Cardiovascular disease, risk factors, and heart rate variability in the general population

Abstract The results of studies into the prognostic value of heart rate variability (HRV) for cardiac and all-cause mortality in the general population are briefly reviewed, and the effect of various recording durations of the electrocardiogram (ECG) on HRV parameters is assessed. Heart rate variability parameters offer prognostic information beyond that of traditional risk factors. In the elderly, increased HRV measured on a 10-second ECG is an even stronger indicator of cardiac death than decreased HRV. Estimated of HRV obtained from 10-second ECGs have moderate to poor correlation with those from 5- or 20-minute ECGs.

[1]  A. Hofman,et al.  Both decreased and increased heart rate variability on the standard 10-second electrocardiogram predict cardiac mortality in the elderly: the Rotterdam Study. , 1999, American journal of epidemiology.

[2]  J. Fleiss,et al.  The ability of several short-term measures of RR variability to predict mortality after myocardial infarction. , 1993, Circulation.

[3]  Ferdinand J. Venditti,et al.  Reduced Heart Rate Variability and Mortalit Risk in an Elderly Cohort: The Framingham Heart Study , 1994, Circulation.

[4]  R W Barnes,et al.  Cardiac autonomic function and incident coronary heart disease: a population-based case-cohort study. The ARIC Study. Atherosclerosis Risk in Communities Study. , 1997, American journal of epidemiology.

[5]  J. Haerting,et al.  Cardiovascular disease, risk factors and heart rate variability in the elderly general population: Design and objectives of the CARdiovascular disease, Living and Ageing in Halle (CARLA) Study , 2005, BMC cardiovascular disorders.

[6]  A. Folsom,et al.  Low Heart Rate Variability in a 2-Minute Rhythm Strip Predicts Risk of Coronary Heart Disease and Mortality From Several Causes: The ARIC Study , 2000, Circulation.

[7]  D. Levy,et al.  Impact of reduced heart rate variability on risk for cardiac events. The Framingham Heart Study. , 1996, Circulation.

[8]  A. Malliani,et al.  Heart rate variability. Standards of measurement, physiological interpretation, and clinical use , 1996 .

[9]  G. Breithardt,et al.  Heart rate variability: standards of measurement, physiological interpretation and clinical use. Task Force of the European Society of Cardiology and the North American Society of Pacing and Electrophysiology. , 1996 .

[10]  D Kromhout,et al.  Heart rate variability from short electrocardiographic recordings predicts mortality from all causes in middle-aged and elderly men. The Zutphen Study. , 1997, American journal of epidemiology.

[11]  Cees A. Swenne,et al.  The importance of high‐frequency paced breathing in spectral baroreflex sensitivity assessment , 2000, Journal of hypertension.