Heart Rate Variability Analysis in Congestive Heart Failure:
The Need for Standardized Assessment Protocols

J 2025

Heart Rate Variability Analysis in Congestive Heart Failure: The Need for Standardized Assessment Protocols

MÍKOVÁ, Monika; David POSPÍŠIL; Jan ŘEHOŘ a Marek MALÍK

Základní údaje

Originální název

Heart Rate Variability Analysis in Congestive Heart Failure: The Need for Standardized Assessment Protocols

Autoři

MÍKOVÁ, Monika (203 Česká republika, domácí); David POSPÍŠIL (203 Česká republika, domácí); Jan ŘEHOŘ (203 Česká republika) a Marek MALÍK (203 Česká republika, domácí)

Vydání

Reviews in Cardiovascular Medicine, ROBINSON, IMR PRESS, 2025, 1530-6550

Další údaje

Jazyk

angličtina

Typ výsledku

Článek v odborném periodiku

Obor

30201 Cardiac and Cardiovascular systems

Stát vydavatele

Singapur

Utajení

není předmětem státního či obchodního tajemství

Odkazy

URL

Impakt faktor

Impact factor: 1.900 v roce 2023

Organizační jednotka

Lékařská fakulta

DOI

http://dx.doi.org/10.31083/RCM36321

UT WoS

001502149500002

EID Scopus

2-s2.0-105008515842

Klíčová slova anglicky

congestive heart failure; heart rate variability; time-domain methods; spectral analysis; risk prediction

Štítky

14110211, rivok

Příznaky

Mezinárodní význam, Recenzováno

Změněno: 15. 8. 2025 10:04, Mgr. Tereza Miškechová

Anotace

V originále

Heart rate variability (HRV) analysis is a noninvasive tool that allows cardiac autonomic control to be assessed. Numerous studies have reported HRV measurements, related changes, and clinical implications for heart failure patients. This review evaluates HRV characteristics in congestive heart failure (CHF), focusing on different recording durations and the diagnostic and prognostic values using HRV measurements. The recording durations are classified as (a) ultra short-term (substantially shorter than 5 minutes), (b) short-term (5 minutes), and (c) long-term (nominal 24 hours). This review of HRV diagnostic and prognostic significance in CHF focuses on time- and frequency-domain HRV measures that have previously been extensively studied. Reported studies document that HRV is lowered in CHF patients, whereas HRV increases may indicate disease improvement, e.g., in CHF patients undergoing cardiac resynchronization therapy. Reduced HRV has consistently been found to be associated with all-cause mortality in CHF patients. However, different thresholds of long-term HRV indices have been proposed as mortality predictors; meanwhile, findings related to the prediction of other cardiac events, including sudden cardiac death, remain inconsistent. HRV is reduced in CHF patients, but the use of HRV as a risk factor remains controversial, with no established cut-off values. HRV does not provide a clinically useful prediction of sudden cardiac death or other cardiac events in CHF patients. Thus, we advocate standardization of investigative protocols based on the existing time- and frequency-domain HRV indices rather than further developing more complex methods. Short-term recordings are preferable for clinical application and measurement reproducibility; thus, future investigations should focus on the following key questions:1. How to design standardized short HRV tests suitable for outpatient settings?2. Which HRV indices should be preferred, and what are their optimal prognostic thresholds?3. How to standardize HRV assessment conditions to minimize external influences?

Návaznosti

MUNI/A/1626/2023, interní kód MU

Název: Nevyřešené otázky a nové metody hodnocení elektrokardiografického signálu

Investor: Masarykova univerzita, Nevyřešené otázky a nové metody hodnocení elektrokardiografického signálu

Citovat

MÍKOVÁ, Monika; David POSPÍŠIL; Jan ŘEHOŘ a Marek MALÍK. Heart Rate Variability Analysis in Congestive Heart Failure: The Need for Standardized Assessment Protocols. Reviews in Cardiovascular Medicine. ROBINSON: IMR PRESS, 2025, roč. 26, č. 5, s. 1-19. ISSN 1530-6550. Dostupné z: https://dx.doi.org/10.31083/RCM36321.

@article{2508966,
   author = {Míková, Monika and Pospíšil, David and Řehoř, Jan and Malík, Marek},
   article_location = {ROBINSON},
   article_number = {5},
   doi = {http://dx.doi.org/10.31083/RCM36321},
   keywords = {congestive heart failure; heart rate variability; time-domain methods; spectral analysis; risk prediction},
   language = {eng},
   issn = {1530-6550},
   journal = {Reviews in Cardiovascular Medicine},
   title = {Heart Rate Variability Analysis in Congestive Heart Failure: The Need for Standardized Assessment Protocols},
   url = {https://www.imrpress.com/journal/RCM/26/5/10.31083/RCM36321},
   volume = {26},
   year = {2025}
}

TY  - JOUR
ID  - 2508966
AU  - Míková, Monika - Pospíšil, David - Řehoř, Jan - Malík, Marek
PY  - 2025
TI  - Heart Rate Variability Analysis in Congestive Heart Failure: The Need for Standardized Assessment Protocols
JF  - Reviews in Cardiovascular Medicine
VL  - 26
IS  - 5
SP  - 1-19
EP  - 1-19
PB  - IMR PRESS
SN  - 15306550
KW  - congestive heart failure
KW  - heart rate variability
KW  - time-domain methods
KW  - spectral analysis
KW  - risk prediction
UR  - https://www.imrpress.com/journal/RCM/26/5/10.31083/RCM36321
N2  - Heart rate variability (HRV) analysis is a noninvasive tool that allows cardiac autonomic control to be assessed. Numerous studies have reported HRV measurements, related changes, and clinical implications for heart failure patients. This review evaluates HRV characteristics in congestive heart failure (CHF), focusing on different recording durations and the diagnostic and prognostic values using HRV measurements. The recording durations are classified as (a) ultra short-term (substantially shorter than 5 minutes), (b) short-term (5 minutes), and (c) long-term (nominal 24 hours). This review of HRV diagnostic and prognostic significance in CHF focuses on time- and frequency-domain HRV measures that have previously been extensively studied. Reported studies document that HRV is lowered in CHF patients, whereas HRV increases may indicate disease improvement, e.g., in CHF patients undergoing cardiac resynchronization therapy. Reduced HRV has consistently been found to be associated with all-cause mortality in CHF patients. However, different thresholds of long-term HRV indices have been proposed as mortality predictors; meanwhile, findings related to the prediction of other cardiac events, including sudden cardiac death, remain inconsistent. HRV is reduced in CHF patients, but the use of HRV as a risk factor remains controversial, with no established cut-off values. HRV does not provide a clinically useful prediction of sudden cardiac death or other cardiac events in CHF patients. Thus, we advocate standardization of investigative protocols based on the existing time- and frequency-domain HRV indices rather than further developing more complex methods. Short-term recordings are preferable for clinical application and measurement reproducibility; thus, future investigations should focus on the following key questions:1. How to design standardized short HRV tests suitable for outpatient settings?2. Which HRV indices should be preferred, and what are their optimal prognostic thresholds?3. How to standardize HRV assessment conditions to minimize external influences?
ER  -

MÍKOVÁ, Monika; David POSPÍŠIL; Jan ŘEHOŘ a Marek MALÍK. Heart Rate Variability Analysis in Congestive Heart Failure: The Need for Standardized Assessment Protocols. \textit{Reviews in Cardiovascular Medicine}. ROBINSON: IMR PRESS, 2025, roč.~26, č.~5, s.~1-19. ISSN~1530-6550. Dostupné z: https://dx.doi.org/10.31083/RCM36321.

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