对HRV参考值进行系统审查
Maximillian Brozat1, Irina Böckelmann2, Stefan Sammito1,2
1German Air Force Centre of Aerospace Medicine, 51147 Cologne, Germany.
由于许多影响因素,确定正常心率变化 (HRV) 值具有挑战性. 这一系统性审查强调需要进一步研究,以定义普遍接受的HRV参考范围.
科学领域:
- 心脏病学 心脏病学
- 自主神经系统生理学 自主神经系统生理学
- 生物医学数据分析
背景情况:
- 心率变化 (HRV) 通过测量节拍间隔变化来量化自主神经系统功能.
- 尽管进行了广泛的研究,但目前还没有普遍接受的正常HRV值.
- 了解HRV的影响对于建立可靠的参考范围至关重要.
研究的目的:
- 系统地审查有关正常心率变化值的现有研究.
- 识别和分析影响HRV测量的因素.
- 评估当前HRV参考值研究的现状.
主要方法:
- 在PubMed,Scopus,Ovid Medline和PsychInfo的系统数据库中搜索HRV参考价值研究.
- 包括1989年至2022年间发表的58项研究.
- 使用STARD-HRV程序进行质量评估.
主要成果:
- 审查的研究检查了多种人群 (20-84,772名受试者,年龄为1天至99岁).
- 分析了各种测量持续时间 (短期,中期,长期) 和HRV参数.
- 没有发现HRV正常值的共识;由于研究异质性,元分析是不切实际的.
结论:
- 目前,没有普遍接受的正常HRV值.
- 大型研究提供了方向,但进一步的研究是必不可少的.
- 了解和标准化影响因素是建立公认的HRV正常值的关键.
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