Heart rate persons with coronary artery disease. The heart rate is rhythmically generated by the sinoatrial node. It is also influenced by central factors through sympathetic and parasympathetic nerves. Nervous influence over the heartrate is centralized within the two paired cardiovascular centres of the medulla oblongata. The cardioaccelerator regions stimulate activity via sympathetic stimulation of the cardioaccelerator nerves, and the cardioinhibitory centers decrease heart activity via parasympathetic stimulation as one component of the vagus nerve. During rest, both centers provide slight stimulation to the heart, contributing to autonomic tone. This is a similar concept to tone in skeletal muscles. Normally, vagal stimulation
Heart rate turbulence disease after a patient suffers a myocardial infarction. HRT can also be used to predict death in patients with congestive heart failure from a lethal arrhythmia. HRT has nothing to do with turbulence in fluid dynamics. See also Heart rate variability. The concept of HRT was introduced to the medical community by Georg Schmidt and colleagues from the Munich University of Technology in 1999 in the British medical journal the Lancet. While studying PVC characteristics, Schmidt and his colleagues had noticed that heart rate seemed to speed up after a PVC. To get a clearer picture, they listed the time