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阵发性心房颤动的心率变异性分析 被引量:3

Analysis of the heart rate variability in patients with paroxysmal atrial fibrillation
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摘要 目的:分析阵发性心房颤动与正常对照组之间心率变异性指标的差异,探讨自主神经在阵发性心房颤动中的作用机制。方法:在动态心电图的基础上测量分析25例阵发性心房颤动患者和20例正常人的24h心率变异性指标(SDNN;LF;HF;LF/HF)并对其进行统计学分析,P<0.05为有差异有显著性。结果:25例阵发性心房颤动患者的SDNN显著增高(172.0±44.95∶126.2±19.87,P<0.05)其余指标LF;HF;LF/HF无显著差异(P>0.05)。结论:阵发性心房颤动患者存在着自主神经功能的紊乱,迷走神经功能增强可能是阵发性心房颤动发生的重要影响因素之一。 Objective; Analysis of the heart rate variability between the patients with paroxysmal atrial fibrillation and the normal control group, to assess the alteration of autonomic tone in patients with paroxysmal atrial fibrillation. Methods: The index of the heart rate variability (SDNN; LF; HF; L/H) was examined in 25 patients with paroxysmal atrial fibrillation and 20 normal peoples by 24 h ambulatory blood pressure monitor (ABPM). Results: The SDNN of paroxysmal atrial fibrillation was higher than that of normal control group (172.0±44. 95 : 126.2±19.87, P〈0.05), the other index ( LF; HF; L/H ) had no significant difference between two groups (P〉0.05). Conclusion: There is evidence that the function of vaga increased may be one of the important factors of onset of paroxysmal atrial fibrillation.
出处 《心血管康复医学杂志》 CAS 2008年第3期289-290,共2页 Chinese Journal of Cardiovascular Rehabilitation Medicine
关键词 心房颤动 自主神经系统 心率 Atrial fibrillation Autonomic nervous system Heart rate
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  • 1黄从新,马长生,杨延宗,黄德嘉,张澍,江洪,杨新春,吴书林,马坚,刘少稳,李莉,曹克将,王方正,陈新.心房颤动:目前的认识和治疗建议(二)[J].中华心律失常学杂志,2006,10(3):167-197. 被引量:269
  • 2Lombardi F, Tarricone D, Tundo F, et al. Autonomic nervous sy,stem and paroxysmal atrial fibrillation: a study based on the analysis of RR interval changes before, during and after paroxysmal atrial fibrillation [J]. European Heart Journal, 2004, 25 (14): 1242.
  • 3Huang CX, Zhao QY, Jiang H, et al. Experimental study of the vagus nerve on atrial electrical remodeling [J]. J of Electrocardiology, 2003, 36: 295.
  • 4Pappone C, Santinelli V, Manguso F, et al. Pulmonary vein denervation enhances long term benefit after circumferential ablation for paroxysmal atrial fibrillation [J]. Circulation, 2004, 109: 327-334.
  • 5Zimmermann M, Kalusche D. Fluctuation in autonomic tone is a major determinant of sustained atrial arrhythmias in patients with focalectopy originating from the pulmonary veins [J]. J Cardiovasc Electrophysiol, 2001, 12: 285.
  • 6Razavi M, Zhang S, Yang D, et al. Effects of pulmonary vein ablation on reginal atrial vagal innervation and vulnerability to atrial fibrillation in dogs [J]. J Cardiovasc Electrophysiol, 2005, 16: 879-884.

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