Evidence map›Paper›PMID 23110977›Full record

ArticleInternational archives of medicine2012

Sensitivity, specificity and predictive values of linear and nonlinear indices of heart rate variability in stable angina patients.

Flávio Correa Pivatelli, Marcio Antonio Dos Santos, Gislaine Buzzini Fernandes, Marcio Gatti, Luiz Carlos de Abreu, Vitor E Valenti, Luiz Carlos M Vanderlei, Celso Ferreira, Fernando Adami, Tatiana Dias de Carvalho and 2 more

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In one paragraph

Article in International archives of medicine, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 papers, 1 of them a synthesis that pooled it.

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25citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

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2 · The registry

The trial behind it

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Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

25 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Application of Heart Rate Variability in Diagnosis and Prognosis of Individuals with Diabetes Mellitus: Systematic Review.Annals of noninvasive electrocardiology : the official journal of the International Society for Holter and Noninvasive Electrocardiology, Inc · 2016
    Pooled it
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  3. The effect of oxybutynin on cardiac autonomic modulation in healthy subjects.Clinical autonomic research : official journal of the Clinical Autonomic Research Society · 2014
    Trial
  4. Article
  5. Doppler signal analysis of the tricuspid valve in healthy fetuses during the first trimester: a cohort study.Revista brasileira de ginecologia e obstetricia : revista da Federacao Brasileira das Sociedades de Ginecologia e Obstetricia · 2026
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  15. Complexity Change in Cardiovascular Disease.International journal of biological sciences · 2017
    Review
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

12 authors.

Flávio Correa PivatelliServiço de Hemodinâmica e Cardiologia Intervencionista do Hospital de Base - Fundação Faculdade Regional de Medicina (FUNFARME), de São José do Rio Preto (SP) and Departamento de Cardiologia e Cirurgia Cardiovascular da Faculdade de Medicina de São José do Rio Preto (FAMERP), Av, Brigadeiro Faria Lima, 5416, 15090-000, São José do Rio Preto, SP, Brazil. mf60204@gmail.com.
Marcio Antonio Dos Santos
Gislaine Buzzini Fernandes
Marcio Gatti
Luiz Carlos de Abreu
Vitor E Valenti
Luiz Carlos M Vanderlei
Celso Ferreira
Fernando Adami
Tatiana Dias de Carvalho
Carlos Bandeira de Mello Monteiro
Moacir Fernandes de Godoy

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

unlabelled

backgroundDecreased heart rate variability (HRV) is related to higher morbidity and mortality. In this study we evaluated the linear and nonlinear indices of the HRV in stable angina patients submitted to coronary angiography.

methodsWe studied 77 unselected patients for elective coronary angiography, which were divided into two groups: coronary artery disease (CAD) and non-CAD groups. For analysis of HRV indices, HRV was recorded beat by beat with the volunteers in the supine position for 40 minutes. We analyzed the linear indices in the time (SDNN [standard deviation of normal to normal], NN50 [total number of adjacent RR intervals with a difference of duration greater than 50ms] and RMSSD [root-mean square of differences]) and frequency domains ultra-low frequency (ULF) ≤ 0,003 Hz, very low frequency (VLF) 0,003 - 0,04 Hz, low frequency (LF) (0.04-0.15 Hz), and high frequency (HF) (0.15-0.40 Hz) as well as the ratio between LF and HF components (LF/HF). In relation to the nonlinear indices we evaluated SD1, SD2, SD1/SD2, approximate entropy (-ApEn), α1, α2, Lyapunov Exponent, Hurst Exponent, autocorrelation and dimension correlation. The definition of the cutoff point of the variables for predictive tests was obtained by the Receiver Operating Characteristic curve (ROC). The area under the ROC curve was calculated by the extended trapezoidal rule, assuming as relevant areas under the curve ≥ 0.650.

resultsCoronary arterial disease patients presented reduced values of SDNN, RMSSD, NN50, HF, SD1, SD2 and -ApEn. HF ≤ 66 ms2, RMSSD ≤ 23.9 ms, ApEn ≤-0.296 and NN50 ≤ 16 presented the best discriminatory power for the presence of significant coronary obstruction.

conclusionWe suggest the use of Heart Rate Variability Analysis in linear and nonlinear domains, for prognostic purposes in patients with stable angina pectoris, in view of their overall impairment.

Identifiers

PMID23110977
PMCPMC3549885

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.