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

Collegium Antropologicum
|August 11, 2009
PubMed

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.

Related Concept Videos

Factors Influencing Heart Rate01:30

Factors Influencing Heart Rate

The heart rate, or pulse rate, is a vital indicator of cardiovascular health. It reflects the number of times the heart beats per minute. Various physiological and environmental factors influence heart rate, increasing or decreasing cardiac output. Understanding these factors is crucial for assessing heart function and identifying potential health issues.
Let us explore the significant factors affecting heart rate, including age, body temperature, posture, acute pain, chemical influences,...
Physiology of Emotion01:20

Physiology of Emotion

The physiology of emotions is a multifaceted process involving the autonomic nervous system, brain structures, hormones, and neurotransmitters. This intricate interplay dictates how emotions manifest in the body and influence behavior.
Autonomic Nervous System
The autonomic nervous system (ANS) plays a critical role in emotional responses by regulating involuntary physiological functions. It consists of two main components: the sympathetic and parasympathetic systems. The sympathetic system...
Regulation of Heart Rates01:31

Regulation of Heart Rates

The regulation of heart rate is a complex process controlled by the autonomic nervous system (ANS), hormonal influences, and intrinsic cardiac mechanisms. The ANS has two main components: the sympathetic nervous system (SNS) and the parasympathetic nervous system (PNS).
The SNS increases heart rate through the release of norepinephrine and epinephrine, which act on beta-1 adrenergic receptors in the heart. This action increases the rate of depolarization in the sinoatrial (SA) node, the heart's...
Factors affecting Blood pressure01:28

Factors affecting Blood pressure

Several physiological and lifestyle factors influence blood pressure (BP). Understanding these factors is crucial as they are significant in patient education and blood pressure management.
Physiological Factors:
Hypertension and Regulation of Blood Pressure01:18

Hypertension and Regulation of Blood Pressure

Hypertension, the most common cardiovascular disease, is diagnosed through repeated measurements of elevated blood pressure. Its risks, including damage to the kidney, heart, and brain, are directly proportional to blood pressure levels. Starting from 115/75 mm Hg, the risk of cardiovascular disease doubles with each increment of 20/10 mm Hg. The diagnosis relies on blood pressure measurements, not on patient symptoms, as hypertension is often asymptomatic until end-organ damage is imminent or...
Heart Failure II: Pathophysiology01:29

Heart Failure II: Pathophysiology

Systolic Heart Failure and Compensatory MechanismsSystolic heart failure (also termed HFrEF, Heart Failure with Reduced Ejection Fraction) is the most prevalent type of heart filure. It results in a decreased volume of blood being pumped from the ventricle. The aortic arch and carotid sinuses have baroreceptors that detect reduced blood pressure, triggering the sympathetic nervous system (SNS) to release epinephrine and norepinephrine. Initially, this response aims to boost heart rate and...