糖尿病患者心脏迷走神经控制的评估。不同条件下R-R间期变化的测量。
Assessment of vagal control of the heart in diabetes. Measures of R-R interval variation under different conditions.
作者信息
Bennett T, Fentem P H, Fitton D, Hampton J R, Hosking D J, Riggott P A
出版信息
Br Heart J. 1977 Jan;39(1):25-8. doi: 10.1136/hrt.39.1.25.
Abstract
R-R intervals and R-R interval variation were measured in 2 selected groups of diabetic subjects; 1 group was selected because vagal control of the heart appeared normal, the other group was selected because they lacked vagal control of the heart. The means of the R-R intervals for the 2 groups were not significantly different under various conditions (sleeping, lying, during deep breathing, sitting, standing, and during upright activity). The standard deviations of the R-R intervals for the 2 groups were only significantly different during deep breathing and upright activity. It is suggested that cardiac vagal function is not reliably assessed by measurement of R-R interval variation during quiet standing, but useful information may be obtained during deep breathing.
摘要
在两组选定的糖尿病患者中测量了R-R间期和R-R间期变异性；一组被选中是因为其心脏的迷走神经控制似乎正常，另一组被选中是因为他们缺乏心脏的迷走神经控制。在各种条件下（睡眠、卧位、深呼吸期间、坐位、站立位以及直立活动期间），两组的R-R间期平均值无显著差异。两组的R-R间期标准差仅在深呼吸和直立活动期间有显著差异。这表明，在安静站立时通过测量R-R间期变异性不能可靠地评估心脏迷走神经功能，但在深呼吸期间可能会获得有用信息。
相似文献
1
Assessment of vagal control of the heart in diabetes. Measures of R-R interval variation under different conditions.糖尿病患者心脏迷走神经控制的评估。不同条件下R-R间期变化的测量。
Br Heart J. 1977 Jan;39(1):25-8. doi: 10.1136/hrt.39.1.25.
2
Vagolytic effect of diabetes mellitus.
Brain. 1993 Apr;116 ( Pt 2):485-92. doi: 10.1093/brain/116.2.485.
3
Assessment of methods for estimating autonomic nervous control of the heart in patients with diabetes mellitus.糖尿病患者心脏自主神经控制评估方法的研究
Diabetes. 1978 Dec;27(12):1167-74. doi: 10.2337/diab.27.12.1167.
4
Reflex control of heart rate in normal subjects in relation to age: a data base for cardiac vagal neuropathy.正常受试者心率的反射控制与年龄的关系：心脏迷走神经病变的数据库。
Diabetologia. 1982 Mar;22(3):163-6. doi: 10.1007/BF00283745.
5
Parasympathetic autonomic neuropathy in diabetes mellitus: the heart is denervated more often than the pupil.糖尿病中的副交感神经自主神经病变：心脏去神经化的情况比瞳孔更常见。
Electromyogr Clin Neurophysiol. 1994 Dec;34(8):467-9.
6
Cardiac vagal denervation in hemodialysis patients.血液透析患者的心脏迷走神经去神经支配
Nephron. 1982;30(3):228-30. doi: 10.1159/000182466.
7
Cardiac autonomic neuropathy in diabetes: comparison of measures of R-R interval variation.糖尿病性心脏自主神经病变：R-R间期变异性测量方法的比较
Diabetologia. 1981 Jul;21(1):18-24. doi: 10.1007/BF03216217.
8
Improving estimation of cardiac vagal tone during spontaneous breathing using a paced breathing calibration.使用定频呼吸校准改善自主呼吸过程中心脏迷走神经张力的估计。
Biomed Sci Instrum. 2004;40:317-24.
9
Cardiac denervation in diabetes.糖尿病中的心脏去神经支配
Br Med J. 1973 Dec 8;4(5892):584-6. doi: 10.1136/bmj.4.5892.584.
10
Effects of atropine on autonomic indices based on electrocardiographic R-R intervals in healthy volunteers.阿托品对健康志愿者基于心电图R-R间期的自主神经指标的影响。
J Neurol Neurosurg Psychiatry. 1992 Jan;55(1):31-5. doi: 10.1136/jnnp.55.1.31.
引用本文的文献
1
The clinical approach to autonomic failure in neurological disorders.神经系统疾病自主神经衰竭的临床处理方法。
Nat Rev Neurol. 2014 Jul;10(7):396-407. doi: 10.1038/nrneurol.2014.88. Epub 2014 May 27.
