糖尿病患者运动试验中心率恢复对心血管事件的预测

The Effects of Heart Rate Recovery on Predicting Cardiovascular Events During Treadmill Exercise in Patients with Diabetes

运动试验中心率恢复异常与心肌缺血、心肌损害、心脏自主神经功能受损、窦房结功能等因素相关。目前的研究证实运动试验中异常的心率恢复可反映心肌缺血、心脏自主神经病变,对心血管疾病的诊断及预后判断有重要的应用价值。冠状动脉粥样硬化性心脏病、心脏自主神经病变是糖尿病患者的常见并发症,严重影响糖尿病患者的预后。在此就糖尿病患者运动试验中心率恢复对心血管事件的预测价值研究现状予以综述。

Abnormal heart rate recovery during exercise stress testing is associated with myocardial ischemia,myocardial injury,cardiac autonomic neuropathy damage,and the atrionector function.Accumulating evidence suggests that attenuated heart rate recovery during the exercise stress testing has emerged as a novel marker for myocardial ischemia,cardiac autonomic neuropathy,and the effects of heart rate recovery on cardiovascular diseases′diagnosis and prognosis has been validated.Coronary heart disease and cardiac autonomic neuropathy are the common complications of diabetes,which severely influences diabetes′ prognosis.Here is to review the effects of heart rate recovery during exercise stress testing on predicting cardiovascular events in patients with diabetes.