Effects of depression on heart rate variability in elderly patients with stable coronary artery disease
Background Depression is an independent risk factor in coronary artery disease (CAD). Our objective was to evaluate the impact of depression on heart rate variability (HRV) in patients with stable CAD. Methods This study included patients with a stable CAD who admitted to our hospital in the geriatr...
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| Veröffentlicht in: | Journal of evidence-based medicine 2018-11, Vol.11 (4), p.242-245 |
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| creator | Luo, Ying Zhang, Shaomin Zheng, Rongrong Xu, Lian Wu, Jinhui |
| description | Background
Depression is an independent risk factor in coronary artery disease (CAD). Our objective was to evaluate the impact of depression on heart rate variability (HRV) in patients with stable CAD.
Methods
This study included patients with a stable CAD who admitted to our hospital in the geriatric medical center from August 2016 to December 2016. All patients agreed to participate in the study and sign informed consent. The study group included 90 CAD patients with a diagnosis of depression and 99 CAD patients without depression. All study population underwent a 24‐hour Holter recording for HRV. The depression was assessed by 5‐Item Geriatric Depression.
Results
There was a linear correlation between age and HRV. There were no significant differences in heart rate variability between male and female patients, married and unmarried/widowed, smoking and nonsmoking, drinking and nondrinking groups. Multiple linear regression analysis showed that there were correlations between depression and HRV. β‐blockers were associated with SDNN, SDANN, SDNN index, and RMSSD in HRV.
Conclusion
Depression is an important risk factor for heart rate variability in elderly patients with CAD. Clinicians should pay attention for evaluation of depressive patients with CAD. |
| doi_str_mv | 10.1111/jebm.12310 |
| format | Article |
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Depression is an independent risk factor in coronary artery disease (CAD). Our objective was to evaluate the impact of depression on heart rate variability (HRV) in patients with stable CAD.
Methods
This study included patients with a stable CAD who admitted to our hospital in the geriatric medical center from August 2016 to December 2016. All patients agreed to participate in the study and sign informed consent. The study group included 90 CAD patients with a diagnosis of depression and 99 CAD patients without depression. All study population underwent a 24‐hour Holter recording for HRV. The depression was assessed by 5‐Item Geriatric Depression.
Results
There was a linear correlation between age and HRV. There were no significant differences in heart rate variability between male and female patients, married and unmarried/widowed, smoking and nonsmoking, drinking and nondrinking groups. Multiple linear regression analysis showed that there were correlations between depression and HRV. β‐blockers were associated with SDNN, SDANN, SDNN index, and RMSSD in HRV.
Conclusion
Depression is an important risk factor for heart rate variability in elderly patients with CAD. Clinicians should pay attention for evaluation of depressive patients with CAD.</description><identifier>ISSN: 1756-5391</identifier><identifier>ISSN: 1756-5383</identifier><identifier>EISSN: 1756-5391</identifier><identifier>DOI: 10.1111/jebm.12310</identifier><identifier>PMID: 30094948</identifier><language>eng</language><publisher>England: Wiley Subscription Services, Inc</publisher><subject>Adrenergic beta-Antagonists - therapeutic use ; Age Factors ; Aged ; Aged, 80 and over ; Cardiovascular disease ; Case-Control Studies ; coronary artery disease ; Coronary Artery Disease - complications ; Coronary Artery Disease - physiopathology ; Coronary vessels ; depression ; Depression - complications ; Depression - physiopathology ; elderly patients ; Female ; Geriatrics ; Heart Rate ; heart rate variability ; Humans ; Male ; Mental depression ; Older people</subject><ispartof>Journal of evidence-based medicine, 2018-11, Vol.11 (4), p.242-245</ispartof><rights>2018 Chinese Cochrane Center, West China Hospital of Sichuan University and John Wiley & Sons Australia, Ltd</rights><rights>2018 Chinese Cochrane Center, West China Hospital of Sichuan University and John Wiley & Sons Australia, Ltd.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c2720-939a8cb96734488e71a5a2721e7ef13d94776b571989738e660238f5792d29033</citedby><cites>FETCH-LOGICAL-c2720-939a8cb96734488e71a5a2721e7ef13d94776b571989738e660238f5792d29033</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1111%2Fjebm.12310$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1111%2Fjebm.12310$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,777,781,1412,27905,27906,45555,45556</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/30094948$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Luo, Ying</creatorcontrib><creatorcontrib>Zhang, Shaomin</creatorcontrib><creatorcontrib>Zheng, Rongrong</creatorcontrib><creatorcontrib>Xu, Lian</creatorcontrib><creatorcontrib>Wu, Jinhui</creatorcontrib><title>Effects of depression on heart rate variability in elderly patients with stable coronary artery disease</title><title>Journal of evidence-based medicine</title><addtitle>J Evid Based Med</addtitle><description>Background
Depression is an independent risk factor in coronary artery disease (CAD). Our objective was to evaluate the impact of depression on heart rate variability (HRV) in patients with stable CAD.
