Electrocardiogram and heart rate variability assessment in patients with common autoimmune diseases: a methodological review

The aim of this article was to summarize current knowledge about the potential clinical utility of electrocardiogram (ECG) and heart rate variability (HRV) measures in patients with 4 common autoimmune diseases (ADs): rheumatoid arthritis (RA), systemic lupus erythematosus (SLE), Behcet's disea...

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Main Authors: Soroor Behbahani (Author), Farhad Shahram (Author)
Format: Book
Published: KARE Publishing, 2020-04-01T00:00:00Z.
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001 doaj_f21b78c5cb344ddda43b2c7e34f45ee6
042 |a dc 
100 1 0 |a Soroor Behbahani  |e author 
700 1 0 |a Farhad Shahram  |e author 
245 0 0 |a Electrocardiogram and heart rate variability assessment in patients with common autoimmune diseases: a methodological review 
260 |b KARE Publishing,   |c 2020-04-01T00:00:00Z. 
500 |a 1016-5169 
500 |a 10.5543/tkda.2019.21112 
520 |a The aim of this article was to summarize current knowledge about the potential clinical utility of electrocardiogram (ECG) and heart rate variability (HRV) measures in patients with 4 common autoimmune diseases (ADs): rheumatoid arthritis (RA), systemic lupus erythematosus (SLE), Behcet's disease (BD), and systemic sclerosis (SSc). A search was conducted of the PubMed, Embase, and Scopus databases using terms and a controlled vocabulary associated with these ADs, ECG, and HRV. The available, full-text articles published in English were considered. In all, 20 publications that examined the direct effect of these diseases on the heart were selected according to a systematic review protocol. Time-frequency domain analysis revealed that HRV parameters were lower in patients with the selected ADs in comparison with control groups. An increased QT dispersion and heart rate corrected QT, which are well-known as risk factors for sudden cardiac death, were observed in the patient group. In some studies, a correlation was seen between the duration of the disease and its activity, while others did not report such an association. Heart rate turbulence parameters were also examined. Turbulence onset was increased in SLE and SSc patients, while the turbulence slope was decreased in SLE patients. There was no significant change in these parameters in BD patients. Patients with ADs demonstrate abnormal HRV and ECG parameters, which indicates an autonomic cardiac functional impairment. Measurement of these parameters can be a useful clinical tool in the diagnosis and prediction of some disorders in patients with ADs. Both of these signals can provide helpful information for physicians to trace the efficacy of prescribed medicines. 
546 |a EN 
546 |a TR 
690 |a autoimmune diseases 
690 |a autonomic nervous system; cardiovascular disease; electrocardiogram; heart rate variability. 
690 |a Medicine 
690 |a R 
690 |a Internal medicine 
690 |a RC31-1245 
690 |a Diseases of the circulatory (Cardiovascular) system 
690 |a RC666-701 
655 7 |a article  |2 local 
786 0 |n Türk Kardiyoloji Derneği Arşivi, Vol 48, Iss 3, Pp 312-327 (2020) 
787 0 |n https://jag.journalagent.com/z4/download_fulltext.asp?pdir=tkd&un=TKDA-21112 
787 0 |n https://doaj.org/toc/1016-5169 
856 4 1 |u https://doaj.org/article/f21b78c5cb344ddda43b2c7e34f45ee6  |z Connect to this object online.