Why the study?
Is the diurnal variation of heart rate measured by Holter ECG reproducible over a short interval?
Is the diurnal variation of heart rate measured by Holter ECG reproducible over a short interval?
Diurnal variation of heart rate measured by Holter ECG is highly reproducible within a short period and independent of age in normal men.
Supports short-term Holter HR diurnal reproducibility in normal men; leaves open validation in patients and clinical utility.
Heart rate variation has been utilized as a parameter for validating autonomic nerve and sinus node function. However, few reports are available on the reproducibility of such data. In the present study, we studied the reproducibility of the diurnal variation of heart rate in 15 patients, and the effect of age differences on the variation in 30 normal men using a Holter ECG monitoring method. For investigating reproducibility, Holter ECG monitoring was performed twice, the two measurements being separated by a short interval. A moving average method applied on heart rate of every 3h exhibited essentially the same diurnal pattern of heart rate between two records in each patient. Excellent reproducibility of the pattern was also demonstrated by a lag correlation analysis. Variability of heart rate in normal men was independent of age. These results suggest that heart rate variation was essentially constant in each subject, at least within a short period.
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Saito et al. (1991) studied this question.
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