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January 14, 2026Clinical Autonomic ResearchOpen Access

Autonomic characteristics of periodic limb movements: comparison of whole-night and stage N2 linear and non-linear heart rate variability

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Authors

EIElif Simin IssıSASelahattin AyasETElif Göksu Yiğit Tekkanat

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Overview

Investigates heart rate variability differences in patients with periodic limb movements during sleep, suggesting new insights into cardiovascular health.

Key Points

  • To investigate how periodic limb movements during sleep affect heart rate variability, both linearly and non-linearly.
  • Analyzed 8082 polysomnographic recordings, identifying 21 patients with PLMS and 28 matched controls.
  • Evaluated linear and non-linear heart rate variability indices over whole-night and stage N2 sleep.
  • Assessed periodic limb movement indices and arousal-related parameters.
  • Patients with PLMS had higher SDNN and RMSSD and lower ApEn and SampEn compared to controls.
  • During stage N2, PLMS patients exhibited increased SDNN, SD2, and decreased ApEn.
  • Significant differences in HRV parameters were particularly evident during stage N2 compared to whole-night measurements.

Cite This Study

Issı et al. (2026) studied this question.

synapsesocial.com/papers/6967197b87ba607552bb9632https://doi.org/10.1007/s10286-025-01184-y
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