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Heart rate turbulence and variability in patients with ventricular arrhythmias

Published Online: July 27th 2018 Heart International 2007;3(1-2):51-7
Authors: Federico Lombardi, Fabrizio Tundo, Abdalrahim Abukwaik, Diego Tarricone
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Abstract:
Overview

Background. To evaluate the changes in autonomic neural control mechanisms before malignant ventricular arrhythmias, we measured heart rate variability (HRV) and heart rate turbulence (HRT) in patients with ventricular tachycardia or fibrillation (Group I; n=6), non sustained ventricular tachycardia (Group II; n=32), frequent premature ventricular beats (Group III; n=26) and with ICD implantation (Group IV; n=11).
Methods. Time domain parameters of HRV and turbulence onset (TO) and slope (TS) were calculated on 24 hour Holter recordings. Normal values were: SDNN > 70 msec for HRV, TO <0% and TS >2.5 msec/RR-I for HRT.
Results. Whereas SDNN was within normal range and similar in all study groups, HRT parameters were significantly different in patients who experienced VT/VF during Holter recording. Abnormal TO and/or TS were present in 100% of Group I patients and only in about 50% of Group II and IV. On the contrary, normal HRT parameters were present in 40-70% of Group II, III and IV patients and none of Group I.
Conclusions. These data suggest that HRT analysis is more suitable than HRV to detect those transient alterations in autonomic control mechanisms that are likely to play a major trigger role in the genesis of malignant cardiac arrhythmias. (Heart International 2007; 3: 51-7)

Keywords

Sudden cardiac death, Autonomic nervous system, Risk stratification, Ventricular fibrillation, Holter recordings

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Prof. Federico Lombardi, MD, FESC Cardiologia, Dipartimento di Medicina, Chirurgia e Odontoiatria, Osp. San Paolo, Università di Milano, Via A. di Rudinì, 8, 20142 Milano – Italy, Federico.Lombardi@unimi.it

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