Impact of metabolic syndrome and its components on heart rate variability during hemodialysis: a cross-sectional study

Cardiovascular Diabetology
Yu-Ming ChangSMCKD (Saint Mary’s hospital Chronic Kidney Disease) study group

Abstract

Both uremia and metabolic syndrome (MetS) affect heart rate variability (HRV) which is a risk factor of poor prognoses. The aim of this study was to evaluate the impact of MetS on HRV among chronic hemodialysis patients. This cross-sectional study was carried out in a teaching hospital in Northern Taiwan from June to August, 2010. Adult patients on chronic hemodialysis without active medical conditions were enrolled. HRV were measured for 4 times on the index hemodialysis day (HRV-0, -1, -2, and -3 at before, initial, middle, and late phases of hemodialysis, respectively), and the baseline demographic data and clinical parameters during the hemodialysis session were documented. Then we evaluated the impacts of MetS and its five components on HRV. One hundred and seventy-five patients (100 women, mean age 65.1 ± 12.9 years) were enrolled and included those with MetS (n = 91, 52 %) and without MetS (n = 84, 48 %). The patients with MetS(+) had significantly lower very low frequency, total power, and variance in HRV-0, total power and variance in HRV-2, and variance in HRV-3. (all p ≦ 0.05) When using the individual components of MetS to evaluate the impacts on HRV indices, the fasting plasma glucose (FPG) criterion significantly ...Continue Reading

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Citations

Aug 16, 2016·BioImpacts : BI·Mina HosseinpourGhazaleh Ghamkhari Nejad
Oct 24, 2017·Australasian Physical & Engineering Sciences in Medicine·Johan CassirameLaurent Mourot
Jul 16, 2017·Cardiovascular Diabetology·Yu-Ming ChangUNKNOWN SMCKD (Saint Mary’s hospital Chronic Kidney Disease) study group

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