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Heart Rate Variability in Relation to Cardiovascular Autonomic Neuropathy Among Patients at an Urban Hospital in Kazakhstan

Author

Listed:
  • Nazira Bekenova

    (Medical Centre Hospital of President’s Affairs Administration of the Republic of Kazakhstan, Mangilik El 80, Astana 010000, Kazakhstan)

  • Tamara Vochshenkova

    (Medical Centre Hospital of President’s Affairs Administration of the Republic of Kazakhstan, Mangilik El 80, Astana 010000, Kazakhstan)

  • Alisher Aitkaliyev

    (Medical Centre Hospital of President’s Affairs Administration of the Republic of Kazakhstan, Mangilik El 80, Astana 010000, Kazakhstan)

  • Balkenzhe Imankulova

    (University Medical Center Corporate Fund, Kerey and Zhanibek Khans St 5/1, Astana 010000, Kazakhstan)

  • Zhanatgul Turgumbayeva

    (Medical Centre Hospital of President’s Affairs Administration of the Republic of Kazakhstan, Mangilik El 80, Astana 010000, Kazakhstan)

  • Balzhan Kassiyeva

    (Medical Centre Hospital of President’s Affairs Administration of the Republic of Kazakhstan, Mangilik El 80, Astana 010000, Kazakhstan)

  • Valeriy Benberin

    (Medical Centre Hospital of President’s Affairs Administration of the Republic of Kazakhstan, Mangilik El 80, Astana 010000, Kazakhstan
    Institute of Innovative and Preventive Medicine, Alikhan Bokeikhan Street, Building 1, Astana 010000, Kazakhstan)

Abstract

In clinical practice, heart rate variability (HRV) has not been considered an indicator for the preventive assessment of cardiovascular autonomic neuropathy (CAN). The paper studies HRV in a large, randomly selected group. A cross-sectional study included a representative sample of 5707 Kazakhs aged 20 years and older from a total population of 25,454 attached to an urban clinic in the capital of Kazakhstan. The sample was drawn from individuals who visited the clinic for a preventive examination. CAN diagnosis was confirmed using data from questionnaires, electronic medical records, HRV, and heart rate measurements. Mean values of the standard deviation of normal sinus RR intervals (SDNN) and the root mean square of successive RR interval differences (RMSSDs) from a 24 h electrocardiogram recording were assessed. CAN was identified in 17.19% of the study participants, with a ratio of the subclinical to clinical phase of 1:0.24. Diabetes mellitus was present in 30.99% of patients with CAN. The prevalence of CAN varied by sex and age, aligning with the prevalence trajectory of diabetes. It was concluded that the SDNN and RMSSD parameters in electrocardiographic studies can be used for preventive measures in the context of limited healthcare resources.

Suggested Citation

  • Nazira Bekenova & Tamara Vochshenkova & Alisher Aitkaliyev & Balkenzhe Imankulova & Zhanatgul Turgumbayeva & Balzhan Kassiyeva & Valeriy Benberin, 2024. "Heart Rate Variability in Relation to Cardiovascular Autonomic Neuropathy Among Patients at an Urban Hospital in Kazakhstan," IJERPH, MDPI, vol. 21(12), pages 1-10, December.
    • Handle: RePEc:gam:jijerp:v:21:y:2024:i:12:p:1653-:d:1541312
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    References listed on IDEAS

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    1. Patrícia Merly Martinelli & Isabel Cristina Esposito Sorpreso & Rodrigo Daminello Raimundo & Osvaldo de Souza Leal Junior & Juliana Zangirolami-Raimundo & Marcos Venicius Malveira de Lima & Andrés Pér, 2020. "Correction: Heart rate variability helps to distinguish the intensity of menopausal symptoms: A prospective, observational and transversal study," PLOS ONE, Public Library of Science, vol. 15(2), pages 1-2, February.
    2. Ke Li & Cristiano Cardoso & Angel Moctezuma-Ramirez & Abdelmotagaly Elgalad & Emerson Perin, 2023. "Heart Rate Variability Measurement through a Smart Wearable Device: Another Breakthrough for Personal Health Monitoring?," IJERPH, MDPI, vol. 20(24), pages 1-24, December.
    3. Patrícia Merly Martinelli & Isabel Cristina Esposito Sorpreso & Rodrigo Daminello Raimundo & Osvaldo de Souza Leal Junior & Juliana Zangirolami-Raimundo & Marcos Venicius Malveira de Lima & Andrés Pér, 2020. "Heart rate variability helps to distinguish the intensity of menopausal symptoms: A prospective, observational and transversal study," PLOS ONE, Public Library of Science, vol. 15(1), pages 1-11, January.
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