俄罗斯儿童的性别和年龄相关心率变化参数的参考范围
Vladimir Shvartz1, Vasily Danilov2, Svetlana Koroleva3
1Bakulev Scientific Center for Cardiovascular Surgery, Rublevskoe Shosse, 135, Moscow, Russia, 121552. shvartz.va@ya.ru.
Scientific reports
|February 12, 2025
概括
5.5-12.5岁儿童心率变化 (HRV) 的参考范围显示年龄和性别特定的模式. 总体而言,HRV参数随着年龄的增长而增加,男孩和女孩之间存在显著差异.
科学领域:
- 儿童心脏病学 儿童心脏病学
- 自主神经系统功能 自主神经系统功能
- 生物医学工程 生物医学工程
背景情况:
- 确定心率变化 (HRV) 的规范性数据对于评估儿科心血管健康至关重要.
- 以前的研究表明HRV的年龄和性别相关变化,但需要对儿童进行全面的参考范围.
研究的目的:
- 在大量健康儿童中建立关键心率变化 (HRV) 参数的参考范围.
- 调查年龄和性别对这些HRV参数的影响.
主要方法:
- 分析了5.5至12.5岁22468名儿童的5分钟心电图 (ECG) 节律图.
- 时间 (SDNN) 和光谱 (LF,HF,VLF,LF/HF比率,TP,LF%,HF%) HRV参数的计算.
- 数据按年龄组和性别分层,以确定趋势和差异.
主要成果:
- 包括SDNN,LF,HF,HF%和TP在内的HRV参数随着年龄的增长而增加,达到8-9岁左右的峰值.
- 在所有年龄段,男孩的SDNN,LF和TP值明显高于女孩.
- 随着年龄的增长,VLF值随着年龄的增长而增加,在男孩中更高;LF%和LF/HF随着年龄的增长而下降,并且没有显著的性别差异.
结论:
- 已经确定了5.5-12.5岁儿童的HRV参数的特定年龄参考范围.
- 在HRV参数中观察到基于性别的显著差异,特别是那些反映同情和副同情活动的参数.
- 这些发现为儿科心血管健康评估提供了有价值的规范性数据.
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