Methods
This study included patients with a stable CAD who admitted to our hospital in the geriatric medical center from August 2016 to December 2016. All patients agreed to participate in the study and sign informed consent. The study group included 90 CAD patients with a diagnosis of depression and 99 CAD patients without depression. All study population underwent a 24‐hour Holter recording for HRV. The depression was assessed by 5‐Item Geriatric Depression.
Results
There was a linear correlation between age and HRV. There were no significant differences in heart rate variability between male and female patients, married and unmarried/widowed, smoking and nonsmoking, drinking and nondrinking groups. Multiple linear regression analysis showed that there were correlations between depression and HRV. β‐blockers were associated with SDNN, SDANN, SDNN index, and RMSSD in HRV.
Conclusion
Depression is an important risk factor for heart rate variability in elderly patients with CAD. Clinicians should pay attention for evaluation of depressive patients with CAD.</description><subject>Adrenergic beta-Antagonists - therapeutic use</subject><subject>Age Factors</subject><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Cardiovascular disease</subject><subject>Case-Control Studies</subject><subject>coronary artery disease</subject><subject>Coronary Artery Disease - complications</subject><subject>Coronary Artery Disease - physiopathology</subject><subject>Coronary vessels</subject><subject>depression</subject><subject>Depression - complications</subject><subject>Depression - physiopathology</subject><subject>elderly patients</subject><subject>Female</subject><subject>Geriatrics</subject><subject>Heart Rate</subject><subject>heart rate variability</subject><subject>Humans</subject><subject>Male</subject><subject>Mental depression</subject><subject>Older people</subject><issn>1756-5391</issn><issn>1756-5383</issn><issn>1756-5391</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2018</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kMtKAzEUhoMotlY3PoAE3IgwNZeZSbLUUm9U3Og6ZGbO2JS51GTG0rc3tVXEhSFwAuc7Hzk_QqeUjGk4VwvI6jFlnJI9NKQiSaOEK7r_6z1AR94vCEnjWLFDNOCEqFjFcojepmUJeedxW-IClg68t22Dw52DcR12pgP8YZw1ma1st8a2wVAV4Ko1XprOQhNmV7abY9-ZrAKct65tjFvjMA2hFNaD8XCMDkpTeTjZ1RF6vZ2-TO6j2fPdw-R6FuVMMBIprozMM5UKHsdSgqAmMaFDQUBJeaFiIdIsEVRJJbiENCWMyzIRihVMEc5H6GLrXbr2vQff6dr6HKrKNND2XjMiRaJoSkRAz_-gi7Z3TfidZpTLoCaJDNTllspd672DUi-drcOCmhK9iV9v4tdf8Qf4bKfssxqKH_Q77wDQLbCyFaz_UenH6c3TVvoJ5JKOXA</recordid><startdate>201811</startdate><enddate>201811</enddate><creator>Luo, Ying</creator><creator>Zhang, Shaomin</creator><creator>Zheng, Rongrong</creator><creator>Xu, Lian</creator><creator>Wu, Jinhui</creator><general>Wiley Subscription Services, Inc</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>K9.</scope><scope>7X8</scope></search><sort><creationdate>201811</creationdate><title>Effects of depression on heart rate variability in elderly patients with stable coronary artery disease</title><author>Luo, Ying ; Zhang, Shaomin ; Zheng, Rongrong ; Xu, Lian ; Wu, Jinhui</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c2720-939a8cb96734488e71a5a2721e7ef13d94776b571989738e660238f5792d29033</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2018</creationdate><topic>Adrenergic beta-Antagonists - therapeutic use</topic><topic>Age Factors</topic><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Cardiovascular disease</topic><topic>Case-Control Studies</topic><topic>coronary artery disease</topic><topic>Coronary Artery