Vol 8, No 1 (2004)
Review paper
Published online: 2004-01-23
Heart rate variability in essential hypertension. Part V. Prognostic value of heart rate variability
Ryszard Piotrowicz, Katarzyna Stolarz
Nadciśnienie tętnicze 2004;8(1):55-59.
Vol 8, No 1 (2004)
REVIEV
Published online: 2004-01-23
Abstract
Time and frequency domain analysis of heart rate variability is generally accepted method for the investigation
of the activity of the autonomic nervous system in terms of control of cardiovascular functions. Many studies
showed that deacreased heart rate variability is related to higher risk of mortality in patients with myocardial infarction, in diabetic subjects, and with increased mortality
in the general population. Besides the prognostic importance of heart rate variability in patient who already
are diagnosed with cardiovascular disorder, there are many observations, that some autonomic imbalance and
changes in components of heart rate variability may preceed clinical symptoms of diseases of cardiovascular
system. The relation of the decreased total heart rate variability with incidence of coronary heart disease, myocardial infartion or heart failure has been reported. The studies on offspring of hypertensives showed impaired function of the autonomic nervous system even before development of hypertension. The prospective observations, with several years long follow-up, showed an important role of the frequency domain components of
heart rate variability in prediction of the incidence of hypertension. Heart rate variability, as the method allowing assessement of the autonomic nervous function seems to be promising for the stratification of the risk of
incidence of cardiovascular disorders or mortality. However, there is no agrrement, which parameters should be used for risk stratification and the consensus on normal values has not yet been reached.
Abstract
Time and frequency domain analysis of heart rate variability is generally accepted method for the investigation
of the activity of the autonomic nervous system in terms of control of cardiovascular functions. Many studies
showed that deacreased heart rate variability is related to higher risk of mortality in patients with myocardial infarction, in diabetic subjects, and with increased mortality
in the general population. Besides the prognostic importance of heart rate variability in patient who already
are diagnosed with cardiovascular disorder, there are many observations, that some autonomic imbalance and
changes in components of heart rate variability may preceed clinical symptoms of diseases of cardiovascular
system. The relation of the decreased total heart rate variability with incidence of coronary heart disease, myocardial infartion or heart failure has been reported. The studies on offspring of hypertensives showed impaired function of the autonomic nervous system even before development of hypertension. The prospective observations, with several years long follow-up, showed an important role of the frequency domain components of
heart rate variability in prediction of the incidence of hypertension. Heart rate variability, as the method allowing assessement of the autonomic nervous function seems to be promising for the stratification of the risk of
incidence of cardiovascular disorders or mortality. However, there is no agrrement, which parameters should be used for risk stratification and the consensus on normal values has not yet been reached.
Keywords
arterial hypertension; heart rate variability; prognosis
Title
Heart rate variability in essential hypertension. Part V. Prognostic value of heart rate variability
Journal
Arterial Hypertension
Issue
Vol 8, No 1 (2004)
Article type
Review paper
Pages
55-59
Published online
2004-01-23
Page views
576
Article views/downloads
1199
Bibliographic record
Nadciśnienie tętnicze 2004;8(1):55-59.
Keywords
arterial hypertension
heart rate variability
prognosis
Authors
Ryszard Piotrowicz
Katarzyna Stolarz