自主神经指标在心血管临床评分体系中的应用进展
Application progress on autonomic nervous indicators in cardiovascular clinical scoring system
杨晓萌 1江洪 1余锂镭1
作者信息
- 1. 武汉大学人民医院心血管内科自主神经调控湖北省重点实验室武汉大学心脏自主神经研究中心武汉大学心血管病研究所心血管病湖北省重点实验室,湖北武汉 430060
- 折叠
摘要
自主神经系统是人体的重要组成部分,在心血管疾病病理变化过程中起重要作用.自主神经指标包括心电图(心率变异性与心率减速力)检查、自主神经递质测量、神经电生理检查及皮肤电数据等,广泛用于心血管疾病的临床应用和临床试验.自主神经功能失衡可导致多种心血管疾病如心源性猝死、冠心病、心律失常和心力衰竭等发生,并恶化疾病进程,将自主神经指标融入临床评分系统,有助于心血管疾病诊疗方式的优化及诊疗效率的提升.本文综述不同自主神经指标的含义和检测方式,并介绍这些指标在不同类型心血管疾病评分体系中的重要作用与意义.
Abstract
The autonomic nervous system is an important part of the human body and plays an important role in pathological changes in cardiovascular diseases.Autonomic nervous indicators are widely used in clinical applications and clinical trials of cardiovascular diseases through electrocardiogram(heart rate variability and heart rate deceleration)examination,measurement of autonomic neurotransmitters,neurophysiological examination,and skin electric data.Imbalance of autonomic nervous function can lead to various cardiovascular diseases such as sudden cardiac death,coronary heart disease,arrhythmia,and heart failure,and worsen the disease progression.Integrating autonomic nervous indicators into clinical scoring system can help optimize the diagnosis and treatment of cardiovascular diseases and improve the diagnostic efficacy rate.This article reviews meanings and detection methods of different autonomic nervous indicators,and introduces the important role and significance of these indicators in different types of cardiovascular disease scoring systems.
关键词
自主神经系统/交感神经/副交感神经/临床评分体系/应用进展Key words
Autonomic nervous system/Sympathetic nerves/Parasympathetic nerves/Clinical scoring system/Application progress引用本文复制引用
基金项目
国家自然科学基金资助项目(82241057)
国家自然科学基金面上项目(82270532)
出版年
2024