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Heart Rate Variability Analysis in General Medicine

Gang, Yi and Malik, Marek (2003) Heart Rate Variability Analysis in General Medicine. [Journal (Paginated)]

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Abstract

Autonomic nervous system plays an integral role in homeostasis. Autonomic modulation can frequently be altered in patients with cardiac disorders as well as in patients with other critical illnesses or injuries. Assessment of heart rate variability is based on analysis of consecutive normal R-R intervals and may provide quantitative information on the modulation of cardiac vagal and sympathetic nerve input. The hypothesis that depressed heart rate variability may occur over a broad range of illness and injury, and may inversely correlated with disease severity and outcome has been tested in various clinical settings over the last decade. This article reviews recent literature concerning the potential clinical implications and limitations of heart rate variability assessment in general medicine.

Item Type:Journal (Paginated)
Keywords:heart rate variability, autonomic modulation, risk assessment
Subjects:JOURNALS > Indian Pacing and Electrophysiology Journal
ID Code:4294
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. Malik et al. Heart rate variability: standards of measurement, physiological interpretation and clinical use. Task Force of the European Society of Cardiology and the North American Society of Pacing and Electrophysiology. Circulation 1996;93:1043-65.

2. Makikallio TH, Tapanainen JM, Tulppo MP, Huikuri HV. Clinical applicability of heart rate variability analysis by methods based on nonlinear dynamics. Card Electrophysiol.Rev. 2002;6:250-5.

3. Lombardi F. Clinical Implications of Present Physiological Understanding of HRV Components. Card Electrophysiol.Rev. 2002;6:245-9.

4. Lopera GA, Huikuri HV, Makikallio TH, Tapanainen J, Chakko S, Mitrani RD et al. Is abnormal heart rate variability a specific feature of congestive heart failure? Am.J.Cardiol. 2001;87:1211-3.

5. Goldberger AL, Amaral LA, Hausdorff JM, Ivanov PC, Peng CK, Stanley HE. Fractal dynamics in physiology: alterations with disease and aging. Proc.Natl.Acad.Sci.U.S.A 2002;99:2466-72.

6. Baillard C, Vivien B, Mansier P, Mangin L, Jasson S, Riou B et al. Brain death assessment using instant spectral analysis of heart rate variability. Crit Care Med. 2002;30:306-10.

7. Carney RM, Blumenthal JA, Stein PK, Watkins L, Catellier D, Berkman LF et al. Depression, heart rate variability, and acute myocardial infarction. Circulation 2001;104:2024-8.

8. La Rovere MT, Pinna GD, Hohnloser SH, Marcus FI, Mortara A, Nohara R et al. Baroreflex Sensitivity and Heart Rate Variability in the Identification of Patients at Risk for Life-Threatening Arrhythmias : Implications for Clinical Trials. Circulation 2001;103:2072-7.

9. Tapanainen J, Thomsen P, Kober L, Torp-Pedersen C, Makikallio T, Still A et al. Fractal analysis of heart rate variability and mortality after an acute myocardial infarction. Am.J.Cardiol. 2002;90:347.

10. Korach M, Sharshar T, Jarrin I, Fouillot JP, Raphael JC, Gajdos P et al. Cardiac variability in critically ill adults: influence of sepsis. Crit Care Med. 2001;29:1380-5.

11. Winchell RJ, Hoyt DB. Analysis of heart-rate variability: a noninvasive predictor of death and poor outcome in patients with severe head injury. J.Trauma 1997;43:927-33.

12. Biswas AK, Scott WA, Sommerauer JF, Luckett PM. Heart rate variability after acute traumatic brain injury in children. Crit Care Med. 2000;28:3907-12.

13. Conci F, Di Rienzo M, Castiglioni P. Blood pressure and heart rate variability and baroreflex sensitivity before and after brain death. J.Neurol.Neurosurg.Psychiatry 2001;71:621-31.

14. Goldstein B, DeKing D, DeLong DJ, Kempski MH, Cox C, Kelly MM et al. Autonomic cardiovascular state after severe brain injury and brain death in children. Crit Care Med. 1993;21:228-33.

