Why the study?
Does metabolic syndrome alter cardiac autonomic function as measured by ambulatory ECG in a general population?
Does metabolic syndrome alter cardiac autonomic function as measured by ambulatory ECG in a general population?
Metabolic syndrome is associated with early cardiac autonomic dysfunction, characterized by reduced heart rate variability and lower heart rate complexity, which worsens with increasing MetS severity.
Clinical meaning/caution):* Suggests early autonomic dysfunction in metabolic syndrome should not yet change.
Metabolic syndrome (MetS) has been associated with chronic damage to the cardiovascular system. This study aimed to evaluate early stage cardiac autonomic dysfunction with electrocardiography (ECG)-based measures in MetS subjects. During 2012–2013, 175 subjects with MetS and 226 healthy controls underwent ECG recordings of at least 4 hours starting in the morning with ambulatory one-lead ECG monitors. MetS was diagnosed using the criteria defined in the Adult Treatment Panel III, with a modification of waist circumference for Asians. Conventional heart rate variability (HRV) analysis, and complexity index (CI 1–20 ) calculated from 20 scales of entropy (multiscale entropy, MSE), were compared between subjects with MetS and controls. Compared with the healthy controls, subjects with MetS had significantly reduced HRV, including SDNN and pNN20 in time domain, VLF, LF and HF in frequency domain, as well as SD2 in Poincaré analysis. MetS subjects have significantly lower complexity index (CI 1–20 ) than healthy subjects (1.69 ± 0.18 vs. 1.77 ± 0.12, p < 0.001). MetS severity was inversely associated with the CI 1–20 (r = −0.27, p < 0.001). MetS is associated with significant alterations in heart rate dynamics, including HRV and complexity.
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Ma et al. (2017) studied this question.
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