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Heart rate turbulence: A 5-year review

  • Mari A. Watanabe
    Correspondence
    Address reprint requests and correspondence:? Dr. Mari A. Watanabe, Department of Pharmacological and Physiological Science, St. Louis University School of Medicine, 1402 South Grand Boulevard, St. Louis, Missouri 63104-1028.
    Affiliations
    Institute of Biomedical Life Sciences, Glasgow University, Glasgow, United Kingdom
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  • Georg Schmidt
    Affiliations
    Deutsches Herzzentrum München und 1. Medizinische Klinik der Technischen Universität München, München, Germany.
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Published:November 16, 2004DOI:https://doi.org/10.1016/j.hrthm.2004.09.003
      April 2004 marks the fifth anniversary of the first heart rate turbulence (HRT) publication, which demonstrated the usefulness of HRT in predicting cardiac death in postmyocardial infarction patients. Since then, HRT has been shown to predict prognosis of patients with dilated cardiomyopathy and of patients with heart failure of mixed etiology. HRT also has been shown to be predictive even in the current lower-mortality era of acute revascularization therapy for myocardial infarction. We discuss the latest criteria for obtaining reliable measurements of HRT, review factors that influence HRT values, and consider recent clinical studies.

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