Disease - complications</topic><topic>Coronary Artery Disease - physiopathology</topic><topic>Coronary vessels</topic><topic>depression</topic><topic>Depression - complications</topic><topic>Depression - physiopathology</topic><topic>elderly patients</topic><topic>Female</topic><topic>Geriatrics</topic><topic>Heart Rate</topic><topic>heart rate variability</topic><topic>Humans</topic><topic>Male</topic><topic>Mental depression</topic><topic>Older people</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Luo, Ying</creatorcontrib><creatorcontrib>Zhang, Shaomin</creatorcontrib><creatorcontrib>Zheng, Rongrong</creatorcontrib><creatorcontrib>Xu, Lian</creatorcontrib><creatorcontrib>Wu, Jinhui</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of evidence-based medicine</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Luo, Ying</au><au>Zhang, Shaomin</au><au>Zheng, Rongrong</au><au>Xu, Lian</au><au>Wu, Jinhui</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Effects of depression on heart rate variability in elderly patients with stable coronary artery disease</atitle><jtitle>Journal of evidence-based medicine</jtitle><addtitle>J Evid Based Med</addtitle><date>2018-11</date><risdate>2018</risdate><volume>11</volume><issue>4</issue><spage>242</spage><epage>245</epage><pages>242-245</pages><issn>1756-5391</issn><issn>1756-5383</issn><eissn>1756-5391</eissn><abstract>Background
Depression is an independent risk factor in coronary artery disease (CAD). Our objective was to evaluate the impact of depression on heart rate variability (HRV) in patients with stable CAD.
Methods
This study included patients with a stable CAD who admitted to our hospital in the geriatric medical center from August 2016 to December 2016. All patients agreed to participate in the study and sign informed consent. The study group included 90 CAD patients with a diagnosis of depression and 99 CAD patients without depression. All study population underwent a 24‐hour Holter recording for HRV. The depression was assessed by 5‐Item Geriatric Depression.
Results
There was a linear correlation between age and HRV. There were no significant differences in heart rate variability between male and female patients, married and unmarried/widowed, smoking and nonsmoking, drinking and nondrinking groups. Multiple linear regression analysis showed that there were correlations between depression and HRV. β‐blockers were associated with SDNN, SDANN, SDNN index, and RMSSD in HRV.
Conclusion
Depression is an important risk factor for heart rate variability in elderly patients with CAD. Clinicians should pay attention for evaluation of depressive patients with CAD.</abstract><cop>England</cop><pub>Wiley Subscription Services, Inc</pub><pmid>30094948</pmid><doi>10.1111/jebm.12310</doi><tpages>4</tpages></addata></record> |
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| source | MEDLINE; Wiley Online Library Journals Frontfile Complete |
| subjects | Adrenergic beta-Antagonists - therapeutic use Age Factors Aged Aged, 80 and over Cardiovascular disease Case-Control Studies coronary artery disease Coronary Artery Disease - complications Coronary Artery Disease - physiopathology Coronary vessels depression Depression - complications Depression - physiopathology elderly patients Female Geriatrics Heart Rate heart rate variability Humans Male Mental depression Older people |
| title | Effects of depression on heart rate variability in elderly patients with stable coronary artery disease |
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