Heart rate variability in patients with rheumatoid arthritis

Background: Cigarette smoking is one of the strong contributors to the risk of development of cardiovascular diseases including coronary artery disease, stroke, sudden death, peripheral artery disease & aortic aneurysm. Objective: To assess HRV by time domain methods in healthy cigarette smokers. Methods: This cross sectional study was conducted in the Department of Physiology, Bangabandhu Sheikh Mujib Medical University (BSMMU), Shahbag, Dhaka from July 2011 to June 2012. 120 apparently healthy male current regular cigarette smokers (Group B) aged 20-55 years were enrolled in the study group.70 apparently healthy male non smoker subjects (Group A) were taken as control. Time domain measures of HRV were recorded by a RMS digital Polyrite. Statistical analysis was done by independent sample t test. Results: Resting Pulse, SBP, DBP, Mean heart rate was significantly higher (p<0.001) and Mean R-R interval, SDNN, RMSSD were significantly lower (p<0.001) in all smokers compared to control. Conclusion: Generalized reduced HRV & attenuated cardiac vagal modulation occur in apparently healthy cigarette smokers.

Section: Discussionmentioning

confidence: 64%

Autonomic Dysfunction in Current Cigarette Smokers Assessed by Time Series Analysis of Heart Rate Variability

Ferdouse¹,

Ferdousi

2014

“…On the other hand, reduced HRV acts as a strong predictor of many cardiac diseases. 9 Time domain method determines the heart rate at any point in time or the intervals between successive normal QRS complex in a continuous ECG record. Common simple time domain variables include mean normal to normal QRS complex (NN) interval and the mean heart rate.…”

Section: Methodsmentioning

confidence: 99%

Effect of Aging on Short Term Heart Rate Variability

Akhter¹,

Akhter

Rohman

et al. 2015

Background: Heart rate variability has been considered as an indicator of autonomic nerve function status. Few works have been done to assess the heart rate variability in normal healthy subjects in different countries. Objectives: To assess the cardiac autonomic nerve function status in healthy Bangladeshi population of different age groups by analyzing time domain measures of Heart Rate Variability. Methods: This cross sectional study was conducted in the Department of Physiology, Dhaka Medical College, Dhaka from the period of July 2012 to June 2013. For this purpose, a total number of 180 healthy subjects were selected with the age ranging from 15-60 years of both sexes. All the study subjects were divided into 3 different groups according to age (Control 15-30 years; middle age 31-45 years; older age 46-60 years). Each group included 60 subjects of which 30 were male and 30 were female. The subjects were selected from different areas of Dhaka city by personal contacts. HRV parameters were recorded by a 4 active channels, RMS Polyrite-D-2 machine For statistical analysis, one way ANOVA, unpaired Student's 't'-test and Pearson's correlation coefficient test were performed. as applicable. Results: Systolic blood pressure (SBP), diastolic blood pressure (DBP) were significantly (p<0.001) higher in older group in comparison to control & middle age group. Again RR interval and RMSSD (p<0.001), were significantly lower in older age group (p<0.05) compared to control & also to middle age group. But HR was found significantly higher (p<0.05)in both middle and older subjects than control and also in older (p<0.05) compared to middle age. Correlation analysis showed moderate negative correlation of mean R-R with age in middle age whereas significant negative correlation for RMSSD both in middle and older age subjects.. Conclusion: In this study, markedly decreased cardiac parasympathetic function were found with aging process.

“…Onset may be at any age imbalance. [10][11][12] Though both peripheral and central nervous system involvement has been well recognized but information on involvement of autonomic nervous system is scarcely available. 10 Heart rate variability (HRV) reflects autonomic nervous control.…”

mentioning

confidence: 99%

Power Spectral Analysis of Heart Rate Variability in Female Rheumatoid Arthritis Patients

Jahan

Begum

Ferdousi

2012

Background: Association of increased cardiovascular morbidity and higher sympathetic activity in patients with Rheumatoid arthritis (RA) has been recognized. Heart rate variability (HRV) is a useful measure to assess sympatho-vagal balance. Objective: To assess autonomic nerve function status in patients with Rheumatoid Arthritis (RA) by HRV analysis. Methods: This cross sectional study was conducted in the Department of Physiology, Bangabandhu Sheikh Mujib Medical University (BSMMU), Shahbag, Dhaka from January to December 2010. Sixty female RA patients aged 18-50 years were included in the study group. They were enrolled from the Out Patient Department of Rheumatology Wing of the Department of Medicine, BSMMU, Dhaka. For comparison age matched thirty apparently healthy females were also studied as control. The HRV parameters were recorded by a Polyrite machine. For statistical analysis independent sample t test was used. Results: Mean resting pulse rate, diastolic blood pressure and mean systolic blood pressure were higher in rheumatoid arthritis patients in comparison to those of healthy control. Mean values of LF power, LF norm and LF/ HF were significantly higher (p<0.001) & TP and HF power, HF norm were significantly lower (p<0.001) in RA patients in comparison to those of healthy control. Conclusion: This study may conclude that sympathetic activity was higher with lower parasympathetic activity along with shifting of sympathovagal balance towards sympathetic predominance in patients with rheumatoid arthritis.