Malik M. Heart rate turbulence is influenced by sympathovagal balance in patients after myocardial infarction - EMIAT substudy. Eur Heart J 2000; 21: Suppl. 474.

34.. Davies LC, Francis DP, Ponikowski P, Piepoli MF, Coats AJS. Relation of heart rate and blood pressure turbulence following premature ventricular complexes to baroreflex sensitivity in chronic congestive heart failure. Am J Cardiol 2001; 87: 737-42.

35. Tsuji H, Venditti FJ, Manders ES, Evans JC, Larson MG, Feldman CL, Levy D. Determinants of heart rate variability. J Am Coll Cardiol 1996; 28: 1539-1546.

36. Barthel P, Schneider R, Malik M, Schmidt G. EMIAT substudy: Impact of age on heart rate turbulence indices. Eur Heart J 2001; 22: Suppl. p. 436, P2315.

37. Wichterle D, Savelieva I, Ghuran A, Meara M, Camm J, Malik M. The dynamics of atriventricular delay after ventricular premature beat. Europace 2002; 3: A134 153P/7.

38. Skanes AC, Tang ASL. Ventriculophasic modulation of atrioventricular nodal conduction in humans. Circulation 1998; 97: 2245-2251.

39. Schneider R, Röck A, Barthel P, Malik M, Camm AJ, Schmidt G. Heart rate turbulence: rate of frequency decrease predicts mortality in chronic heart disease patients. PACE 1999; 22: Part II 879.

40. Schmidt G, Schneider R, Barthel P. Correlation coefficient of the heart rate turbulence slope: New risk stratifier in post-infarction patients. Eur Heart J 2001; 22: Suppl p. 72, P484.

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