Correlation of Heart Rate Recovery and Heart Rate Variability with Atrial Fibrillation Progression

Overview

Journal J Int Med Res

Publisher Sage Publications

Specialty General Medicine

Date 2021 Nov 18

PMID 34791909

Citations 1

Authors

Gwang-Seok Yoon

Seong-Huan Choi

Sung Woo Kwon

Sang-Don Park

Sung-Hee Shin

Seong-Ill Woo

Jun Kwan

Dae-Hyeok Kim

Yong-Soo Baek

Affiliations

Soon will be listed here.

Abstract

Objective: To examine the combination of heart rate recovery (HRR) and heart rate variability (HRV) in predicting atrial fibrillation (AF) progression.

Methods: Data from patients with a first detected episode of AF who underwent treadmill exercise testing and 24-h Holter electrocardiography were retrospectively analysed. Autonomic dysfunction was verified using HRR values. Sympathetic and parasympathetic modulation was analysed by HRV. AF progression was defined as transition from the first detected paroxysmal episode to persistent/permanent AF.

Results: Of 306 patients, mean LF/HF ratio and HRR did not differ significantly by AF progression regardless of age (< or ≥65 years). However, when the LF/HF ratio was divided into tertiles, in patients aged <65 years, the mid LF/HF (1.60-2.40) ratio was significantly associated with lower AF progression rates and longer maintenance of normal sinus rhythm. For patients aged <65 years, less metabolic equivalents were related to higher AF progression rates. For patients aged ≥65 years, a low HRR was associated with high AF progression rates.

Conclusion: In relatively younger age, high physical capacity and balanced autonomic nervous system regulation are important predictors of AF progression. Evaluation of autonomic function assessed by age could predict AF progression.

Citing Articles

Delayed blood pressure recovery after exercise stress test is associated with autonomic dysfunction and pulse pressure in a middle-aged healthy group.

Lee H, Kim H, Oh S, Park J, Jang J, Chun K PLoS One. 2023; 18(10):e0285961.

PMID: 37788242 PMC: 10547162. DOI: 10.1371/journal.pone.0285961.

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