The use of heart rate turbulence and heart rate variability in the assessment of autonomic regulation and circadian rhythm in patients with systemic lupus erythematosus without apparent heart disease
Autor: | Adam Rafał Poliwczak, Bożena Dziankowska-Bartkowiak, K Dworniak, Elżbieta Waszczykowska, Marzena Koziróg |
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Rok vydání: | 2017 |
Předmět: |
Adult
Male medicine.medical_specialty Heart disease Heart Diseases Autonomic Nervous System Heart rate turbulence Autonomic regulation 03 medical and health sciences 0302 clinical medicine Rheumatology Heart Rate Internal medicine medicine Heart rate variability Humans Lupus Erythematosus Systemic In patient 030212 general & internal medicine Circadian rhythm 030203 arthritis & rheumatology Autoimmune disease Lupus erythematosus business.industry Middle Aged medicine.disease Circadian Rhythm Case-Control Studies Cardiology Electrocardiography Ambulatory Female Poland business |
Zdroj: | Lupus. 27(3) |
ISSN: | 1477-0962 |
Popis: | Background Systemic lupus erythematosus is a progressive autoimmune disease. There are reports suggesting that patients even without overt signs of cardiovascular complications have impaired autonomic function. The aim of this study was to assess autonomic function using heart rate turbulence and heart rate variability parameters indicated in 24-hour ECG Holter monitoring. Methods Twenty-six women with systemic lupus erythematosus and 30 healthy women were included. Twenty-four hour ambulatory ECG-Holter was performed in home conditions. The basic parameters of heart rate turbulence and heart rate variability were calculated. The analyses were performed for the entire day and separately for daytime activity and night time rest. Results There were no statistically significant differences in the basic anthropometric parameters. The mean duration of disease was 11.52 ± 7.42. There was a statistically significant higher turbulence onset (To) value in patients with systemic lupus erythematosus, median To = –0.17% (minimum –1.47, maximum 3.0) versus To = –1.36% (minimum –4.53, maximum –0.41), P |
Databáze: | OpenAIRE |
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