The relationship of late potentials to assessment of heart rate variability in post-infarction patients
In order to investigate the relationship of late potential (LP) to assessment of heart rate variability (HRV) after acute myocardial infarction (AMI), we studied 101 Chinese patients with AMI (10±2.4 days) in Taiwan by collecting 24-h ECG from a Holter tape recorder and signal-averaged ECG from a hi...
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description | In order to investigate the relationship of late potential (LP) to assessment of heart rate variability (HRV) after acute myocardial infarction (AMI), we studied 101 Chinese patients with AMI (10±2.4 days) in Taiwan by collecting 24-h ECG from a Holter tape recorder and signal-averaged ECG from a high-resolution ECG cart. Of the 101 patients, 36 patients had LP (LP group) and 65 patients did not (NLP group). The mean heart rate was significantly lower in the LP group than in the NLP group (
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P<0.05). The LP group had a significantly increased high-frequency (HF) spectral component of HRV compared with the NLP group (
P<0.005), but their low-frequency (LF) to HF ratio (LF/HF) was lower (
P<0.05). Analysis of the circadian variation of HRV revealed significant difference of morning SDRR (standard deviation of normal RR intervals) compared with noon SDRR (
P<0.05 in the LP group,
P<0.005 in the NLP group) and evening SDRR (
P<0.05 in the LP group,
P<0.005 in the NLP group). In the NLP group, morning HF (normalized unit, nu) was 0.258±0.098 compared with noon HF (nu) of 0.219±0.83 (
P<0.05) and evening HF (nu) of 0.225±0.085 (
P<0.05). Nine patients died during follow-up from cardiac causes, three (8.3%) in the LP group and six (9.2%) in the NLP group. In post-MI patients, there was higher vagal tone in patients with late potentials compared to those without late potentials. NLP patients had more circadian change in vagal tone compared with LP patients.]]></description><identifier>ISSN: 0167-5273</identifier><identifier>EISSN: 1874-1754</identifier><identifier>DOI: 10.1016/S0167-5273(00)00281-3</identifier><identifier>PMID: 10962123</identifier><identifier>CODEN: IJCDD5</identifier><language>eng</language><publisher>Shannon: Elsevier Ireland Ltd</publisher><subject>Adult ; Aged ; Aged, 80 and over ; Arrhythmias, Cardiac - diagnosis ; Arrhythmias, Cardiac - etiology ; Biological and medical sciences ; Cardiology. Vascular system ; Chinese patients ; Circadian Rhythm ; Coronary heart disease ; Electrocardiography, Ambulatory ; Female ; Follow-Up Studies ; Heart ; Heart Conduction System - physiopathology ; Heart Rate - physiology ; Heart rate variability ; Humans ; Late potential ; Male ; Medical sciences ; Middle Aged ; Myocardial infarction ; Myocardial Infarction - complications ; Myocardial Infarction - mortality ; Probability ; Reference Values ; Risk Assessment ; Survival Rate</subject><ispartof>International journal of cardiology, 2000-07, Vol.74 (2), p.207-214</ispartof><rights>2000 Elsevier Science Ireland Ltd</rights><rights>2000 INIST-CNRS</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c390t-8536d08065324020f2b44156d6cc2f71a65447a080f6bdcd86ca6f5f6489c5e83</citedby><cites>FETCH-LOGICAL-c390t-8536d08065324020f2b44156d6cc2f71a65447a080f6bdcd86ca6f5f6489c5e83</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://www.sciencedirect.com/science/article/pii/S0167527300002813$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,776,780,3537,27901,27902,65306</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=1486636$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/10962123$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Kao, Tsair</creatorcontrib><creatorcontrib>Hsiao, Hsiang-Chiang</creatorcontrib><creatorcontrib>Chiu, Hung-Wen</creatorcontrib><creatorcontrib>Kong, Chi-Woon</creatorcontrib><title>The relationship of late potentials to assessment of heart rate variability in post-infarction patients</title><title>International journal of cardiology</title><addtitle>Int J Cardiol</addtitle><description><![CDATA[In order to investigate the relationship of late potential (LP) to assessment of heart rate variability (HRV) after acute myocardial infarction (AMI), we studied 101 Chinese patients with AMI (10±2.4 days) in Taiwan by collecting 24-h ECG from a Holter tape recorder and signal-averaged ECG from a high-resolution ECG cart. Of the 101 patients, 36 patients had LP (LP group) and 65 patients did not (NLP group). The mean heart rate was significantly lower in the LP group than in the NLP group (
