Changes of heart rate variability predicting patients with acute exacerbation of chronic obstructive pulmonary disease requiring hospitalization after Emergency Department treatment

摘要

BackgroundIndexes of heart rate variability (HRV) appear to reflect severity and may have prognostic value in patients with acute exacerbation of chronic obstructive pulmonary disease (AECOPD). We hypothesized that AECOPD without adequate treatment response would demonstrate impaired cardiac autonomic regulation and changes in HRV after emergency department (ED) treatment.MethodsA prospective study of measuring HRV in admitted and discharged patients with AECOPD shortly after ED arrival and again 24?h after treatment.ResultsTotal consecutive 33 patients (18 admitted and 15 discharged, age 77.1?±?1.6 years) were enrolled. Among admitted patients, high frequency in normalized unit (HF%) was significantly lower (P?7.1 and ΔLF/HF% ≦?0.39.ConclusionPatients with AECOPD requiring admission after ED treatment had a greater increase in HF% and greater decrease in LF/HF ratio compared to those discharged. Our study demonstrates patient with ΔHF% was >7.1 or a ΔLF/HF% ≦?0.39 require admission despite 24?h of ED treatment.