Evidence map›Paper›PMID 34625862›Full record

ArticleMedical & biological engineering & computing2021

Heart rate fragmentation, a novel approach in heart rate variability analysis, is altered in rats 4 and 12 weeks after myocardial infarction.

Ana Carolina M Omoto, Renata M Lataro, Thais M Silva, Helio Cesar Salgado, Rubens Fazan, Luiz Eduardo Virgílio Silva

Abstract read
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In one paragraph

Article in Medical & biological engineering & computing, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
0.9field-weighted citation impact, top 23% 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

6 citing papers in PubMed, 8 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

6 authors at 2 institutions in 1 country.

Ana Carolina M OmotoDepartment of Physiology, Ribeirão Preto Medical School, University of São Paulo, Ribeirão Preto, São Paulo, Brazil.
Renata M LataroDepartment of Physiological Sciences, Center of Biological Sciences, Federal University of Santa Catarina, Florianópolis, Santa Catarina, Brazil.
Thais M SilvaDepartment of Physiology, Ribeirão Preto Medical School, University of São Paulo, Ribeirão Preto, São Paulo, Brazil.
Helio Cesar SalgadoDepartment of Physiology, Ribeirão Preto Medical School, University of São Paulo, Ribeirão Preto, São Paulo, Brazil.
Rubens FazanDepartment of Physiology, Ribeirão Preto Medical School, University of São Paulo, Ribeirão Preto, São Paulo, Brazil.
Luiz Eduardo Virgílio SilvaDepartment of Internal Medicine, Ribeirão Preto Medical School, University of São Paulo, Av. Bandeirantes 3900, Ribeirão Preto, São Paulo, 14049-900, Brazil. luizeduardovs@gmail.com.
Universidade de São Paulo · BRUniversidade Federal de Santa Catarina · BR

Funding

Conselho Nacional de Desenvolvimento Científico e Tecnológico 870308/1997-1Fundação de Amparo à Pesquisa do Estado de São Paulo 2013/20549-7
6 · The paper itself

Abstract

An approach recently proposed to assess ultra-rapid patterns of heart rate variability, namely heart rate fragmentation (HRF), is increased in aging and coronary disease. We aimed to evaluate and to correlate HRF with cardiac functional parameters in a rat model of myocardial infarction (MI). Wistar rats were submitted to MI (n = 18) or sham operation (n = 20), and after 4 or 12 weeks, their arterial pressure was recorded. Subsequently, cardiac function was evaluated by echocardiography. From pulse interval series, HRF patterns with zero, one, two, or three inflection points were estimated, as well as the total percentage of inflection points (PIP). Cardiac function was reduced in MI rats. Ejection fraction was smaller 4 (28 ± 3 vs 68 ± 2%, p < 0.0001) and 12 weeks after MI (38 ± 3 vs 70 ± 3%, p < 0.0001). Fractional shortening was also smaller 4 (13 ± 2 vs 41 ± 2%, p < 0.0001) and 12 weeks after MI (20 ± 2 vs 41 ± 3%, p < 0.0001). PIP was increased in MI rats 4 (74 ± 2 vs 69 ± 1%, p = 0.03) and 12 weeks after surgery (70 ± 2 vs 63 ± 1%, p = 0.02). We found a significant negative correlation between cardiac functional parameters and HRF at both 4 and 12 weeks after MI. These findings reveal that MI increases HRF, reinforcing the importance of this approach to explore pathophysiological conditions. Evaluation of heart rate fragmentation (HRF) in a rat model of myocardial infarction (MI). Wistar rats were submitted to MI (n = 18) or sham operation (n = 20), and after 4 or 12 weeks, their arterial pressure was recorded. Cardiac function was evaluated by echocardiography. From pulse interval series, HRF patterns with zero (W0), one (W1), two (W3), or three (W3) inflection points were estimated, as well as the total percentage of inflection points (PIP). Cardiac function was reduced, while PIP was increased in all MI rats. Fluent patterns (W0 and W1) decreased in MI rats after 12 weeks. Altogether, the findings reveal that MI increases HRF, reinforcing the potential of this approach to explore pathophysiological conditions.

Indexed as

Heart FailureMyocardial InfarctionAnimalsHeartHeart RateRatsRats, WistarHeart rate fragmentationHeart rate variabilityMyocardial infarctionRats

Identifiers

PMID34625862
OpenAlexW3202749387

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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.