Heart rate variability analysed by Poincaré plot in patients with metabolic syndrome

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Authors

KUBIČKOVÁ Alena KOZUMPLÍK Jiří NOVÁKOVÁ Zuzana PLACHÝ Martin JURÁK Pavel LIPOLDOVÁ Jolana

Year of publication 2016
Type Article in Periodical
Magazine / Source Journal of Electrocardiology
MU Faculty or unit

Faculty of Medicine

Citation
Doi http://dx.doi.org/10.1016/j.jelectrocard.2015.11.004
Field Physiology
Keywords heart rate variability; metabolic syndrome; Poincare plot; tilt table test; controlled breathing
Description Introduction: The SD1 and SD2 indexes (standard deviations in two orthogonal directions of the Poincare plot) carry similar information to the spectral density power of the high and low frequency bands but have the advantage of easier calculation and lesser stationarity dependence. Methods: ECG signals from metabolic syndrome (MetS) and control group patients during tilt table test under controlled breathing (20 breaths/minute) were obtained. SD1, SD2, SDRR (standard deviation of RR intervals) and RMSSD (root mean square of successive differences of RR intervals) were evaluated for 31 control group and 33 MetS subjects. Results: Statistically significant lower values were observed in MetS patients in supine position (SDI: p = 0.03, SD2: p = 0.002, SDRR: p = 0.006, RMSSD: p = 0.01) and during tilt (SD2: p = 0.004, SDRR: p = 0.007). Conclusion: SD1 and SD2 combining the advantages of time and frequency domain methods, distinguish successfully between MetS and control subjects. (C) 2016 Elsevier Inc. All rights reserved
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