15. Goldstein B, Kempski MH, DeKing D, Cox C, DeLong DJ, Kelly MM et al. Autonomic control of heart rate after brain injury in children. Crit Care Med. 1996;24:234-40.

16. Goldstein B, Fiser DH, Kelly MM, Mickelsen D, Ruttimann U, Pollack MM. Decomplexification in critical illness and injury: relationship between heart rate variability, severity of illness, and outcome. Crit Care Med. 1998;26:352-7.

17. Lowensohn RI, Weiss M, Hon EH. Heart-rate variability in brain-damaged adults. Lancet 1977;1:626-8.

18. Rapenne T, Moreau D, Lenfant F, Boggio V, Cottin Y, Freysz M. Could heart rate variability analysis become an early predictor of imminent brain death? A pilot study. Anesth.Analg. 2000;91:329-36.

19. Goldstein B, Ellenby MS. Heart rate variability and critical illness: potential and problems. Crit Care Med. 2000;28:3939-40.

20. Kennedy HL. Heart rate variability--a potential, noninvasive prognostic index in the critically ill patient. Crit Care Med. 1998;26:213-4.

21. Winchell RJ, Hoyt DB. Spectral analysis of heart rate variability in the ICU: a measure of autonomic function. J.Surg.Res. 1996;63:11-6.

22. Forslund L, Bjorkander I, Ericson M, Held C, Kahan T, Rehnqvist N et al. Prognostic implications of autonomic function assessed by analyses of catecholamines and heart rate variability in stable angina pectoris. Heart 2002;87:415-22.

23. Boveda S, Galinier M, Pathak A, Fourcade J, Dongay B, Benchendikh D et al. Prognostic value of heart rate variability in time domain analysis in congestive heart failure. J.Interv.Card Electrophysiol. 2001;5:181-7.

24. Bilchick KC, Fetics B, Djoukeng R, Fisher SG, Fletcher RD, Singh SN et al. Prognostic value of heart rate variability in chronic congestive heart failure (Veterans Affairs' Survival Trial of Antiarrhythmic Therapy in Congestive Heart Failure). Am.J.Cardiol. 2002;90:24-8.

25. Tateishi O, Shouda T, Honda Y, Sakai T, Mochizuki S, Machida K. Apnea-related heart rate variability and its clinical utility in congestive heart failure outpatients. Ann.Noninvasive.Electrocardiol. 2002;7:127-32.

26. Yee KM, Pringle SD, Struthers AD. Circadian variation in the effects of aldosterone blockade on heart rate variability and QT dispersion in congestive heart failure. J Am Coll.Cardiol. 2001;37:1800-7.

27. Aronson D, Burger AJ. Effect of beta-blockade on heart rate variability in decompensated heart failure. Int.J.Cardiol. 2001;79:31-9.

28. Lin LY, Lin JL, Du CC, Lai LP, Tseng YZ, Huang SK. Reversal of deteriorated fractal behavior of heart rate variability by beta-blocker therapy in patients with advanced congestive heart failure. J Cardiovasc.Electrophysiol. 2001;12:26-32.

29. Ridha M, Makikallio TH, Lopera G, Pastor J, de Marchena E, Chakko S et al. Effects of carvedilol on heart rate dynamics in patients with congestive heart failure. Ann.Noninvasive.Electrocardiol. 2002;7:133-8.

30. Makikallio TH, Huikuri HV, Hintze U, Videbaek J, Mitrani RD, Castellanos A et al. Fractal analysis and time- and frequency-domain measures of heart rate variability as predictors of mortality in patients with heart failure. Am J Cardiol. 2001;87:178-82.

31. Molnar J, Weiss JS, Rosenthal JE. Does Heart Rate Identify Sudden Death Survivors?: Assessment of Heart Rate, QT Interval, and Heart Rate Variability. Am J Ther. 2002;9:99-110.

32. Schmitt C, Barthel P, Ndrepepa G, Schreieck J, Plewan A, Schomig A et al. Value of programmed ventricular stimulation for prophylactic internal cardioverter-defibrillator implantation in postinfarction patients preselected by noninvasive risk stratifiers. J.Am.Coll.Cardiol. 2001;37:1901-7.

