title: Clinical correlates of non-linear indices of heart rate variability in chronic heart failure patients.
abstract: We assessed the clinical correlates of a comprehensive set of non-linear heart rate variability (HRV) indices computed from 24-h Holter recordings for 200 stable chronic heart failure (CHF) patients [median age (lower quartile, upper quartile) 54 (47, 58) years, LVEF 23% (19%, 28%)]. A total of 19 non-linear indices belonging to six major families, namely symbolic dynamics, entropy, empirical mode decomposition, fractality-multifractality, unpredictability and Poincaré plots, were considered. Most indices showed a significant association with ejection fraction and with the severity of symptoms, while only two (one each from the fractality and Poincaré plot families) showed an association with aetiology. Only one symbolic dynamics variable was associated with the presence of non-sustained ventricular tachycardia and two symbolic dynamics variables were associated with the rate of ventricular ectopic events. Our results demonstrate the existence of selective links between non-linear indexes of HRV and the clinical status and functional impairment of CHF patients. This indicates that further studies should be designed to investigate the physiopathological mechanisms involved in such links.
authors.affiliation: Dipartimento di Bioingegneria, Fondazione S Maugeri, IRCCS, Montescano and Telese, Italy. maestri@fsm.it
authors.forename: Roberto
authors.initials: R
authors.lastname: Maestri
authors.forename: Gian Domenico
authors.initials: GD
authors.lastname: Pinna
authors.forename: Rita
authors.initials: R
authors.lastname: Balocchi
authors.forename: Gianni
authors.initials: G
authors.lastname: D'Addio
authors.forename: Manuela
authors.initials: M
authors.lastname: Ferrario
authors.forename: Alberto
authors.initials: A
authors.lastname: Porta
authors.forename: Roberto
authors.initials: R
authors.lastname: Sassi
authors.forename: Maria Gabriella
authors.initials: MG
authors.lastname: Signorini
authors.forename: Maria Teresa
authors.initials: MT
authors.lastname: La Rovere
mesh_terms: D001145:Arrhythmias, Cardiac / Q000175:diagnosis* / Q000209:etiology / Q000503:physiopathology*; D002908:Chronic Disease; D003198:Computer Simulation; D003936:Diagnosis, Computer-Assisted / Q000379:methods*; D004562:Electrocardiography / Q000379:methods*; D005260:Female; D006305:Health Status Indicators; D006333:Heart Failure / Q000150:complications / Q000175:diagnosis* / Q000503:physiopathology*; D006339:Heart Rate; D006801:Humans; D008297:Male; D008875:Middle Aged; D008955:Models, Cardiovascular; D017711:Nonlinear Dynamics; D015203:Reproducibility of Results; D012680:Sensitivity and Specificity; D013223:Statistics as Topic