J 2000

Critical value of baroreflex sensitivity determined by spectral analysis in risk stratification after myocardial infarction.

HONZÍKOVÁ, Nataša, Bohumil FIŠER and Bořivoj SEMRÁD

Basic information

Original name

Critical value of baroreflex sensitivity determined by spectral analysis in risk stratification after myocardial infarction.

Name in Czech

Kritická hodnota citlivosti baroreflexu stanovená spektrální analýzou v rizikové stratifikaci po infarktu myokardu

Authors

HONZÍKOVÁ, Nataša (203 Czech Republic, guarantor), Bohumil FIŠER (203 Czech Republic) and Bořivoj SEMRÁD (203 Czech Republic)

Edition

Pacing and Clinical Electrophysiology, Armonk, New York, Futura Publishing Company, Inc. 2000, 0147-8389

Other information

Language

English

Type of outcome

Článek v odborném periodiku

Field of Study

30105 Physiology

Country of publisher

United States of America

Confidentiality degree

není předmětem státního či obchodního tajemství

Impact factor

Impact factor: 1.600

RIV identification code

RIV/00216224:14110/00:00002637

Organization unit

Faculty of Medicine

UT WoS

000165755900063

Keywords in English

Baroreflex sensitivity; spectral analysis; myocardial infarction; cardiac death; critical value; risk stratification.
Změněno: 17/6/2009 14:29, prof. MUDr. Nataša Honzíková, CSc.

Abstract

V originále

The critical value of baroreflex sensitivity (BRS) was assessed by spectral analysis of spontaneous fluctuations in pulse intervals and blood pressure. Blood pressure was recorded noninvasively (3 min, controlled breathing 0.33 Hz) in 112 patients, 8-18 days after myocardial infarction (MI). Nine patients died during the first year after MI. BRS was determined as the gain between the spectrum of the variability of systolic blood pressure and the cross-spectrum between the variability of pulse intervals and systolic blood pressure at the frequency of 0.1 Hz. Sensitivity, specificity, and the positive predictive value were calculated in the range of 1-10 ms/mmHg in steps of 1 ms/mmHg. The value of BRS above which sensitivity no longer increases and specificity decreases was taken as the optimal value. The optimal critical value was 3 ms/mmHg.

In Czech

Kritická hodnota citlivosti baroreflexu (BR) byla stanovena spektrální analýzou kolísání tepových intervalů a krevního tlaku. Krevní tlak byl vyšetřen u 112 pacientů 8-18 dnů po infarktu myokardu. Devět pacientů zemřelo během prvního roku po IM. BRS bylo stanoveno spektrální metodou při frekvenci 0.0 Hz. Sensitivita, specificta a positviní prediktivní hodnota byly určeny v rozmezí 1-10 ms/mmHg v krocích po 1 ms/mmHg. Optimální kritická hodnota byla stanovena 3 ms/mmHg.