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Heart rate turbulence analysis in female patients with fibromyalgia
Dursun, Huseyin; Onrat, Ersel; Ercan, Emine; Demirdal, Umit Secil; Avsar, Alaettin; Dundar, Umit; Solak, Ozlem; Toktas, Hasan.
  • Dursun, Huseyin; Dokuz Eylul University. Faculty of Medicine. Department of Cardiology. Izmir. TR
  • Onrat, Ersel; Dokuz Eylul University. Faculty of Medicine. Department of Cardiology. Izmir. TR
  • Ercan, Emine; Dokuz Eylul University. Faculty of Medicine. Department of Cardiology. Izmir. TR
  • Demirdal, Umit Secil; Dokuz Eylul University. Faculty of Medicine. Department of Cardiology. Izmir. TR
  • Avsar, Alaettin; Dokuz Eylul University. Faculty of Medicine. Department of Cardiology. Izmir. TR
  • Dundar, Umit; Dokuz Eylul University. Faculty of Medicine. Department of Cardiology. Izmir. TR
  • Solak, Ozlem; Dokuz Eylul University. Faculty of Medicine. Department of Cardiology. Izmir. TR
  • Toktas, Hasan; Dokuz Eylul University. Faculty of Medicine. Department of Cardiology. Izmir. TR
Clinics ; 70(4): 296-300, 04/2015. tab, graf
Article in English | LILACS | ID: lil-747114
ABSTRACT

OBJECTIVE:

Fibromyalgia is characterized by diffuse musculoskeletal pain and discomfort. There are several reports regarding autonomic nervous system dysfunction in patients with fibromyalgia. Heart rate turbulence is expressed as ventriculophasic sinus arrhythmia and has been considered to reflect cardiac autonomic activity. Heart rate turbulence has been shown to be an independent and powerful predictor of sudden cardiac death in various cardiac abnormalities. The aim of this study is to determine whether heart rate turbulence is changed in female patients with fibromyalgia compared with healthy controls.

METHODS:

Thirty-seven female patients (mean age, 40±11 years) with fibromyalgia, and 35 age- and sex-matched healthy female control subjects (mean age, 42±9 years) were included. Twenty-four hours of ambulatory electrocardiography recordings were collected for all subjects, and turbulence onset and turbulence slope values were automatically calculated.

RESULTS:

The baseline clinical characteristics of the two groups were similar. There were no significant differences in turbulence onset and turbulence slope measures between patients and control subjects (turbulence onset −1.648±1.568% vs. −1.582±1.436%, p ϝ 0.853; turbulence slope 12.933±5.693 ms/RR vs. 13.639±2.505 ms/RR, p ϝ 0.508). Although body mass index was negatively correlated with turbulence slope (r ϝ −0.258, p ϝ 0.046), no significant correlation was found between body mass index and turbulence onset (r ϝ 0.228, p ϝ 0.054).

CONCLUSION:

To the best of our knowledge, this is the first study to evaluate heart rate turbulence in patients with fibromyalgia. It appears that heart rate turbulence parameters reflecting cardiac autonomic activity are not changed in female patients with fibromyalgia. .
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Full text: Available Index: LILACS (Americas) Main subject: Preoperative Care / Magnetic Resonance Imaging / Image Enhancement / Magnetic Resonance Angiography / Embolization, Therapeutic / Head and Neck Neoplasms / Hemangiopericytoma / Neovascularization, Pathologic Type of study: Diagnostic study / Prognostic study Limits: Humans / Male Language: English Journal: Clinics Journal subject: Medicine Year: 2015 Type: Article Affiliation country: Turkey Institution/Affiliation country: Dokuz Eylul University/TR

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Full text: Available Index: LILACS (Americas) Main subject: Preoperative Care / Magnetic Resonance Imaging / Image Enhancement / Magnetic Resonance Angiography / Embolization, Therapeutic / Head and Neck Neoplasms / Hemangiopericytoma / Neovascularization, Pathologic Type of study: Diagnostic study / Prognostic study Limits: Humans / Male Language: English Journal: Clinics Journal subject: Medicine Year: 2015 Type: Article Affiliation country: Turkey Institution/Affiliation country: Dokuz Eylul University/TR