33. Perkiomaki JS, Zareba W, Daubert JP, Couderc JP, Corsello A, Kremer K. Fractal correlation properties of heart rate dynamics and adverse events in patients with implantable cardioverter-defibrillators. Am.J.Cardiol. 2001;88:17-22.

34.. Pagani M, Lucini D. Autonomic dysregulation in essential hypertension: insight from heart rate and arterial pressure variability. Auton.Neurosci. 2001;90:76-82.

35.Takahashi N, Nakagawa M, Saikawa T, Ooie T, Yufu K, Shigematsu S et al. Effect of essential hypertension on cardiac autonomic function in type 2 diabetic patients. J.Am.Coll.Cardiol. 2001;38:232-7.

36. Sevre K, Lefrandt JD, Nordby G, Os I, Mulder M, Gans RO et al. Autonomic function in hypertensive and normotensive subjects: the importance of gender. Hypertension 2001;37:1351-6.

37. Mussalo H, Vanninen E, Ikaheimo R, Laitinen T, Laakso M, Lansimies E et al. Heart rate variability and its determinants in patients with severe or mild essential hypertension. Clin.Physiol 2001;21:594-604.

38. Laitio TT, Huikuri HV, Kentala ES, Makikallio TH, Jalonen JR, Helenius H et al. Correlation properties and complexity of perioperative RR-interval dynamics in coronary artery bypass surgery patients. Anesthesiology 2000;93:69-80.

39. van de BP, Neubauer J, Rahnama M, Jansens JL, Montano N, Porta A et al. Differential characteristics of neural circulatory control: early versus late after cardiac transplantation. Circulation 2001;104:1809-13.

40.. Stein PK, Schmieg RE, Jr., El Fouly A, Domitrovich PP, Buchman TG. Association between heart rate variability recorded on postoperative day 1 and length of stay in abdominal aortic surgery patients. Crit Care Med. 2001;29:1738-43.

41..Laitio TT, Makikallio TH, Huikuri HV, Kentala ES, Uotila P, Jalonen JR et al. Relation of heart rate dynamics to the occurrence of myocardial ischemia after coronary artery bypass grafting. Am.J.Cardiol. 2002;89:1176-81.

42. Mamode N, Docherty G, Lowe GD, Macfarlane PW, Martin W, Pollock JG et al. The role of myocardial perfusion scanning, heart rate variability and D-dimers in predicting the risk of perioperative cardiac complications after peripheral vascular surgery. Eur.J.Vasc.Endovasc.Surg. 2001;22:499-508.

43. Rapenne T, Moreau D, Lenfant F, Vernet M, Boggio V, Cottin Y et al. Could heart rate variability predict outcome in patients with severe head injury? A pilot study. J.Neurosurg.Anesthesiol. 2001;13:260-8.

44.Meglic B, Kobal J, Osredkar J, Pogacnik T. Autonomic nervous system function in patients with acute brainstem stroke. Cerebrovasc.Dis. 2001;11:2-8.

45.Flachenecker P, Hartung HP, Reiners K. Power spectrum analysis of heart rate variability in Guillain-Barre syndrome. A longitudinal study. Brain 1997;120:1885-94.

46. Flachenecker P, Reiners K. Twenty-four-hour heart rate power spectrum for evaluation of autonomic dysfunction in Guillain-Barre syndrome. J Neurol.Sci. 1999;165:144-53.

47. Flachenecker P, Lem K, Mullges W, Reiners K. Detection of serious bradyarrhythmias in Guillain-Barre syndrome: sensitivity and specificity of the 24-hour heart rate power spectrum. Clin.Auton.Res. 2000;10:185-91.

48. Cashion AK, Cowan PA, Milstead EJ, Gaber AO, Hathaway DK. Heart rate variability, mortality, and exercise in patients with end-stage renal disease. Prog.Transplant. 2000;10:10-6.

