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    STUDIA BIOLOGIA - Issue no. 2 / 2014  
         
  Article:   CHALLENGES IN IMPLEMENTING HEART RATE VARIABILITY TESTING IN A FAMILY MEDICINE PRACTICE: STRENGTHS, PITFALLS AND CAVEATS.

Authors:  ȘTEFAN-CLAUDIU MIRESCU, MARIA PETRESCU, FELICIA PETRESCU, NICOLETA-CORNELIA MIRESCU, LEONTIN DAVID.
 
       
         
  Abstract:  VIEW PDF: CHALLENGES IN IMPLEMENTING HEART RATE VARIABILITY TESTING IN A FAMILY MEDICINE PRACTICE: STRENGTHS, PITFALLS AND CAVEATS

Heart rate variability (HRV) measures beat-to-beat changes in the duration of the RR intervals in the electrocardiogram (ECG). According to many studies, HRV-derived methods can contribute a certain amount of data to the screening for cardiovascular diseases, and also predict the outcome for cardiovascular patients. The study focuses on a trial of HRV measuring in a family general practitioner’s office, in two different groups: healthy subjects and patients with a varied collection of organic diseases. Differences were found between the two groups, especially concerning nonlinear parameters of HRV and Poincaré diagram analysis. Although promising, screening by HRV in the general practitioner’s office has many pitfalls and caveats, especially regarding technical problems and the approach of patients with multiple comorbidities.

Keywords: family medicine, heart rate variability, screening.
 
         
     
         
         
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