查詢結果分析
來源資料
相關文獻
- 佛教師子王臥對冠狀動脈疾病患者及孕婦自律神經活性的效應
- The Effect of Thrombolytic Therapy on Short-And Long-Term Cardiac Autonomic Activity in Patients with Acute Myocardial Infarction
- Time Domain Heart Rate Variability as a Predictor of Long-Term Prognosis after Acute Myocardial Infarction
- Heart Rate Variability as an Assessment of Acute Rejection after Heart Transplantation
- 急性心肌梗塞住院病人的不確定感與因應行為之探討
- Myocardial Contrast Echocardiography and Dobutamine Echocardiography in Predicting Viable Myocardium
- 全身麻醉下定時插管之心率變異度時頻域分析
- 急性心肌梗塞治療
- 急性心肌梗塞的輔助治療
- Dopamine and Dobutamine Have Different Effects on Heart Rate Variability in Patients with Congestive Heart Failure
頁籤選單縮合
題 名 | Time Domain Heart Rate Variability as a Predictor of Long-Term Prognosis after Acute Myocardial Infarction=時域分析的心率變異度為急性心肌梗塞之預後指標 |
---|---|
作 者 | 劉秉彥; 蔡惟全; 林立人; 李貽恒; 趙庭興; 蔡良敏; 陳志鴻; | 書刊名 | 臺灣醫學會雜誌 |
卷 期 | 102:7 2003.07[民92.07] |
頁 次 | 頁474-479 |
分類號 | 415.3161 |
關鍵詞 | 心率變異度; 急性心肌梗塞; Cardiac death; Electrocardiography; Ambulatory; Heart rate; Myocardial infarction; Risk factors; |
語 文 | 英文(English) |
英文摘要 | Background and Purpose: Decreased heart rate variability (HRV) has been shown to be a predictor of both sudden cardiac death and cardiovascular death among patients surviving acute myocardial infarction (MI). However, the prognostic significance of time domain HRV in patients with MI is still controversial. In addition to the mean of all normal-to-normal (NN) intervals, we analyzed the prognostic significance of the 5 most widely used time domain parameters of HRV during long-term follow-up in patients surviving their first MI. Methods: Five time domain measures of HRV from 24-hour ECG were obtained after discharge in 260 consecutive patients (207 males; mean age, 60 years) surviving their first MI. These parameters included: standard deviation of all NN intervals, mean of standard deviations of all NN intervals in all 5-minute segments (SDNNi), standard deviation of the average of all NN intervals in all 5-minute segments, the square root of the mean of the sum of the squares of differences between adjacent NN intervals, and percentage of differences between adjacent NN intervals > 50 ms. Results: The study endpoint was cardiovascular death. After follow-up for 67 months (range, 1 to 114 months), there were 55 cardiovascular deaths (21%) including 39 sudden deaths (15%). Multivariate Cox regression analysis showed that SDNNi<30 ms was a significant predictor of cardiovascular death (hazard ratio, 4.98;95% confidence interval [CI], 2.03 to 12.21; p < 0.0001) as was number of ventricular premature complexes≧ 10 beats/hour (hazard ratio, 5.34; 95% CI, 2.26 to 12.62; p< 0.001), age≧ 70 years (hazard ratio, 3.65; 95% CI. 1.44 to 9.23; p= 0.006), and left ventricular ejection fraction < 45% (hazard ratio, 3.29; 95% CI, 1.13 to 9.57; p= 0.03). SDNNi < 30 ms was also an important predictor of sudden cardiac death (hazard ratio, 5.02; 95% CI, 1.49 to 16.85; p= 0.009). Conclusions: These data suggest that SDNNi is a significant time domain parameter of HRV for long-term prognosis in post-MI patients. |
本系統中英文摘要資訊取自各篇刊載內容。