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Published on: June 5, 2019
Heart rate variability analysis at coronary artery disease and angina pectoris
Tatyana Mironova1, Vladimir Mironov, Vladimir Antufiev
1Chelyabinsk State Medical Academy, Chelyabinsk 454091, Russia. micor_mail@mail.ru
Insights
High-resolution heart rate variability (HRV) analysis reveals autonomic and humoral disregulation in coronary artery disease (CAD) and angina pectoris (AP). This method aids in diagnosing, managing, and predicting outcomes for patients with these conditions.
Area of Science:
- Cardiology
- Medical Technology
- Physiology
Background:
- Coronary artery disease (CAD) and angina pectoris (AP) significantly impact patient health.
- Standard cardiological methods may not fully capture the complexities of these conditions.
- Understanding autonomic and humoral influences on cardiac function is crucial for effective management.
Purpose of the Study:
- To present findings from special examinations and prospective observations of CAD and AP patients.
- To evaluate autonomic and humoral-metabolic influences on heart sinus node activity.
- To explore the diagnostic and prognostic value of high-resolution heart rate variability (HRV) analysis.
Main Methods:
- Utilized high-resolution rhythmocardiography and a specialized apparatus-program complex.
- Registered and analyzed heart rate variability (HRV) in 273 patients with CAD and AP.
- Employed inclusion-exclusion criteria for patient selection.
Main Results:
- High-resolution HRV analysis identified autonomic and humoral disregulation associated with ischemic heart disease.
- Angina pectoris episodes correlated with HRV stabilization during ischemic events.
- HRV patterns allowed for characterization of AP, prediction of complications (e.g., acute coronary syndrome), risk assessment, and evaluation of drug efficacy (e.g., nitroglycerin).
Conclusions:
- High-resolution HRV analysis is an informative and promising method for diagnosing and managing CAD and AP.
- Prospective observations using HRV analysis helped establish an "ischemic cascade" in HRV symptoms.
- This technique offers potential for personalized risk stratification and treatment monitoring in cardiovascular disease.
Abstract:
The purpose of this study was to present results of special examination and prospective observation of patients with coronary artery disease (CAD) and angina pectoris (AP) in practical cardiology. Except standard cardiological methods, we used high-resolution rhythmocardiography and apparatus-program complex for registration and analysis of the heart rate variability. There was an evaluation of the autonomic and humoral-metabolic regulative influences on pacemaker activity of the heart sinus node in 273 patients selected by criteria of including-excluding patients with CAD and AP. It was determined by high-resolution HRV-analysis that ischemic heart disease is accompanied by the sinus node autonomic and humoral disregulation. Angina pectoris was correlated to HRV-stabilization on the rhythmocardiogram during ischemic episodes. Duration and frequency of these HRV-stabilization episodes permit to describe different peculiarities of the angina pectoris in every case, to predict the complication, for example, acute coronary syndrome, to define risk of lethal outcome, to study autonomic efficacy of the same drug (nitroglycerin). Prospective observations of patients with CAD permitted to create ischemic cascade in HRV-symptoms. The following conclusion can be made. High-resolution HRV analysis is an informative and perspective method in the diagnosis and management of CAD and AP. Recent patents have also disclosed methods and apparatus to reduce heart rate variability and assessment of cardiovascular risks.
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