Evidence map›Paper›PMID 34475779›Full record

ArticleInternational journal of general medicine2021

Heart Rate Variability as an Indicator of Autonomic Nervous System Disturbance in Behcet's Disease.

Imtinene Ben Mrad, Melek Ben Mrad, Bouthaina Besbes, Ihsen Zairi, Nofeil Ben Kahla, Sofien Kamoun, Khadija Mzoughi, Sondos Kraiem

Open access · goldAbstract read
In one paragraph

Article in International journal of general medicine, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
2.0field-weighted citation impact, top 12% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

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

8 citing papers in PubMed, 19 citations in OpenAlex.

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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

8 authors at 2 institutions in 1 country.

Imtinene Ben MradCardiology Department, Habib Thameur Hospital, Tunis, Tunisia.ORCID 0000-0002-7387-4601
Melek Ben MradCardiovascular Surgery Department, Rabta Hospital, Tunis, Tunisia.ORCID 0000-0002-4281-0111
Bouthaina BesbesCardiology Department, Habib Thameur Hospital, Tunis, Tunisia.
Ihsen ZairiCardiology Department, Habib Thameur Hospital, Tunis, Tunisia.ORCID 0000-0001-5165-8257
Nofeil Ben KahlaCardiology Department, Habib Thameur Hospital, Tunis, Tunisia.ORCID 0000-0002-0059-6911
Sofien KamounCardiology Department, Habib Thameur Hospital, Tunis, Tunisia.ORCID 0000-0002-9010-8554
Khadija MzoughiCardiology Department, Habib Thameur Hospital, Tunis, Tunisia.ORCID 0000-0003-4482-7475
Sondos KraiemCardiology Department, Habib Thameur Hospital, Tunis, Tunisia.
Habib hospital Thameur · TNHôpital La Rabta · TN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundBehçet's disease (BD) is a multisystemic vasculiti where cardiac involvement is not common. Previous studies have shown that the incidence of ventricular arrhythmia and sudden cardiac death (SCD) is higher in patients with BD than in the healthy population. Among various possible explanations, autonomic nervous system (ANS) dysfunction has been suggested. Few studies have evaluated ANS function in patients with BD, and the results obtained are controversial.

objectiveWe aimed to assess cardiac autonomic function by heart rate variability (HRV) in patients with BD; to evaluate circadian changes in HRV; and to study the relationship between HRV parameters and disease parameters.

methodsThirty-six patients with Behçet's disease (median age 42 years, 28 men) and 36 age- and sex-matched healthy volunteers were included. HRV analyses were performed in the time and frequency domains for the entire 24-hour period and for the daytime and nighttime periods. BD activity was studied with Behcet's disease current activity form (BDCAF).

resultsPatients with BD had significantly lower values of SDNN compared to controls. PNN50, RMSSD, and HF components mean values were significantly reduced in patients than in controls implying parasympathetic impairment. LF was comparable between the two groups, whereas LF/HF ratio was significantly higher in BD group. The circadian rhythm of HRV was preserved in patient group. There was no significant correlation of CRP or disease duration with HRV indices in Behçet's subjects. BDCAF score was found to be negatively correlated with LF/HF.

conclusionPatients with BD, despite no cardiovascular involvement, have reduced parasympathetic activity compared with controls. However, circadian rhythms of autonomic function were preserved. As known, there is strong evidence for the role of the ANS in the pathogenesis of ventricular arrhythmias. Thus, being a practical tool, HRV can be an interesting approach for the rhythmic follow-up of BD patients.

Indexed as

autonomic nervous systemBehcet’s diseasedisease activityheart rate variability

Identifiers

PMID34475779
PMCPMC8407672
OpenAlexW3195208474

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Registered trials

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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.