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    The cardiac effects of a mobile phone positioned closest to the heart.
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    Abstract:
    The aim of this study was to evaluate the effect of mobile phone (MP) on cardiac electrical activity by examining the heart rate variability (HRV), QT, P dispersions and blood pressure (BP) while the MP is located on the precordium.A total of 24 healthy volunteers were included in this prospective study. In the first step; 12-lead electrocardiogram (ECG) and BP recordings of the subjects without MP, while the MP is off, on, and ringing were recorded. In the second step; rhythm and BP were recorded for 30 minutes with the Holter without MP, and when the MP was "on" at the precordial location. P-wave and QT interval dispersions were measured from 12-lead ECG, while Holter 24-hour recordings were used for HRV analysis. Statistical analysis was performed using paired t test for comparison of hemodynamic and HRV variables without MP and during MP on. ANOVA for repeated measures was used to compare hemodynamic and ECG variables through baseline and 3 experimental settings: MP on, off and ringing.There were no statistically significant differences between the groups in the BP, heart rate, P-wave dispersion, QT dispersion and QT corrected dispersion parameters (p>0.05) in the first step of the study. In the second step, there were no significant differences between two groups in the BP, heart rate and HRV parameters (p>0.05).We conclude that MP has no effect on hemodynamic (heart rate, blood pressure) and cardiac electrical activity (P-wave and QT dispersions) parameters when it is positioned on the chest in immediate proximity to the heart, and it does not cause cardiac autonomic dysfunction examined by HRV analysis in healthy adult subjects.
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    Plethysmograph
    The aim of this study was to evaluate the effect of mobile phone (MP) on cardiac electrical activity by examining the heart rate variability (HRV), QT, P dispersions and blood pressure (BP) while the MP is located on the precordium.A total of 24 healthy volunteers were included in this prospective study. In the first step; 12-lead electrocardiogram (ECG) and BP recordings of the subjects without MP, while the MP is off, on, and ringing were recorded. In the second step; rhythm and BP were recorded for 30 minutes with the Holter without MP, and when the MP was "on" at the precordial location. P-wave and QT interval dispersions were measured from 12-lead ECG, while Holter 24-hour recordings were used for HRV analysis. Statistical analysis was performed using paired t test for comparison of hemodynamic and HRV variables without MP and during MP on. ANOVA for repeated measures was used to compare hemodynamic and ECG variables through baseline and 3 experimental settings: MP on, off and ringing.There were no statistically significant differences between the groups in the BP, heart rate, P-wave dispersion, QT dispersion and QT corrected dispersion parameters (p>0.05) in the first step of the study. In the second step, there were no significant differences between two groups in the BP, heart rate and HRV parameters (p>0.05).We conclude that MP has no effect on hemodynamic (heart rate, blood pressure) and cardiac electrical activity (P-wave and QT dispersions) parameters when it is positioned on the chest in immediate proximity to the heart, and it does not cause cardiac autonomic dysfunction examined by HRV analysis in healthy adult subjects.
    Plethysmograph
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    Cardiovascular diseases including cardiac arrhythmias lead to fatal events in patients with coronary artery disease; however, clinical associations from echocardiography, electrocardiography (ECG), and biomarkers remain unknown. We sought to identify the factors that may be related to elevated QRS intervals in patients with risk for coronary artery disease. In this study, we performed analysis of clinical data from 503 patients divided into two groups, i.e., patients with either <50% coronary artery stenosis or >50% coronary artery stenosis. We further examined patients with elevated ECG parameters such as QRS > 100 ms and QTc > 440 ms. Patients with >50% coronary artery stenosis exhibited significant increases in age, triglycerides, and troponin levels. Further, ECG parameters demonstrated increased QRS and QTc durations, while echocardiographic parameters highlighted a decrease in ejection fraction (EF) and fractional shortening (FS). Patients with QTc > 440 ms exhibited increased brain natriuretic peptide and creatinine levels with a decrease in estimated glomerular filtration rate clearance rates. Patients with QRS > 100 ms had greater left ventricular (LV) mass and LV internal diameter in systole and diastole. Multimodal logistic regression showed significant relation between QTc, age, and creatinine. These findings suggest that patients with significant coronary stenosis may have lower EF and FS with prolonged QRS intervals, demonstrating greater risk for arrhythmic events.
