Why the study?
Does exercise testing reveal abnormal heart rate recovery in healthy young adults with normal pulmonary function tests?
Does exercise testing reveal abnormal heart rate recovery in healthy young adults with normal pulmonary function tests?
A significant proportion (19.33%) of healthy young adults with normal pulmonary function exhibit abnormal heart rate recovery, suggesting HRR could serve as an independent marker for autonomic dysfunction.
Abnormal HRR may indicate autonomic dysfunction despite normal PFT; hypothesis-generating and requires prospective validation before clinical use.
Exercise is a common physiological stress which has positive chronotropic effect on heart rate and on cessation heart rate returns to pre-exercise level. A delay in heart rate recovery (HRR) (12beats in first minute) is considered abnormal and reflects autonomic dysfunction.Pulmonary function tests (PFT) are good indicator of autonomic function.Few studies are available on abnormal HRR (heart rate recovery) in COPDCases. Hence the present study was taken up to find out the presence of abnormal HRR in subjects with normal PFT and to establish HRR as an independent autonomic marker. For the study 150 healthy young adults (both male and female) with normal PFT were subjected to exercise by Bicycle ergometer till targeted Heart Rate (85%Maximum Heart Rate(MHR)) was achieved. HRR at the end of 1 minute followingcessation of exercise were tabulated. In our study 29 subjects (19.33%) with normal PFT show Abnormal HRR indicating HRR could be an independent autonomic marker.
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Jagnyaseni Panda (2013) studied this question.
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