Heart Rate Asymmetry, Its Compensation, and Heart Rate Variability in Healthy Adults during 48-h Holter ECG Recordings

Sibrecht, Greta; Piskorski, Jarosław; Krauze, Tomasz; Guzik, Przemysław

doi:10.3390/jcm12031219

Cited by 3 publications

(4 citation statements)

References 71 publications

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“…The longest runs comprised 47 consecutive accelerations (AR47s) and 27 d tions (DR27). The median values for the longest ARs and DRs were 26 (23)(24)(25)(26)(27)(28)(29)(30) and 18), respectively, and these differences were significant. In women, the average run was formed by 26 accelerations (AR26s, 22-29) and 16 decelerations (DR16s, and similarly in men, by 26 accelerations (AR26s, 23-30) and 16 decelerations (DR 18).…”

Section: The Longest Runsmentioning

confidence: 91%

“…Specifically, SD1d, SD2d, SD2a, SDNNd, SDNNa, C1d and CLa were higher in men, while C2d, CTd, Nd and CLd were lower in men than women. However, the prevalence of all forms of HRA and its compensation mechanisms appear to be similar between the sexes [23].…”

Section: Hra In Men and Womenmentioning

confidence: 94%

“…The inclusion criteria were voluntary participation, signing informed consent, and self-reported good health. The exclusion criteria included any chronic disease or acute illness within the past three months, or professional athletes [23]. A Holter-ECG recordings in which the total number of technical artefacts or non-sinus beats exceeded 10% of the recording was also excluded.…”

Section: Participantsmentioning

confidence: 99%

“…HRA has been studied in ECG recordings with lengths ranging from 1 min to 24 h [19][20][21][22]. We have recently shown that variance-based HRA was present in the 48 h ECGs of healthy adults and that HRA expression was stronger in women than men [23].…”

Section: Introductionmentioning

confidence: 99%

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Asymmetric Properties of the Heart Rate Microstructure in Healthy Adults during 48 h ECG Recordings

Sibrecht,

Piskorski,

Krauze

et al. 2023

JCM

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Heart rate asymmetry reflects the different contributions of heart rate (HR) decelerations and accelerations to heart rate variability (HRV). We examined the contribution of monotonic runs of HR accelerations and decelerations to the asymmetric properties of the HR microstructure in the 48 h electrocardiograms (ECGs) of healthy adults (n = 101, 47 males, average age of 39 years) and analysed sex differences in the HR microstructure. The HR microstructure was asymmetric for runs of most lengths, except for sequences of two consecutive decelerations (DR2s) or accelerations (AR2s). Women had a higher prevalence of AR2s than men but fewer runs in the range of 4 to 11 consecutive accelerations (AR4–AR11s) and 5 to 11 consecutive decelerations (DR5–DR11s). The longest runs consisted of 47 consecutive accelerations (AR47s) and 27 consecutive decelerations (DR27s). More DR3s than AR3s and more DR4s than AR4s reveal a crossing of HR microstructure asymmetry. In conclusion, more acceleration than deceleration runs demonstrate that the HR microstructure was asymmetric in the 48 h ECGs. This phenomenon was present in both sexes but was more pronounced in men. For shorter runs of 3 and 4 consecutive heartbeats, there was a crossing of HR microstructure asymmetry, with more deceleration than acceleration runs.

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Section: The Longest Runsmentioning

confidence: 91%

Section: Hra In Men and Womenmentioning

confidence: 94%

Section: Participantsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Asymmetric Properties of the Heart Rate Microstructure in Healthy Adults during 48 h ECG Recordings

Sibrecht,

Piskorski,

Krauze

et al. 2023

JCM

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Healthy Young POLes – HYPOL database with synchronised beat-to-beat heart rate and blood pressure signals

