S. Sundberg, SHORT-TERM AND LONG-TERM VARIATION OF SYSTOLIC AND DIASTOLIC TIME INTERVALS AT REST AND DURING DYNAMIC EXERCISE IN HEALTHY-SUBJECTS, American journal of noninvasive cardiology, 7(5), 1993, pp. 301-305
The purpose of the study was to evaluate the within-day and between-da
y variation of systolic and diastolic time intervals at rest and durin
g dynamic exercise. Eleven healthy subjects (aged 19-27 years) were in
cluded. Systolic and diastolic time intervals were recorded mechanocar
diographically at rest and during bicycle ergometer exercise (heart ra
te 148-156 bpm) at 4 time points on 3 separate days with intervals of
about 10 days (day 1, day 10 and day 20). Electromechanical systole (Q
S(2)I) was the most stable of all systolic time intervals, showing no
statistically significant within-day or between-day variation. The int
raindividual coefficient of variation (CV) for QS(2)I was 1.8% at rest
and 2.2% during exercise. Left ventricular ejection time (LVETI) show
ed consistently higher values in the morning (p < 0.001), whereafter o
nly minor fluctuations were seen. The CV for LVETI was 2.7% at rest an
d 2.8% during exercise. The preejection period (PEP) showed great fluc
tuations (p < 0.01); the CV was 12% at rest and 32% during exercise. P
ercentage of diastolic time showed a significant within-day variation
(p < 0.05) during exercise only. The CV for percentage of diastolic ti
me was 6.1% at rest and 8.5% during exercise. Of the time intervals, Q
S(2)I was especially stable both at rest and during dynamic exercise a
nd remained so during a time span of 20 days.