| 自主神经对冠状动脉搭桥术后心房颤动的影响 |
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| 引用本文： | 马文林,李爱萍,布艾加尔哈斯木,梅运清,胡大一.自主神经对冠状动脉搭桥术后心房颤动的影响[J].实用临床医学(江西),2006,7(6):33-35. |
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| 作者姓名： | 马文林 李爱萍 布艾加尔哈斯木 梅运清 胡大一 |
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| 作者单位： | 同济大学同济医院心肺中心 上海200065 |
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| 摘 要： | 目的:通过心率变异性(heart rate variability,HRV)分析,探察CABG术后的自主神经活性对发生AF的作用。方法:对CABG术后发生AF的20例患者进行24 h动态心电图记录,并进行HRV时域、频域分析,同时设年龄、性别、一般临床特征相匹配的CABG术后非AF(NAF)患者为对照。结果:AF组心率明显快于NAF组。HRV各时域、频域指标两组比较无统计学意义。结论:交感神经过度激活可能是CABG术后AF发生的机制之一。
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| 关 键 词： | 心率变异性 心房颤动 冠状动脉搭桥术 |
| 文章编号： | 1009-8194(2006)06-0033-03 |
| 收稿时间： | 03 21 2006 12:00AM |
| 修稿时间： | 2006年3月21日 |
Autonomic Nervous Activity in Patients with Atrial Fibrillation after Coronary Artery Graft Surgery |
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| Ma Wen-lin,Li Ai-ping,Buaijiaere Hasimu,Mei Yun-qing,Hu Da-yi.Autonomic Nervous Activity in Patients with Atrial Fibrillation after Coronary Artery Graft Surgery[J].Practical Clinical Medicine,2006,7(6):33-35. |
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| Authors: | Ma Wen-lin Li Ai-ping Buaijiaere Hasimu Mei Yun-qing Hu Da-yi |
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| Institution: | Pulmarnery-heart Center of Affiliated Hospital, Tongji University ,Shanghai 200065,China |
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| Abstract: | Objective:To examine the effect of autonomic nervous activity on Atrial fibrillation(AF) after coronary artery bypass graft surgery(CABG)by heart rate variability analysis.Methodes:Twenty-four hours ambulatory ECG monitoring and HRV analysis were performed in 20 patients with postoperative AF.These data were compared to 67 controls who did not develop postoperative AF but did have matched sex-and age.Results:Heart rate increased significantly in patients with postoperative AF.There was no significant difference in time and frequency domain HRV measures between AF patients and non-AF patients.Conclusion:Overactivation of sympathetic nervous system might be one of the pathophysiological mechanism of onset of AF after CABG surgery. |
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| Keywords: | heart rate variability atrial fibrillation coronary artery bypass graft surgery |
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