标题:心率减速力的临床应用进展
作者:覃珍花 综述 俸艳英 审校 广西医科大学附属肿瘤医院心肺功能中心,广西 南宁 530000
卷次:
2020年31卷24期
【摘要】 心率减速力(DC)是心源性猝死筛选和预警的有效检测技术,在冠心病、心力衰竭、心肌病、心脏手术等心血管疾病的风险预警和治疗预后评估中同样显示出优越的应用价值。此外,DC与非心血管疾病(如内分泌疾病、神经精神系统疾病、药物相关心脏毒性等)的临床治疗与预后预测有紧密关系。目前,通过改进DC的检测技术使其在临床测量更简便,应用更灵活,DC的临床应用价值和发展潜力值得在临床广泛推广和深入探究。
【关键词】 心率减速力;心率加速力;心率变异性;连续心率减速力;迷走神经
【中图分类号】 R54 【文献标识码】 A 【文章编号】 1003—6350(2020)24—3237—04
Progress in clinical application of deceleration capacity.
QIN Zhen-Hua, FENG Yan-Ying. Cardiopulmonary Center,Cancer Hospital Affiliated to Guangxi Medical University, Nanning 530000, Guangxi, CHINA【Abstract】 Deceleration capacity (DC) is an effective detection technique for sudden cardiac death screeningand early warning. It also shows superior application value in risk stratification and treatment prognosis assessment ofother cardiovascular diseases such as coronary heart disease, heart failure, cardiomyopathy and cardiac surgery. In addi-tion, DC is closely related to clinical therapeutics and the prognosis of non-cardiovascular diseases such as endocrine dis-eases, neuropsychiatric system, and drug-related cardiotoxicity. At present, it is more convenient and flexible in clinicalmeasurement and application by improving the detection technology of DC. The clinical application value and develop-ment potential of heart rate deceleration are worthy of extensive promotion and in-depth exploration in the clinic.
【Key words】 Deceleration capacity (DC); Acceleration capacity (AC); Heart rate variability (HRV); Heart ratedeceleration runs (DRs); Vagus·综述·doi:10.3969/j.issn.1003-6350.2020.24.031基金项目:广西壮族自治区卫生健康委员会自筹经费科研课题(编号:Z20191108)
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