P<0.05). The LP group had a significantly increased high-frequency (HF) spectral component of HRV compared with the NLP group (
P<0.005), but their low-frequency (LF) to HF ratio (LF/HF) was lower (
P<0.05). Analysis of the circadian variation of HRV revealed significant difference of morning SDRR (standard deviation of normal RR intervals) compared with noon SDRR (
P<0.05 in the LP group,
P<0.005 in the NLP group) and evening SDRR (
P<0.05 in the LP group,
P<0.005 in the NLP group). In the NLP group, morning HF (normalized unit, nu) was 0.258±0.098 compared with noon HF (nu) of 0.219±0.83 (
P<0.05) and evening HF (nu) of 0.225±0.085 (
P<0.05). Nine patients died during follow-up from cardiac causes, three (8.3%) in the LP group and six (9.2%) in the NLP group. In post-MI patients, there was higher vagal tone in patients with late potentials compared to those without late potentials. NLP patients had more circadian change in vagal tone compared with LP patients.]]></description><subject>Adult</subject><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Arrhythmias, Cardiac - diagnosis</subject><subject>Arrhythmias, Cardiac - etiology</subject><subject>Biological and medical sciences</subject><subject>Cardiology. Vascular system</subject><subject>Chinese patients</subject><subject>Circadian Rhythm</subject><subject>Coronary heart disease</subject><subject>Electrocardiography, Ambulatory</subject><subject>Female</subject><subject>Follow-Up Studies</subject><subject>Heart</subject><subject>Heart Conduction System - physiopathology</subject><subject>Heart Rate - physiology</subject><subject>Heart rate variability</subject><subject>Humans</subject><subject>Late potential</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Myocardial infarction</subject><subject>Myocardial Infarction - complications</subject><subject>Myocardial Infarction - mortality</subject><subject>Probability</subject><subject>Reference Values</subject><subject>Risk Assessment</subject><subject>Survival Rate</subject><issn>0167-5273</issn><issn>1874-1754</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2000</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqFkM1q3DAUhUVoSSZJHyFBi1LShZurX8urUEL_INBF07XQyFJGxWO7uppA3r5yZmi660YXXb5zJD5CLhh8YMD09Y96tI3irbgCeA_ADWvEEVkx08qGtUq-Iqu_yAk5RfwFALLrzDE5YdBpzrhYkYf7TaA5DK6kacRNmukUab0FOk8ljCW5AWmZqEMMiNu6WYBNcLnQvGCPLie3TkMqTzSNNYWlSWN02S-NdK7FNYTn5HWsVeHNYZ6Rn58_3d9-be6-f_l2-_Gu8aKD0hgldA8GtBJcAofI11IypXvtPY8tc1pJ2bpKRL3ufW-0dzqqqKXpvApGnJF3-945T793AYvdJvRhGNwYph3alnPWcqEqqPagzxNiDtHOOW1dfrIM7GLYPhu2iz4LYJ8NW1Fzl4cHdutt6P9J7ZVW4O0BcOjdELMbfcIXThqtha7YzR4L1cZjCtmir6Z86FMOvth-Sv_5yR-1HJhp</recordid><startdate>20000731</startdate><enddate>20000731</enddate><creator>Kao, Tsair</creator><creator>Hsiao, Hsiang-Chiang</creator><creator>Chiu, Hung-Wen</creator><creator>Kong, Chi-Woon</creator><general>Elsevier Ireland Ltd</general><general>Elsevier Science</general><scope>IQODW</scope><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>7X8</scope></search><sort><creationdate>20000731</creationdate><title>The relationship of late potentials to assessment of heart rate variability in post-infarction patients</title><author>Kao, Tsair ; Hsiao, Hsiang-Chiang ; Chiu, Hung-Wen ; Kong, Chi-Woon</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c390t-8536d08065324020f2b44156d6cc2f71a65447a080f6bdcd86ca6f5f6489c5e83</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2000</creationdate><topic>Adult</topic><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Arrhythmias, Cardiac - diagnosis</topic><topic>Arrhythmias, Cardiac - etiology</topic><topic>Biological and