Left ventricular mass index negatively correlates with heart rate variability in essential hypertension
- 1 February 1995
- journal article
- Published by Oxford University Press (OUP) in American Journal of Hypertension
- Vol. 8 (2) , 183-188
- https://doi.org/10.1016/0895-7061(94)00190-M
Abstract
To investigate the relationship between alterations of the autonomic nervous activity and left ventricular mass index in essential hypertensive patients, 24-h power spectral analysis of R-R intervals was performed using Holter electrocardiography. Fiftythree patients (mean age, 58.0 ± 13.1 years; 30 men and 23 women) participated. The urinary excretions and plasma levels of catecholamines were also determined. Power spectral analysis of R-R interval was performed every 10 min by the maximum entropy method to obtain the low frequency band (LFB; 0.04 to 0.15 Hz), which is an index of both parasympathetic and sympathetic nervous activities, and the high frequency band (HFB; 0.15 to 0.4 Hz), which reflects parasympathetic nervous activity. LFB and HFB were averaged every hour to obtain hourly LFB and HFB levels. Total LFB and HFB were calculated as the summation of 24-h LFBs and HFBs. Left ventricular mass index showed a significant negative correlation with total LFB (r = −0.466, P < .001) and total HFB (r = −0.319, P < .02). These findings suggest that the level of end-organ damage correlates with neuronal alteration in essential hypertension. Am J Hypertens 1995;8:183–188Keywords
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