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September 28, 2017Current Opinion in Anaesthesiology

Reduced and abnormal resting HRV predict sudden and nonsudden cardiac death, and decreased HRV correlates with worsened outcomes in trauma and sepsis patients.

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Why the study?

Does heart rate variability monitoring provide predictive prognostic information and guide analgesia in critically ill and operative patients?

Population

Critically ill and operative patients, including trauma patients, patients with sepsis, and those under…

Design

Review

Authors

TAThomas A. AndersonStanford Medicine

Discussion

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Overview

HRV may aid prognostic stratification in critical illness; leaves open whether monitoring improves outcomes or guides analgesia.

Structured PICO

Does heart rate variability monitoring provide predictive prognostic information and guide analgesia in critically ill and operative patients?

P
Population
Critically ill and operative patients, including trauma patients, patients with sepsis, and those under general anesthesia or deep sedation.
I
Intervention
Heart rate variability (HRV) monitoring
O
Outcome
Predictive information about outcomes (sudden/nonsudden cardiac death, hypotension) and assessment of nociception-analgesia balancesurrogate

Heart rate variability monitoring may serve as a useful tool for risk stratification and tailoring intraoperative analgesia in critically ill and surgical patients.

Limitations

  • No study has assessed the prognostic value of preoperative HRV in patients presenting for surgery.

Cite This Study

Thomas A. Anderson (2017) studied this question.

synapsesocial.com/papers/6a0908a8bee8d5ab8a92db8ahttps://doi.org/10.1097/aco.0000000000000530
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Heart‐Rate Variability and Its Role in Non‐Cardiac Surgery Perioperative Care: Scoping Review2026
  2. 2Preoperative heart rate variability as a predictor of perioperative outcomes: a systematic review without meta-analysis2022 · 48 citations
  3. 3Heart rate variability in anaesthesiology – narrative review2023 · 21 citations
  4. 4Heart rate variability: a new tool to predict complications in adult cardiac surgery.2017 · 37 citations
  5. 5Heart rate variability: a diagnostic and prognostic tool in anesthesia and intensive care2011 · 164 citations