Evidence map›Paper›PMID 41026032›Full record

ArticleSarcoidosis, vasculitis, and diffuse lung diseases : official journal of WASOG2025

Association of non-linear dynamics of heart rate variability with all-cause mortality in patients with sarcoidosis.

Elias Giallafos, Ioannis Ilias, Spiros Katsanos, Likourgos Kolilekas, Efrosini Manali, Aglaia Vakrakou, Theodore Papaioannou, Kostas Zisimos, Gethsimani Seitaridi, Giannis Parisis and 2 more

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Article in Sarcoidosis, vasculitis, and diffuse lung diseases : official journal of WASOG, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

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2 · The registry

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

12 authors.

Elias Giallafos1st Department of Neurology, Aeginition Hospital, Medical School, National and Kapodistrian University of Athens, Athens, Greece.
Ioannis IliasDepartment of Endocrinology, Hippokration Hospital, Athens, Greece.
Spiros KatsanosDepartment of Emergency Medicine, Attiko Hospital, Medical School, National and Kapodistrian University of Athens, Athens, Greece.
Likourgos Kolilekas7th Department of Pulmonology, Chest Hospital "Sotiria", Athens, Greece.
Efrosini Manali2nd Department of Pulmonology, Attikon Hospital, Medical School, National and Kapodistrian University of Athens, Athens, Greece.
Aglaia Vakrakou2nd Department of Pulmonology, Attikon Hospital, Medical School, National and Kapodistrian University of Athens, Athens, Greece.
Theodore Papaioannou1st Department of Cardiology, Hippokration Hospital, Medical School, National and Kapodistrian University of Athens, Athens, Greece.
Kostas Zisimos1st Department of Neurology, Aeginition Hospital, Medical School, National and Kapodistrian University of Athens, Athens, Greece.
Gethsimani Seitaridi1st Department of Neurology, Aeginition Hospital, Medical School, National and Kapodistrian University of Athens, Athens, Greece.
Giannis ParisisDepartment of Emergency Medicine, Attiko Hospital, Medical School, National and Kapodistrian University of Athens, Athens, Greece.
Nikos Koulouris1st Department of Pulmonology, Chest Disease Hospital "Sotiria", Medical School, National and Kapodistrian University of Athens, Athens, Greece.
Spiros Papiris2nd Department of Pulmonology, Attikon Hospital, Medical School, National and Kapodistrian University of Athens, Athens, Greece.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

BACKGROUND AND

aimSarcoidosis (Sarc) is linked to increased morbidity and mortality. While 24-hour ambulatory ECG recording is essential for evaluating patients with cardiac symptoms, the complementary role of heart rate variability (HRV) for risk stratification in Sarc patients remains undefined. The aim of this observational study was the assessment of non-linear indices of HRV as independent predictors of mortality in Sarc.

methods317 patients with confirmed diagnosis of Sarc, underwent comprehensive conventional cardiac testing, including Cardiac Magnetic Resonance (CMR) with late gadolinium enhancement (LGE). These patients were followed up for all-cause mortality as endpoint. Each patient underwent twenty-four-hour Holter monitoring, from which approximate entropy (APEN), short and long-term detrended fluctuation analysis (DFAα1 and DFAα2, respectively), as well as other HRV parameters, were calculated.

resultsThe study recruited 317 patients (137 men, 180 women) with a mean age of 48.22 ± 11.88 years. Over a median follow-up period of approximately 48 months, 17 deaths were recorded. Competing risk analysis revealed that decreased DFAα1 was a robust prognostic indicator for increased total mortality. ROC analysis demonstrated that the area under the curve (AUC) of DFAα1 (< 0.95) for predicting mortality was 0.761 (95% confidence interval (CI) = 0.617-0.905). DFAα1 ≥ 0.95 was associated with total mortality (HR = 0.109, 95% CI = 0.033-0.362, P= 0.0003).

conclusionEvaluation of cardiac autonomic dysfunction by DFAα1 serves as an independent predictor for all-cause mortality in patients with Sarc.

Identifiers

PMID41026032
PMCPMC12536836

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