Heart rate variability measurement and clinical depression in acute coronary syndrome patients: narrative review of recent literature

被引:14
作者
Harris, Patricia R. E. [1 ]
Sommargren, Claire E. [2 ]
Stein, Phyllis K. [3 ]
Fung, Gordon L. [4 ,5 ,6 ]
Drew, Barbara J. [2 ,7 ]
机构
[1] Univ Calif San Francisco, Sch Nursing, ECG Monitoring Res Lab, San Francisco, CA 94143 USA
[2] Univ Calif San Francisco, Sch Nursing, Dept Physiol Nursing, San Francisco, CA 94143 USA
[3] Washington Univ, Sch Med, Heart Rate Variabil Lab, St Louis, MO USA
[4] Univ Calif San Francisco, Div Cardiol, Asian Heart & Vasc Ctr Mt Zion, San Francisco, CA USA
[5] Univ Calif San Francisco, Dept Med, San Francisco Med Ctr, Cardiol Consultat Serv,Cardiac Noninvas Lab, San Francisco, CA USA
[6] Univ Calif San Francisco, Dept Med, San Francisco Med Ctr, Enhanced External Counterpulsat Unit, San Francisco, CA USA
[7] Univ Calif San Francisco, Sch Nursing, Div Cardiol, San Francisco, CA 94143 USA
关键词
autonomic nervous system; depressive disorder; outcomes research; risk assessment; ACUTE MYOCARDIAL-INFARCTION; AUTONOMIC NERVOUS-SYSTEM; SUDDEN CARDIAC DEATH; C-REACTIVE PROTEIN; OLDER-ADULTS; CARDIOVASCULAR MORTALITY; SINUS ARRHYTHMIA; TASK-FORCE; RISK; SYMPTOMS;
D O I
10.2147/NDT.S57523
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
Aim: We aimed to explore links between heart rate variability (HRV) and clinical depression in patients with acute coronary syndrome (ACS), through a review of recent clinical research literature. Background: Patients with ACS are at risk for both cardiac autonomic dysfunction and clinical depression. Both conditions can negatively impact the ability to recover from an acute physiological insult, such as unstable angina or myocardial infarction, increasing the risk for adverse cardiovascular outcomes. HRV is recognized as a reflection of autonomic function. Methods: A narrative review was undertaken to evaluate state-of-the-art clinical research, using the PubMed database, January 2013. The search terms "heart rate variability" and "depression" were used in conjunction with "acute coronary syndrome", "unstable angina", or "myocardial infarction" to find clinical studies published within the past 10 years related to HRV and clinical depression, in patients with an ACS episode. Studies were included if HRV measurement and depression screening were undertaken during an ACS hospitalization or within 2 months of hospital discharge. Results: Nine clinical studies met the inclusion criteria. The studies' results indicate that there may be a relationship between abnormal HRV and clinical depression when assessed early after an ACS event, offering the possibility that these risk factors play a modest role in patient outcomes. Conclusion: While a definitive conclusion about the relevance of HRV and clinical depression measurement in ACS patients would be premature, the literature suggests that these measures may provide additional information in risk assessment. Potential avenues for further research are proposed.
引用
收藏
页码:1335 / 1347
页数:13
相关论文
共 63 条
  • [1] POWER SPECTRUM ANALYSIS OF HEART-RATE FLUCTUATION - A QUANTITATIVE PROBE OF BEAT-TO-BEAT CARDIOVASCULAR CONTROL
    AKSELROD, S
    GORDON, D
    UBEL, FA
    SHANNON, DC
    BARGER, AC
    COHEN, RJ
    [J]. SCIENCE, 1981, 213 (4504) : 220 - 222
  • [2] 2011 ACCF/AHA Focused Update Incorporated Into the ACC/AHA 2007 Guidelines for the Management of Patients With Unstable Angina/Non-ST-Elevation Myocardial Infarction: A Report of the American College of Cardiology Foundation/American Heart Association Task Force on Practice Guidelines
    Anderson, Jeffrey L.
    Adams, Cynthia D.
    Antman, Elliott M.
    Bridges, Charles R.
    Califf, Robert M.
    Casey, Donald E., Jr.
    Chavey, William E., II
    Fesmire, Francis M.
    Hochman, Judith S.
    Levin, Thomas N.
    Lincoff, A. Michael
    Peterson, Eric D.
    Theroux, Pierre
    Wenger, Nanette Kass
    Wright, R. Scott
    Ettinger, Steven M.
    Ganiats, Theodore G.
    Jneid, Hani
    Philippides, George J.
    Zidar, James Patrick
    Jacobs, Alice K.
    Albert, Nancy
    Hochman, Judith S.
    Creager, Mark A.
    Kushner, Frederick G.
    Ohman, Erik Magnus
    Guyton, Robert A.
    Stevenson, William G.
    Halperin, Jonathan L.
    Yancy, Clyde W.
    [J]. CIRCULATION, 2011, 123 (18) : E426 - E579
  • [3] Antman Elliott M, 2004, J Am Coll Cardiol, V44, P671, DOI 10.1016/j.jacc.2004.07.002
  • [4] IS THE NORMAL HEART A PERIODIC OSCILLATOR
    BABLOYANTZ, A
    DESTEXHE, A
    [J]. BIOLOGICAL CYBERNETICS, 1988, 58 (03) : 203 - 211
  • [5] What is the threshold for symptomatic response and remission for major depressive disorder, panic disorder, social anxiety disorder, and generalized anxiety disorder?
    Bandelow, Borwin
    Baldwin, David S.
    Dolberg, Ornah T.
    Andersen, Henning Friis
    Stein, Dan J.
    [J]. JOURNAL OF CLINICAL PSYCHIATRY, 2006, 67 (09) : 1428 - 1434
  • [6] Depression as a risk factor for mortality in patients with coronary heart disease: A meta-analysis
    Barth, J
    Schumacher, M
    Herrmann-Lingen, C
    [J]. PSYCHOSOMATIC MEDICINE, 2004, 66 (06): : 802 - 813
  • [7] TIME COURSE OF RECOVERY OF HEART PERIOD VARIABILITY AFTER MYOCARDIAL-INFARCTION
    BIGGER, JT
    FLEISS, JL
    ROLNITZKY, LM
    STEINMAN, RC
    SCHNEIDER, WJ
    [J]. JOURNAL OF THE AMERICAN COLLEGE OF CARDIOLOGY, 1991, 18 (07) : 1643 - 1649
  • [8] Review and classification of variability analysis techniques with clinical applications
    Bravi, Andrea
    Longtin, Andre
    Seely, Andrew J. E.
    [J]. BIOMEDICAL ENGINEERING ONLINE, 2011, 10
  • [9] Buccelletti F, 2009, EUR REV MED PHARMACO, V13, P299
  • [10] Camm AJ, 1996, CIRCULATION, V93, P1043