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|本期目录/Table of Contents|

心率变异性评价心力衰竭及其等级的临床应用(PDF)

《心脏杂志》[ISSN:1009-7236/CN:61-1268/R]

期数:
2000年第2期
页码:
102-104
栏目:
论著
出版日期:
2000-03-25

文章信息/Info

Title:
The value of heart rate variability in heart failure
作者:
刘新国;  杨欣国;  李志立;  薛玉生;  张录兴
第四军医大学唐都医院心内科,陕西 西安 710038
Author(s):
LIU Xin-guo; YANG Xin-guo; LI Zhi-li; XUE Yu-sheng; ZHANG Lu-xing
Department of cardiology,Tangdu Hospital,Fourth Military Medical University,Xi′an 710038,Shaanxi,China
关键词:
心率变异性; 心力衰竭; 充血性
Keywords:
heart rate variability; heart failure; congestive
分类号:
R541.61　
DOI:
-
文献标识码:
A
摘要:
目的 评价心率变异性在充血性心力衰竭患者的临床应用价值。方法 用24 h动态心电图研究充血性心力衰竭患者和对照组的心率变异性,并与其它心脏结构及功能参数比较。结果 充血性心力衰竭组的SDNN,SDANN,LF,HF和LF/HF均较对照组显著降低(P＜0.05或P＜0.01)。随心力衰竭严重程度的增加,心率变异性呈递进性降低,且与左室射血分数、左室短轴缩短率及左室舒张末内径的改变相关(P＜0.05或P＜0.01)。结论 心率变异性测定可以作为心力衰竭的诊断及其严重程度判断的客观指标。
Abstract:
Aim To evaluate clinical value of the heart rate variability (HRV) in patients with congestive heart failure(CHF). Methods HRV was studied in patients with CHF and normal controls with 24 hour electrocardiography.Results SDNN,SDANN,LF,HF and LF/HF were markedly decreased in patients with CHF compared with controls (P＜0.05 or P＜0.01). HRV was progressively decreased with worsening NYHA functional class. Reduced HRV was also associated with changes of left ventricular ejection fraction, left ventricular shortening fraction and left ventricular end diastolic dimension in all patients with CHF (P＜0.05 or P＜0.01).Conclusion The measures of HRV can be served as markers of the extent of disease severity in patients with CHF.

参考文献/References

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［2］Scalvini S,Volterrani M,Zanelli E,et al. Is heart rate variability a reliable method to assess autonomic modulation in left ventricular dysfunction and heart failure? Assessment of autonomic modulation with heart rate variability［J］. Int J Cardiol,1998,67(1):9.

［3］ 臧益民,朱妙章,董秀珍,等. 心脏植物神经活性的评定［J］. 心功能杂志,1997,9(1):31.

［4］ 宋有诚,万立礼,胡桃红,等. 充血性心力衰竭患者心率变异性分析［J］. 中华心血管病杂志,1995,23(2):107.

［5］ Jiang W,Hathaway WR,Nulty MS,et al. Ability of heart rate variability to predict prognosis in patients with advanced congestive heart failure［J］. Am J Cardiol,1997,80(6):808.

［6］ Fanchier L,Babuty D,Autret ML,et al. Temporal and spectral analysis of heart rate variability in primary dilate cardiomyopathy:evaluation by case control study［J］. Arch Mal Coeur Vaiss,1998,91(2):217.

［7］ Panina G,Khot UN,Nunziata E,et al. Role of spectral measures of HRV as marker of disease progression in patients with chronic congestive heart failure not treated with angiotensin-converting enzyme inhibitors［J］. Am Heart J,1996,131:153.

［8］ Yi G,Goldma JH,Keeling PJ,et al. Heart rate variability in idiopathic dilated cardiomyopathy:relation to disease severity and prognosis［J］. Heart,1997,77(2):108.

备注/Memo

备注/Memo:
收稿日期：1999-11-10.
更新日期/Last Update: 2000-03-25