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Alteration of cardiac autonomic functions in patients with major depression: a study using heart rate variability measures.

Abstract：

BACKGROUND:Depression is associated with greater cardiac morbidity and mortality. One of the contributory factors for this may be altered cardiac autonomic activity in depression. However, cardiac autonomic involvement in depression remains controversial because of methodological issues. In this study, alteration of cardiac autonomic functions was studied in drug-naive patients with major depression without co-morbidity. Heart rate variability, a sensitive measure of neurocardiac autonomic regulation was used in addition to conventional methods of measuring cardiac autonomic functions. METHODS:We recruited 40 patients suffering from major depression, diagnosed based on DSM-IV-TR criteria. Their cardiac autonomic functions were measured using both conventional and heart rate variability measures. These were compared with those of age- and gender-matched healthy controls. RESULTS:Patients with major depression showed significantly lesser Valsalva ratio, maximum/minimum ratio and greater sympathovagal balance than healthy controls indicating decreased parasympathetic and increased sympathetic activity. CONCLUSIONS:Depression is associated with alteration of cardiac autonomic tone towards decreased parasympathetic activity and an increased sympathetic activity. It is possible that a common neurobiological dysfunction contributes to both depression and cardiac autonomic changes in the illness.

journal_name

J Affect Disord

journal_title

Journal of affective disorders

authors

Udupa K,Sathyaprabha TN,Thirthalli J,Kishore KR,Lavekar GS,Raju TR,Gangadhar BN

doi

10.1016/j.jad.2006.10.007

subject

Has Abstract

pub_date

2007-06-01 00:00:00

pages

137-41

issue

1-3

eissn

0165-0327

issn

1573-2517

pii

S0165-0327(06)00446-0

journal_volume

100

pub_type

杂志文章

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