冠心病患者心率变异性变化及PCI治疗对其的影响  

The Change of Heart Rate Variability in Patients with Coronary Heart Disease and the Effects of PCI Treatment

作　　者：朱海[1] 秦忠[1] 巫相宏[2] 

机构地区：[1]北海市人民医院心血管内科,广西北海536000 [2]广西医科大学第一附属医院心血管内科,南宁530021

出　　处：《医学综述》2016年第3期541-544,共4页Medical Recapitulate

基　　金：北海市科学研究与技术开发计划项目(201203048)

摘　　要：心脏自主神经能显著影响心率的变化,而且其有双向作用,受昼夜变化、呼吸等因素的影响。心率变异性(HRV)能良好地反映心脏自主神经的功能变化,对室性心律失常、心源性猝死等心脏不良事件有预测作用。而经皮冠状动脉介入术能显著改善缺血心肌的血流灌注情况,促进患者心脏自主神经功能的恢复,升高冠状动脉粥样硬化性心脏病(冠心病)患者下降的HRV。Cardiac autonomic nerves could significantly affect the changes of heart rate. It has two-way action and can be affected by diurnal variation,breathing and other factors. The heart rate variabihty （HRV） is a good reflection of changes in cardiac autonomic function, and can predict sudden cardiac death, ventricular arrhythmia and other adverse cardiac events. The percutaneous coronary intervention treatment can significantly improve the perfusion in ischemic myocardium, promote the recovery of cardiac autonomic function, and uplift the decreased HRV in in patients with coronary artery disease.

关 键 词：冠状动脉粥样硬化性心脏病 经皮冠状动脉介入 心率变异性 

分 类 号：R541[医药卫生—心血管疾病]