Modified orthostatic load for spectral analysis of short-term heart rate variability improves the sensitivity of autonomic dysfunction assessment

Journal of Diabetes and its Complications

Volumn 24, Issue 1, 2010, Pages 48-54

  Howorka, Kinga ^a,b   Pumprla, Jiri ^a   Jirkovska, Alexandra ^c   Lacigova, Sylva ^d   Nolan, James ^e  

^a Group Education   (Austria)

^b MEDICAL UNIVERSITY OF VIENNA   (Austria)

^c INSTITUTE FOR CLINICAL AND EXPERIMENTAL MEDICINE   (Czech Republic)

^d CHARLES UNIVERSITY   (Czech Republic)

^e UNIVERSITY HOSPITAL OF NORTH STAFFORDSHIRE   (United Kingdom)

Author keywords

Autonomic neuropathy; Diabetes mellitus; Heart rate variability; Orthostatic test; Spectral analysis

Indexed keywords

ADOLESCENT; ADULT; AGED; ARTICLE; AUTONOMIC DYSFUNCTION; COMPARATIVE STUDY; CONTROLLED STUDY; DIABETES MELLITUS; DISEASE DURATION; FEMALE; GLYCEMIC CONTROL; HEART RATE VARIABILITY; HUMAN; MAJOR CLINICAL STUDY; MALE; PRIORITY JOURNAL; SENSITIVITY ANALYSIS; SPECTROSCOPY; STANDING; SUPINE POSITION;

ADOLESCENT; ADULT; AGED; AUTONOMIC NERVOUS SYSTEM; DIABETES MELLITUS; DIABETIC NEUROPATHIES; DIAGNOSTIC TECHNIQUES, CARDIOVASCULAR; DIAGNOSTIC TECHNIQUES, NEUROLOGICAL; EARLY DIAGNOSIS; FEMALE; FOURIER ANALYSIS; HEART RATE; HEMOGLOBIN A, GLYCOSYLATED; HUMANS; HYPOTENSION, ORTHOSTATIC; MALE; MIDDLE AGED; YOUNG ADULT;

EID: 70849118564     PISSN: 10568727     EISSN: None     Source Type: Journal    
DOI: 10.1016/j.jdiacomp.2008.10.003     Document Type: Article

References (50)

