Correlation of heart rate recovery and heart rate variability with atrial fibrillation progression

Objective To examine the combination of heart rate recovery (HRR) and heart rate variability (HRV) in predicting atrial fibrillation (AF) progression. Methods Data from patients with a first detected episode of AF who underwent treadmill exercise testing and 24-h Holter electrocardiography were retr...

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Autores principales:	Gwang-Seok Yoon, Seong-Huan Choi, Sung Woo Kwon, Sang-Don Park, Sung-Hee Shin, Seong-Ill Woo, Jun Kwan, Dae-Hyeok Kim, Yong-Soo Baek
Formato:	article
Lenguaje:	EN
Publicado:	SAGE Publishing 2021
Materias:	Medicine (General) R5-920
Acceso en línea:	https://doaj.org/article/3fd6705be68849d19ad674fb47ec6cdf
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spelling	oai:doaj.org-article:3fd6705be68849d19ad674fb47ec6cdf2021-11-19T01:33:26ZCorrelation of heart rate recovery and heart rate variability with atrial fibrillation progression1473-230010.1177/03000605211057822https://doaj.org/article/3fd6705be68849d19ad674fb47ec6cdf2021-11-01T00:00:00Zhttps://doi.org/10.1177/03000605211057822https://doaj.org/toc/1473-2300Objective To examine the combination of heart rate recovery (HRR) and heart rate variability (HRV) in predicting atrial fibrillation (AF) progression. Methods Data from patients with a first detected episode of AF who underwent treadmill exercise testing and 24-h Holter electrocardiography were retrospectively analysed. Autonomic dysfunction was verified using HRR values. Sympathetic and parasympathetic modulation was analysed by HRV. AF progression was defined as transition from the first detected paroxysmal episode to persistent/permanent AF. Results Of 306 patients, mean LF/HF ratio and HRR did not differ significantly by AF progression regardless of age (< or ≥65 years). However, when the LF/HF ratio was divided into tertiles, in patients aged <65 years, the mid LF/HF (1.60–2.40) ratio was significantly associated with lower AF progression rates and longer maintenance of normal sinus rhythm. For patients aged <65 years, less metabolic equivalents were related to higher AF progression rates. For patients aged ≥65 years, a low HRR was associated with high AF progression rates. Conclusion In relatively younger age, high physical capacity and balanced autonomic nervous system regulation are important predictors of AF progression. Evaluation of autonomic function assessed by age could predict AF progression.Gwang-Seok YoonSeong-Huan ChoiSung Woo KwonSang-Don ParkSung-Hee ShinSeong-Ill WooJun KwanDae-Hyeok KimYong-Soo BaekSAGE PublishingarticleMedicine (General)R5-920ENJournal of International Medical Research, Vol 49 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Medicine (General) R5-920
spellingShingle	Medicine (General) R5-920 Gwang-Seok Yoon Seong-Huan Choi Sung Woo Kwon Sang-Don Park Sung-Hee Shin Seong-Ill Woo Jun Kwan Dae-Hyeok Kim Yong-Soo Baek Correlation of heart rate recovery and heart rate variability with atrial fibrillation progression
description	Objective To examine the combination of heart rate recovery (HRR) and heart rate variability (HRV) in predicting atrial fibrillation (AF) progression. Methods Data from patients with a first detected episode of AF who underwent treadmill exercise testing and 24-h Holter electrocardiography were retrospectively analysed. Autonomic dysfunction was verified using HRR values. Sympathetic and parasympathetic modulation was analysed by HRV. AF progression was defined as transition from the first detected paroxysmal episode to persistent/permanent AF. Results Of 306 patients, mean LF/HF ratio and HRR did not differ significantly by AF progression regardless of age (< or ≥65 years). However, when the LF/HF ratio was divided into tertiles, in patients aged <65 years, the mid LF/HF (1.60–2.40) ratio was significantly associated with lower AF progression rates and longer maintenance of normal sinus rhythm. For patients aged <65 years, less metabolic equivalents were related to higher AF progression rates. For patients aged ≥65 years, a low HRR was associated with high AF progression rates. Conclusion In relatively younger age, high physical capacity and balanced autonomic nervous system regulation are important predictors of AF progression. Evaluation of autonomic function assessed by age could predict AF progression.
format	article
author	Gwang-Seok Yoon Seong-Huan Choi Sung Woo Kwon Sang-Don Park Sung-Hee Shin Seong-Ill Woo Jun Kwan Dae-Hyeok Kim Yong-Soo Baek
author_facet	Gwang-Seok Yoon Seong-Huan Choi Sung Woo Kwon Sang-Don Park Sung-Hee Shin Seong-Ill Woo Jun Kwan Dae-Hyeok Kim Yong-Soo Baek
author_sort	Gwang-Seok Yoon
title	Correlation of heart rate recovery and heart rate variability with atrial fibrillation progression
title_short	Correlation of heart rate recovery and heart rate variability with atrial fibrillation progression
title_full	Correlation of heart rate recovery and heart rate variability with atrial fibrillation progression
title_fullStr	Correlation of heart rate recovery and heart rate variability with atrial fibrillation progression
title_full_unstemmed	Correlation of heart rate recovery and heart rate variability with atrial fibrillation progression
title_sort	correlation of heart rate recovery and heart rate variability with atrial fibrillation progression
publisher	SAGE Publishing
publishDate	2021
url	https://doaj.org/article/3fd6705be68849d19ad674fb47ec6cdf
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Correlation of heart rate recovery and heart rate variability with atrial fibrillation progression

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