J 2020

Physiologic heart rate dependency of the PQ interval and its sex differences

TOMAN, Ondřej, Kateřina HNÁTKOVÁ, Peter SMETANA, Katharina M. HUSTER, Martina ŠIŠÁKOVÁ et. al.

Basic information

Original name

Physiologic heart rate dependency of the PQ interval and its sex differences

Authors

TOMAN, Ondřej (203 Czech Republic, belonging to the institution), Kateřina HNÁTKOVÁ (203 Czech Republic), Peter SMETANA (620 Portugal), Katharina M. HUSTER (276 Germany), Martina ŠIŠÁKOVÁ (203 Czech Republic, belonging to the institution), Petra BARTHEL (276 Germany), Tomáš NOVOTNÝ (203 Czech Republic, belonging to the institution), Georg SCHMIDT (276 Germany) and Marek MALÍK (203 Czech Republic, guarantor)

Edition

Scientific Reports, London, Nature Publishing Group, 2020, 2045-2322

Other information

Language

English

Type of outcome

Článek v odborném periodiku

Field of Study

30201 Cardiac and Cardiovascular systems

Country of publisher

United Kingdom of Great Britain and Northern Ireland

Confidentiality degree

není předmětem státního či obchodního tajemství

References:

URL

Impact factor

Impact factor: 4.379

RIV identification code

RIV/00216224:14110/20:00116357

Organization unit

Faculty of Medicine

DOI

http://dx.doi.org/10.1038/s41598-020-59480-8

UT WoS

000562888500027

Keywords in English

physiologic heart rate dependency; PQ interval; sex differences

Tags

14110211, rivok

Tags

International impact, Reviewed
Změněno: 10/9/2020 09:11, Mgr. Tereza Miškechová

Abstract

V originále

On standard electrocardiogram (ECG) PQ interval is known to be moderately heart rate dependent, but no physiologic details of this dependency have been established. At the same time, PQ dynamics is a clear candidate for non-invasive assessment of atrial abnormalities including the risk of atrial fibrillation. We studied PQ heart rate dependency in 599 healthy subjects (aged 33.5 +/- 9.3 years, 288 females) in whom drug-free day-time 12-lead ECG Holters were available. Of these, 752,517 ECG samples were selected (1256 +/- 244 per subject) to measure PQ and QT intervals and P wave durations. For each measured ECG sample, 5-minute history of preceding cardiac cycles was also obtained. Although less rate dependent than the QT intervals (36 +/- 19% of linear slopes), PQ intervals were found to be dependent on underlying cycle length in a highly curvilinear fashion with the dependency significantly more curved in females compared to males. The PQ interval also responded to the heart rate changes with a delay which was highly sex dependent (95% adaptation in females and males after 114.9 +/- 81.1 vs 65.4 +/- 64.3 seconds, respectively, p < 0.00001). P wave duration was even less rate dependent than the PQ interval (9 +/- 10% of linear QT/RR slopes). Rate corrected P wave duration was marginally but significantly shorter in females than in males (106.8 +/- 8.4 vs 110.2 +/- 7.9 ms, p < 0.00001). In addition to establishing physiologic standards, the study suggests that the curvatures and adaptation delay of the PQ/cycle-length dependency should be included in future non-invasive studies of atrial depolarizations.
Displayed: 13/11/2024 12:27