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The heart frequency and its variability in hypertensive patients considering A/B type of behaviour and eight basic
Karlo Kozul1, Ksenija Vidović, Helga Heinzelman-Kozul
1Department of Epidemiology, Institute of Public Health for the Osijek-Baranja County, Osijek, Croatia. karlo.kozul@os.htnet.hr
Insights
Essential hypertension is linked to increased heart rate and reduced heart rate variability. These factors, along with hypertension duration, are significant indicators of cardiovascular risk.
Area of Science:
- Cardiology
- Autonomic Nervous System Function
Background:
- Essential hypertension is a prevalent condition associated with cardiovascular risks.
- Autonomic nervous system (ANS) dysfunction, particularly in heart rate regulation, is implicated in hypertension.
Purpose of the Study:
- To compare heart rate (HR) and heart rate variability (HRV) autonomic regulation between essential hypertensive patients and healthy controls.
- To investigate the influence of hypertension duration, blood pressure levels, and behavioral patterns on HR and HRV.
Main Methods:
- Comparison of HR and HRV parameters between 100 essential hypertensive patients and 100 healthy controls.
- Analysis of the correlation between cardiovascular parameters, hypertension duration, Bortner's variables, and emotional dimensions with HR and HRV.
Main Results:
- Hypertensive patients exhibited significantly faster heart rates (shorter RR intervals) and lower HRV compared to controls.
- Hypertension duration showed a distinct negative correlation with HRV.
- HRV was positively associated with the emotional dimension 'Incorporation' and negatively with 'Protection', 'Rejection', and 'Reproduction' in hypertensive patients.
Conclusions:
- Long-term hypertension is associated with increased heart rate and reduced heart rate variability.
- These findings highlight elevated HR and reduced HRV as significant risk factors for increased cardiac mortality in hypertensive individuals.
Abstract:
The aim of this paper was to compare between autonomic regulation of the heart rate and it's variability within 100 essential hypertensive patients and 100 examinees in healthy control group. Essential hypertensive patients had significantly shorter average RR interval, that is, faster heart frequency then the control group. Average variability of the heart frequency was statistically considerably lower in hypertensive than in the healthy control group. Sistolic blood pressure, diastolic blood pressure, duration of hypertension, levels have considerate total influence on heart frequency and it's variability during calm and during deep breathing. The most distinctive negative connection was found between variability of the heart frequency and duration of hypertension. The type A behaviour within hypertensive patients and the control group was more common then type B. In the hypertensive group, total influence of all independent Bortner's variables on to variability of the heart frequency during calm breathing was statistically important. Within hypertensive patients and the control group, the heart frequency and it's variability were connected with eight basic emotions. In the group of hypertensive patients variability of the heart frequency is significantly positively connected with emotional dimension Incorporation, but negatively with emotional dimensions Protection, Rejection and Reproduction. Our data shows that patients with long-term hypertension have increased heart frequency and reduced variability of the heart frequency, which are well-known risk factors for increased cardial mortality.
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