Variation of Tpeak-end, corrected Tpeak-end, QT, and corrected QT intervals, Tpeak-end/QT, Tpeak-end/corrected QT ratios and heart rate variability according to decades in the healthy male subjects aged between 30 and 79 years

Autor: Huseyin Oren, Ayhan Cosgun
Rok vydání: 2020
Předmět:
Zdroj: Journal of Arrhythmia
Journal of Arrhythmia, Vol 36, Iss 3, Pp 508-517 (2020)
ISSN: 1880-4276
Popis: Background Heart rate variability (HRV) is a predictor of cardiac autonomic functions. Ventricular repolarization markers can indicate ventricular arrhythmias. We aimed to evaluate variations of HRV and these repolarization markers in five healthy male groups between age 30 and 79 years according to decades. Materials and Methods The study group consisted of 500 healthy male subjects between October 2018 and May 2019. The male subjects were divided into five categories according to their ages. Then, electrocardiograms (ECG), transthoracic echocardiograms (TTE), and treadmill exercise test (TET) were performed. T‐wave peak‐end (Tp‐e) interval was defined as the time between the peak point and end of T‐wave. Tp‐e, corrected Tp‐e (cTp‐e), QT, and corrected QT (QTc) were measured from the resting ECGs and HRV temporal parameters (SDNN, SDNN Index, SDANN Index, RMSSD, sNN50, and pNN50), and HRV frequency parameters (VLF, LF, HF, and LF/HF) were obtained from 24‐hour Holter monitorization recordings. One‐way ANOVA test was used for the differences between the groups. Pearson correlation test was used to determine the correlations between the values of all groups. Results Considering the repolarization parameters, there are significant differences in five groups in terms of Tp‐e interval, but not Tp‐e/QT and Tp‐e/QTc ratios. Considering the HRV parameters, there were statistically significant differences between the five male healthy groups in terms of HRV temporal parameters and there are no significant differences in terms of HRV frequency parameters. Conclusion As the age increases, basal Tp‐e interval increases and HRV temporal parameters decrease significantly in the male subjects aged between 30 and 79 years, but HRV frequency parameters do not change.
Ventricular arrhythmias increase with age. Although it is seen in patients with an underlying cardiac disease, it may also occur in healthy individuals without any underlying structural heart disease. This phenomenon is generally explained by the deterioration of the autonomic balance against the vagal system as the age progresses. As age progresses, it is known that there is a global decrease in heart rate variability. T‐wave peak‐end and corrected T‐wave peak‐end intervals and T‐wave peak‐end/QT and T‐wave peak‐end/corrected QT ratios were the predictors of ventricular repolarization disorders. We aimed to evaluate the repolarization markers and HRV temporal, and HRV frequency parameters according to the decades in healthy male subjects aged between 30 and 79 years.
Databáze: OpenAIRE
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