Evidence map›Paper›PMID 42491979›Full record

ArticleJournal of education and health promotion2026

QTc interval dynamics and heart rate variability response to submaximal exercise in normotensive young adults with and without parental hypertension.

Sujoy Mukherjee, Retash Shan, Yogesh Kumar

Abstract read
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Article in Journal of education and health promotion, 2026. 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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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

3 authors.

Sujoy MukherjeeDepartment of Physiology, All India Institute of Medical Sciences, Patna, Bihar, India.
Retash ShanDepartment of Physiology, All India Institute of Medical Sciences, Patna, Bihar, India.
Yogesh KumarDepartment of Physiology, All India Institute of Medical Sciences, Patna, Bihar, India.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundProlonged QTc interval and reduced heart rate variability (HRV) are independent predictors of postexercise sudden cardiac death (SCD) in apparently healthy individuals. Offspring of hypertensive parents may exhibit early autonomic dysfunction, placing them at higher risk for future cardiovascular disease. This study evaluated the impact of submaximal aerobic exercise on QTc interval and its correlation with HRV in normotensive individuals with and without parental hypertension. MATERIALS AND

methodsA cross-sectional study was conducted on 100 healthy medical students (18-25 years), divided into normotensive offspring of hypertensive parents (NOHPs,

resultsFollowing exercise, NOHPs exhibited significantly prolonged QTc, higher LFnu, and elevated LF/HF ratio, alongside a reduction in HFnu compared with NONPs, indicating sympathovagal imbalance characterized by sympathetic predominance and vagal withdrawal. Correlation analysis revealed strong positive associations of QTc with LFnu and LF/HF ratio, and a negative association with HFnu in NOHPs during recovery.

conclusionSubmaximal exercise unmasks latent autonomic dysfunction in NOHPs, reflected as impaired vagal reactivation and augmented sympathetic drive, which is closely linked to prolonged QTc during recovery. The study highlights that combined QTc-HRV assessment, particularly after standardized exercise using the modified Bruce protocol, may serve as a sensitive early marker of repolarization instability and elevated arrhythmic risk in young individuals with genetic predisposition to hypertension.

Indexed as

Autonomic nervous systemelectrocardiographyexercise testheart rate variabilityhypertension/genetics

Identifiers

PMID42491979
PMCPMC13378863

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