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xin lv bian yi xing yu ce ji xing xin ji geng si bing ren xin zang xing zuo si ji gan yu zhi liao
Author(s): 
Pages: 642-643
Year: Issue:  6
Journal: Research of Traditional Chinese Medicine

Keyword:  心率变异性心肌梗死急性血运重建;
Abstract: 目的评价心率变异性对急性心肌梗死(AMI)病人发生心脏性猝死的预测价值,以及血运重建后心率变异性(HRV)的变化。方法AMI病人137例,经急性期血运重建或常规药物治疗,1d7d内行24 h动态心电图检查,观察比较HRV时域指标。结果再通组前后段SDNN比较无统计学意义,未通组、未接受血运重建组前后段SDNN比较有统计学意义(P<0.01);再通组与未通组前段SDNN比较无统计学意义,后段SDNN比较则有统计学意义(P<0.0 1)。心源性死亡组SDNN明显低于存活组(P<0.01)。结论心率变异性可有效地预测AMI病人发生心脏性猝死。尽早的血运重建使异常HRV有所恢复,减少心律失常和心脏性猝死的发生。
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