UDK: 612.172.4:616.132.2-007.272-08.039.76

HEART RATE VARIABILITY PARAMETERS VALUES WITH THE USE OF SHORT-TERM RECORDS IN PATIENTS WITH ACUTE CORONARY PATHOLOGY IN HOSPITAL AND POST-HOSPITAL REHABILITATION

V.P. Mikhin1, V.N. Korobova1, A.V. Kharchenko1, M.A. Chernjatina1, A.A. Spasskiy2, A.B. Kayushnikov2, S.M. Ledovskiy2, T.N. Markina2

1ФГБОУ ВО «Курский государственный медицинский университет» Министерства здравоохранения Российской Федерации, 2ООО «Национальное агентство клинической фармакологии и фармации», Москва

Abstract

The analysis of heart rate variability parameters, got by using a 5-minute ECG record, allows to obtain a complex data about functional state of organism. In this regard, this method was used in assessment of hospital and post-hospital rehabilitation of patients with acute coronary pathology. In the course of the study 197 patients (137 men and 60 women) aged 40–65 years (56,9 ± 6,2), who entered the department of emergency cardiology with a diagnosis of acute coronary syndrome, were included. The registration of heart rate variability was carried out on the 3rd, 8th, 14th days and on 6th and 12th months afterwards. The results of the study revealed unidirectional disturbances of the regulation mechanisms of cardiac rhythm at all levels, the predominance of sympathicotonia from 3th day to 12th month in patients with acute coronary pathology. Differences between groups of unstable angina and acute myocardial infarction were revealed from 3 days to 6 months for a number of indicators.

Keywords

heart rate variability, acute coronary pathology, acute myocardial infarction, unstable angina, 5-minute ECG record.

Contacts

Коробова Виктория Николаевна – аспирант 3-го года обучения по специальности «Кардиология» кафедры внутренних болезней №2, Курский государственный медицинский университет, e-mail: victoria.korobova@mail.ru