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Lupus
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Heart rate variability and cardiac autonomic function in systemic lupus erythematosus

B. Lagana'

Department of Medicina Clinica, University La Sapienza, Rome, Italy, V.le dell'Universitá, 37-00185 Rome, Italy

L. Tubani

Department of Medicina Clinica, University La Sapienza, Rome, Italy

N. Maffeo

Department of Medicina Clinica, University La Sapienza, Rome, Italy

C. Vella

Department of Medicina Clinica, University La Sapienza, Rome, Italy

E. Makk

Department of Medicina Clinica, University La Sapienza, Rome, Italy

L. Baratta

Department of Medicina Clinica, University La Sapienza, Rome, Italy

L. Bonomo

Department of Medicina Clinica, University La Sapienza, Rome, Italy

The cardiac autonomic function was evaluated in 23 patients with Systemic Lupus Erythe matosus (SLE) without clinical expression of dysautonomia and in 14 healthy volunteer subjects as a control group, by analysis of Heart Rate Variability (HRV) from 24 h ambula tory electrocardiography. All the patients were taking corticosteroids and 10 of them also Ciclosporin A (CsA). The following parameters of HRV were performed: Time domain: standard deviation of the RR intervals average (SDNN) and percentage of RR adjacent intervals differing from each other more than 50 msec (pNN50). Frequency domain: low frequencies (LF) and high frequencies (HF).

Significant lower values were detected in SLE patients vs controls: SDNN = 69.40 vs 127.72; pNN50 = 16.44 vs 25.95; LF = 8.34 vs 34.97; HF = 3.21 vs 12.18. The incidence of autonomic dysfunction in our SLE population evaluated by considering intervals of nor mality is approximately 78% for SDNN; 17% for pNN50; 91% for LF and, finally, 56% for HF. The analysis of HRV may be a valuable technique in the study of the incidence of dysautonomia for these patients.

Key Words: Lupus • dysautonomia • heart rate variability

Lupus, Vol. 5, No. 1, 49-55 (1996)
DOI: 10.1177/096120339600500110


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[Abstract] [PDF]



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