Heart rate variability and incidence of depression during the first six months following first myocardial infarction

Alina Wilkowska,1 Andrzej Rynkiewicz,2 Joanna Wdowczyk,3 Jerzy Landowski,1 Wiesław Jerzy Cubała11Department of Psychiatry, Faculty of Medicine, Medical University of Gdansk, Gdańsk, Poland; 2Department of Cardiology and Cardiosurgery, Faculty of Medicine, University of Warmia and Mazury, Olsztyn, Po...

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Autores principales:	Wilkowska A, Rynkiewicz A, Wdowczyk J, Landowski J, Cubała WJ
Formato:	article
Lenguaje:	EN
Publicado:	Dove Medical Press 2019
Materias:	depression myocardial infarction autonomic nervous system heart rate variability Neurosciences. Biological psychiatry. Neuropsychiatry RC321-571 Neurology. Diseases of the nervous system RC346-429
Acceso en línea:	https://doaj.org/article/ac11b1f0f674461198b29a64895c426c
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spelling	oai:doaj.org-article:ac11b1f0f674461198b29a64895c426c2021-12-02T03:54:12ZHeart rate variability and incidence of depression during the first six months following first myocardial infarction1178-2021https://doaj.org/article/ac11b1f0f674461198b29a64895c426c2019-07-01T00:00:00Zhttps://www.dovepress.com/heart-rate-variability-and-incidence-of-depression-during-the-first-si-peer-reviewed-article-NDThttps://doaj.org/toc/1178-2021Alina Wilkowska,1 Andrzej Rynkiewicz,2 Joanna Wdowczyk,3 Jerzy Landowski,1 Wiesław Jerzy Cubała11Department of Psychiatry, Faculty of Medicine, Medical University of Gdansk, Gdańsk, Poland; 2Department of Cardiology and Cardiosurgery, Faculty of Medicine, University of Warmia and Mazury, Olsztyn, Poland; 3First Department of Cardiology, Faculty of Medicine, Medical University of Gdansk, Gdańsk, PolandBackground: Post-myocardial depression is a highly prevalent condition worsening the course and prognosis of coronary artery disease. One of the possible pathogenetic factors is dysregulation of the autonomous nervous system, resulting in heart rate variability reduction.Methods: Twenty two patients hospitalised due to a first myocardial infarction were included. The Beck Depression Inventory (BDI) was used to rate the severity of their depressive symptoms.Results: Depressive symptomatology, defined as BDI ≥10, was present in 36.3% of the patients. Increase in heart rate variability (HRV) was observed in both groups during the first 6 months after the myocardial infarction. The HRV was significantly lower in the depressed group compared to patients without depression.Conclusion: Presence of depression after the myocardial infarction (MI) is associated with a significant decrease of the time domain HRV measure SDNN (standard deviation of all normal RR intervals) and with its slower increase during at least a three months period.Keywords: depression, myocardial infarction, autonomic nervous system, heart rate variabilityWilkowska ARynkiewicz AWdowczyk JLandowski JCubała WJDove Medical Pressarticledepressionmyocardial infarctionautonomic nervous systemheart rate variabilityNeurosciences. Biological psychiatry. NeuropsychiatryRC321-571Neurology. Diseases of the nervous systemRC346-429ENNeuropsychiatric Disease and Treatment, Vol Volume 15, Pp 1951-1956 (2019)
institution	DOAJ
collection	DOAJ
language	EN
topic	depression myocardial infarction autonomic nervous system heart rate variability Neurosciences. Biological psychiatry. Neuropsychiatry RC321-571 Neurology. Diseases of the nervous system RC346-429
spellingShingle	depression myocardial infarction autonomic nervous system heart rate variability Neurosciences. Biological psychiatry. Neuropsychiatry RC321-571 Neurology. Diseases of the nervous system RC346-429 Wilkowska A Rynkiewicz A Wdowczyk J Landowski J Cubała WJ Heart rate variability and incidence of depression during the first six months following first myocardial infarction
description	Alina Wilkowska,1 Andrzej Rynkiewicz,2 Joanna Wdowczyk,3 Jerzy Landowski,1 Wiesław Jerzy Cubała11Department of Psychiatry, Faculty of Medicine, Medical University of Gdansk, Gdańsk, Poland; 2Department of Cardiology and Cardiosurgery, Faculty of Medicine, University of Warmia and Mazury, Olsztyn, Poland; 3First Department of Cardiology, Faculty of Medicine, Medical University of Gdansk, Gdańsk, PolandBackground: Post-myocardial depression is a highly prevalent condition worsening the course and prognosis of coronary artery disease. One of the possible pathogenetic factors is dysregulation of the autonomous nervous system, resulting in heart rate variability reduction.Methods: Twenty two patients hospitalised due to a first myocardial infarction were included. The Beck Depression Inventory (BDI) was used to rate the severity of their depressive symptoms.Results: Depressive symptomatology, defined as BDI ≥10, was present in 36.3% of the patients. Increase in heart rate variability (HRV) was observed in both groups during the first 6 months after the myocardial infarction. The HRV was significantly lower in the depressed group compared to patients without depression.Conclusion: Presence of depression after the myocardial infarction (MI) is associated with a significant decrease of the time domain HRV measure SDNN (standard deviation of all normal RR intervals) and with its slower increase during at least a three months period.Keywords: depression, myocardial infarction, autonomic nervous system, heart rate variability
format	article
author	Wilkowska A Rynkiewicz A Wdowczyk J Landowski J Cubała WJ
author_facet	Wilkowska A Rynkiewicz A Wdowczyk J Landowski J Cubała WJ
author_sort	Wilkowska A
title	Heart rate variability and incidence of depression during the first six months following first myocardial infarction
title_short	Heart rate variability and incidence of depression during the first six months following first myocardial infarction
title_full	Heart rate variability and incidence of depression during the first six months following first myocardial infarction
title_fullStr	Heart rate variability and incidence of depression during the first six months following first myocardial infarction
title_full_unstemmed	Heart rate variability and incidence of depression during the first six months following first myocardial infarction
title_sort	heart rate variability and incidence of depression during the first six months following first myocardial infarction
publisher	Dove Medical Press
publishDate	2019
url	https://doaj.org/article/ac11b1f0f674461198b29a64895c426c
work_keys_str_mv	AT wilkowskaa heartratevariabilityandincidenceofdepressionduringthefirstsixmonthsfollowingfirstmyocardialinfarction AT rynkiewicza heartratevariabilityandincidenceofdepressionduringthefirstsixmonthsfollowingfirstmyocardialinfarction AT wdowczykj heartratevariabilityandincidenceofdepressionduringthefirstsixmonthsfollowingfirstmyocardialinfarction AT landowskij heartratevariabilityandincidenceofdepressionduringthefirstsixmonthsfollowingfirstmyocardialinfarction AT cubaławj heartratevariabilityandincidenceofdepressionduringthefirstsixmonthsfollowingfirstmyocardialinfarction
_version_	1718401573429706752

Heart rate variability and incidence of depression during the first six months following first myocardial infarction

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