在中年人群中进行门诊心率测量的参考范围
Anders Paul Persson1,2, Alexandra Måneheim3,2, Johan Economou Lundeberg3,4
1Department of Clinical Sciences, Lund University, Malmö, Sweden anders_p.persson@med.lu.se.
Heart (British Cardiac Society)
|April 5, 2024
概括
在健康的中年成年人中,外行心率 (HR) 差异很大,已建立了平均和最小HR的参考范围. 这些HR的个体差异在很大程度上独立于常见的临床因素.
科学领域:
- 心脏病学 心脏病学
- 预防医学 预防医学
- 临床生理学 临床生理学
背景情况:
- 心率升高 (HR) 是心血管疾病和死亡率的预测因素.
- 缺乏门诊HR的确定的正常限值.
- 这项研究旨在在中年人群中确定门诊HR的参考范围.
研究的目的:
- 在中年人群中确定门诊心率 (HR) 的参考范围.
- 调查门诊HR的临床相关性.
主要方法:
- 对5809名年龄在50-65岁之间,没有心房动的个人进行了24小时心电图.
- 使用健康子集 (n=3942) 确定参考值,不包括特定疾病和药物.
- 多变量线性回归分析了门诊HR的临床相关性.
主要成果:
- 平均门诊HR的参考范围是男性的57-90bpm,女性的61-92bpm.
- 平均平均HRs为73bpm (男性) 和76bpm (女性);平均最低HRs为48bpm (男性) 和51bpm (女性).
- 临床因素解释了HR个体间差异的不到15%.
结论:
- 门诊HR在健康的中年人群中表现出很大的差异.
- 这些发现对于管理患有心动减速症的患者具有重要意义.
- 门诊HR的个体变化在很大程度上与常见的临床因素无关.
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