[Spectral analysis of heart rate variability in diagnosis of vegetative autonomic dysfunction in patients with attacks of atrial fibrillation.].
OBJECTIVE
Elucidation of possible role of suprasegmental and segmental autonomic vegetative disturbances in pathogenesis of paroxysmal atrial fibrillation.


METHODS
Untreated patients (n=22) with nonrheumatic paroxysmal atrial fibrillation and 10 healthy subjects.


METHODS
Clinical cardiological and neurological examination, assessment of the state of vegetative nervous system, emotional sphere, patterns of sleep, and spectral analysis of heart rate variability.


RESULTS
According to data of spectral analysis of heart rate variability patients with paroxysmal atrial fibrillation were characterized by marked vegetative dysfunction which was more pronounced in women, patients older than 52 years, with higher level of anxiety, with duration of symptoms longer than 6 years, and with predominantly nocturnal attacks.


CONCLUSIONS
The data obtained should be considered in selection of therapy aimed at prevention of attacks of atrial fibrillation.
Khaspekova
N B
NB
Moscow Medical Academy of Postgraduate Medical Education, Branch Patology I. M. Sechenov Moscow Medical Academy; ul. Bolshaya Pirogovskaya, 2/6, 119881 Moscow, Russia; Therapy Chair #1 I. M. Sechenov Moscow Medical Academy.
Solov'eva
A D
AD
Nedostup
A V
AV
San'kova
T A
TA
D001281:Atrial Fibrillation; D001341:Autonomic Nervous System; D006339:Heart Rate; D006801:Humans; D012890:Sleep