Asymmetry of the Variability of Heart Rate and Conduction Time Between Atria and Ventricles

• Guzik Przemyslaw

  Department of Cardiology-Intensive Therapy and Internal Medicine, Poznan University of Medical Sciences

• Zuchowski Bartosz

  Department of Cardiology-Intensive Therapy and Internal Medicine, Poznan University of Medical Sciences

• Blaszyk Krzysztof

  Department of Cardiology, Poznan University of Medical Sciences

• Seniuk Wojciech

  Department of Cardiology, Poznan University of Medical Sciences

• Wasniewski Michal

  Department of Cardiology, Poznan University of Medical Sciences

• Gwizdala Adrian

  Department of Cardiology, Poznan University of Medical Sciences

• Wykretowicz Andrzej

  Department of Cardiology-Intensive Therapy and Internal Medicine, Poznan University of Medical Sciences

• Piskorski Jaroslaw

  Department of Cardiology-Intensive Therapy and Internal Medicine, Poznan University of Medical Sciences Institute of Physics, University of Zielona Gora

抄録

Background: Heart rate asymmetry is caused by an unequal contribution of heart rate decelerations and accelerations to heart rate variability. This study evaluates the asymmetric properties of the variability of the AA, HH, VV, AH and HV intervals. Methods and Results: We recorded 50 1-min intracardiac ECG tracings from 10 patients (18–66 years old; 8 females) during a routine electrophysiological study. Standard descriptors of variance asymmetry were calculated for all intervals. Nonparametric tests were used for statistical comparisons. The prolongations of VV (P=0.0297), AH (P=0.0133) and HV (P=0.0004) intervals contributed significantly more than their shortenings to their short-term variance. The proportion of recordings with a larger contribution of prolongations than shortenings was significantly different from random for VV (0.66, P=0.0328), AH (0.68, P=0.0154) HV (0.74, P=0.0009). Conclusions: In addition to heart rate asymmetry (VV interval), the conduction from the atria, through the atrioventricular node, His-Purkinje system to ventricles shows asymmetric properties in 1-min tracings.  (Circ J 2013; 77: 2904–2911)<br>

収録刊行物

• Circulation Journal

  Circulation Journal 77 (12), 2904-2911, 2013

  一般社団法人 日本循環器学会

キーワード

• Atrial-to-His interval
• Electrophysiological study
• Heart rate asymmetry
• Heart rate variability
• His-to-ventricle interval

詳細情報

• CRID: 1390001205107847680
• NII論文ID: 10031203574
• NII書誌ID: AA11591968
• DOI: 10.1253/circj.cj-13-0461
• COI: 1:STN:280:DC%2BC2c%2FptlSisg%3D%3D
• ISSN: 13474820
• ISSN: 13469843
• PubMed: 24152724
• Web Site: https://www.jstage.jst.go.jp/article/circj/77/12/77_CJ-13-0461/_pdf
• Web Site: https://search.jamas.or.jp/link/ui/2014247733
• 本文言語コード: en
• データソース種別:
  • JaLC
  • Crossref
  • PubMed
  • CiNii Articles
• 抄録ライセンスフラグ: 使用不可