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June 26, 2017Lupus

Patients with systemic lupus erythematosus had significantly attenuated heart rate recovery at 1 minute post-exercise compared to healthy controls (36.9 vs 49.5, p=0.0004).

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Why the study?

Does systemic lupus erythematosus impair post-exercise heart rate recovery compared to healthy controls?

Population

55 patients with systemic lupus erythematosus without coronary artery disease, diabetes mellitus, or…

Comparison

Systemic lupus erythematosus (disease state) vs Healthy controls

Design

Case-control

Key result

Patients with systemic lupus erythematosus had significantly attenuated heart rate recovery at 1 minute post-exercise compared to healthy controls (36.9 vs 49.5, p=0.0004).

Authors

PBPiotr BieniasMCMichał CiurzyńskiACAnna Chrzanowska

Discussion

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Member takes

Overview

Suggests cardiac autonomic dysfunction may be an underrecognized cardiovascular risk factor in systemic.

Study Design

Type

Observational (n=85)

Structured PICO

Does systemic lupus erythematosus impair post-exercise heart rate recovery compared to healthy controls?

P
Population
55 patients with systemic lupus erythematosus (mean age 41.5 years, 87.3% female) and 30 healthy controls, excluding those with coronary artery disease, diabetes, or suspected pulmonary hypertension.
E
Exposure
Systemic lupus erythematosus (disease state)
C
Comparator
Healthy controls
O
Outcome
Heart rate recovery at the first (HRR1) and third (HRR3) minute of rest after treadmill stress testsurrogate

Main Result

Absolute Event Rate: 36.9% vs 49.5%

p-value: p=0.0004

Patients with SLE exhibit attenuated post-exercise heart rate recovery, which correlates with disease severity and beta-blocker use, suggesting cardiac autonomic dysfunction.

Cite This Study

Bienias et al. (2017) conducted an observational in Systemic lupus erythematosus (n=85). Systemic lupus erythematosus vs. Healthy controls was evaluated on Heart rate recovery at the first minute of rest (HRR1) (p=0.0004). Patients with systemic lupus erythematosus had significantly attenuated heart rate recovery at 1 minute post-exercise compared to healthy controls (36.9 vs 49.5, p=0.0004).

synapsesocial.com/papers/6a898e8fc89a2b4713ec6c60https://doi.org/10.1177/0961203317716318
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Deterioration of Heart Rate Recovery Index in Patients with Systemic Lupus Erythematosus2010 · 25 citations
  2. 2Abnormal chronotropic reserve and heart rate recovery in patients with SLE: a case–control study2011 · 24 citations
  3. 3Value of heart rate recovery in female patients with pulmonary arterial hypertension due to systemic lupus erythematosus2019 · 3 citations
  4. 4Evaluation of cardiac autonomic functions in patients with systemic lupus erythematosus2011 · 25 citations
  5. 5Using exercise training to counterbalance chronotropic incompetence and delayed heart rate recovery in systemic lupus erythematosus: A randomized trial2012 · 79 citations