在慢性心力衰竭患者的运动期间,心率响应模式
Toshihide Izumida1, Teruhiko Imamura1, Naoya Kataoka1
1Second Department of Internal Medicine, University of Toyama, Toyama, Japan.
概括
心力衰竭患者在运动期间表现出不同的心率模式. 与年龄较大和BNP较高相关的西格形图案显示,无氧值后心率增加有限,这表明潜在的鼻节功能障碍.
科学领域:
- 心脏病学 心脏病学
- 运动生理学 运动生理学
- 心脏衰竭研究研究
背景情况:
- 细节心率 (HR) 响应模式在心力衰竭 (HF) 患者的运动期间与鼻腔节律是不清楚的定义.
- 了解这些模式对于管理高频率和慢性无能至关重要.
研究的目的:
- 在HF患者的心肺运动测试期间统计分类和描述HR反应模式.
- 根据HR行为及其临床相关性来识别不同的群体.
主要方法:
- 选了99名患有鼻节律的HF患者,接受了心肺运动测试.
- 应用后勤微分方程模型来分类HR响应模式.
- 分析了每个模式组的人口,临床和运动参数.
主要成果:
- 确定了两个不同的HR模式:西格形 (75名患者) 和指数式 (24名患者).
- 西格形模式组年龄较大,B型尿素水平较高,并且表现出超出无氧值的 HR 增加.
- 与指数组相比,具有西格形模式的患者在无氧值之外的氧气消耗 (V·o2) / kg显著降低.
结论:
- 在患有鼻节律的HF患者中,最大努力期间的HR响应可以分为西格形和指数式模式.
- 西格形图案可能表明鼻结功能障碍,需要进一步调查慢性无能症的临床影响.
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