JIA Fengpeng, et al. The relationship between heart rate turbulence and heart rate variability[J]. Journal of Chongqing Medical University, 2007,(8):843-845.
JIA Fengpeng, et al. The relationship between heart rate turbulence and heart rate variability[J]. Journal of Chongqing Medical University, 2007,(8):843-845.DOI:
Objective:To investigate the correlation between heart rate turbulence(HRT)and heart rate variability(HRV)indices
and the impact of mean R-R interval
β-blocker and other factors on HRV and HRT.Methods:76 postinfarction patients were recruited.24-hour
three-lead ambulatory electrocardiography was performed in all subjects for the analysis of HRV(including SDNN
PNN50
RMSSD
HF
LF)and HRT(including TO and TS).And the general clinical data of each case were collected.Results:TS was positively correlated with SDNN(r=0.559
P<0.001)
PNN50(r=0.511
P<0.001)
RMSSD(r=0.515
P<0.001)
HF(r=0.644
P<0.001).TO was inversely correlated with SDNN(r=-0.524
P<0.001)
PNN50(r=-0.511
P<0.001)
LF(r=-0.543
P<0.001)
HF(r=-0.412
P<0.001).Both TO and TS had no correlation with the variables such as the treatment of β-blocker
mean R-R intervals
LVEF
concomitant hypertension
but there was a weak correlation between SDNN and each one of these variables.Conclusions:TS is mainly associated with the cardiac vagal efferent activity.TO may be modulated by both sympathetic and parasympathetic efferent activity.HRT is not influenced by such factors as treatment of β-blocker
mean R-R intervals
LVEF
concomitant hypertension
which may explain the reason why HRT is superior to HRV in predicting high-risk patients of SCD.
关键词
心率变异窦性心率震荡心脏性猝死
Keywords
heart rate variabilityHeart rate turbulenceSudden cardiac death