    Ventricular Function
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    Arrhythmic markers and clozapine in patients with schizophrenia: effect of 10 weeks clozapine treatment on heart rate variability, late potentials and QT dispersion Objective: Clozapine is a well-known atypical antipsychotic agent which is especially useful in patients with treatment-resistant schizophrenia, but there is still debate on its potential to cause arrhythmia and sudden death. To explore the effect of clozapine on arrhythmic markers in patients with schizophrenia, heart rate variability, QT dispersion and late potentials were measured before and after 10 weeks’ treatment. Method: Heart rate variability and QT dispersion were measured by electrocardiography. Signal averaged electrocardiography was used to measure late potentials. Heart rate variability, QT dispersion and late potentials were measured at baseline with at least 2-7 days wash-out period and after 10 weeks of clozapine treatment. Results: No significant differences were found in late potentials and QT dispersion domains or QT corrected values between pretreatment and posttreatment parameters of clozapine. Heart rate variability measures seemed to be significantly decreased after the treatment. This difference was more prominent in female patients and patients who were under 35 years. Change in mean heart rate variability value was found to be significantly correlated with the dosage of clozapine but not with autonomous side effects such as dizziness, hypertension, and decreased perspiration. Conclusion: Clozapine decreases heart rate variability after 10 weeks of treatment and this effect may be dose dependent. In this study, clozapine did not effect late potentials and QT dispersion as markers of drug-induced arrhythmia.
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    To evaluate the effects of the consumption of energy drinks on cardiovascular parameters in a group of healthy young individuals.In a quasi-experimental study, 44 healthy adult participants aged between 15 and 30 years were evaluated. The blood pressure (BP) as well as electrocardiographic indices, including heart rate (HR), PR interval, QRS duration, corrected QT (QTc) interval, and ST-T changes were recorded before consumption of a caffeine-containing energy drink and at the specific time points over a 4-h test duration.We found statistically significant HR decline (p=0.004) and more frequent ST-T changes (p=0.004) after the participants consumed the energy drink. However, readings for systolic BP (p=0.44), diastolic BP (p=0.26), PR interval (p=0.449), QRS duration (p=0.235), and QTc interval (p=0.953) showed no significant change post-consumption.In conclusion, we demonstrated that the consumption of energy drinks could contribute to HR decline and ST-T change in healthy young adults.
    PR interval
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    Abstract Background Though hot arm and foot bath (HAFB) is widely used, a precise physiological response is not reported. Hence, the present study was conducted to evaluate the effect of HAFB on heart rate variability (HRV) and blood pressure (BP) in healthy volunteers. Materials and Methods Sixteen healthy male volunteers’ aged 23.81 ± 5.27 (mean ± standard deviation) years were recruited. All the subjects underwent only one session of HAFB (104-degree Fahrenheit) for the duration of 20 min. Assessments such as Electrocardiography and BP were taken before and after the intervention. Results Results of this study showed a significant reduction in systolic-BP (SBP), diastolic-BP (DBP), mean arterial pressure (MAP), the mean of the intervals between adjacent QRS complexes or the instantaneous heart rate (RR interval), the number of interval differences of successive NN intervals greater than 50 ms (NN50), the proportion derived by dividing NN50 by the total number of NN intervals (pNN50), and high frequency (HF) band of HRV along with a significant increase in heart rate (HR), low-frequency (LF) band of HRV and LF/HF ratio compared to its baseline. Conclusions Results of this study suggest that 20 min of HAFB produce a significant increase in HR and a significant reduction in SBP, DBP, and MAP while producing parasympathetic withdrawal.
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    Objective To investigate the relationship between circadian rhythm of blood pressure,heart rate variability,and arrhythmia in elderly patients with hypertension.Methods Ambulatory blood pressure monitoring and ambulatory electrocardiography,as well as heart rate variability analysis,were performed in the elderly with and without hypertension.Results Among the elderly with hypertension,the circadian rhythm of blood pressure decreased or disappeared,and the heart rate variability decreased,with significant differences compared with those without hypertension.In addition,there were more cases of arrhythmia in the elderly with hypertension.Conclusion The elderly patients with hypertension have impaired autonomic nervous function;their heart rate variability decreases,and the circadian rhythm of blood pressure decreases or disappears,which are the risk factors for arrhythmia.Heart rate variability measurement and ambulatory blood pressure monitoring should be performed regularly.
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