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Heart rate variability findings as a predictor of atrial fibrillation in middle-aged population.

Identifieur interne : 000B83 ( Ncbi/Merge ); précédent : 000B82; suivant : 000B84

Heart rate variability findings as a predictor of atrial fibrillation in middle-aged population.

Auteurs : Juha Perkiöm Ki [Finlande] ; Olavi Ukkola ; Antti Kiviniemi ; Mikko Tulppo ; Antti Ylitalo ; Y Antero Kes Niemi ; Heikki Huikuri

Source :

RBID : pubmed:24602026

English descriptors

Abstract

Autonomic nervous system modifies atrial electrophysiologic properties and arrhythmia vulnerability.

DOI: 10.1111/jce.12402
PubMed: 24602026

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pubmed:24602026

Le document en format XML

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<title xml:lang="en">Heart rate variability findings as a predictor of atrial fibrillation in middle-aged population.</title>
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<name sortKey="Perkiom Ki, Juha" sort="Perkiom Ki, Juha" uniqKey="Perkiom Ki J" first="Juha" last="Perkiöm Ki">Juha Perkiöm Ki</name>
<affiliation wicri:level="1">
<nlm:affiliation>Medical Research Center, University Hospital of Oulu, University of Oulu, Oulu, Finland.</nlm:affiliation>
<country xml:lang="fr">Finlande</country>
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<name sortKey="Ukkola, Olavi" sort="Ukkola, Olavi" uniqKey="Ukkola O" first="Olavi" last="Ukkola">Olavi Ukkola</name>
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<name sortKey="Kiviniemi, Antti" sort="Kiviniemi, Antti" uniqKey="Kiviniemi A" first="Antti" last="Kiviniemi">Antti Kiviniemi</name>
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<name sortKey="Tulppo, Mikko" sort="Tulppo, Mikko" uniqKey="Tulppo M" first="Mikko" last="Tulppo">Mikko Tulppo</name>
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<author>
<name sortKey="Ylitalo, Antti" sort="Ylitalo, Antti" uniqKey="Ylitalo A" first="Antti" last="Ylitalo">Antti Ylitalo</name>
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<name sortKey="Kes Niemi, Y Antero" sort="Kes Niemi, Y Antero" uniqKey="Kes Niemi Y" first="Y Antero" last="Kes Niemi">Y Antero Kes Niemi</name>
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<name sortKey="Huikuri, Heikki" sort="Huikuri, Heikki" uniqKey="Huikuri H" first="Heikki" last="Huikuri">Heikki Huikuri</name>
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<title xml:lang="en">Heart rate variability findings as a predictor of atrial fibrillation in middle-aged population.</title>
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<name sortKey="Perkiom Ki, Juha" sort="Perkiom Ki, Juha" uniqKey="Perkiom Ki J" first="Juha" last="Perkiöm Ki">Juha Perkiöm Ki</name>
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<name sortKey="Tulppo, Mikko" sort="Tulppo, Mikko" uniqKey="Tulppo M" first="Mikko" last="Tulppo">Mikko Tulppo</name>
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<name sortKey="Ylitalo, Antti" sort="Ylitalo, Antti" uniqKey="Ylitalo A" first="Antti" last="Ylitalo">Antti Ylitalo</name>
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<name sortKey="Kes Niemi, Y Antero" sort="Kes Niemi, Y Antero" uniqKey="Kes Niemi Y" first="Y Antero" last="Kes Niemi">Y Antero Kes Niemi</name>
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<name sortKey="Huikuri, Heikki" sort="Huikuri, Heikki" uniqKey="Huikuri H" first="Heikki" last="Huikuri">Heikki Huikuri</name>
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<series>
<title level="j">Journal of cardiovascular electrophysiology</title>
<idno type="e-ISSN">1540-8167</idno>
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<date when="2014" type="published">2014</date>
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<keywords scheme="KwdEn" xml:lang="en">
<term>Age Factors</term>
<term>Atrial Fibrillation (diagnosis)</term>
<term>Atrial Fibrillation (etiology)</term>
<term>Atrial Fibrillation (physiopathology)</term>
<term>Atrial Fibrillation (therapy)</term>
<term>Autonomic Nervous System (physiopathology)</term>
<term>Case-Control Studies</term>
<term>Comorbidity</term>
<term>Female</term>
<term>Heart (innervation)</term>
<term>Heart Rate</term>
<term>Hospitalization</term>
<term>Humans</term>
<term>Kaplan-Meier Estimate</term>
<term>Male</term>
<term>Middle Aged</term>
<term>Predictive Value of Tests</term>
<term>Prognosis</term>
<term>Proportional Hazards Models</term>
<term>Registries</term>
<term>Risk Factors</term>
<term>Time Factors</term>
</keywords>
<keywords scheme="MESH" qualifier="diagnosis" xml:lang="en">
<term>Atrial Fibrillation</term>
</keywords>
<keywords scheme="MESH" qualifier="etiology" xml:lang="en">
<term>Atrial Fibrillation</term>
</keywords>
<keywords scheme="MESH" qualifier="innervation" xml:lang="en">
<term>Heart</term>
</keywords>
<keywords scheme="MESH" qualifier="physiopathology" xml:lang="en">
<term>Atrial Fibrillation</term>
<term>Autonomic Nervous System</term>
</keywords>
<keywords scheme="MESH" qualifier="therapy" xml:lang="en">
<term>Atrial Fibrillation</term>
</keywords>
<keywords scheme="MESH" xml:lang="en">
<term>Age Factors</term>
<term>Case-Control Studies</term>
<term>Comorbidity</term>
<term>Female</term>
<term>Heart Rate</term>
<term>Hospitalization</term>
<term>Humans</term>
<term>Kaplan-Meier Estimate</term>
<term>Male</term>
<term>Middle Aged</term>
<term>Predictive Value of Tests</term>
<term>Prognosis</term>
<term>Proportional Hazards Models</term>
<term>Registries</term>
