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July 16, 2014Pacing and Clinical Electrophysiology

Arrhythmia Risk Assessment Using Heart Rate Variability Parameters in Patients with Frequent Ventricular Ectopic Beats without Structural Heart Disease

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Why the study?

Do heart rate variability parameters indicate an increased risk of arrhythmia in patients with frequent ventricular ectopic beats without structural heart disease?

Population

86 patients without cardiovascular disease

Comparison

24-hour ECG recording for heart rate variability… vs 43 control patients without frequent ventricular…

Design

Case-control

Key result

Frequent ventricular ectopic beats were associated with a significantly higher LF/HF ratio (P<0.001) and a higher rate of paroxysmal atrial fibrillation (P=0.003) compared to controls.

Authors

ABAhmet BarutçuATAhmet TemızABAdem Bekler

Discussion

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Overview

Frequent VEBs link to sympathetic HRV dominance and higher paroxysmal AF; leaves open whether HRV aids risk stratification in observational cohorts.

Study Design

Type

Case-Control (n=86)

Structured PICO

Do heart rate variability parameters indicate an increased risk of arrhythmia in patients with frequent ventricular ectopic beats without structural heart disease?

P
Population
86 patients (43 with frequent VEBs and 43 controls) without cardiovascular disease, evaluated by 24-hour ECG recording.
E
Exposure
24-hour ECG recording for heart rate variability (HRV) analysis
C
Comparator
43 control patients without frequent ventricular ectopic beats
O
Outcome
LF/HF ratio and rate of paroxysmal atrial fibrillation (PAF)surrogate

Main Result

p-value: p=<0.001

Patients with frequent ventricular ectopic beats without structural heart disease exhibit sympathetic nervous system dominance and have a higher risk of paroxysmal atrial fibrillation.

Cite This Study

Barutçu et al. (2014) conducted a case-control in Frequent ventricular ectopic beats without structural heart disease (n=86). Frequent ventricular ectopic beats vs. Controls was evaluated on LF/HF ratio and rate of paroxysmal atrial fibrillation (PAF) (p=<0.001). Frequent ventricular ectopic beats were associated with a significantly higher LF/HF ratio (P<0.001) and a higher rate of paroxysmal atrial fibrillation (P=0.003) compared to controls.

synapsesocial.com/papers/6aa6776a5175d8ad943985dchttps://doi.org/10.1111/pace.12446
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