Wiki: 心跳變異分析
心率變異分析(英語:heart rate variability,縮寫為HRV),或稱心率變異度分析,是一種量測連續心跳速率變化程度的方法。其計算方式主要是分析藉由心電圖或脈搏量測所得到的心跳與心跳間隔的時間序列。心臟除了本身的節律性放電引發的跳動之外,也受到自律神經系統所調控。過去二十年已有不少文獻顯示自律神經系統的調控與心血管疾病相關的死亡率有顯著的關係,例如心因性猝死[1]、高血壓[2]、出血性休克[3]、敗血性休克[4]等。心率變異分析亦被發現可作為預測發生心肌梗塞後的死亡率的指標[5]及預測末期肝癌病患的預後[6]。
1. Politano L, Palladino A, Nigro G, Scutifero M, Cozza V.(2008) Usefulness of heart rate variability as a predictor of sudden cardiac death in muscular dystrophies.Acta Myol 27:114-22..
2. Palatini P, Julius S.(2009) The role of cardiac autonomic function in hypertension and cardiovascular disease. Curr Hypertens Rep 11(3):199-205..
3. Kawase M, Komatsu T, Nishiwaki K, Kimura T, Fujiwara Y, Takahashi T, Shimada Y.(2000) Heart rate variability during massive hemorrhage and progressive hemorrhagic shock in dogs.Can J Anaesth 47(8):807-14..
4. Chen WL, Kuo CD. Characteristics of heart rate variability can predict impending septic shock in emergency department patients with sepsis. Acad Emerg Med 14(5):392-7..
5. Chen WL, Tsai TH, Huang CC, Chen JH, Kuo CD.(2009) Heart rate variability predicts short-term outcome for successfully resuscitated patients with out-of-hospital cardiac arrest. Resuscitation 80(10):1114-8..
6. Chiang JK, Koo M, Kuo TB, Fu CH.(2010) Association between cardiovascular autonomic functions and time to death in patients with terminal hepatocellular carcinoma. J Pain Symptom Manage 39(4):673-9..
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