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Heart rate variability in human immunodeficiency virus-positive individuals

Background: Heart rate variability (HRV) is a marker of cardiac autonomic tone. Depressed HRV has been reported in patients with AIDS. We conducted this study to find out if HRV is depressed in human immunodeficiency virus (HIV)-positive individuals without AIDS. Methods: We studied prospectively HR...

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Published in:International journal of cardiology 2004-03, Vol.94 (1), p.1-6
Main Authors: Mittal, Chander Mohan, Wig, Naveet, Mishra, Sundeep, Deepak, K.K.
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container_title International journal of cardiology
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creator Mittal, Chander Mohan
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Mishra, Sundeep
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description Background: Heart rate variability (HRV) is a marker of cardiac autonomic tone. Depressed HRV has been reported in patients with AIDS. We conducted this study to find out if HRV is depressed in human immunodeficiency virus (HIV)-positive individuals without AIDS. Methods: We studied prospectively HRV by spectral analysis of short-term electrocardiography (ECG) monitoring in 21 HIV-positives (33±11 years) and in 18 healthy volunteers (31±9 years). None of the HIV-positives had any clinical evidence of autonomic or cardiac dysfunction. Echocardiography was also performed in HIV-seropositives to rule out left ventricular (LV) systolic dysfunction. All these individuals did not have any evidence of AIDS. Results: Mean CD4+ lymphocyte count was 426±166/mm 3. The ejection fraction (EF%) of HIV patients was 62.4±6.4.The total power of HRV was reduced significantly in HIV-positive individuals ( p
doi_str_mv 10.1016/j.ijcard.2003.02.002
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Depressed HRV has been reported in patients with AIDS. We conducted this study to find out if HRV is depressed in human immunodeficiency virus (HIV)-positive individuals without AIDS. Methods: We studied prospectively HRV by spectral analysis of short-term electrocardiography (ECG) monitoring in 21 HIV-positives (33±11 years) and in 18 healthy volunteers (31±9 years). None of the HIV-positives had any clinical evidence of autonomic or cardiac dysfunction. Echocardiography was also performed in HIV-seropositives to rule out left ventricular (LV) systolic dysfunction. All these individuals did not have any evidence of AIDS. Results: Mean CD4+ lymphocyte count was 426±166/mm 3. The ejection fraction (EF%) of HIV patients was 62.4±6.4.The total power of HRV was reduced significantly in HIV-positive individuals ( p&lt;0.00001). All the components of HRV were reduced. Conclusions: HRV is reduced in HIV-seropositive individuals in early stages of infection as well without any clinical evidence of autonomic dysfunction. This may serve as an early marker of future global sympatho-vagal imbalance.</description><identifier>ISSN: 0167-5273</identifier><identifier>EISSN: 1874-1754</identifier><identifier>DOI: 10.1016/j.ijcard.2003.02.002</identifier><identifier>PMID: 14996467</identifier><identifier>CODEN: IJCDD5</identifier><language>eng</language><publisher>Shannon: Elsevier Ireland Ltd</publisher><subject>Adult ; Arrhythmias ; Autonomic function ; Autonomic Nervous System Diseases - physiopathology ; Biological and medical sciences ; Cardiac autonomic tone ; Cardiac dysrhythmias ; Cardiac function ; Cardiology. Vascular system ; Down-Regulation ; Echocardiography ; Electrocardiography ; Female ; Heart ; Heart Rate ; HIV Seropositivity - physiopathology ; Human viral diseases ; Humans ; Infectious diseases ; Male ; Medical sciences ; RR interval ; Vagus ; Viral diseases ; Viral diseases of the lymphoid tissue and the blood. 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Depressed HRV has been reported in patients with AIDS. We conducted this study to find out if HRV is depressed in human immunodeficiency virus (HIV)-positive individuals without AIDS. Methods: We studied prospectively HRV by spectral analysis of short-term electrocardiography (ECG) monitoring in 21 HIV-positives (33±11 years) and in 18 healthy volunteers (31±9 years). None of the HIV-positives had any clinical evidence of autonomic or cardiac dysfunction. Echocardiography was also performed in HIV-seropositives to rule out left ventricular (LV) systolic dysfunction. All these individuals did not have any evidence of AIDS. Results: Mean CD4+ lymphocyte count was 426±166/mm 3. The ejection fraction (EF%) of HIV patients was 62.4±6.4.The total power of HRV was reduced significantly in HIV-positive individuals ( p&lt;0.00001). All the components of HRV were reduced. Conclusions: HRV is reduced in HIV-seropositive individuals in early stages of infection as well without any clinical evidence of autonomic dysfunction. This may serve as an early marker of future global sympatho-vagal imbalance.