Altered cardiac autonomic function after recovery from COVID-19

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dc.authorid0000-0001-5835-087Xen_US
dc.authorid0000-0001-6393-2380en_US
dc.contributor.authorKurtoğlu, Ertuğrul
dc.contributor.authorAfşin, Abdulmecit
dc.contributor.authorAktaş, İbrahim
dc.contributor.authorAktürk, Erdal
dc.contributor.authorKutlusoy, Ergün
dc.contributor.authorÇağaşar, Özlem
dc.date.accessioned2021-11-29T19:11:06Z
dc.date.available2021-11-29T19:11:06Z
dc.date.issued2021en_US
dc.departmentMTÖ Üniversitesi, Tıp Fakültesi, Dahili Tıp Bilimleri Bölümüen_US
dc.description.abstractBackground: Autonomic dysfunction may occur during the acute phase of COVID-19. Heart rate variability (HRV) is a useful tool for the assessment of cardiac sympathetic and parasympathetic balance. We aimed to evaluate cardiac autonomic function by using HRV in subjects after recovery from COVID-19 who had previously symptomatic and were followed outpatiently. Methods: The study group composed of 50 subjects with a confirmed history of COVID-19 and the control group composed of 50 healthy subjects without a history of COVID-19 and vaccination. All the study participants underwent 2-dimensional, pulsed- and tissue-Doppler echocardiographic examinations and 24-hour Holter monitoring for HRV analysis. Results: Time domain parameters of SDNN, SDANN, SDNNi, RMSSD, pNN50, and HRV triangular index were all decreased in the study group when compared with the control group. Frequency domain parameters of TP, VLF, LF, HF, and HFnu were also decreased in the study group in comparison with the control group. LFnu was similar between groups. Nonlinear parameters of HRV including ?1 and ?2 decreased in the study group. By contrast, Lmax, Lmean, DET, REC, and Shannon entropy increased in the study population. Approximate and sample entropies also enhanced in the study group. Conclusions: The present study showed that all three domain HRV significantly altered in patients after recovery from COVID-19 indicating some degree of dysfunction in cardiac autonomic nervous system. HRV may be a useful tool for the detection of preclinical autonomic dysfunction in this group of patients.en_US
dc.identifier.citationKurtoğlu, E., Afsin, A., Aktaş, İ., Aktürk, E., Kutlusoy, E., & Çağaşar, Ö. (2021). Annals of Noninvasive Electrocardiology : the Official Journal of the International Society for Holter and Noninvasive Electrocardiology, Inc. 2021: e12916.en_US
dc.identifier.doi10.1111/anec.12916
dc.identifier.endpage6en_US
dc.identifier.issn1082-720Xen_US
dc.identifier.issn1542-474Xen_US
dc.identifier.pmid34817120
dc.identifier.scopus2-s2.0-85119701523en_US
dc.identifier.scopusqualityQ2en_US
dc.identifier.startpage1en_US
dc.identifier.urihttps://doi.org/10.1111/anec.12916
dc.identifier.urihttps://hdl.handle.net/20.500.12899/501
dc.identifier.wosWOS:000721816000001en_US
dc.identifier.wosqualityQ4en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.institutionauthorKurtoğlu, Ertuğrul
dc.institutionauthorAktaş, İbrahim
dc.institutionauthorKutlusoy, Ergün
dc.language.isoenen_US
dc.publisherWileyen_US
dc.relation.ispartofAnnals of Noninvasive Electrocardiologyen_US
dc.relation.publicationcategoryMakale - Ulusal Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.subjectHeart rate variabilityen_US
dc.subjectHolter/event recordersen_US
dc.titleAltered cardiac autonomic function after recovery from COVID-19en_US
dc.typeArticleen_US

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