The association between heart rhythm complexity and the severity of abdominal aorta calcification in peritoneal

Cheng-Hsuan Tsai1, Chen Lin2, Yi-Heng Ho3,4

  • 1Department of Internal Medicine, National Taiwan University Hospital and National Taiwan University College of Medicine, Taipei, Taiwan.

Scientific Reports
|October 25, 2018
PubMed

Insights

Heart rhythm complexity, specifically DFAα1, is strongly linked to abdominal aorta calcification (AAC) in peritoneal dialysis (PD) patients. This finding suggests DFAα1 could serve as a valuable cardiovascular marker for PD patients.

Area of Science:

  • Cardiology
  • Nephrology
  • Biomedical Engineering

Background:

  • Abdominal aorta calcification (AAC) is linked to adverse outcomes in peritoneal dialysis (PD) patients.
  • Heart rhythm complexity analysis shows promise for predicting cardiovascular disease outcomes.

Purpose of the Study:

  • To investigate the association between heart rhythm complexity and AAC in PD patients.
  • To determine if heart rhythm complexity can serve as a cardiovascular marker in this population.

Main Methods:

  • Prospective analysis of 133 PD patients.
  • Assessment of heart rhythm complexity using detrended fluctuation analysis (DFA) and multiscale entropy.
  • Linear and non-linear analyses of heart rate variability.

Main Results:

  • Higher AAC was associated with significantly lower linear heart rate variability parameters.
  • Non-linear analysis revealed lower DFAα1, slope 1-5, scale 5, and area 6-20 in patients with higher AAC.
  • DFAα1 demonstrated the highest discriminatory power for AAC, and was independently associated with higher AAC ratio along with HbA1c.

Conclusions:

  • DFAα1 is significantly associated with abdominal aorta calcification in PD patients.
  • DFAα1 shows potential as a novel cardiovascular marker for PD patients.
  • Incorporating DFAα1 improves the prediction of AAC beyond traditional linear parameters.

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