Heart rate variability--current diagnosis of the cardiac autonomic neuropathy. A review
| Autor: | Rudolf Metelka |
|---|---|
| Rok vydání: | 2014 |
| Předmět: |
Prognostic factor
medicine.medical_specialty business.industry Therapeutic effect MEDLINE Cardiac autonomic neuropathy Arrhythmias Cardiac medicine.disease Autonomic Nervous System Sudden death General Biochemistry Genetics and Molecular Biology Autonomic nervous system Autonomic Nervous System Diseases Heart Rate Risk Factors Internal medicine medicine Cardiology Heart rate variability Humans Myocardial infarction business |
| Zdroj: | Biomedical papers of the Medical Faculty of the University Palacky, Olomouc, Czechoslovakia. 158(3) |
| ISSN: | 1804-7521 |
| Popis: | Backround. The autonomic nervous system is one of the major homeostatic regulatory systems of the body. Detection of cardiac autonomic neuropathy (CAN), reflected by reduced heart rate variability (HRV), is an independent adverse prognostic factor: sympathovagal balance failure with a sympathetic dominance is the main trigger for lethal arrhyth- mias and sudden death. Methods and Results. PubMed database based on original articles from 1983 to 2013 and the authors clinical experi- ence. This review covers the current status of the methodology and the clinical uses of HRV, especially in the field of internal medicine. Conclusion. Heart rate variability is making a valuable contribution to the diagnosis of cardiovascular autonomic dysfunction and CAN. It can be assessed from short-term and long-term ECG recordings. It is one of the few methods that allow outpatient CAN diagnosis, monitoring the progress, therapeutic effect and evaluation of patient prognosis. It is used as an independent prognostic factor in combination with other recognized risk factors in risk stratifying after myocardial infarction. It is a unique method of CAN diagnosis particularly in diabetology. Its diagnostic and prognostic potential in other medical fields is being intensively explored. |
| Databáze: | OpenAIRE |
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