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December 31, 2012Journal of Clinical Psychopharmacology

Effects of Clozapine on Heart Rate Dynamics and Their Relationship With Therapeutic Response in Treatment-Resistant Schizophrenia

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Key result

Clozapine responders (37.5% of patients) showed significantly higher approximate and sample entropy values of heart rate variability at 8 weeks compared to nonresponders.

Why the study?

Do nonlinear complexity measures of heart rate variability indicate therapeutic response to clozapine in patients with treatment-resistant schizophrenia?

Population

40 patients with treatment-resistant schizophrenia

Design

Cohort

Follow-up

8 weeks

Authors

JKJong‐Hoon KimGachon UniversitySYSang Hoon YiInje UniversityJLJin-Young LeeSamsung Medical Center

Discussion

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Member takes

Implication

Does not support using HRV entropy to guide clozapine therapy; leaves open its role as a biomarker in resistant schizophrenia.

Study Design

Type

Observational (n=40)

Structured PICO

Do nonlinear complexity measures of heart rate variability indicate therapeutic response to clozapine in patients with treatment-resistant schizophrenia?

P
Population
40 patients with treatment-resistant schizophrenia evaluated during 8 weeks of clozapine monotherapy.
E
Exposure
Clozapine monotherapy for 8 weeks
O
Outcome
Nonlinear complexity measures of heart rate variability (approximate entropy [ApEn] and sample entropy [SampEn]) at 8 weekssurrogate

Nonlinear complexity measures of HRV (ApEn and SampEn) may serve as useful electrophysiological markers to indicate therapeutic response to clozapine in treatment-resistant schizophrenia.

Cite This Study

Kim et al. (2012) conducted an observational in Treatment-resistant schizophrenia (n=40). Clozapine response vs. Clozapine nonresponse was evaluated on Approximate entropy (ApEn) and sample entropy (SampEn) values of heart rate variability at week 8. Clozapine responders (37.5% of patients) showed significantly higher approximate and sample entropy values of heart rate variability at 8 weeks compared to nonresponders.

synapsesocial.com/papers/6a75a848756843cacbb2203chttps://doi.org/10.1097/jcp.0b013e31827d14e3
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