期刊文献+

窦性心率震荡检测方法及影响因素的研究 被引量:20

Study of measurements and influential factors of heart rate turbulence
下载PDF
导出
摘要 目的探讨窦性心率震荡(HRT)的测量方法及影响该指标测量的临床因素。方法随机选择我院门诊接受24h动态心电图(Holter)检查并记录有室性早搏(VPC)的健康体检者50例,分别计算窦性心率震荡的震荡初始(TO)、震荡斜率(TS)及震荡斜率起始时间(TT),分析各参数与年龄、室早前基础心率等因素之间的相关关系,并比较不同基础心率段各参数之间的差别。结果先计算每个室早的窦性心率震荡参数,然后求平均值所得的TS、TT值较先平均RR值再计算窦性心率震荡所得的TS、TT值高;窦性心率震荡与年龄、室早前基础心率、代偿间期以及室早数目相关,与联律间期不相关;且不同基础心率段TO、TS指标差异具有显著性(p<0.05)。结论计算窦性心率震荡之前就取RR间期平均值然后测量可能提供更好的死亡预测率;应用窦性心率震荡时应同时考虑到年龄、室早前基础心率、代偿间期及室早数目对其的影响。 Objective To investigate the measurements and clinical influential factors of heart rate turbulence (HRT). Methods 50 healthy persons who accepted examination of 24 hours ambulatory electrocardiograph (Hoher) and showed ventricular premature complexes (VPC) in records were enrolled randomly. 24h Hoher data of subjects were collected and processed to obtain the values of turbulence onset (TO), turbulence slope OS) and turbulence timing (TT). The correlation of TO, TS, TT and age, basic heart rate before VPC (HRVPC), et al was analyzed and each parameter of HRT in different segments of HR was compared. Results The values of TS and TT computed by calculating HRT of every VPC first were significantly higher than by averaging RR intervals first (p〈0.05). HRT was influenced by age, HR before VPC, compensatory interval and the number of VPC and didn't correlate with coupling interval, and TO and TS were significantly different in each segment of HR before VPC (p 〈0.05). Conclusion Taking averages of RR intervals before computing HRT may be provide better prediction rate of death, and age, HR before VPC, compensatory interval and the number of VPC should be allowed when using HRT.
出处 《临床心电学杂志》 2007年第1期11-14,共4页 Journal of Clinical Electrocardiology
基金 山西省卫生厅科技攻关计划项目(项目编号:200504)
关键词 窦性心率震荡 震荡初始 震荡斜率 震荡斜率起始时间 heart rate turbulence turbulence onset turbulence slope turbulence timing
  • 相关文献

参考文献10

  • 1Schmidt G, Malik M. Batlhel P, et ah Heart-rate turbulence after ventricular premature beats as a predictor of mortality after acute myocardial infarction. Lancet. 1999 ; 353:1390-1396.
  • 2Schwab JO, Eichner G, Shlevkov N, et al. Impact of age and basic heart rate on heart rate turbulence in healthy persons. PACE. 2005;28(1):S198-201.
  • 3Schwab JO. Eichner G, Veit G, et al. Influence of basic heart rate and sex on heart rate turbulence in healthy subjects. PACE. 2004:27(12):1625-1631.
  • 4Lee KT. Lai WT, Chu CS, et al. Effect of electrophysiologic character of ventricular premature beat on heart rate turbulence. J Electrocardiol. 2004:37(1):41-46.
  • 5Watanabe MA, Schmidt G. Heart rate turbulence: a 5-year review.Heart Rhythm. 2004;1(6):732-738.
  • 6郭继鸿.窦性心律震荡现象[J].临床心电学杂志,2003,12(1):49-54. 被引量:310
  • 7Watanabe MA, Marine JE,Sheldon M,et al. Effects of ventricular premature stimulus eoupling interval on blood pressure and heart rate turbulence.Circulation. 2002:106:325.
  • 8赵继义,赵进军,黄永麟.心率震荡现象及其研究现状[J].中国心脏起搏与心电生理杂志,2004,18(5):321-327. 被引量:45
  • 9Bauer A. Barthel P, Schneider R. et al. hnpaet of coupling interval on heart rate turbulence. Eur Heart J. 2001;22:438-442.
  • 10Schwab JO. Eichner G, Balta O. et al. Detenuinants of heart rate turbulence after ventricular premature beats in healthy volunteers.Hellenic J Cardiol. 2005;46(1 ):31-34.

二级参考文献31

  • 1郭继鸿.窦性心律震荡现象[J].临床心电学杂志,2003,12(1):49-54. 被引量:310
  • 2Kawasaki T,Azuma A,Asada S,et al.Heart rate turbulence and clinical prognosis in hypertrophic cardiomyopathy and myocardial infarction[J].Circ J,2003,67(7):601
  • 3Sousa MR,Ribeiro AL,Schmidt G,et al.Heart rate turbulence in Chagas disease[J].Europace,2002,3:406
  • 4Bonnemeier H,Wiegand UKH,Friedlbinder J,et al.Reflex cardiac activity in ischemia and reperfusion.Heart rate turbulence in patients undergoing direct percutaneous coronary intervention for acute myocardial infarction[J].Circulation,2003,108:958
  • 5Macfarlane PW.Renaissance in electrocardiography[J].Lancet,1999,353:1 377
  • 6Schwab JO,Shlevkov N,Grunwald K,et al.Influence of the point of origin on heart rate turbulence after stimulated ventricular and atrial premature beats[J].Basic Res Cardiol,2004,99(1):56
  • 7Cygankiewicz I,Wranicz JK,Zaslonka J,et al.Clinical covariates of abnormal heart rate turbulence in coronary patients[J].Annals of Noninvasive Electrocardiology,2003,8(4):289
  • 8Davies LC,Francis DP,Ponikowski P,et al.Relation of heart rate and blood pressure turbulence following premature ventricular complexes to baroreflex sensitivity in chronic congestive heart failure[J].Am J Cardiol,2001,87:737
  • 9Savelieva I,Wichterle D,Harries M,et al.Heart rate turbulence after atrial and ventricular premature beats:Relation to left ventricular function and coupling intervals[J].PACE,2003,26(1):401
  • 10Skanes AC,Tang ASL.Ventriculophasic modulation of atrioventricular nodal conduction in humans[J].Circulation,1998,97:2 245

共引文献323

同被引文献190

引证文献20

二级引证文献35

相关作者

内容加载中请稍等...

相关机构

内容加载中请稍等...

相关主题

内容加载中请稍等...

浏览历史

内容加载中请稍等...
;
使用帮助 返回顶部