Nasario-Junior O, Benchimol-Barbosa PR, Pedrosa RC, Nadal J. Assessment of Autonomic Function by Phase Rectification of RRInterval Histogram Analysis in Chagas Disease.
Arq Bras Cardiol 2015;
104:450-5. [PMID:
26131700 PMCID:
PMC4484677 DOI:
10.5935/abc.20150032]
[Citation(s) in RCA: 3] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/10/2014] [Accepted: 01/26/2015] [Indexed: 11/20/2022] Open
Abstract
Background
In chronic Chagas disease (ChD), impairment of cardiac autonomic function bears
prognostic implications. Phase‑rectification of RR-interval series isolates the
sympathetic, acceleration phase (AC) and parasympathetic, deceleration phase (DC)
influences on cardiac autonomic modulation.
Objective
This study investigated heart rate variability (HRV) as a function of RR-interval
to assess autonomic function in healthy and ChD subjects.
Methods
Control (n = 20) and ChD (n = 20) groups were studied. All underwent 60-min
head-up tilt table test under ECG recording. Histogram of RR-interval series was
calculated, with 100 ms class, ranging from 600–1100 ms. In each class, mean
RR-intervals (MNN) and root-mean-squared difference (RMSNN) of consecutive normal
RR-intervals that suited a particular class were calculated. Average of all RMSNN
values in each class was analyzed as function of MNN, in the whole series
(RMSNNT), and in AC (RMSNNAC) and DC (RMSNNDC)
phases. Slopes of linear regression lines were compared between groups using
Student t-test. Correlation coefficients were tested before comparisons. RMSNN was
log-transformed. (α < 0.05).
Results
Correlation coefficient was significant in all regressions (p < 0.05). In the
control group, RMSNNT, RMSNNAC, and RMSNNDC
significantly increased linearly with MNN (p < 0.05). In ChD, only
RMSNNAC showed significant increase as a function of MNN, whereas
RMSNNT and RMSNNDC did not.
Conclusion
HRV increases in proportion with the RR-interval in healthy subjects. This
behavior is lost in ChD, particularly in the DC phase, indicating cardiac vagal
incompetence.
Collapse