Restoration of heart rate turbulence by titrated beta-blocker therapy in patients with advanced congestive heart failure: Positive correlation with enhanced vagal modulation of heart rate

Journal of Cardiovascular Electrophysiology

Volumn 15, Issue 7, 2004, Pages 752-756

  Lin, Lian Yu ^b   Hwang, Juey Jen ^a   Lai, Ling Ping ^a   Chan, Hsiao Lung ^c   Du, Chao Cheng ^a   Tseng, Yung Zu ^a   Lin, Jiunn Lee ^a  

^a NATIONAL TAIWAN UNIVERSITY HOSPITAL   (Taiwan)

^b NATIONAL TAIWAN UNIVERSITY   (Taiwan)

^c CHANG GUNG UNIVERSITY   (Taiwan)

Author keywords

Beta blocker; Congestive heart failure; Heart rate turbulence; Heart rate variability

Indexed keywords

ATENOLOL; BETA ADRENERGIC RECEPTOR BLOCKING AGENT;

ADULT; AGED; ARTICLE; CLINICAL ARTICLE; CONGESTIVE HEART FAILURE; CONTROLLED STUDY; CORRELATION ANALYSIS; DISEASE ASSOCIATION; FEMALE; HEART RATE; HEART RATE VARIABILITY; HOLTER MONITORING; HUMAN; MALE; ONSET AGE; PRIORITY JOURNAL; RADIOFREQUENCY; RECORDING;

ADRENERGIC BETA-ANTAGONISTS; AGED; ANALYSIS OF VARIANCE; ATENOLOL; CASE-CONTROL STUDIES; CHI-SQUARE DISTRIBUTION; ELECTROCARDIOGRAPHY, AMBULATORY; FEMALE; HEART FAILURE, CONGESTIVE; HEART RATE; HUMANS; LINEAR MODELS; MALE; MIDDLE AGED; PROSPECTIVE STUDIES; TREATMENT OUTCOME;

EID: 3242667725     PISSN: 10453873     EISSN: None     Source Type: Journal    
DOI: 10.1046/j.1540-8167.2004.03289.x     Document Type: Article

References (23)

1. Packer M: Neurohormonal interactions and adaptations in congestive heart failure. Circulation 1988;77:721-730.
2. Osterziel KJ, Hanlein D, Willenbrock R, Eichhorn C, Luft F, Dietz R: Baroreflex sensitivity and cardiovascular mortality in patients with mild to moderate heart failure. Br Heart J 1995;73:517-522.
3. Anderson JL, Gilbert EM, O'Connell JB, et al: Long-term beneficial effects of beta-adrenergic blockade with bucindolol in patients with idiopathic dilated cardiomyopathy. J Am Coll Cardiol 1991;17:1378-1381.
4. Waagstein F, Bristow MR, Swedberg K, et al: Beneficial effects of metoprolol in idiopathic dilated cardiomyopathy. Metoprolol in Dilated Cardiomyopathy (MDC) Trial Study Group. Lancet 1993;342:1441-1446.
5. Olsen SL, Gilbert EM, Renlund DG, Taylor DO, Yanowitz FD, Britow MR: Carvedilol improves left ventricular function and symptoms in chronic heart failure: A double-blind randomized study. J Am Coll Cardiol 1995;25:1225-1231.
6. Packer M, Bristow M. Cohn J, et al: The effect of carvedilol on morbidity and mortality in patients with chronic heart failure. N Engl J Med 1996;334:1349-1355.
7. Bristow M, Gilbert E, Abraham W, et al: Carvedilol produces dose-related improvements in left ventricular function and survival in subjects with chronic heart failure. Circulation 1996;94:690-697.
8. Stevenson WG, Stevenson LW, Middlekauff HR, Saxon LA: Sudden death prevention in patients with advanced ventricular dysfunction. Circulation 1993;88:2953-2961.
9. Heidenreich PA, Lee TT, Massie BM: Effect of beta-blockade on mortality in patients with heart failure: A meta-analysis of randomized clinical trials. J Am Coll Cardiol 1997;30:27-34.
10. Lin LY, Lin JL, DU CC, Lai LP, Tseng YZ, Huang SKS: Reversal of deteriorated fractal behavior of heart rate variability by beta-blocker therapy in patients with advanced congestive heart failure. J Cardiovasc Electrophysiol 2001;12:26-32.
11. Schmidt G, Malik M, Barthel P, et al: Heart rate turbulence after ventricular premature beats as a predictor of mortality after acute myocardial infarction. Lancet 1999;353:1390-1396.
12. Ghuran A, Reid F, La Rovere MT, et al: The ATRAMI Investigators: Heart rate turbulence-based predictors of fatal and nonfatal cardiac arrest. Am J Cardiol 2002;89:184-190.
13. Davies LC, Francis DP, Ponikowski P, Piepoli MF, Coats AJ: Relation of heart rate and blood pressure turbulence following premature ventricular complexes to spontaneous baroreflex sensitivity in chronic congestive heart failure. Am J Cardiol 2001;87:737-742.
14. Lin LY, Lai LP, Lin JL, et al: Tight mechanism correlation between heart rate turbulence and baroreflex sensitivity: Sequential autonomic blockade analysis. J Cardiovasc Electrophysiol 2002;13:427-431.
15. Berger RD, Akselrod S, Gordon D, Cohen RJ: An efficient algorithm for spectral analysis of heart rate variability. IEEE Trans Biomed Eng 1986;33:900-904.
16. Welch PD: The use of fast Fourier transform for the estimation of power spectra: A method based on time averaging over short, modified periodograms. IEEE Trans Audio Electroacoust 1967;15:70-73.
17. Watanabe MA: Heart rate turbulence: a review. Ind Pacing Electrophysiol J 2003;3:10-22.
18. Koyama J, Watanabe J, Yamada A, et al: Evaluation of heart-rate turbulence as a new prognostic marker in patients with chronic heart failure. Circ J 2002;66:902-907.
19. Mircoli L, Fedele L, Benetti M, et al: Preservation of the baroreceptor heart rate reflex by chemical sympathectomy in experimental heart failure. Circulation 2002;106:866-872.
20. Mortara A, La Rovere MT, Pinna GD, Maestri R, Capomolla S, Cobelli F: Nonselective beta-adrenergic blocking agent, carvedilol, improves arterial baroreflex gain and heart rate variability in patients with stable chronic heart failure. J Am Coll Cardiol 2000;36:1612-1618.
21. Grassi G, Seravalle G, Bertinieri G, Stella ML, Turri C, Mancia G: Sympathetic response to ventricular extrasystolic beats in hypertension and heart failure. Hypertension 2002;39:886-891.
22. Mortara A, La Rovere MT, Pinna GD, et al: Depressed arterial baroreflex sensitivity and not reduced heart rate variability identifies patients with chronic heart failure and nonsustained ventricular tachycardia: The effect of high ventricular filling pressure. Am Heart J 1997;134:879-888.
23. Lown B, Verrier RL: Neural activity and ventricular fibrillation. N Engl J Med 1976;294:1165-1170.