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The Journal of Internal Korean Medicine > Volume 33(3); 2012 > Article
The Journal of Internal Korean Medicine 2012;33(3): 284-297.
대사증후군의 습담 변증군과 심박변이도의 관련성에 관한 고찰
이재욱, 신윤리, 배수현, 박선영, 최상옥, 김경민, 김영균
동의대학교 한의과대학 내과학교실
A Clinical Study on Relevance between Classified Dampness-Phlegm Pattern of Metabolic Syndrome and Heart Rate Variability
Jae-wook Lee, Yoon-ri Shin, Su-hyun Bae, Seon-young Park, Sang-ok Choi, Kyoung-min Kim, Young-kyun Kim
Dept. of Internal Medicine of Oriental Medicine, Dong-Eui University
Correspondence  Young-kyun Kim ,Tel: 051-850-8620, Fax: 051-867-5162, Email: ykkim@deu.ac.kr
  Published online: September 30, 2012.
ABSTRACT
Objectives:
This study was performed to investigate characteristic indice of heart rate variability (HRV) according to presence of metabolic syndrome (MS), pattern identification.

Methods :
We analyzed 167 subjects who participated in a stroke check-up. We classified the subjects into two groups as MS (n=48) and non-MS (n=119) based on NCEP ATP Ⅲ. First, we investigated pattern identification of all subjects based on Korean Standard Pattern Identifications for Stroke-Ⅲ. Second, we surveyed significance of HRV indices between MS and non-MS groups. Third, we investigated significance of HRV indices between classified DP of MS and classified DP of non-MS. Fourth, we investigated significance of HRV indices between classified DP of MS and non-MS. Fifth, we investigated significance between components of MS and HRV indices.

Results:
1. SDNN, RMS-SD, HF, Ln(HF), and HF (NORM) were significantly lower in the MS than non-MS group. LN (TP), LF/HF were significantly higher in the MS than non-MS. 2. Ln (HF), Ln (TP), and LF/HF were statistically significant in the classified DP of MS group. 3. RMS-SD, and Ln (HF) were significantly lower in the abdominal obesity group than in the non-abdominal obesity group. SDNN, RMS-SD, TP, Ln (TP), VLF, Ln (VLF), and Ln (LF) were significantly lower in the hypertension group than in the non-hypertension group. RMS-SD was significantly lower in the diabetes group than in the non-diabetes group. Mean HRT,LF/HF were significantly higher in the hypertriglyceridemia than non-hypertriglyceridemia group, but Ln (HF), RMS-SD, and HF (NORM) were significantly lower in the hypertriglyceridemia than non-hypertriglyceridemia group.

Conclusions:
We found a few significant relationships between classified DP of MS and HRV indices. The resluts demonstrate that MS has potentially negative effects on the cardiovascular system, and these effects could be detected by HRV.
Key words: metabolic syndrome, dampness-phlegm pattern, heart rate variability
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