宫外心脏起器的动态行为和自主调节
H V Huikuri1, A M Poutiainen, T H Mäkikallio
1University of Oulu, Department of Medicine, Division of Cardiology, Oulu, Finland. heikki.huikuri@oulu.fi
Circulation
|September 29, 1999
概括
心率可变性分析显示,异位心房心动和节节律的异位心房心动和节节律的长期自主调节类似. 然而,短期心率动态变得更随机的异位心跳动.
科学领域:
- 心脏病学 心脏病学
- 自主神经系统的调节规则
- 心脏电生理学 心脏电生理学
背景情况:
- 心率 (HR) 的变化通常反映了鼻节的神经调节.
- 对异常心房焦点的自主调节的理解较少.
- 这项研究比较了宫外心房高心率与鼻节节律的HR变化.
研究的目的:
- 为了比较宫外心房高心率,鼻腔高心率和正常鼻腔节律之间的HR变化.
- 为了研究异常心房焦点的自主神经调节.
- 描述不同心律障碍的短期和长期R-R间隔动态.
主要方法:
- 分析了24小时的霍尔特记录,这些记录来自患有宫外心房高心率,鼻腔高心率和正常鼻腔节律的患者.
- 使用的时间和频率域HR变化度量.
- 评估了近似,分数缩放指数 (alpha{1,alpha{2}) 和权力定律缩放 (β).
主要成果:
- 时间和频率域HR变异性测量在异位心脏和鼻腔心动之间没有区别.
- 碎形缩放指数和近似在鼻高心率和正常鼻节律中是相似的.
- 短期缩放指数alpha (((1) 在宫外心房慢心跳中显著较低,表明更多的随机R-R间隔动态.
结论:
- 长期自主调节似乎类似于宫外心房焦点和鼻节点.
- 短期R-R间隔动态显示出异位性心跳动的随机性增加.
- 这种改变的短期行为可能源于自主性障碍或内在的起器异常.
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