经皮冠状动脉介入治疗对心脏自主神经活性长期影响

邓昌明; 黄晶; 刘地川; 江永红; 朱悫; 罗开良

doi:10.13406/j.cnki.cyxb.2008.03.010

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经皮冠状动脉介入治疗对心脏自主神经活性长期影响

论著 | 更新时间：2024-01-17

- 经皮冠状动脉介入治疗对心脏自主神经活性长期影响
- The long-term effect of percutaneous coronary intervention on cardiac autonomic nerve system
- 重庆医科大学学报 2008年第3期页码：352-353
- 作者机构：
  
  1. 重庆医科大学附属第二医院心血管内科
  2. 重庆医科大学附属第二医院心血管内科,重庆,400010
- 作者简介：
- 基金信息：
  
  重庆市卫生局科研基金（2005-31）;重庆市自然科学基金（CSTC2006BB5280）。
- DOI：10.13406/j.cnki.cyxb.2008.03.010
  中图分类号： R541
- 纸质出版日期：2008，
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[1]邓昌明,黄晶,刘地川,江永红,朱悫,罗开良.经皮冠状动脉介入治疗对心脏自主神经活性长期影响[J].重庆医科大学学报,2008(03):352-353+360.

DENG Chang-ming. The long-term effect of percutaneous coronary intervention on cardiac autonomic nerve system[J]. Journal of Chongqing Medical University, 2008,(3):352-353.
[1]邓昌明,黄晶,刘地川,江永红,朱悫,罗开良.经皮冠状动脉介入治疗对心脏自主神经活性长期影响[J].重庆医科大学学报,2008(03):352-353+360. DOI： 10.13406/j.cnki.cyxb.2008.03.010.

DENG Chang-ming. The long-term effect of percutaneous coronary intervention on cardiac autonomic nerve system[J]. Journal of Chongqing Medical University, 2008,(3):352-353. DOI： 10.13406/j.cnki.cyxb.2008.03.010.

摘要

目的:探讨经皮冠状动脉介入（Percutaneous coronary intervention

PCI）治疗后心脏自主神经活性长期动态变化规律

评价PCI对冠心病预后的影响。方法:选择经冠状动脉造影证实并适合PCI的32例冠心病患者

年龄性别匹配的经冠状动脉造影证实的非冠心病患者32例

所有入选者于PCI术前、术后1周、1月、3月、6月及1年进行心率变异（Heart rate variability

HRV）检测。结果:冠心病患者HRV减低

PCI术后1周HRV较术前减低更为明显

术后1月、3月HRV逐步升高

于6月较术前改善最为明显

术后1年几乎达对照组水平。结论:冠心病患者HRV减低

心脏自主神经功能受损

PCI术后短期内心脏自主神经功能进一步受损

但明显改善远期心脏自主神经功能。

Abstract

Objective:To investigate the long effect of pereutaneous coronary intervention(PCl)on heart rate variability(HRV) in patients with coronary artery disease(CAD)

and to evaluate the prognosis of patients with CAD receiving PCI.Methods:To choose 32 patients confirmed by coronary arteriography and suitable for PCl

and to choose 32 control patients with non-CAD confirmed by coronary arteriography

HRV indices were analyzed hefore PCI and Iweek

Imonth

3months

6months

lyear after PCI.Results:HRV indices were decreased in patients with CAD

HRV was lower in patients in lweek after PCI than that before PCI

HRV was gradually increased in lmonth and there was significantly improved in 6months after PCI

and nearly to the level of control group in one year.Conclusion:HRV is low in the patients with CAD

there is slightly decreased in the early stage of PCl

but the long effect of PCI on heart rate variability can be observed.

关键词

冠状动脉疾病经皮冠状动脉介入心率变异自主神经系统

Keywords

Coronary artery diseasePercutaneous coronary interventionheart rate variabilityAutonomic nerve system

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