Repeat return map distinguishes patients in the chronic phase after myocardial infarction with different risk for future cardiac events

作者: M Sosnowski , Z Czyz , T Petelenz , T Slominska-Petelenz , E Gaik

DOI: 10.1109/CIC.1995.482628

关键词: Standard deviationFramingham Risk ScoreVentricular tachycardiaEjection fractionElectrocardiographyVentricular late potentialsCardiologyInternal medicineMyocardial infarctionHeart rate variabilityMedicine

摘要: A method of nonlinear dynamics analysis heart rate variability was applied in 65 patients chronic phase after myocardial infarction. On the basis clinical data, including age, mean R-R interval, standard deviation intervals, ejection fraction, presence ventricular premature depolarizations (VPDs) >10/hour, complex VPDs or non-sustained tachycardia, as well late potentials, previous infarction, and survival from cardiac arrest, risk score calculated for each patient. Patients were divided into 3 groups different (H-high, n=5; M-medium, n=14; L-low, n=46). Groups compared respect to complexity HRV dynamics, estimated by means repeated return maps with increasing time-lag 1 6. The authors found some quantitative measures qualitative patterns, which significantly distinguished at high those medium low risk.

参考文章(7)
M Sosnowski, T Petelenz, J Leski, None, Return maps: a non-linear method for evaluation of respiratory sinus arrhythmia computing in cardiology conference. pp. 129- 132 ,(1994) , 10.1109/CIC.1994.470232
Robert E. Kleiger, J.Philip Miller, J.Thomas Bigger, Arthur J. Moss, Decreased heart rate variability and its association with increased mortality after acute myocardial infarction The American Journal of Cardiology. ,vol. 59, pp. 256- 262 ,(1987) , 10.1016/0002-9149(87)90795-8
Mary A. Woo, William G. Stevenson, Debra K. Moser, Holly R. Middlekauff, Complex heart rate variability and serum norepinephrine levels in patients with advanced heart failure Journal of the American College of Cardiology. ,vol. 23, pp. 565- 569 ,(1994) , 10.1016/0735-1097(94)90737-4
Vicki L Schechtman, Ronald M Harper, Karen A Kluge, Development of heart rate variation over the first 6 months of life in normal infants. Pediatric Research. ,vol. 26, pp. 343- 346 ,(1989) , 10.1203/00006450-198910000-00011
Mary A. Woo, William G. Stevenson, Debra K. Moser, Robert B. Trelease, Ronald M. Harper, Patterns of beat-to-beat heart rate variability in advanced heart failure American Heart Journal. ,vol. 123, pp. 704- 710 ,(1992) , 10.1016/0002-8703(92)90510-3
J.Thomas Bigger, Joseph L. Fleiss, Linda M. Rolnitzky, Richard C. Steinman, Frequency domain measures of heart period variability to assess risk late after myocardial infarction. Journal of the American College of Cardiology. ,vol. 21, pp. 729- 736 ,(1993) , 10.1016/0735-1097(93)90106-B
J. Philip Saul, Yutaka Arai, Ronald D. Berger, Leonard S. Lilly, Wilson S. Colucci, Richard J. Cohen, Assessment of autonomic regulation in chronic congestive heart failure by heart rate spectral analysis. American Journal of Cardiology. ,vol. 61, pp. 1292- 1299 ,(1988) , 10.1016/0002-9149(88)91172-1