1. Adamopoulos S., Piepoli M., McCance A., Bernardi L., Rocadaelli A., Ormerod O., Forfar C., Sleight P., and Coats A.J. Comparison of different methods for assessing sympathovagal balance in chronic congestive heart failure secondary to coronary artery disease. American Journal of Cardiology 79 (1992) 1576-1578
2. American College of Cardiology Cardiovascular Technology Assessment Committee. Heart rate variability for risk stratification of life-threatening arrhythmias. Journal of American College Cardiology 22 (1993) 948-950
3. American Diabetes Association: Diabetic Neuropathy. In: Clinical practice recommendations 1996. Diabetes Care 19 Suppl.1 (1996) S67-S92
4. Batin P.D., and Nolan J. Assessment of autonomic function: Reflex testing or variability analysis. Journal of Ambulatory Monitoring 9 (1996) 255-273
5. Bellavere F., Balzani I., DeMasi G., Carraro M., Carenza P., Cobelli C., and Thomaseth K. Power spectral analysis of heart rate variations improves assessment of diabetic cardiac autonomic neuropathy. Diabetes 41 (1992) 633-640
6. Bellavere F., Cacciatori V., Moghetti P., Gemma M.L., Dellera A., Tosi F., Negri C., Thomaseth K., and Muggeo M. Acute effect of insulin on autonomic regulation of the cardiovascular system: A study by heart rate spectral analysis. Diabetic Medicine 13 (1996) 709-714
7. Bigger J.T., Fleiss J., Rolnitzky L., and Steinman R. The ability of several short-term measures of RR variability to predict mortality after myocardial infarction. Circulation 88 (1993) 927-934
8. Bottini P., Tantucci C., Scionti L., Dottorini M.L., Puxeddu E., Reboldi G., Bolli G.B., Casucci G., Santeusanio F., and Sorbini C.A. Cardiovascular response to exercise in diabetic patients: Influence of autonomic neuropathy of different severity. Diabetologia 38 2 (1995) 244-250
9. Chemla D.T., Young J., Badilini F., Maison-Blanche P., Affres H., Lecarpentier Y., and Chanson P. Comparison of fast Fourier transform and autoregressive spectral analysis for the study of heart rate variability in diabetic patients. International Journal of Cardiology 104 (2005) 307-313
10. DeBoer R.W., Karemaker J.M., and Strackee J. Hemodynamic fluctuations and baroreflex sensitivity in humans: A beat-to-beat model. American Journal of Physiology 253 3 Pt 2 (1987) H680-H689
11. Dekker J.M., Crow R.S., Folsom A.R., Hannan P.J., Liao D., Swenne C.A., and Schouten E.G. Low heart rate variability in a 2-minute rhythm strip predicts risk of coronary heart disease and mortality from several causes. The ARIC Study. Circulation 102 (2000) 1239-1244
12. Dekker J.M., Schouten E.G., Klootwijk P., Pool J., Swenne C.A., and Kromhout D. Heart rate variability from short electrocardiographic recordings predicts mortality from all causes in middle-aged and elderly men. The Zutphen Study. American Journal Epidemiology 145 10 (1997) 899-908
13. Diehl R.R., Linden D., and Berlit P. Determinants of heart rate variability during deep breathing: Basic findings and clinical applications. Clinical Autonomic Research 7 3 (1997) 131-135
14. Ewing D.J., Martyn C.N., Young R.J., and Clarke B.F. The value of cardiovascular autonomic function tests: 10 years experience in diabetes. Diabetes Care 8 (1985) 491-498
15. Fagard R.H., Pardaens K., and Staessen J.A. Influence of demographic, anthropometric and lifestyle characteristics on heart rate and its variability in the population. Journal of Hypertension 17 11 (1999) 1589-1599
16. Fei L., Copie X., Malik M., and Camm A.J. Short- and long-term assessment of heart rate variability for risk stratification after acute myocardial infarction. American Journal of Cardiology 77 (1996) 681-684
17. Fluckiger L., Boivin J.M., Quilliot D., Jeandel C., and Yannad F. Differential effects of aging on heart rate variability and blood pressure variability. Journals of Gerontology. Series A, Biological Sciences and Medical Sciences 54 5 (1999) B219-B224
18. Freed L.A., Stein K.M., Gordon M., Urban M., and Kligfield P. Reproducibility of power spectral measures of heart rate variability obtained from short-term sampling periods. American Journal of Cardiology 74 (1994) 972-973
19. Garcia-Gonzalez M.A., M Fernandez-Chimeno M., and Ramos-Castro J. Bias and uncertainty in heart rate variability spectral indices due to the finite ECG sampling frequency. Physiological Measurement 25 (2004) 489-504
20. Goto M., Nagashima M., Baba R., Nagano Y., Yokota M., Nishibata K., and Tsuji A. Analysis of heart rate variability demonstrates effect of development on vagal modulation of heart rate in healthy children. Journal of Pediatrics 130 5 (1997) 725-729
21. Hartikainen K.E.K., Tahvanainen K.U.O., and Kuusela T.A. Short-term measurement of heart rate variability. In: Malik M. (Ed). Clinical guide to cardiac autonomic tests (1998), Kluwer, Dordrecht 149-176
22. Hoffman R.P., and Kienzle M.G. Circadian control of heart rate in young insulin-dependent diabetes mellitus patients. Journal of Diabetes and its Complications 10 4 (1996) 220-222
23. Howorka, K. (in press). Functional Insulin Treatment, 2nd English ed. 1996, 3rd English ed., Springer Berlin [in press].
24. Howorka K., Pumprla J., Haber P., Koller-Strametz J., and Mondrzyk J. Effects of physical training on heart rate variability in diabetic patients with various degrees of cardiovascular autonomic neuropathy. Cardiovascular Research 34 (1997) 206-214
25. Howorka K., Pumprla J., and Schabmann A. Influence of fasting on heart rate variability in diabetic patients with different degrees of cardiovascular autonomic neuropathy. Diabetes Nutrition & Metabolism/Clinical & Experimental 10 (1997) 288-295
26. Howorka K., Pumprla J., and Schabmann A. Optimal parameters of short-term heart rate spectrogram for routine evaluation of diabetic cardiovascular autonomic neuropathy. Journal of the Autonomic Nervous System 69 (1998) 164-172
