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    The assessment of heart rate recovery index in patients with essential tremorEmine Altuntas
    (2021) Altuntas, Emine; Cuglan, Bilal; Karacay Ozkalayci, Sebnem
    Aim: In this study, it was aimed to investigate whether heart rate recovery index(HRRI), which is marker of cardiovascular mortality, was affected in patients with essential tremor(ET). Materials and Method: The study was conducted as retrospective and it consisted of 30 patients with ET and 30 healthy controls which were similar in terms of age and gender. During admission blood pressure and heart rate, fasting blood tests, hemogram, transthoracic echocardiography and exercise stress test results were recorded. Results: The groups were similar in point of age, gender, smoking(p>0.05). Diastolic and systolic blood pressure of the groups were similar, whereas patients with ET had higher heart rate during admission. When exercise stress test results were assessed, 1 st minute heart rate recovery, 2 nd minute HRRI, 5 th minute HRRI were lower in ET group and these differences were statistically significant(respectively p=0.017; 0.033; 0.019). However both groups were similiar with regards to 3 rd minute HRRI(p=0.063) Conclusion: According to this study results it might be thought that cardiovascular and total mortality may be higher in ET patients than healthy controls due to lower HRRI. Furthermore, it can be speculated that this disease may have an autonomous component since HRRI might be marker of an abnormal autonomic nervous system response.
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    The effect of asthma controlling on heart rate recovery in patients with asthma
    (2022) Cuglan, Bilal; Akbaba Bagci, Belma; Altintas, Mehmet Sait; Altuntas, Emine
    Aim: The heart rate recovery index (HRRI) impairment was found in patients with pulmonary disease such as obstructive sleep apnea syndrome. Asthma is one of the most prevalent respiratory diseases in worldwide. In this study, we aimed to investigate the presence of HRRI impairment with asthma control test in patients with asthma. Material and Methods: A total of 45 people with asthma and 47 healthy participants were consequently enrolled to study from December 2019 through March 2020. The Asthma Control Test™(ACT) survey was used to evaluate the status of asthma. All participants were to undergo cardiopulmonary exercise testing. Heart rate recovery was calculated according to heart rate decreasing in recovery period. Results: Two groups had similar results in terms of laboratory parameters and demographic features. There was a statistically difference in exercise capacity, peak exercise heart rate, (METs) and duration of exercise. Also, all HRRI parameters were reached statistically significant when compared with control group. However, there was no statistically significance in HRRI when ACT groups were compared with each other. Conclusions: The differences of HRRI in ACT groups did not reach to statistically significance. This result could be a consequence of having only two ACT groups and not having any patients belonging to the well-controlled group.