Impaired vagal heart rate control in coronary artery disease
Heart rate variation in deep breathing, a sensitive non-invasive measure of cardiac parasympathetic activity, was measured in 63 patients with coronary artery disease, in 22 patients with atypical chest pain, and in 20 healthy symptom free volunteers. There was significantly less heart rate variatio...
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Veröffentlicht in: | British Heart Journal 1987-12, Vol.58 (6), p.592-597 |
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creator | Airaksinen, K E Ikäheimo, M J Linnaluoto, M K Niemelä, M Takkunen, J T |
description | Heart rate variation in deep breathing, a sensitive non-invasive measure of cardiac parasympathetic activity, was measured in 63 patients with coronary artery disease, in 22 patients with atypical chest pain, and in 20 healthy symptom free volunteers. There was significantly less heart rate variation in deep breathing in the patients with coronary artery disease than in the healthy subjects. Twenty patients (32%) with coronary artery disease had lower than normal variation in heart rate. The patients with chest pain showed an intermediate heart rate response to deep breathing. Sinus arrhythmia in the patients with coronary artery disease was not related to the functional class, medication, number or location of narrowed vessels, or to the left ventricular ejection fraction, and end diastolic pressure. These results suggest that impairment of the parasympathetic nervous function is common in coronary artery disease. |
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There was significantly less heart rate variation in deep breathing in the patients with coronary artery disease than in the healthy subjects. Twenty patients (32%) with coronary artery disease had lower than normal variation in heart rate. The patients with chest pain showed an intermediate heart rate response to deep breathing. Sinus arrhythmia in the patients with coronary artery disease was not related to the functional class, medication, number or location of narrowed vessels, or to the left ventricular ejection fraction, and end diastolic pressure. 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There was significantly less heart rate variation in deep breathing in the patients with coronary artery disease than in the healthy subjects. Twenty patients (32%) with coronary artery disease had lower than normal variation in heart rate. The patients with chest pain showed an intermediate heart rate response to deep breathing. Sinus arrhythmia in the patients with coronary artery disease was not related to the functional class, medication, number or location of narrowed vessels, or to the left ventricular ejection fraction, and end diastolic pressure. These results suggest that impairment of the parasympathetic nervous function is common in coronary artery disease.</description><subject>Adult</subject><subject>Biological and medical sciences</subject><subject>Cardiac Catheterization</subject><subject>Cardiology. Vascular system</subject><subject>Coronary Disease - physiopathology</subject><subject>Coronary heart disease</subject><subject>Female</subject><subject>Heart</subject><subject>Heart Rate</subject><subject>Humans</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Posture</subject><subject>Vagus Nerve - physiopathology</subject><issn>0007-0769</issn><issn>1355-6037</issn><issn>1468-201X</issn><issn>2053-5864</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1987</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><sourceid>GNUQQ</sourceid><recordid>eNp9kd1rFDEUxUNR6lr75qswoOhLZ5uvSTIggixaC4tKqVJ8CZnkTjfrzGRNZkv73zfLLkvtQ59uwvlxcm4OQq8JnhLCxOkijtNKTcW0qukBmhAuVEkxuXqGJhhjWWIp6hfoZUrLfOW1EofokHEqVF1N0MfzfmV8BFfcmGvTFQswcSyiGaGwYRhj6Ao_5GMMg4l3RRYhD-cTmASv0PPWdAmOd_MI_fr65XL2rZz_ODuffZ6XTSXpWFLTiAacclRRCg13rFVYEJAKWiDWusoq62rIunGMC44xtYzhhjBe44ayI_Rp67taNz04CzmY6fQq-j6H0sF4_b8y-IW-DjeaUCkZwdng_c4ghn9rSKPufbLQdWaAsE5ayppUkokMvn0ELsM6Dnk5TaTEJH-g3NidbCkbQ0oR2n0UgvWmE5070ZXSQudOMv7mYfw9vCsh6-92uknWdG00g_Vpj0nOBSUsY-UW82mE271s4l8tJJOV_v57pq_mc3rx88-F3jz7Ycs3_fLpgPfKh7D0</recordid><startdate>19871201</startdate><enddate>19871201</enddate><creator>Airaksinen, K E</creator><creator>Ikäheimo, M J</creator><creator>Linnaluoto, M K</creator><creator>Niemelä, M</creator><creator>Takkunen, J T</creator><general>BMJ Publishing Group Ltd and British Cardiovascular Society</general><general>BMJ</general><general>BMJ Publishing Group LTD</general><scope>BSCLL</scope><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>3V.