27. Howorka K., Pumprla J., Wagner-Nosiska D., Grillmayr H., Schlusche C., and Schabmann A. Empowering diabetes outpatients with structured education: Short-term and long-term effects of functional insulin treatment on perceived control over diabetes. Journal of Psychosomatic Research 48 (2000) 37-44
28. Keselbrener L., and Akselrod S. Autonomic responses to blockades and provocations. In: Malik M. (Ed). Clinical guide to cardiac autonomic tests (1998), Kluwer, Dordrecht 101-148
29. Kleiger R.E., Miller J.P., Bigger J.T., Moss A.J., and Multicentre Post Infarction Research Group. Decreased heart rate variability and its association with increased mortality after acute myocardial infarction. American Journal of Cardiology 59 (1987) 256-262
30. Lefrandt J.D., Hoogenberg K., van Roon A.M., Dullaart R.P., Gans R.O., and Smit A.J. Baroreflex sensitivity is depressed in microalbuminuric Type 1 diabetic patients at rest and during sympathetic manoeuvres. Diabetologia 42 11 (1999) 1345-1349
31. Liao D., Barnes R.W., Chambless L.E., and Heiss G. A computer algorithm to impute interrupted heart rate data for the spectral analysis of heart rate variability-the ARIC study. Computers and Biomedical Research 29 2 (1996) 140-151
32. Malliani A., Lombardi F., Pagani M., and Cerutti S. Power spectral analysis of cardiovascular variability in patients at risk for sudden cardiac death. Journal of Cardiovascular Electrophysiology 5 (1994) 274-286
33. Maser R.E., and Lenhard M.J. Cardiovascular autonomic neuropathy due to diabetes mellitus: Clinical manifestations, consequences, and treatment. Journal of Clinical Endocrinology and Metabolism 90 (2005) 5896-5903
34. Nolan J., Batin P.D., Andrews R., Lindsay S.J., Brooksby P., Mullen M., Baig W., Flapan A.D., Cowley A., Prescott R.J., Neilson J.M.M., and Fox K.A.A. Prospective study of heart rate variability and mortality in chronic heart failure: Results of the United Kingdom heart failure evaluation and assessment of risk trial (UK-HEART). Circulation 98 15 (1998) 1510-1516
35. O'Brien I.A., McFadden J.P., and Corrall R.J.M. The influence of autonomic neuropathy on mortality in insulin-dependent diabetes. Quarterly Journal of Medicine 79 (1991) 495-502
36. Opavsky J. Clinical evaluation of autonomic (interoreflex) heart rate regulation. Application to diagnosis of autonomic neuropathy. Acta Universitatis Palackianae Olomucensis Facultatis Medicae 118 (1988) 159-278
37. Priori S.G., Aliot E., Blomstrom-Lundqvist C., Bossaert L., et al. Task force report of the Task force on sudden cardiac death of the European Society of Cardiology. European Heart Journal 22 (2001) 1374-1450
38. Pumprla J., Howorka K., Groves D., Chester M., and Nolan J. Functional assessment of heart rate variability: Physiological basis and practical applications. International Journal of Cardiology 84 (2002) 1-14
39. Pumprla J., Howorka K., Salinger J., Vychodil R., Jirkovska A., and Lacigova S. Heart rate variability parameters in diabetic patients without clinical signs of autonomic dysfunction show no difference as compared to data of matched controls. Diabetologia 43 Suppl. 1 (2000) A249
40. Salinger J., Pumprla J., Vychodil R., et al. Microcomputer system for telemetric assessment of short term heart rate variability in time and frequency domain, type VariaCardio TF4. IEEE Computers in Cardiology 26 (1999) 599-602
41. Simek J., Wichterle D., Kofranek J., Melenovsky V., Malik J., and Rychly L. Changes of baroreflex latency during parasympathetic simulation or inhibition support deBoer model of cardiovascular system. European Heart Journal 4 Suppl. (2002) A117
42. Spallone V., Bernardi L., Maiello M.R., Cicconetti E., Ricordi L., Fratino P., and Menzinger G. Twenty-four-hour pattern of blood pressure and spectral analysis of heart rate variability in diabetic patients with various degrees of autonomic neuropathy. Comparison to standard cardiovascular tests. Clinical Science (London) 91 Suppl (1996) 105-107
43. Stein P.K., Barzilay J.I., Chaves P.H.M., Traber J., Domitrovich P.P., Heckbert S.R., and Gottdiener J.S. Higher levels of inflammation factors and greater insulin resistance are independently associated with higher heart rate and lower heart rate variability in normoglycemic older individuals: The Cardiovascular Health Study. Journal of the American Geriatrics Society 56 2 (2008) 315-321
44. Task Force of the European Society of Cardiology, and North American Society of Pacing and Electrophysiology. Heart rate variability-standards of measurement, physiological interpretation and clinical use. Circulation 93 (1996) 1043-1065
45. Tsuji H., Larson M.G., Venditti F.J., Manders E.S., Evans J.C., Feldman C.L., and Levy D. Impact of reduced heart rate variability on risk for cardiac events. The Framingham Heart Study. Circulation 94 (1996) 2850-2855
46. Vinik A.I., and Mehrabyan A. Diabetic neuropathies. Medical Clinics of North America 88 (2004) 947-999
47. Wawryk A.M., Bates D.J., and Couper J.J. Power spectral analysis of heart rate variability in children and adolescents with IDDM. Diabetes Care 20 9 (1997) 1416-1421
48. Weck M., Tank J., Baevski R.M., Molle A., Matthies K., and Ploewka K. Impaired activation of the baroreflex loop as early sign of sympathetic damage in diabetics with normal heart rate variability at rest. Acta Medica Austriaca 24 5 (1997) 175-179
49. Yamamoto Y., and Hughson R.L. Coarse-graining spectral analysis: New method for studying heart rate variability. Journal of Applied Physiology 71 (1991) 1143-1150
50. Ziegler D., Laux G., Dannehl K., Spüler M., Mühlen H., Mayer P., and Gries F.A. Assessment of cardiovascular autonomic function: Age-related normal ranges and reproducibility of spectral analysis, vector analysis, and standard tests of heart rate variation and blood pressure responses. Diabetic Medicine 9 (1992) 166-175