Mitral annular calcification is associated with postexercise heart rate recovery

dc.contributor.authorDemir, Vahit
dc.contributor.authorTuran, Yasar
dc.contributor.authorHidayet, Şıho
dc.date.accessioned2021-03-22T19:07:52Z
dc.date.available2021-03-22T19:07:52Z
dc.date.issued2020
dc.departmentİnönü Üniversitesien_US
dc.description.abstractAbstract: Mitral annular calcification (MAC) is a chronic, degenerative disease characterized by accumulation of calcium and lipid in the fibrous ring of the mitral valve. Heart rate recovery index (HRR) calculated after treadmill exercise test is a predictor of autonomic dysfunction and cardiovascular mortality. The aim of this study was to investigate the relationship between MAC and HRR parameters. 64 patients with MAC (mean age 54.9±5.8, 40 males) and 44 healthy controls (mean age 55.1±6.5, 28 males) were included in the study. All subjects in the MAC group and control group underwent basal 12-lead electrocardiography, echocardiography, and treadmill exercise test at a target rate determined by age. HRR indices were calculated from the maximal heart rate by subtracting the heart rate at the 1st, 2nd and 3rd minutes of the recovery period. Baseline demographic and laboratory data were similar in both groups. Compared with healthy controls, individuals with MAC had decreased HRR at 1 (HRR1), 2 (HRR2), and 3 (HRR3) minutes [16.9 ± 4.5 vs. 19.2 ± 3.9, p = 0.009; 33.9 ± 4.6. 36.2 ± 5.1, p = 0.019; 49.6 ± 7.1. 52.4 ± 6.1, p = 0.035; respectively]. These results show that heart rate recovery after exercise is impaired in individuals with MAC. Given the independent prognostic value of HRR, these findings can be evaluated in terms of symptomology of autonomic dysfunction in people with MAC. Because HRR is a simple and inexpensive method, it may be useful in identifying high-risk patients, especially in individuals with MACen_US
dc.identifier.citationDEMİR V,TURAN Y,HİDAYET S (2020). Mitral annular calcification is associated with postexercise heart rate recovery. Medicine Science, 9(1), 197 - 200. Doi: 10.5455/medscience.2020.09.9176en_US
dc.identifier.doi10.5455/medscience.2020.09.9176en_US
dc.identifier.endpage200en_US
dc.identifier.issn2147-0634
dc.identifier.issue1en_US
dc.identifier.startpage197en_US
dc.identifier.trdizinid370513en_US
dc.identifier.urihttps://doi.org/10.5455/medscience.2020.09.9176
dc.identifier.urihttps://hdl.handle.net/11616/19679
dc.identifier.urihttps://search.trdizin.gov.tr/yayin/detay/370513
dc.identifier.volume9en_US
dc.indekslendigikaynakTR-Dizinen_US
dc.language.isoenen_US
dc.relation.ispartofMedicine Scienceen_US
dc.relation.publicationcategoryMakale - Ulusal Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.titleMitral annular calcification is associated with postexercise heart rate recoveryen_US
dc.typeArticleen_US

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