Table 2: Mortality Risk Associated with Various Heart Rate Variability Measurements Using Resting ECG.
Study | Number of Patients | Monitoring Method | HRV Parameters | Conclusions |
---|---|---|---|---|
Zutphen study Dekker et al. 1997[2] | 878 (middle-aged cohort) 885 (elderly cohort) | Resting ECG, 15–30 sec | SDNN | SDNN <20 ms associated with increased risk of CHD (RR 2.1, 95 % CI [1.1–4.1]) and all-cause mortality (RR 2.1, 95 % CI [1.4–3.0]) |
Rotterdam study De Bruyne et al. 1999[3] | 5,272 | Resting ECG, 10 sec | SDNN | SDNN in lowest and highest quartiles had increased risk of cardiac mortality; HR 1.8 (95 % CI [1.0–2.3]) and 2.3 (95 % CI [1.3–4.0]) respectively |
ARIC study Dekker et al. 2000[4] | 900 | Resting ECG, 2 min | SDNN, rMSSD, SDSD, pNN50 | Increased risk of all-cause mortality for patients in the lowest tertile of all parameters (RR 1.47–1.91) |
Yoo et al. 2011[5] | 85 | Resting ECG | SDNN, rMSSD, VLF, LF, HF, LF/HF, TP | SDNN (28ms versus 36ms, p=0.037), rMSSD (28ms versus 29ms, p=0.007), and lnHF (4.7ms2 versus 5.5ms2, p=0.008) are depressed in patients with FRS >10 % |
La Rovere et al. 2003[6] | 444 | Resting ECG, 8 min | SDNN, LF and HF | Increased risk of sudden death with reduced LFP (RR 2.8, 95 % CI [1.2–6.8], p=0.02) |
FRS = Framingham risk score; HF = high frequency power; HRV = heart rate variability; LF = low frequency power; LF/HF = low frequency to high frequency power ratio; ln HF = natural log of the high-frequency measurement; pNN50 = percentage of RR intervals that differ by 50ms; rMSSD = root mean square of the differences in successive R-R intervals; SDNN = standard deviation of NN intervals; SDSD = standard deviation of absolute differences between successive intervals; TP = total power; VLF = very low frequency power.