</description><subject>Adult</subject><subject>Arrhythmias</subject><subject>Autonomic function</subject><subject>Autonomic Nervous System Diseases - physiopathology</subject><subject>Biological and medical sciences</subject><subject>Cardiac autonomic tone</subject><subject>Cardiac dysrhythmias</subject><subject>Cardiac function</subject><subject>Cardiology. Vascular system</subject><subject>Down-Regulation</subject><subject>Echocardiography</subject><subject>Electrocardiography</subject><subject>Female</subject><subject>Heart</subject><subject>Heart Rate</subject><subject>HIV Seropositivity - physiopathology</subject><subject>Human viral diseases</subject><subject>Humans</subject><subject>Infectious diseases</subject><subject>Male</subject><subject>Medical sciences</subject><subject>RR interval</subject><subject>Vagus</subject><subject>Viral diseases</subject><subject>Viral diseases of the lymphoid tissue and the blood. 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Vascular system</topic><topic>Down-Regulation</topic><topic>Echocardiography</topic><topic>Electrocardiography</topic><topic>Female</topic><topic>Heart</topic><topic>Heart Rate</topic><topic>HIV Seropositivity - physiopathology</topic><topic>Human viral diseases</topic><topic>Humans</topic><topic>Infectious diseases</topic><topic>Male</topic><topic>Medical sciences</topic><topic>RR interval</topic><topic>Vagus</topic><topic>Viral diseases</topic><topic>Viral diseases of the lymphoid tissue and the blood. Aids</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Mittal, Chander Mohan</creatorcontrib><creatorcontrib>Wig, Naveet</creatorcontrib><creatorcontrib>Mishra, Sundeep</creatorcontrib><creatorcontrib>Deepak, K.K.</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>International journal of cardiology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Mittal, Chander Mohan</au><au>Wig, Naveet</au><au>Mishra, Sundeep</au><au>Deepak, K.K.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Heart rate variability in human immunodeficiency virus-positive individuals</atitle><jtitle>International journal of cardiology</jtitle><addtitle>Int J Cardiol</addtitle><date>2004-03-01</date><risdate>2004</risdate><volume>94</volume><issue>1</issue><spage>1</spage><epage>6</epage><pages>1-6</pages><issn>0167-5273</issn><eissn>1874-1754</eissn><coden>IJCDD5</coden><abstract>Background: Heart rate variability (HRV) is a marker of cardiac autonomic tone. Depressed HRV has been reported in patients with AIDS. We conducted this study to find out if HRV is depressed in human immunodeficiency virus (HIV)-positive individuals without AIDS. Methods: We studied prospectively HRV by spectral analysis of short-term electrocardiography (ECG) monitoring in 21 HIV-positives (33±11 years) and in 18 healthy volunteers (31±9 years). None of the HIV-positives had any clinical evidence of autonomic or cardiac dysfunction. Echocardiography was also performed in HIV-seropositives to rule out left ventricular (LV) systolic dysfunction. All these individuals did not have any evidence of AIDS. Results: Mean CD4+ lymphocyte count was 426±166/mm 3. The ejection fraction (EF%) of HIV patients was 62.4±6.4.The total power of HRV was reduced significantly in HIV-positive individuals ( p&lt;0.00001). All the components of HRV were reduced. 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subjects Adult
Arrhythmias
Autonomic function
Autonomic Nervous System Diseases - physiopathology
Biological and medical sciences
Cardiac autonomic tone
Cardiac dysrhythmias
Cardiac function
Cardiology. Vascular system
Down-Regulation
Echocardiography
Electrocardiography
Female
Heart
Heart Rate
HIV Seropositivity - physiopathology
Human viral diseases
Humans
Infectious diseases
Male
Medical sciences
RR interval
Vagus
Viral diseases
Viral diseases of the lymphoid tissue and the blood. Aids
title Heart rate variability in human immunodeficiency virus-positive individuals
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