Absence of slowest oscillations in short term heart rate variability of post-myocardial infarction patients. GISSI-3 arrhythmias substudy. GISSI-3 Arrhythmias Substudy Investigators

Auton Neurosci. 2001 Jul 20;90(1-2):127-31. doi: 10.1016/s1566-0702(01)00278-8.

Abstract

Despite the widely demonstrated association of reduced heart rate variability (HRV) to bad prognosis after myocardial infarction (MI), reference values for HRV parameters are still not available. The GISSI-3 Arrhythmias Substudy studied short-term HRV in a relatively unselected population of patients (324) with recent MI (13 +/- 7 days) providing the statistical description of the main time and frequency domain parameters. All HRV indices, except for the RR interval, showed a non-normal distribution generally skewed around the lowest values. Particularly, no LF power was detected in 75 patients (23%) by power spectral analysis. The absence of LF oscillation in RR spectra was associated to the lower standard deviation of normal RR intervals (SD), aging (> 65 years) and blood pressure hypertension. This result seems to indicate a paradoxical effect of sympathetic overactivity in post-MI patients.

MeSH terms

  • Aged
  • Arrhythmias, Cardiac / diagnosis
  • Arrhythmias, Cardiac / physiopathology
  • Electrocardiography
  • Heart Rate / physiology*
  • Humans
  • Myocardial Infarction / diagnosis
  • Myocardial Infarction / physiopathology*
  • Periodicity*
  • Prognosis
  • Sympathetic Nervous System / physiopathology