</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>88I</scope><scope>8AF</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>BTHHO</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>HCIFZ</scope><scope>K9.</scope><scope>M0S</scope><scope>M1P</scope><scope>M2P</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>Q9U</scope><scope>7X8</scope><scope>5PM</scope></search><sort><creationdate>19871201</creationdate><title>Impaired vagal heart rate control in coronary artery disease</title><author>Airaksinen, K E ; Ikäheimo, M J ; Linnaluoto, M K ; Niemelä, M ; Takkunen, J T</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-b572t-2ab6bed8d2822eb4d3f8061e78efe1ccd5c8cd9ed28ad3464002c330b13490b23</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1987</creationdate><topic>Adult</topic><topic>Biological and medical sciences</topic><topic>Cardiac Catheterization</topic><topic>Cardiology. Vascular system</topic><topic>Coronary Disease - physiopathology</topic><topic>Coronary heart disease</topic><topic>Female</topic><topic>Heart</topic><topic>Heart Rate</topic><topic>Humans</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Middle Aged</topic><topic>Posture</topic><topic>Vagus Nerve - physiopathology</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Airaksinen, K E</creatorcontrib><creatorcontrib>Ikäheimo, M J</creatorcontrib><creatorcontrib>Linnaluoto, M K</creatorcontrib><creatorcontrib>Niemelä, M</creatorcontrib><creatorcontrib>Takkunen, J T</creatorcontrib><collection>Istex</collection><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>ProQuest Central (Corporate)</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>Science Database (Alumni Edition)</collection><collection>STEM Database</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central Essentials</collection><collection>ProQuest Central</collection><collection>BMJ Journals</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>SciTech Premium Collection</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Science Database</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>ProQuest Central Basic</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>British Heart Journal</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Airaksinen, K E</au><au>Ikäheimo, M J</au><au>Linnaluoto, M K</au><au>Niemelä, M</au><au>Takkunen, J T</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Impaired vagal heart rate control in coronary artery disease</atitle><jtitle>British Heart Journal</jtitle><addtitle>Br Heart J</addtitle><date>1987-12-01</date><risdate>1987</risdate><volume>58</volume><issue>6</issue><spage>592</spage><epage>597</epage><pages>592-597</pages><issn>0007-0769</issn><issn>1355-6037</issn><eissn>1468-201X</eissn><eissn>2053-5864</eissn><coden>BHJUAV</coden><abstract>Heart rate variation in deep breathing, a sensitive non-invasive measure of cardiac parasympathetic activity, was measured in 63 patients with coronary artery disease, in 22 patients with atypical chest pain, and in 20 healthy symptom free volunteers. There was significantly less heart rate variation in deep breathing in the patients with coronary artery disease than in the healthy subjects. Twenty patients (32%) with coronary artery disease had lower than normal variation in heart rate. The patients with chest pain showed an intermediate heart rate response to deep breathing. Sinus arrhythmia in the patients with coronary artery disease was not related to the functional class, medication, number or location of narrowed vessels, or to the left ventricular ejection fraction, and end diastolic pressure. These results suggest that impairment of the parasympathetic nervous function is common in coronary artery disease.</abstract><cop>London</cop><pub>BMJ Publishing Group Ltd and British Cardiovascular Society</pub><pmid>3426895</pmid><doi>10.1136/hrt.58.6.592</doi><tpages>6</tpages><oa>free_for_read</oa></addata></record> |
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subjects | Adult Biological and medical sciences Cardiac Catheterization Cardiology. Vascular system Coronary Disease - physiopathology Coronary heart disease Female Heart Heart Rate Humans Male Medical sciences Middle Aged Posture Vagus Nerve - physiopathology |
title | Impaired vagal heart rate control in coronary artery disease |
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