Title | Absence of slowest oscillations in short term heart rate variability of post-myocardial infarction patients. GISSI-3 arrhythmias substudy. GISSI-3 Arrhythmias Substudy Investigators. | ||
Author | Nollo, G; Del Greco, M; Disertori, M; Santoro, E; Maggioni, A P; Sanna, G P | ||
Journal | Auton Neurosci | Publication Year/Month | 2001-Jul |
PMID | 11485279 | PMCID | -N/A- |
Affiliation | 1.Department of Physics, University of Trento, Italy. nollo@itc.it. |
Despite the widely demonstrated association of reduced heart rate variability (HRV) to bad prognosis after myocardial infarction (MI), reference values for HRV parameters are still not available. The GISSI-3 Arrhythmias Substudy studied short-term HRV in a relatively unselected population of patients (324) with recent MI (13 +/- 7 days) providing the statistical description of the main time and frequency domain parameters. All HRV indices, except for the RR interval, showed a non-normal distribution generally skewed around the lowest values. Particularly, no LF power was detected in 75 patients (23%) by power spectral analysis. The absence of LF oscillation in RR spectra was associated to the lower standard deviation of normal RR intervals (SD), aging (> 65 years) and blood pressure hypertension. This result seems to indicate a paradoxical effect of sympathetic overactivity in post-MI patients.