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Interval Variation (interval + variation)

Distribution by Scientific Domains

Medical Sciences	75%

Selected Abstracts

Heart Rate Variability Fraction,A New Reportable Measure of 24-Hour R-R Interval Variation

ANNALS OF NONINVASIVE ELECTROCARDIOLOGY, Issue 1 2005
Maciej Sosnowski M.D.
Background: The scatterplot of R-R intervals has several unique features. Its numerical evaluation may produce a new useful index of global heart rate variability (HRV) from Holter recordings. Methods: Two-hundred and ten middle-aged healthy subjects were enrolled in this study. The study was repeated the next day in 165 subjects. Each subject had a 24-hour ECG recording taken. Preprocessed data were transferred into a personal computer and the standard HRV time-domain indices: standard deviation of total normal R-R intervals (SDNN), standard deviation of averaged means of normal R-R intervals over 5-minute periods (SDANN), triangular index (TI), and pNN50 were determined. The scatterplot area (0.2,1.8 second) was divided into 256 boxes, each of 0.1-second interval, and the number of paired R-R intervals was counted. The heart rate variability fraction (HRVF) was calculated as the two highest counts divided by the number of total beats differing from the consecutive beat by <50 ms. The HRVF was obtained by subtracting this fraction from 1, and converting the result to a percentage. Results: The normal value of the HRVF was 52.7 ± 8.6%. The 2,98% range calculated from the normal probability plot was 35.1,70.3%. The HRVF varied significantly with gender (female 48.7 ± 8.4% vs male 53.6 ± 8.6%, P = 0.002). The HRVF correlated with RRI (r = 0.525) and showed a similar or better relationship with SDNN (0.851), SDANN (0.653), and TI (0.845) than did the standard HRV measures with each other. Bland-Altman plot showed a good day-by-day reproducibility of the HRVF, with the intraclass correlation coefficient of 0.839 and a low relative standard error difference (1.8%). Conclusion: We introduced a new index of HRV, which is easy for computation, robust, reproducible, easy to understand, and may overcome the limitations that belong to the standard HRV measures. This index, named HRV fraction, by combining magnitude, distribution, and heart-rate influences, might become a clinically useful index of global HRV. [source]

Irregular Atrial Activation During Atrioventricular Nodal Reentrant Tachycardia:

JOURNAL OF CARDIOVASCULAR ELECTROPHYSIOLOGY, Issue 3 2003
Evidence of an Upper Common Pathway
Controversy continues regarding the precise nature of the reentrant circuit of AV nodal reentrant tachycardia, especially the existence of an upper common pathway. In this case report, we show that marked variation and irregularity in atrial activation (maximum AA interval variation of 80 msec) can exist with fixed and constant activation of the His bundle and ventricles during AV nodal reentrant tachycardia in a 45-year-old female patient. We propose that irregular atrial activation is due to variable and inconsistent conduction from the AV node to the atria through the perinodal transitional cell envelope extrinsic to the reentrant circuit. Our observations support the concept of an upper common pathway, at least in some patients with AV nodal reentrant tachycardia.(J Cardiovasc Electrophysiol, Vol. 14, pp. 309-313, March 2003) [source]

Tropical forest tree mortality, recruitment and turnover rates: calculation, interpretation and comparison when census intervals vary

JOURNAL OF ECOLOGY, Issue 6 2004
SIMON L. LEWIS
Summary 1Mathematical proofs show that rate estimates, for example of mortality and recruitment, will decrease with increasing census interval when obtained from censuses of non-homogeneous populations. This census interval effect could be confounding or perhaps even driving conclusions from comparative studies involving such rate estimates. 2We quantify this artefact for tropical forest trees, develop correction methods and re-assess some previously published conclusions about forest dynamics. 3Mortality rates of > 50 species at each of seven sites in Africa, Latin America, Asia and Australia were used as subpopulations to simulate stand-level mortality rates in a heterogeneous population when census intervals varied: all sites showed decreasing stand mortality rates with increasing census interval length. 4Stand-level mortality rates from 14 multicensus long-term forest plots from Africa, Latin America, Asia and Australia also showed that, on average, mortality rates decreased with increasing census interval length. 5Mortality, recruitment or turnover rates with differing census interval lengths can be compared using the mean rate of decline from the 14 long-term plots to standardize estimates to a common census length using ,corr = , × t0.08, where , is the rate and t is time between censuses in years. This simple general correction should reduce the bias associated with census interval variation, where it is unavoidable. 6Re-analysis of published results shows that the pan-tropical increase in stem turnover rates over the late 20th century cannot be attributed to combining data with differing census intervals. In addition, after correction, Old World tropical forests do not have significantly lower turnover rates than New World sites, as previously reported. Our pan-tropical best estimate adjusted stem turnover rate is 1.81 ± 0.16% a,1 (mean ± 95% CI, n = 65). 7As differing census intervals affect comparisons of mortality, recruitment and turnover rates, and can lead to erroneous conclusions, standardized field methods, the calculation of local correction factors at sites where adequate data are available, or the use of our general standardizing formula to take account of sample intervals, are to be recommended. [source]

Effects of atipamezole , a selective ,2 -adrenoceptor antagonist , on cardiac parasympathetic regulation in human subjects

AUTONOMIC & AUTACOID PHARMACOLOGY, Issue 3 2004
J. Penttilä
Summary 1 This double-blind, cross-over, placebo-controlled study on six healthy male volunteers was designed to evaluate the effects of ,2 -adrenoceptor antagonism on cardiac parasympathetic regulation. 2 The subjects received atipamezole intravenously as a three-step infusion, which aimed at steady-state serum concentrations of 10, 30 and 90 ng ml,1 at 50-min intervals. 3 Drug effects were assessed with repeated recordings of blood pressure and electrocardiogram, in which the high-frequency (0.15,0.40 Hz) R-R interval variation is supposed to reflect cardiac parasympathetic efferent neuronal activity. 4 At the end of the three steps of the infusion, the mean (±SD) concentrations of atipamezole were 10.5 (3.9), 26.8 (5.6) and 81.3 (21.1) ng ml,1. 5 Within this concentration range, atipamezole appeared to reduce slightly the high-frequency R-R interval fluctuations, indicating a minor vagolytic effect in the heart. 6 Atipamezole increased systolic and diastolic arterial pressure, on average by 20 and 14 mmHg (maxima at the second step of the infusion), which evidently reflects an overall sympathetic augmentation. [source]