SPECTRAL ANALYSIS OF HEART RATE VARIABILITY IN PATIENTS WITH CORONARY ARTERY DISEASE

Sadia Mubarak; Syed Muhammad Imran Majeed; Muhammad Alamgir Khan

doi:10.51253/pafmj.v65i(SUPPL).10020

Authors

Sadia Mubarak Army Medical College, Rawalpindi, National University of Sciences and Technology (NUST) Islamabad
Syed Muhammad Imran Majeed Armed Forces Institute of Cardiology/National Institute of Heart Diseases Rawalpindi
Muhammad Alamgir Khan Army Medical College, Rawalpindi, National University of Sciences and Technology (NUST) Islamabad

DOI:

https://doi.org/10.51253/pafmj.v65i(SUPPL).10020

Keywords:

Heart rate variability, Coronary artery disease, Myocardial ischemia, Holter monitoring

Abstract

Objective: To carryout frequency domain analysis ofheart rate variability in patients with coronary artery
disease.

Methods: Forty coronary artery disease patients with coronary artery stenosis greater than 70% of at least one
vessel lumen were included. Patients with diabetes mellitus, atrial fibrillation, structural heart diseases and
bundle branch block were excluded. DMS 300 4A Holter monitors were used to obtain long-term 12 lead
digital ECG recordings. Cardio Scan premium luxury software was used for analysis of heart rate variability.

Results: The mean values of heart rate variability in patients were TP (2171.70 ± 1028.7), VLF (1661.41 ±
807.88), LF (392.71 ± 227.92), HF (112.03 ± 77.90) and LF/HF ratio (4.03 ± 1.75). On comparison with normal
reference values there was a significant decrease (p-value < 0.05) in all parameters except VLF (p-value =
0.351). TP was reduced in all the patients (100%), VLF in 26 (65%), LF in 36 (90%), HF in 36 (90%) and LF/HF
ratio in 29 (72.5%) patients. The difference between the frequency of patients with decreased heart rate
variability was statistically significant (p-value < 0.05) except VLF (p-value = 0.082).

Conclusion: Heart rate variability decreases significantly in patients with coronary artery disease.