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[Autonomic alcoholic polyneuropathy].

F Weise, D Müller, D Krell

    Zeitschrift Fur Die Gesamte Innere Medizin Und Ihre Grenzgebiete
    |March 1, 1985
    PubMed
    Summary
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    Heart rate variability decreases with age in healthy individuals. Alcoholics may develop cardiac autonomic neuropathy, and withdrawal causes temporary heart rate changes and reduced heart rate variability.

    Area of Science:

    • Cardiology
    • Autonomic Nervous System Research
    • Clinical Physiology

    Context:

    • Heart rate variability (HRV) is a non-invasive measure reflecting autonomic nervous system (ANS) function.
    • Age-related changes in HRV are established in healthy populations.
    • Alcohol use disorder is associated with various cardiovascular complications.

    Purpose:

    • To investigate age-related heart rate variability patterns in healthy adults.
    • To assess cardiac autonomic neuropathy using heart rate variability in alcoholics.
    • To examine the impact of alcohol withdrawal on heart rate and heart rate variability.

    Summary:

    • A study of 106 healthy volunteers and 31 alcoholics measured heart rate variability.
    • In healthy individuals, mean momentary arrhythmia (a measure of HRV) exponentially decreased with age.

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  • Cardiac autonomic neuropathy was identified in 5 out of 31 alcoholics.
  • Withdrawing alcoholics exhibited increased heart rate and decreased HRV compared to later measurements, supporting the hyperexcitability concept in early withdrawal.

    • Impact:

    • This research highlights potential age-related physiological changes in autonomic function.
    • It identifies cardiac autonomic neuropathy as a complication in a subset of alcoholics.
    • Findings provide physiological evidence for autonomic dysregulation during alcohol withdrawal.
    • The study underscores the utility of heart rate variability in assessing autonomic function in clinical populations.