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November 5, 2020MedicinaOpen Access

Evolution of Heart Rate Variability and Heart Rate Turbulence in Patients with Depressive Illness Treated with Selective Serotonin Reuptake Inhibitors

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Key result

SSRI therapy for one and six months significantly improved heart rate variability and heart rate turbulence parameters in patients with major depressive disorder (p < 0.001).

Why the study?

Autonomic nervous system dysfunction is associated with depression, but whether HRV and HRT alterations in major depressive disorder normalize or improve under SSRI therapy in parallel with symptom reduction was not clear.

Does SSRI therapy improve heart rate variability and heart rate turbulence in patients with new onset major depressive disorder?

Population

78 patients aged under 51 years with new onset major depressive disorder

Comparison

Before vs after SSRI therapy

Authors

CGCătălina Giurgi-OncuCTCristina TudoranVEV.R. Enatescu

Discussion

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Overview

May support autonomic gains with SSRIs in depression; leaves open effects on cardiovascular events.

Study Design

Type

Observational (n=78)

Multicenter

No

Structured PICO

Does SSRI therapy improve heart rate variability and heart rate turbulence in patients with new onset major depressive disorder?

P
Population
78 patients aged under 51 years with new onset major depressive disorder, evaluated before and after 1 and 6 months of SSRI therapy.
E
Exposure
Selective serotonin reuptake inhibitor (SSRI) therapy for up to 6 months
C
Comparator
Baseline (before commencement of antidepressant pharmacotherapy)
O
Outcome
Heart rate variability (HRV) and heart rate turbulence (HRT) parameters measured by 24 h Holter ECGsurrogate

Main Result

p-value: p=<0.001

SSRI therapy in patients with new-onset major depressive disorder is associated with significant improvements in autonomic function markers (HRV and HRT) that parallel the reduction in depressive symptoms.

Cite This Study

Giurgi-Oncu et al. (2020) conducted an observational in Major depressive disorder (MDD) (n=78). Selective serotonin reuptake inhibitor (SSRI) therapy vs. Baseline (before therapy) was evaluated on Improvement of heart rate variability (HRV) and heart rate turbulence (HRT) parameters (p=<0.001). SSRI therapy for one and six months significantly improved heart rate variability and heart rate turbulence parameters in patients with major depressive disorder (p < 0.001).

synapsesocial.com/papers/6a9b4d608f8871a8bf65d87dhttps://doi.org/10.3390/medicina56110590
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Also Consider

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  1. 1Heart Rate Variability as Indicator of Clinical State in Depression2019 · 245 citations
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  4. 4Effects of Depression, Anxiety, Comorbidity, and Antidepressants on Resting-State Heart Rate and Its Variability: An ELSA-Brasil Cohort Baseline Study2014 · 190 citations
  5. 5A literature review of heart rate variability in depressive and bipolar disorders2015 · 110 citations