medical sciences</topic><topic>Cardiology. Vascular system</topic><topic>Chinese patients</topic><topic>Circadian Rhythm</topic><topic>Coronary heart disease</topic><topic>Electrocardiography, Ambulatory</topic><topic>Female</topic><topic>Follow-Up Studies</topic><topic>Heart</topic><topic>Heart Conduction System - physiopathology</topic><topic>Heart Rate - physiology</topic><topic>Heart rate variability</topic><topic>Humans</topic><topic>Late potential</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Middle Aged</topic><topic>Myocardial infarction</topic><topic>Myocardial Infarction - complications</topic><topic>Myocardial Infarction - mortality</topic><topic>Probability</topic><topic>Reference Values</topic><topic>Risk Assessment</topic><topic>Survival Rate</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Kao, Tsair</creatorcontrib><creatorcontrib>Hsiao, Hsiang-Chiang</creatorcontrib><creatorcontrib>Chiu, Hung-Wen</creatorcontrib><creatorcontrib>Kong, Chi-Woon</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>International journal of cardiology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Kao, Tsair</au><au>Hsiao, Hsiang-Chiang</au><au>Chiu, Hung-Wen</au><au>Kong, Chi-Woon</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>The relationship of late potentials to assessment of heart rate variability in post-infarction patients</atitle><jtitle>International journal of cardiology</jtitle><addtitle>Int J Cardiol</addtitle><date>2000-07-31</date><risdate>2000</risdate><volume>74</volume><issue>2</issue><spage>207</spage><epage>214</epage><pages>207-214</pages><issn>0167-5273</issn><eissn>1874-1754</eissn><coden>IJCDD5</coden><abstract><![CDATA[In order to investigate the relationship of late potential (LP) to assessment of heart rate variability (HRV) after acute myocardial infarction (AMI), we studied 101 Chinese patients with AMI (10±2.4 days) in Taiwan by collecting 24-h ECG from a Holter tape recorder and signal-averaged ECG from a high-resolution ECG cart. Of the 101 patients, 36 patients had LP (LP group) and 65 patients did not (NLP group). The mean heart rate was significantly lower in the LP group than in the NLP group (
P<0.05). The LP group had a significantly increased high-frequency (HF) spectral component of HRV compared with the NLP group (
P<0.005), but their low-frequency (LF) to HF ratio (LF/HF) was lower (
P<0.05). Analysis of the circadian variation of HRV revealed significant difference of morning SDRR (standard deviation of normal RR intervals) compared with noon SDRR (
P<0.05 in the LP group,
P<0.005 in the NLP group) and evening SDRR (
P<0.05 in the LP group,
P<0.005 in the NLP group). In the NLP group, morning HF (normalized unit, nu) was 0.258±0.098 compared with noon HF (nu) of 0.219±0.83 (
P<0.05) and evening HF (nu) of 0.225±0.085 (
P<0.05). Nine patients died during follow-up from cardiac causes, three (8.3%) in the LP group and six (9.2%) in the NLP group. In post-MI patients, there was higher vagal tone in patients with late potentials compared to those without late potentials. NLP patients had more circadian change in vagal tone compared with LP patients.]]></abstract><cop>Shannon</cop><pub>Elsevier Ireland Ltd</pub><pmid>10962123</pmid><doi>10.1016/S0167-5273(00)00281-3</doi><tpages>8</tpages></addata></record> |
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subjects | Adult Aged Aged, 80 and over Arrhythmias, Cardiac - diagnosis Arrhythmias, Cardiac - etiology Biological and medical sciences Cardiology. Vascular system Chinese patients Circadian Rhythm Coronary heart disease Electrocardiography, Ambulatory Female Follow-Up Studies Heart Heart Conduction System - physiopathology Heart Rate - physiology Heart rate variability Humans Late potential Male Medical sciences Middle Aged Myocardial infarction Myocardial Infarction - complications Myocardial Infarction - mortality Probability Reference Values Risk Assessment Survival Rate |
title | The relationship of late potentials to assessment of heart rate variability in post-infarction patients |
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