PubMed · 2621068
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G Barr. 1989. Further thoughts about tonsillectomy.. https://pubmed.ncbi.nlm.nih.gov/2621068/
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The analysis of heart rate variability (HRV) provides information about autonomic cardiovascular control in healthy subjects. In the past 15 years, several articles have been published regarding HRV and chronic heart failure (CHF). The results of these papers substantially demonstrated that HRV is significantly different in CHF patients compared to controls. Moreover, some variables derived from HRV analysis showed significant independent prognostic capacity. In particular, the reduction of variance (expressed as SDNN) and low-frequency spectral component of HRV (ranging from 0.03 to 0.15 Hz) seem related to an increased mortality in CHF. Nevertheless, these variables are not yet considered in clinical practice. A better understanding of the physiopathological basis of the reported alterations of HRV in CHF patients is required in order to permit its use as a clinical tool for prognosis and tailored therapy in individual CHF patients.
Chronic idiopathic orofacial pain is currently a problem for the specialists, but is this type of disorder peculiar to the face, and is there a role for the general dental practitioner? This article reviews the current understanding and management of medically unexplained syndromes and discusses their application in facial pain. A second article will merge this contemporary theory and clinical evidence into a management strategy, and stress the importance of early intervention in the primary care setting.
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