2
Pupil size in diabetes.糖尿病患者的瞳孔大小
Arch Dis Child. 1994 Dec;71(6):511-5. doi: 10.1136/adc.71.6.511.
3
Diabetic autonomic neuropathy. The diagnostic value of heart rate monitoring.糖尿病自主神经病变。心率监测的诊断价值。
Diabetologia. 1980 Jun;18(6):471-8. doi: 10.1007/BF00261703.
4
Sympathetic nerve failure in diabetes.糖尿病中的交感神经功能衰竭。
Diabetologia. 1983 Aug;25(2):73-7. doi: 10.1007/BF00250890.
5
Baroreflex control of plasma norepinephrine and heart period in healthy subjects and diabetic patients.健康受试者和糖尿病患者中压力反射对血浆去甲肾上腺素和心搏周期的控制。
J Clin Invest. 1986 Aug;78(2):366-74. doi: 10.1172/JCI112586.
6
Reduced intraindividual variability of repeated cardiovascular reflex tests: an additional marker of autonomic neuropathy in insulin-dependent (type I) diabetes mellitus?重复心血管反射测试中个体内变异性降低：胰岛素依赖型（I型）糖尿病自主神经病变的另一个标志物？
Acta Diabetol Lat. 1986 Oct-Dec;23(4):279-89. doi: 10.1007/BF02582061.
7
Bedside diagnosis of cardiac autonomic damage by computerized analysis of heart rate-respiration relationship.
Acta Diabetol Lat. 1986 Apr-Jun;23(2):141-54. doi: 10.1007/BF02624674.
8
Measurement of blood pressure and heart-rate variation while resting supine and standing for the evaluation of autonomic dysfunction.测量仰卧休息和站立时的血压及心率变化，以评估自主神经功能障碍。
J Neurol. 1987 Dec;235(2):65-8. doi: 10.1007/BF00718011.
9
Spectral analysis of heart rate variability signal and respiration in diabetic subjects.
Med Biol Eng Comput. 1990 May;28(3):205-11. doi: 10.1007/BF02442668.
10
Effect of lead on cardiac parasympathetic function.
Int Arch Occup Environ Health. 1991;62(8):549-53. doi: 10.1007/BF00381107.
本文引用的文献
1
The analysis of cardiac interbeat interval sequences and the effects of mental work load.心脏搏动间期序列分析及精神工作负荷的影响。
Proc R Soc Med. 1971 Jul;64(7):707-10. doi: 10.1177/003591577106400702.
2
Apparatus for logging low-frequency physiological signals on punched paper taps.用于在穿孔纸带上记录低频生理信号的仪器。
J Physiol. 1972 Oct;226(2):6P.
3
Cardiac denervation in diabetes.糖尿病中的心脏去神经支配
Br Med J. 1973 Dec 8;4(5892):584-6. doi: 10.1136/bmj.4.5892.584.
4
A simple load transducer suitable for long-term recording of activity patterns in human subjects.一种适用于长期记录人类活动模式的简单负载传感器。
J Physiol. 1973 Jun;231(2):94P-95P.
5
Analysis of heart rate variability.心率变异性分析。
Ergonomics. 1973 Jan;16(1):17-32. doi: 10.1080/00140137308924479.
6
Baroreflex sensitivity and responses to the Valsalva manoeuvre in subjects with diabetes mellitus.糖尿病患者的压力反射敏感性及对瓦尔萨尔瓦动作的反应
J Neurol Neurosurg Psychiatry. 1976 Feb;39(2):178-83. doi: 10.1136/jnnp.39.2.178.
7
RR interval variations in young male diabetics.年轻男性糖尿病患者的RR间期变化
Br Heart J. 1975 Aug;37(8):882-5. doi: 10.1136/hrt.37.8.882.
8
Defective innervation of heart in diabetic autonomic neuropathy.糖尿病性自主神经病变中存在心脏神经支配缺陷。
Br Med J. 1975 Jul 5;3(5974):15-7. doi: 10.1136/bmj.3.5974.15.
9
Cardiovascular control in diabetes mellitus.糖尿病中的心血管控制
Br Med J. 1975 Jun 14;2(5971):585-7. doi: 10.1136/bmj.2.5971.585.
10
Sinus arrhythmia in man: influence of tidal volume and oesophageal pressure.人类的窦性心律失常：潮气量和食管压力的影响。
Scand J Clin Lab Invest. 1975 Oct;35(6):487-96.
Zotero 插件