Cardiac autonomic modulation during methadone therapy among heroin users: A pilot study

Li Ren Chang, Yu Hsuan Lin, Terry B J Kuo, Yen Cheng Ho, Shiuan Horng Chen, Hung Chieh Wu Chang, Chih Min Liu, Cheryl C H Yang

研究成果: 雜誌貢獻文章同行評審

11 引文 斯高帕斯(Scopus)

摘要

Background: Methadone therapy benefits heroin users in both the medical and psychosocial dimensions. However, both heroin and methadone have cardiac toxicity. Only limited information is available describing the changes in cardiac autonomic function of heroin users and effects of methadone therapy. We conduct the current study to explore the cardiac vagal function in heroin users as well as the impact of lapse and methadone therapy. Methods: 80 heroin users from a methadone therapy clinic were distributed into 31 compliant and 49 incompliant patients according to whether they lapsed into heroin use within 10. days. 40 healthy control subjects were recruited from the community. Participants underwent electrocardiographic recordings and the heroin users were further investigated before and after methadone therapy. Spectral analysis of heart rate variability (HRV) was computed for cardiac parasympathetic modulation (high-frequency power, HF) and cardiac sympathetic modulation (normalized low-frequency power, LF%). Results: The baseline HRV parameters found lower HF values for heroin users and lower RR interval values for patients with a recent lapse compared with the healthy control subjects. After 1. h of methadone administration, heroin users who had lapsed showed a significant increase in HF but the heroin users who had not lapsed did not. Conclusion: Our findings suggest that heroin users show decreased cardiac vagal activity and that methadone therapy immediately facilitates vagal regulation in patients with a recent lapse. The differential patterns of autonomic alteration under methadone between those with and without lapse might offer an objective measure of lapse.
原文英語
頁(從 - 到)188-193
頁數6
期刊Progress in Neuro-Psychopharmacology and Biological Psychiatry
37
發行號1
DOIs
出版狀態已發佈 - 4月 27 2012
對外發佈

ASJC Scopus subject areas

  • 生物精神病學
  • 藥理

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