我们的网站为什么显示成这样？

可能因为您的浏览器不支持样式，您可以更新您的浏览器到最新版本，以获取对此功能的支持，访问下面的网站，获取关于浏览器的信息：

|本期目录/Table of Contents|

冠心病患者短暂心肌缺血时心率变异性变化(PDF)

《心脏杂志》[ISSN:1009-7236/CN:61-1268/R]

期数:
2003年第4期
页码:
338-339
栏目:
临床研究
出版日期:
2003-07-01

文章信息/Info

Title:
The changes of heart rate variability on transient myocardial ischemia in coronary heart diseas
作者:
张录兴; 郑强荪; 何勇; 李志立; 金葵花
第四军医大学唐都医院心内科,陕西 西安 710038
Author(s):
ZHANG Lu-xing;  ZHENG qiang-sun;  HE yong;  LI Zhi-li;  JIN Kui-hua
Deparment of Cardiology, Tangdu Hospital, Fourth Militaty Medical University, Xi'an, Shaanxi 710038,China
关键词:
心电图描记术; 动态; 心肌缺血; 心率变异性
Keywords:
electrocardiography;  ambulatory;  myocardial ischemia;  heare rate variability
分类号:
-
DOI:
-
文献标识码:
A
摘要:
目的:观察冠心病患者心肌缺血时的心率变异性(HRV)变化。方法:监测38例冠心病患者24h动态心电图中的72次短暂心肌缺血发作事件,分析心肌缺血发作前、发作时、发作停止后的HRV。结果:在心肌缺血发作时,HRV降低。时域指标SDANN,rMSSD,PNN50显著降低,频域指标HF也降低,LF未见增加,LF/HF无显著差异。结论:在日常生活中发生的短暂缺血、迷走神经减弱可能起重要作用。
Abstract:
AIM: To observe the change of heart rate variability (HRV) on transient myocardial ischemia in coronary heart disease. METHODS: Detected seventy two ischemic episodes of 38 patients in 24h Holter monitoring and analyzed parameters of HRV before, during and after transient ischemia. RESULTS: Depression of HRV was found during entire ischemia episode. SDANN, rMSSD, PNN50 of HRV clearly decreased, sodid HF in HRV spectrum analysis. LF and LF/HF didn't increase. CONCLUSION: The vagal depression may in influence onset of transient ischemia in daily life.

参考文献/References

[1] 权微微, 戚文航, 刘霞, 等. 急性心肌梗死早期的心率变异性测定 [J] . 中华心血管病杂志, 1999, 27(2):107-108.

[2] Costa O, Lago P, Rocha AP, et al. Heart rate variability in 24 hour Holter recordings: comparative study between short and long term time and frequency domain analysis [J] . J Electrocardiol, 1994, 27(2):251.

[3] Bigger JT Jr, Hoover CA, Steinman RC, et al. Autonomic nervous system activity during myocardial ischemia in man estimated by spectral analysis of heart period variability [J] . Am J Cardiol, 1990, 66(4):497-501.

[4] Yoshio H, Shimizu M, Sugihara N, et al. Assessment of autonomic nervous activity by heart rate spectral analysis in patients with variant angina [J] . Am Heart J, 1993, 125(2):324-328.

[5] 张勇翔, 黄晨, 张阳阳. 老年冠心病患者无症状心肌缺血的临床研究 [J] . 心脏杂志, 2002, 14(5):390-392.

[6] Barron HV, lesh MD. Autonomic nervous system and sudden cardiac death [J] . Am Coll Cardiol, 1996, 27:1053-1057.

备注/Memo

备注/Memo:
收稿日期：2002-07-18.
更新日期/Last Update: 2003-07-01