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[冠心病患者主动脉冠状动脉搭桥手术前后心动周期长度的变化]

[Variations of cardiac cycle length in patients with coronary heart disease before and after aortic coronary bypass surgery].

作者信息

Kudrov M K, Sandrikov V A, Gordon M G, Klimenko V S

出版信息

Vestn Ross Akad Med Nauk. 1998(6):28-32.

PMID:9771111
Abstract

It is well known that variations in cardiac cycle length or heart rates may be used for noninvasive evaluation of autonomic cardiovascular control. The investigation uses an original procedure. The data for analysis of cardiac cycle length variations (CCLV) are those obtained regularly at follow-up intervals, random 24-hour Holter 2-lead ECG recordings for 5 sec, and simultaneously calculated continuous sequence of mean heart rate. With the procedure, the correlations of CCLV with the parameters reflecting the early postoperative status of patients with CHD, including acute myocardial infarction, acute heart failure, rhythm and conduction disturbances, as well as age, operative stress, concurrent diseases. The findings are of both diagnostic and predictive value at subsequent stages of CHD treatment.

摘要

众所周知,心动周期长度或心率的变化可用于自主心血管控制的无创评估。该研究采用了一种原创方法。用于分析心动周期长度变化(CCLV)的数据是在随访间隔期定期获取的,随机进行24小时动态双导联心电图记录,每次记录5秒,并同时计算平均心率的连续序列。通过该方法,CCLV与反映冠心病患者术后早期状况的参数之间的相关性得以分析,这些参数包括急性心肌梗死、急性心力衰竭、节律和传导障碍,以及年龄、手术应激、并发疾病。这些研究结果在冠心病治疗的后续阶段具有诊断和预测价值。

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