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Continuous Monitoring of Heart Rate Variability and Clinical Outcomes in Patients with Implantable Cardioverter Defibrillators.

Publication ,  Journal Article
Peters, AE; Wu, A; Chiswell, K; Hofmann, P; Nkulikiyinka, R; Dinh, W; Piccini, JP; Mentz, RJ; Fudim, M
Published in: Curr Probl Cardiol
March 2023

While heart rate variability (HRV) is an established marker of cardiovascular health, the extent to which continuously measured HRV changes over time and the relationship between these changes and clinical outcomes are less clear. We performed a health system analysis of 225 patients implanted with a cardiac defibrillator or cardiac resynchronization device (CRT) with continuous HRV recording capabilities. We found that continuously measured HRV changed modestly over 2 years. Low baseline HRV, which is associated with low parasympathetic tone and/or increases in sympathetic tone, pertains a worse clinical prognosis as reflected by a significant association with all-cause hospitalization. Observed changes in HRV over 6-months of follow-up were not associated with subsequent outcomes.

Duke Scholars

Published In

Curr Probl Cardiol

DOI

EISSN

1535-6280

Publication Date

March 2023

Volume

48

Issue

3

Start / End Page

101520

Location

Netherlands

Related Subject Headings

  • Treatment Outcome
  • Prognosis
  • Humans
  • Heart Rate
  • Heart Failure
  • Defibrillators, Implantable
  • Cardiovascular System & Hematology
  • Cardiac Resynchronization Therapy
  • 3201 Cardiovascular medicine and haematology
  • 1102 Cardiorespiratory Medicine and Haematology
 

Citation

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Peters, A. E., Wu, A., Chiswell, K., Hofmann, P., Nkulikiyinka, R., Dinh, W., … Fudim, M. (2023). Continuous Monitoring of Heart Rate Variability and Clinical Outcomes in Patients with Implantable Cardioverter Defibrillators. Curr Probl Cardiol, 48(3), 101520. https://doi.org/10.1016/j.cpcardiol.2022.101520
Peters, Anthony E., Angie Wu, Karen Chiswell, Paul Hofmann, Richard Nkulikiyinka, Wilfried Dinh, Jonathan P. Piccini, Robert J. Mentz, and Marat Fudim. “Continuous Monitoring of Heart Rate Variability and Clinical Outcomes in Patients with Implantable Cardioverter Defibrillators.Curr Probl Cardiol 48, no. 3 (March 2023): 101520. https://doi.org/10.1016/j.cpcardiol.2022.101520.
Peters AE, Wu A, Chiswell K, Hofmann P, Nkulikiyinka R, Dinh W, et al. Continuous Monitoring of Heart Rate Variability and Clinical Outcomes in Patients with Implantable Cardioverter Defibrillators. Curr Probl Cardiol. 2023 Mar;48(3):101520.
Peters, Anthony E., et al. “Continuous Monitoring of Heart Rate Variability and Clinical Outcomes in Patients with Implantable Cardioverter Defibrillators.Curr Probl Cardiol, vol. 48, no. 3, Mar. 2023, p. 101520. Pubmed, doi:10.1016/j.cpcardiol.2022.101520.
Peters AE, Wu A, Chiswell K, Hofmann P, Nkulikiyinka R, Dinh W, Piccini JP, Mentz RJ, Fudim M. Continuous Monitoring of Heart Rate Variability and Clinical Outcomes in Patients with Implantable Cardioverter Defibrillators. Curr Probl Cardiol. 2023 Mar;48(3):101520.
Journal cover image

Published In

Curr Probl Cardiol

DOI

EISSN

1535-6280

Publication Date

March 2023

Volume

48

Issue

3

Start / End Page

101520

Location

Netherlands

Related Subject Headings

  • Treatment Outcome
  • Prognosis
  • Humans
  • Heart Rate
  • Heart Failure
  • Defibrillators, Implantable
  • Cardiovascular System & Hematology
  • Cardiac Resynchronization Therapy
  • 3201 Cardiovascular medicine and haematology
  • 1102 Cardiorespiratory Medicine and Haematology