<term>Risk Factors</term>
<term>Time Factors</term>
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<div type="abstract" xml:lang="en">Autonomic nervous system modifies atrial electrophysiologic properties and arrhythmia vulnerability.</div>
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<pubmed>
<MedlineCitation Owner="NLM" Status="MEDLINE">
<PMID Version="1">24602026</PMID>
<DateCreated>
<Year>2014</Year>
<Month>07</Month>
<Day>21</Day>
</DateCreated>
<DateCompleted>
<Year>2016</Year>
<Month>03</Month>
<Day>22</Day>
</DateCompleted>
<Article PubModel="Print-Electronic">
<Journal>
<ISSN IssnType="Electronic">1540-8167</ISSN>
<JournalIssue CitedMedium="Internet">
<Volume>25</Volume>
<Issue>7</Issue>
<PubDate>
<Year>2014</Year>
<Month>Jul</Month>
</PubDate>
</JournalIssue>
<Title>Journal of cardiovascular electrophysiology</Title>
<ISOAbbreviation>J. Cardiovasc. Electrophysiol.</ISOAbbreviation>
</Journal>
<ArticleTitle>Heart rate variability findings as a predictor of atrial fibrillation in middle-aged population.</ArticleTitle>
<Pagination>
<MedlinePgn>719-24</MedlinePgn>
</Pagination>
<ELocationID EIdType="doi" ValidYN="Y">10.1111/jce.12402</ELocationID>
<Abstract>
<AbstractText Label="BACKGROUND" NlmCategory="BACKGROUND">Autonomic nervous system modifies atrial electrophysiologic properties and arrhythmia vulnerability.</AbstractText>
<AbstractText Label="METHODS" NlmCategory="METHODS">Heart rate (HR) variability, an indicator of cardiac autonomic regulation, was measured in 784 subjects (mean age 51 ± 6 years; 54% males) from a standardized 45-minute period in a study population (n = 1,045), which consisted of randomly selected hypertensive and age- and sex-matched control subjects at the time of recruitment in 1991-1992 (the OPERA study).</AbstractText>
<AbstractText Label="RESULTS" NlmCategory="RESULTS">During a mean follow-up of 16.5 ± 3.5 years, 76 subjects (9.7%) had developed symptomatic atrial fibrillation (AF), needing hospitalization. HR did not predict the occurrence of AF. Among the various spectral and time-domain HR variability indexes, only the low-frequency (LF) spectral component independently predicted AF. In the Cox regression analysis, the hazard ratio of reduced HR corrected LF (LFccv ≤ 1.59%, optimal cutoff from the ROC curve) in predicting the AF was 3.28 (95% CI: 2.06-5.24; P < 0.001). In the multiple Cox regression model, including LFccv and other predictors of AF, such as age, gender, hypertension, history of coronary artery disease, systolic and diastolic blood pressure, body mass index, β-blocking, angiotensin converting enzyme inhibitor and aspirin medication, left atrial size, left ventricular mass index, and left ventricular size obtained by echocardiography, only LFccv (hazard ratio 2.81; 95% CI: 1.64-4.81; P < 0.001), age (P = 0.006), and systolic blood pressure (P = 0.02) remained as significant predictors of AF.</AbstractText>
<AbstractText Label="CONCLUSIONS" NlmCategory="CONCLUSIONS">Impaired LF oscillation of HR predicts new-onset AF in a middle-aged population emphasizing the important role of autonomic nervous system in the genesis of symptomatic AF.</AbstractText>
<CopyrightInformation>© 2014 Wiley Periodicals, Inc.</CopyrightInformation>
</Abstract>
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<LastName>Perkiömäki</LastName>
<ForeName>Juha</ForeName>
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<Affiliation>Medical Research Center, University Hospital of Oulu, University of Oulu, Oulu, Finland.</Affiliation>
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</Author>
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<LastName>Ukkola</LastName>
<ForeName>Olavi</ForeName>
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<LastName>Tulppo</LastName>
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<Language>eng</Language>
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<Year>2014</Year>
<Month>04</Month>
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<Country>United States</Country>
<MedlineTA>J Cardiovasc Electrophysiol</MedlineTA>
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<ISSNLinking>1045-3873</ISSNLinking>
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<DescriptorName MajorTopicYN="N" UI="D000367">Age Factors</DescriptorName>
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<DescriptorName MajorTopicYN="N" UI="D001281">Atrial Fibrillation</DescriptorName>
<QualifierName MajorTopicYN="N" UI="Q000175">diagnosis</QualifierName>
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<QualifierName MajorTopicYN="N" UI="Q000503">physiopathology</QualifierName>
<QualifierName MajorTopicYN="N" UI="Q000628">therapy</QualifierName>
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<DescriptorName MajorTopicYN="N" UI="D001341">Autonomic Nervous System</DescriptorName>
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<DescriptorName MajorTopicYN="N" UI="D013997">Time Factors</DescriptorName>
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<KeywordList Owner="NOTNLM">
<Keyword MajorTopicYN="N">atrial fibrillation</Keyword>
<Keyword MajorTopicYN="N">autonomic nervous system</Keyword>
<Keyword MajorTopicYN="N">heart rate</Keyword>
<Keyword MajorTopicYN="N">heart rate variability</Keyword>
<Keyword MajorTopicYN="N">hypertension</Keyword>
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<name sortKey="Kes Niemi, Y Antero" sort="Kes Niemi, Y Antero" uniqKey="Kes Niemi Y" first="Y Antero" last="Kes Niemi">Y Antero Kes Niemi</name>
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