Title [Geometric index of heart rate variability in chronic obstructive pulmonary disease].
Author Dias de Carvalho, T; Marcelo Pastre, C; Claudino Rossi, R; de Abreu, L C; Valenti, V E; Marques Vanderlei, L C
Journal Rev Port Pneumol Publication Year/Month 2011-Nov-Dec
PMID 21920699 PMCID -N/A-
Affiliation 1.Departamento de Fisioterapia, Universidade Estadual Paulista, Presidente Prudente, SP, Brazil. carvalho.td1@gmail.com.

BACKGROUND: It was already evidenced decreased heart rate variability (HRV) in chronic obstructive pulmonary disease (COPD) patients at rest. OBJECTIVE: In order to insert new elements in the literature regarding this issue, we evaluated geometric index of HRV in COPD subjects. METHOD: We analyzed data from 34 volunteers, divided into two groups according to spirometric values: COPD (17 volunteers, FEV1/FVC=47.3+/-10.2; FEV1=50.8+/-15.7) and control (17 volunteers, FEV1/FVC=78.8+/-10.8; FEV1=100.1+/-14.7). For analysis of HRV indexes the volunteers remained in the supine position for 30 minutes. We analyzed the following indexes: triangular index (RRtri), triangular interpolation of RR intervals (TINN) and Poincare plot (SD1, SD2 and SD1/SD2). Student t test for unpaired samples and Mann-Whitney test were used for data analysis. RESULTS: We observed statistically significant reductions in geometric indexes in the COPD group: RRtri (0.043+/-0.01 vs. 0.059+/-0.02; p=0.018), TINN (105.88+/-51.82 vs. 151.47+/-49.9; p=0.014), SD1 (9.76+/-4.66 vs. 14.55+/-6.04; p=0.014) and SD2 (34.86+/-17.02 vs. 51.51+/-18.38; p=0.010). SD1/SD2 (0.30+/-0.11 vs. 0.28+/-0.07; p=0.605) were not significantly different between groups. Patients with COPD presented a visual analysis of Poincare plot of lower dispersion of RR intervals both beat to beat and the long term. CONCLUSION: Subjects with COPD present reduction of geometric indexes of HRV, indicating reduced heart rate variability.

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