Singh Nikhil, Moneghetti Kegan James, Christle Jeffrey Wilcox, Hadley David, Plews Daniel, Froelicher Victor
Department of Medicine, University of Southern California Keck School of Medicine Los Angeles, CA, USA.
Department of Medicine, St Vincent's Hospital, University of Melbourne Melbourne, Australia.
Arrhythm Electrophysiol Rev. 2018 Aug;7(3):193-198. doi: 10.15420/aer.2018.27.2.
The autonomic nervous system plays a major role in optimising function of the cardiovascular (CV) system, which in turn has important implications for CV health. Heart rate variability (HRV) is a measurable reflection of this balance between sympathetic and parasympathetic tone and has been used as a marker for cardiac status and predicting CV outcomes. Recently, the availability of commercially available heart rate (HR) monitoring systems has had important CV health implications and permits ambulatory CV monitoring on a scale not achievable with traditional cardiac diagnostics. The focus of the first part of this two-part review is to summarise the physiology of HRV and to describe available technologies for HRV monitoring. Part two will present HRV measures for assessing CV prognosis and athletic training.
自主神经系统在优化心血管（CV）系统功能方面发挥着重要作用，而这反过来又对心血管健康具有重要意义。心率变异性（HRV）是交感神经和副交感神经张力之间这种平衡的可测量反映，并已被用作心脏状态的标志物和预测心血管结局。最近，商用心率（HR）监测系统的出现对心血管健康具有重要意义，并允许进行传统心脏诊断无法实现的大规模动态心血管监测。这篇两部分综述的第一部分重点是总结HRV的生理学，并描述用于HRV监测的现有技术。第二部分将介绍用于评估心血管预后和运动训练的HRV测量方法。
