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[Studies of cardiovascular autonomic function and duration of QTc interval in smokers]
J C Romero Mestre1, M Licea Puig, O Faget Cepero
1Instituto Nacional de Endocrinología, La Habana, Cuba.
Objectives:
A total of 97 apparently healthy subjects were studied in order to establish the influence of smoking habits in studies on neurocardiovascular control and the QTc interval duration.
Material And Methods:
The study group consisted of 37 smokers and 60 non-smokers as the control. A 12-lead electrocardiogram was performed on all subjects to determine the duration of the QTc interval. Other aspects studied include heart rate variability at rest during 150 cardiac cycles using time domain: coefficient of variation and root mean squared successive difference; and frequency domain: low frequency band (0.04-0.15 Hz) and high frequency band (0.15-0.50 Hz), to determine total energy logarithm and maximum energy frequency. Additionally, conventional cardiovascular autonomic function tests, such as orthostasis, Valsalva maneuver and deep breathing were performed.
Results:
No significant differences were observed in the duration of the QTc interval nor in time and frequency domain parameters, except in the maximum frequency in the high frequency band, which appeared significantly lower (p < 0.05) in smokers when compared to non-smokers (0.28 +1- 0.1 vs 0.33 +/- 0.1 Hz). No modifications were noted in the cardiovascular autonomic function tests applied to smokers and non-smokers, and the QTc interval was not linked to the rest of the variables studied.
Conclusions:
To conclude, smoking habits do not seem to have a significant influence in studies addressed to determine the impact of the autonomic nervous systems on cardiovascular control.