床旁一分钟心率变异测试与Holter心率变异测试两种方法的临床研究

Clinical Studies on Bedside Test of One Minute Heart Rate Variability

目的 对床旁一分钟心率变异 (HRV)测试方法进行临床研究 ,并与Holter测试HRV相比较 ,探讨其可行性、实用性。方法 采用美国第 6 9届心脏病学会议上Umetani提出的床旁一分钟深呼吸时HRV测试方法 (下述简称一分钟法 )和Holter 2 4小时心电监测测HRV(下述简称Holter法 ) ,对 6 2例健康人和 5 8例冠心病心绞痛患者进行测试。结果 6 2例健康人中一分钟法HRV正常者 5 4人(87 1% ) ,Holter法HRV正常者 5 8人 (93 5 % ) ,P >0 0 5 ;5 8例冠心病心绞痛患者中 ,一分钟法HRV正常者 40人(6 8 9% ) ,Holter法HRV正常者 46人 (79 3 % )P >0 0 5。结论 一分钟法与Holter法测定无明显差异 ,两种方法效果相同。

Objective The practicability of bedside test of one minute heart rate variability, which was compared with HRV tested by Holter, was studied clinically. Methods We adopted the bedside test of one minute heart rate variability during deep breathing (which is called one minute method for short) which was put forward by Umetani in the 69 th AHA conference of U.S. and adopted the method of 24 hour dynamic electrocardiogram (which is called Holter method for short). 62 healthy persons and 58 patients with coronary heart disease accompanied angina pectoris were tested.Results In 62 healthy persons, There were 54 normal HRV of one minute method and 58 normal HRV of Holter method, P >0 05. In 58 patients with coronary heart disease accompanied angina pectoris, There were 40 normal HRV of one minute method and 46 normal HRV of Holter method. P >0 05. Conclusion One minute method has no marked difference with Holter method in testing HRV and their results are the same.