Heart rate variability in hyperthyroidism: a systematic review and meta-analysis
نویسندگان
چکیده
Les effets cardiovasculaires des hormones thyroïdiennes peuvent être mesurés par la variabilité de fréquence cardiaque (VFC). Nous avons cherché à déterminer l’impact l’hyperthyroïdie sur VFC. Des articles rapportant les paramètres VFC chez hyperthyroïdiens non traités et témoins sains ont été recherchés dans bases données PubMed, Cochrane, Embase Google Scholar jusqu’au 20 août 2021. Une méta-analyse aléatoires a stratifiée degré d’hyperthyroïdie pour chaque paramètre inclus 22 études portant 10811 patients: 1002 atteints 9809 sains. constaté une diminution l’intervalle RR (effect size ES = −4,63, IC 95 % −5,7 −3,56), du SDNN (−6,07, −7,42 −4,71), RMSSD (−1,52, −2,18 −0,87), pNN50 (−1,36, −1,83 −0,88), TP (−2,05, −2,87 −1,24), HFnu (−3,51, −4,76 −2,26) augmentation LFnu (2,66, 1,55 3,78) rapport LF/HF (1,75, 1,02 2,48) (p < 0,01). La plupart présentaient deux fois plus élevée manifeste que subclinique. L’hyperthyroïdie est associée avec l’activité sympathique baisse parasympathique, pouvant s’expliquer l’effet TSH le système nerveux autonome.
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ژورنال
عنوان ژورنال: Annales D Endocrinologie
سال: 2022
ISSN: ['0003-4266', '2213-3941']
DOI: https://doi.org/10.1016/j.ando.2022.07.152