摘要
心率变异性(heart rate variability,HRV)是能够准确反映心脏自主神经系统活性的指标。通过动态心电图检查完善HRV分析,结合时域分析和频域分析,可定量评价人体心脏的交感神经和迷走神经张力及其平衡状态。本文以HRV的调节机制为着手点,解读HRV时域和频域分析指标的临床意义;结合新近国内外在冠状动脉粥样硬化性心脏病、原发性高血压、心力衰竭、房颤领域与HRV相关的临床研究及荟萃分析,对HRV检测分析在心血管疾病领域的临床应用进行综述。
Heart rate variability(HRV)is an index which can accurately reflect the activity of cardiac autonomic nervous system.By improving HRV analysis via ambulatory electrocardiographic examination,the sympathetic nerve and vagus nerve tension,and their balance state can be quantitatively evaluated with a combination of time-and frequency-domain analysis.Based on the regulatory mechanism of HRV,this review intends to interpret the clinical significance of time-and frequency-domain analysis indexes.Combined with recent clinical researches and meta-analysis related to HRV in the fields of coronary atherosclerotic cardiopathy,primary hypertension,heart failure and atrial fibrillation,this paper also reviews the clinical application of HRV testing and analysis in the field of cardiovascular diseases.
作者
李京秀
章富君
刘娴
李学奇
LI Jingxiu;ZHANG Fujun;LIU Xian;LI Xueqi(Department of Electrocardiography,the First Affiliated Hospital of University of Science and Technology of China,Hefei Anhui 230001;Department of Electrocardio-graphy,Chizhou Second People's Hospital,Chizhou Anhui 247000;Department of Cardiology,the Fourth Affiliated Hospital of Harbin Medical University,Harbin Heilongjiang 150001,China)
出处
《实用心电学杂志》
2021年第4期293-296,共4页
Journal of Practical Electrocardiology
基金
国家自然科学基金资助项目(81800323)。
关键词
心率变异性
心脏自主神经系统
时域分析
频域分析
心血管疾病
heart rate variability
cardiac autonomic nervous system
time-domain analysis
frequency-domain analysis
cardiovascular disease