Guzik,

Krauze,

Wykrętowicz

et al. 2023

JMS

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Data sharing in medical research entails making research data available to other researchers for review, re-use, and collaboration purposes. This paper seeks to describe the HYPOL (Healthy Young POLes) database, which has been prepared for sharing. This database houses the clinical characteristics and beat-to-beat cardiovascular time series of 278 individuals of Polish descent, all aged between 19 and 30 years. The data were collected from healthy volunteers who participated in multiple projects carried out at the Department of Cardiology-Intensive Therapy research laboratory, Poznan University of Medical Sciences, Poznan, Poland. The cardiovascular time series data was obtained from non-invasive continuous finger blood pressure and ECG recordings, with sessions lasting up to 45 minutes. The HYPOL database includes an xls file detailing the main clinical characteristics and text files that capture ECG-derived RR intervals, finger systolic, diastolic, and mean blood pressure values, as well as the duration of interbeat intervals. There are data from 149 women (53.6% of the total) and 129 men. The median age of all participants studied is 24 years, their BMI was <24 kg/m2, pulse rate and blood pressure were normal. The median duration of the recordings was almost 30 minutes. In addition, we summarise selected parameters of heart rate variability (HRV) and heart rate asymmetry (HRA). The HYPOL database is available at hypol.ump.edu.pl. The download of data is free of charge after simple registration. Researchers and engineers can use the database for their purposes, except for selling it. The data can be used for testing various mathematical algorithms for HRV, HRA, blood pressure variability and asymmetry, and baroflex function.

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Enhancing Comprehensive Assessments in Chronic Heart Failure Caused by Ischemic Heart Disease: The Diagnostic Utility of Holter ECG Parameters

Duca,

Tudorancea,

Haba

et al. 2024

Medicina

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Background and Objectives: Chronic heart failure (CHF) caused by ischemic heart disease (IHD) is the leading cause of death worldwide and presents significant health challenges. Effective management of IHD requires prevention, early detection, and treatment to improve patient outcomes. This study aims to expand the diagnostic utility of various 24 h Holter ECG parameters, such as T-wave alternans (TWA), late ventricular potentials (LVPs), and heart rate variability (HRV) in patients with CHF caused by IHD. Additionally, we seek to explore the association between these parameters and other comorbid conditions affecting the prognosis of CHF patients. Materials and Methods: We conducted a prospective case–control study with 150 patients divided into two subgroups: 100 patients with CHF caused by IHD, and 50 patients in the control group. Data included medical history, physical examination, laboratory tests, echocardiography, and 24 h Holter monitoring. Results: Our comparative analysis demonstrated that both TWA and LVPs were significantly higher in patients with CHF compared to the control group (p < 0.01), indicating increased myocardial electrical vulnerability in CHF patients. Both time and frequency-domain HRV parameters were significantly lower in the CHF group. However, the ratio of NN50 to the total count of NN intervals (PNN50) showed a borderline significance (p = 0.06). While the low-frequency (LF) domain was significantly lower in CHF patients, the high-frequency (HF) domain did not differ significantly between groups. Acceleration and deceleration capacities were also significantly altered in CHF patients. Categorizing CHF patients by left ventricular ejection fraction (LVEF) revealed that the mean of the 5-min normal-to-normal intervals over the complete recording (SDNN Index) was significantly higher in patients with LVEF ≥ 50% compared to those with CHF with reduced EF and CHF with mildly reduced EF (p < 0.001), whereas the other HRV parameters showed no significant differences among the groups. Conclusions: Holter ECG parameters can become a reliable tool in the assessment of patients with CHF. The integration of multiple Holter ECG parameters, such as TWA, LVPs, and HRV, can significantly enhance the diagnostic assessment of CHF caused by IHD. This comprehensive approach allows for a more nuanced understanding of the patient’s condition and potential outcomes.

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Heart Rate Asymmetry, Its Compensation, and Heart Rate Variability in Healthy Adults during 48-h Holter ECG Recordings

Cited by 3 publications

References 71 publications

Asymmetric Properties of the Heart Rate Microstructure in Healthy Adults during 48 h ECG Recordings

Asymmetric Properties of the Heart Rate Microstructure in Healthy Adults during 48 h ECG Recordings

Healthy Young POLes – HYPOL database with synchronised beat-to-beat heart rate and blood pressure signals

Enhancing Comprehensive Assessments in Chronic Heart Failure Caused by Ischemic Heart Disease: The Diagnostic Utility of Holter ECG Parameters

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