49. Giordano M, Manzella D, Paolisso G, Caliendo A, Varricchio M, Giordano C. Differences in heart rate variability parameters during the post-dialytic period in type II diabetic and non-diabetic ESRD patients. Nephrol.Dial.Transplant. 2001;16:566-73.

50. Godin PJ, Fleisher LA, Eidsath A, Vandivier RW, Preas HL, Banks SM et al. Experimental human endotoxemia increases cardiac regularity: results from a prospective, randomized, crossover trial. Crit Care Med. 1996;24:1117-24.

51. Ellenby MS, McNames J, Lai S, McDonald BA, Krieger D, Sclabassi RJ et al. Uncoupling and recoupling of autonomic regulation of the heart beat in pediatric septic shock. Shock 2001;16:274-7.

52. Goldstein B, Kempski MH, Stair D, Tipton RB, DeKing D, DeLong DJ et al. Autonomic modulation of heart rate variability during endotoxin shock in rabbits. Crit Care Med. 1995;23:1694-702.

53. Barnaby D, Ferrick K, Kaplan DT, Shah S, Bijur P, Gallagher EJ. Heart rate variability in emergency department patients with sepsis. Acad.Emerg.Med. 2002;9:661-70.

54. Hon EH, Lee ST. Electronic evaluations of the fetal heart rate patterns preceding fetal death: Further observations. Am J Obstet Gynecol 1965;87:814-26.

55. Griffin MP, Moorman JR. Toward the early diagnosis of neonatal sepsis and sepsis-like illness using novel heart rate analysis. Pediatrics 2001;107:97-104.

56. Chung DY, Sim YB, Park KT, Yi SH, Shin JC, Kim SP. Spectral analysis of fetal heart rate variability as a predictor of intrapartum fetal distress. Int.J.Gynaecol.Obstet. 2001;73:109-16.

57. Solt I, Ganadry S, Weiner Z. The effect of meperidine and promethazine on fetal heart rate indices during the active phase of labor. Isr.Med.Assoc.J 2002;4:178-80.

58. Kallio M, Suominen K, Bianchi AM, Makikallio T, Haapaniemi T, Astafiev S et al. Comparison of heart rate variability analysis methods in patients with Parkinson's disease. Med.Biol.Eng Comput. 2002;40:408-14.

59. Roche F, Gaspoz JM, Court-Fortune, Minini P, Pichot V, Duverney D et al. Screening of obstructive sleep apnea syndrome by heart rate variability analysis. Circulation 1999;100:1411-5.

60. Wiklund U, Olofsson BO, Franklin K, Blom H, Bjerle P, Niklasson U. Autonomic cardiovascular regulation in patients with obstructive sleep apnoea: a study based on spectral analysis of heart rate variability. Clin.Physiol 2000;20:234-41.

61. Ribeiro AL, Lombardi F, Sousa MR, Lins Barros MV, Porta A, Costa VB, V et al. Power-law behavior of heart rate variability in Chagas' disease. Am.J.Cardiol. 2002;89:414-8.

62. Rangari M, Sinha S, Kapoor D, Mohan JC, Sarin SK. Prevalence of autonomic dysfunction in cirrhotic and noncirrhotic portal hypertension. Am J Gastroenterol. 2002;97:707-13.

63. Yang CC, Chao TC, Kuo TB, Yin CS, Chen HI. Preeclamptic pregnancy is associated with increased sympathetic and decreased parasympathetic control of HR. Am.J.Physiol Heart Circ.Physiol 2000;278:H1269-H1273.

64. Goto T, Fukushima H, Sasaki G, Matsuo N, Takahashi T. Evaluation of autonomic nervous system function with spectral analysis of heart rate variability in a case of tetanus. Brain Dev. 2001;23:791-5.

65. Neumann T, Post H, Ganz RE, Walz MK, Skyschally A, Schulz R et al. Linear and non-linear dynamics of heart rate variability in brain dead organ donors. Z.Kardiol. 2001;90:484-91.

66. Schmidt HB, Werdan K, Muller-Werdan U. Autonomic dysfunction in the ICU patient. Curr.Opin.Crit Care 2001;7:314-22.

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