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慢性心力衰竭患者窦性心率震荡的检测及临床意义 被引量：2

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摘要 在室性早搏后，窦性心率先加速，随后发生减速，这种典型的双相涨落式变化称为窦性心率震荡（heart rate turbulence，HRT）。见于健康人及心肌梗死后猝死的低危患者，另一种是室性早搏后窦性HRT较弱或消失，常见于心肌梗死后猝死的高危患者，表现为室性早搏后窦性心率的RR间期无明显变化。慢性心力衰竭患者是发生心脏性猝死的高危人群，本研究对67例慢性心功能不全患者进行窦性HRT指标分析，以探讨慢性心力衰竭患者窦性HRT的特点及临床意义。
作者 徐韬
机构地区 山东省聊城市人民医院心电图室
出处 《中国医师进修杂志（内科版）》 2008年第9期63-64,共2页 Chinese Journal of Postgraduates of Medicine
关键词 慢性心力衰竭患者 窦性心率震荡 临床意义 心脏性猝死 慢性心功能不全 检测 室性早搏 HRT
分类号 R541.61 [医药卫生—心血管疾病] R542.2 [医药卫生—心血管疾病]
  • 相关文献

参考文献4

  • 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
  • 2王德昭,李志民,付贵琴,刘小华,曹海蓉,胡大一.窦性心律震荡现象对急性心肌梗死预后的影响[J].中国全科医学,2005,8(14):1138-1140. 被引量：11
  • 3Schmidt G, Malik M,Barthel P, et al. Heart rate turbulence after ventricular premature beats as a predictor of mortality after aute myocardial infarction.Lancet, 1999,353 (9162 ): 1390-1396.
  • 4Sade E, Aytemir K, Oto A, et al. Assessment of heart-rate turbulence in the acute phase of myocardial infarction for long-term prognosis. Pacing Clin Electrophysiol, 2003,26(2 Pt 1 ) : 544-550.

二级参考文献11

  • 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
  • 2Sade E,Aytemir K,Oto A,et al.Assessment of heart rate turbulence in the acute phase of myocardial infarction for long-term prognosis[J].Pacing Clin Electrophysiol,2003,26(2 Pt 1):544-550.
  • 3Grimm W,Sharkova J,Christ M,et al.Prognostic significance of heart rate turbulence following ventricular premature beats in patients with idiopathic dilated cardiomyopathy[J].J Cardiovasc Electrophysiol,2003,14(8):819-824.
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  • 6Schmidt G,Malik M,Barthel P,et al.Heart-rate turbulence after ventricular premature beats as a predictor of mortality after acute myocardial infarction[J].Lancet,1999,3539(9162):1390-1396.
  • 7Ghuran A,Reid F,La Rovere MT,et al.Heart rate turbulence-based predictors of fatal and nonfatal cardiac arrest (The Autonomic Tone and Reflexes After Myocardial Infarction substudy)[J].Am J Cardiol,2002,89(2):184-190.
  • 8Jeron A,Kaiser.Association of the heart rate turbulence with classic risk stratification parameters in postmyocardial infarction patients[J].Ann Noninvasive Electrocardiol,2003,8(4):296-301.
  • 9Voss A,Baier V,Schumann A,et al.Postextrasystolic regulation patterns of blood pressure and heart rate in patients with idopathic dilated cardiomyopathy[J].J Physiol,2002,538(Pt 1):271-278.
  • 10王保明,杨勇杰.急性心肌梗死患者静脉溶栓前后QT离散度变化分析[J].中国全科医学,2002,5(4):324-324. 被引量：4

共引文献313

同被引文献26

  • 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
  • 2汪红霞,王瑞英,王红宇,李琦.心率震荡对急性心肌梗死后高危患者的预测价值[J].中华心律失常学杂志,2006,10(3):223-227. 被引量：30
  • 3Carney RM,HoweUs WB,Blumenthal JA,et al. Heart rate turbulence, depression, and survival after acute myocardial infarction. Psyehosom Med, 2007,69 ( 1 ) :4-9.
  • 4Cygankiewicz I ,Zareba W, Vazquez R, et al. Relation of heart rate turbulence to severity of heart failure. Am J Cardio1,2006,98 (12) : 1635-1640.
  • 5D'Aloia A,Faggiano P,Aurigemma G,et al. Serum levels of carbo- hydrate antigen 125 in patients with chronic heart failure: relation to clinical severity, hemodynamic and Doppler echocardiographic abnormalities, and short-term prognosis. J Am Coil Cardiol, 2003, 41 (10) :1805-1811.
  • 6Schrnidt G, Malik M, Barthel P, et al. Heart-rate turbulence after ventricular premature beats as a predictor of mortality after acute myocardial infarction. Lancet, 1999,353 (9162) : 1390-1396.
  • 7Barthel P, Schneider R, Bauer A, et al. Risk stratification after acute myocardial infarction by heart rate turbulence. Circulation, 2003, 108 (10) : 1221-1226.
  • 8Roach D, Koshman ML, Duff H, et al. Induction of heart rate and blood pressure turbulence in the electrephysiologic laboratory. Am J Cardiol,2002,90 (10) :1098-1102.
  • 9Moore RK, Groves DG, Barlow PE, et al. Hart rate turbulence and death due to cardiac deoompensation in patients with chronic heart failure. Eur J Heart Fail,2006,8(6) :585-590.
  • 10Kabawat SE, Bast RC Jr, Bhan AK,et al. Tissue distribution of a coelomie-epithelium-related antigen recognized by the monoclonal antibody OC125. Int J Gyneeol Pathol, 1983,2 (3) :275-285.

引证文献2

二级引证文献5

中国医师进修杂志（内科版）
2008年 第9期

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