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April 1, 1993Circulation

Frequency domain measures of heart rate variability, including total power, were significantly lower before the onset of sustained ventricular tachycardia than before nonsustained VT (p<0.001).

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Why the study?

Are there temporal changes in frequency domain measures of heart rate variability before the onset of nonsustained versus sustained ventricular tachycardia in patients with coronary artery disease?

Population

n=18 patients with coronary artery disease at high risk of life-threatening arrhythmias.

Comparison

Analysis of frequency domain measures of heart… vs Comparison of HRV before nonsustained VT versus…

Design

Cohort

Key result

Frequency domain measures of heart rate variability, including total power, were significantly lower before the onset of sustained ventricular tachycardia than before nonsustained VT (p<0.001).

Authors

HHHeikki V. HuikuriJVJuhani ValkamaJAJuhani Airaksinen

Discussion

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Overview

Lower pre-onset HRV was associated with sustained VT in CAD; leaves open whether frequency-domain monitoring aids arrhythmia prediction.

Study Design

Type

Observational (n=18)

Structured PICO

Are there temporal changes in frequency domain measures of heart rate variability before the onset of nonsustained versus sustained ventricular tachycardia in patients with coronary artery disease?

P
Population
n=18 patients with coronary artery disease at high risk of life-threatening arrhythmias (7 survived cardiac arrest not associated with acute myocardial infarction, 11 had a history of sustained VT).
I
Intervention
Analysis of frequency domain measures of heart rate variability (HRV) before the onset of spontaneous episodes of ventricular tachycardia (VT).
C
Comparator
Comparison of HRV before nonsustained VT (28 episodes) versus sustained VT (12 episodes), and versus average 24-hour HRV.
O
Outcome
Frequency domain measures of HRV (total power, high-frequency power, low-frequency power, very-low-frequency power, and ultralow-frequency power) before the onset of VT.surrogate

Main Result

p-value: p=<0.001

Spontaneous episodes of sustained ventricular tachycardia are preceded by significantly lower heart rate variability compared to nonsustained episodes, suggesting divergent autonomic dynamics before arrhythmia onset.

Cite This Study

Huikuri et al. (1993) conducted an observational in Coronary artery disease (n=18). Heart rate variability (HRV) frequency domain measures vs. Before nonsustained VT vs before sustained VT was evaluated on Frequency domain measures of HRV before the onset of nonsustained vs sustained VT (p=<0.001). Frequency domain measures of heart rate variability, including total power, were significantly lower before the onset of sustained ventricular tachycardia than before nonsustained VT (p<0.001).

synapsesocial.com/papers/6a1589fc5c7c86e0359f536ehttps://doi.org/10.1161/01.cir.87.4.1220
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