期刊文献+

窦性心率震荡的临床应用现状 被引量:5

下载PDF
导出
摘要 心率震荡(heart rate turbulence,HRT)指的是在室性期前收缩后,心率会出现一个折线向上的趋势,即先加快后减慢,这是一种心率的典型变化趋势。该现象反映了自主神经在早搏后反射性快速调节及窦房结的双向变时功能。HRT的概念最早由Schmidt等[1]在1999年提出,并应用于心肌梗死(MI)后患者死亡危险性预测。作为心血管疾病预测心源性猝死的独立指标,这种心电现象在临床应用中逐渐引起关注。近年来已有许多临床研究将HRT作为一项重要检测内容应用于不稳定性心绞痛,心力衰竭,糖尿病,高血压,慢性阻塞性肺病及脑卒中等疾病,以探讨、评估死亡危险。
作者 甘国钧
出处 《辽宁医学院学报》 CAS 2013年第2期92-94,共3页 Journal of Liaoning Medical University (LNMU) Bimonthly
  • 相关文献

参考文献19

  • 1Sredniawa B, Cebula S, Kowalczyk J, et al. Heart rate turbu- lence for prediction of heart transplantation and mortality in chro- nic heart failure [ J ]. Ann Noninvasive Electrocardiol, 2010,15 (3) : 230 -237.
  • 2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
  • 3Szydlo K, Orszulak W, Trusz - Gluza M, et al. Heart rate turbu- lencein postinfarction patients with history of malignant ventricular arrhythmias [J]. J Electrocardiol, 2011, 44 (2): 142-147.
  • 4Mrowka R, Presson PB, Theres H, et al. Blunted arterial baroreflex causes "pathological" heart rate turbulence [ J ]. Am J Physiol Regul Integr Comp Physiol, 2000, 279 (4) : Rl171 - R1175.
  • 5Makikallio TH, Bathel P, Schneider R, et al. Prediction of sudden cardiac death after acute myocardial infarction: role of Holter monitoring in the modem treatment era [J]. Eur Heart J, 2005, 26 (8): 762-769.
  • 6Exner DV, Kavanagh KM, Slawnych MP, et al. Noninvasive risk assessment early after a myocardial infarction the REFINE study [J]. J Am cool Cardiol, 2007, 50 (24): 2275 - 2284.
  • 7Stein PK, Deedwania P. Usegulness of abnormal heart rate turbu- lence to predict cardiolar mortality in high- risk patients with acute myocardial infarction and left wentricular dysfunction (from the EPHESUS) study [J]. AmJ Cardiol, 2009, 103: 1495-1499.
  • 8Lanza GA, Sguelia GA, Angeloni G, et al. Prognostic value of heart rate turbulence an its relation to inflammation in patients with unstable angina pectoris [ J. Am J Cardiol, 2009, 103 (8): 1066 -1072.
  • 9Sestito A, Valsecchi S, Infusino F, et al. Differences in heart rate turbulence between patients with coronary artery disease and patients with ventricular arrhythmias but structurally normal hearts [J]. Am JCardiol, 2004, 93 (9): 1114-1118.
  • 10Cygankiewicz I, Zareba W, Vazquez R, et al. Relation of heart rate turbulence to severity of heart failure [ J ]. Am J Cardiol, 2006, 98: 1635-1640.

二级参考文献31

共引文献317

同被引文献84

引证文献5

二级引证文献9

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