Heart rate

心率
  • 文章类型: Journal Article
    本委员会报告提供了方法,解释性的,并为在心理生理学研究中使用心率(HR)和心率变异性(HRV)的研究人员提供报告指导。我们提供了在实验室中通过心电图和光电容积描记信号测量HR和HRV的最佳实践的简要总结。现场(门诊),和脑成像背景,以解决纳入HR和HRV测量的研究问题。该报告强调了人力资源和人力资源需求的不同记录和推导方法的优缺点。伴随着这个指引,该报告回顾了人们对心跳起源及其神经控制的了解,包括产生和影响HRV指标的因素。报告最后列出了清单,以指导作者进行研究设计和分析考虑。以及报告所研究样品的关键方法学细节和特征的指南。预计HR和HRV措施的严格和透明的记录和报告将加强这些指标在心理生理学中的许多应用的推论。委员会先前关于人力资源和HRV的报告已有几十年的历史。自从他们出现,实验室和日常生活中的人体心脏和血管监测技术(即,动态)环境已经大大扩展。本委员会报告是为心理生理学研究学会编写的,目的是提供最新的方法学和解释性指导,以及总结报告人类HR和HRV研究的最佳实践。
    This Committee Report provides methodological, interpretive, and reporting guidance for researchers who use measures of heart rate (HR) and heart rate variability (HRV) in psychophysiological research. We provide brief summaries of best practices in measuring HR and HRV via electrocardiographic and photoplethysmographic signals in laboratory, field (ambulatory), and brain-imaging contexts to address research questions incorporating measures of HR and HRV. The Report emphasizes evidence for the strengths and weaknesses of different recording and derivation methods for measures of HR and HRV. Along with this guidance, the Report reviews what is known about the origin of the heartbeat and its neural control, including factors that produce and influence HRV metrics. The Report concludes with checklists to guide authors in study design and analysis considerations, as well as guidance on the reporting of key methodological details and characteristics of the samples under study. It is expected that rigorous and transparent recording and reporting of HR and HRV measures will strengthen inferences across the many applications of these metrics in psychophysiology. The prior Committee Reports on HR and HRV are several decades old. Since their appearance, technologies for human cardiac and vascular monitoring in laboratory and daily life (i.e., ambulatory) contexts have greatly expanded. This Committee Report was prepared for the Society for Psychophysiological Research to provide updated methodological and interpretive guidance, as well as to summarize best practices for reporting HR and HRV studies in humans.
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  • 文章类型: Journal Article
    血流动力学监测和管理是围手术期护理的基石。血流动力学管理的目标是通过确保足够的灌注压力来维持器官功能,血流量,和氧气输送。我们在此提出关于“非心脏手术成人的术中血流动力学监测和管理”的指南,该指南由18位专家代表德国麻醉和重症监护医学学会(DeutscheGesellschaftfürAnästathesiologieundlntensivmedizin;DGAI)编写。
    Haemodynamic monitoring and management are cornerstones of perioperative care. The goal of haemodynamic management is to maintain organ function by ensuring adequate perfusion pressure, blood flow, and oxygen delivery. We here present guidelines on \"Intraoperative haemodynamic monitoring and management of adults having non-cardiac surgery\" that were prepared by 18 experts on behalf of the German Society of Anaesthesiology and Intensive Care Medicine (Deutsche Gesellschaft für Anästhesiologie und lntensivmedizin; DGAI).
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  • 文章类型: Journal Article
    临床研究表明,电针(EA)对控制心力衰竭(HF)危险因素具有治疗和调节作用。
    本研究旨在确定联合药物和EA对射血分数(HFrEF)降低的慢性HF患者的影响,以保持稳定的心率(HR)和平均动脉压(MAP)。
    这项单盲临床随机对照试验纳入了42例慢性HFrEF患者。将患者分为3组:服用药物和EA的患者,患者服用药物和假电针(假针灸[SA]),和患者服用没有EA的药物。所有患者均接受16次治疗,共8周。
    根据药物+EA组的治疗持续时间,平均MAP有显著差异,而药物+SA和无EA组之间没有显着差异。药物+EA组在治疗开始时的平均MAP与治疗中期(P<0.05)、治疗开始时和治疗结束时(P<0.05)有显著差异。两组之间的平均HR没有显着差异。临床上,经过16次治疗,接受联合药物和EA治疗的患者表现出稳定的MAP和HR。
    药物联合EA维持了慢性HFrEF患者MAP和HR的稳定性。
    UNASSIGNED: Clinical studies have shown that electroacupuncture (EA) has therapeutic and modulatory effects on managing heart failure (HF) risk factors.
    UNASSIGNED: This study aimed to determine the impact of combination drugs and EA on chronic HF patients with reduced ejection fraction (HFrEF) to maintain a stable heart rate (HR) and mean arterial pressure (MAP).
    UNASSIGNED: This single-blind clinical randomized controlled trial included 42 patients with chronic HFrEF. The patients were divided into 3 groups: patients taking drugs and EA, patients taking drugs and sham EA (sham acupuncture [SA]), and patients taking drugs without EA. All patients underwent 16 sessions of therapy for 8 weeks.
    UNASSIGNED: There was a significant difference in the average MAP based on therapy duration in the drugs + EA group, whereas there was no significant difference between drugs + SA and drugs without EA groups. There was a substantial difference between the average MAP in the drugs + EA group at the beginning of therapy compared with that at midtherapy (P < 0.05) and at the beginning of treatment and at the end of therapy (P < 0.05). There was no significant difference in the mean HR between the groups. Clinically, after 16 treatment sessions, patients receiving combined drugs and EA treatment presented with stable MAP and HR.
    UNASSIGNED: Drugs combined with EA maintained the stability of MAP and HR in patients with chronic HFrEF.
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  • 文章类型: Editorial
    暂无摘要。
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  • 文章类型: Observational Study
    这项试点研究的目的是调查智障成年人(ID)符合2020加拿大24小时运动指南的程度。2021-2022年,在COVID-19大流行期间,有15名成年人(6名女性和9名男性)参加了这项为期9天的观察性研究(年龄=20-64岁)。中等至剧烈的体力活动(MVPA),久坐的时间,用智能手表测量总睡眠时间,以与指南进行比较。日记主观地跟踪身体活动。在15名参与者中,11符合MVPA指南(73%),4人符合久坐行为指南(27%),7符合睡眠指南(47%),只有1名参与者符合所有3项指南(7%)。周末和工作日之间的身体活动或睡眠没有差异,或在男性和女性之间。散步,清洗餐具,游泳是参与者最常见的体育锻炼类型。这项初步研究的结果表明,有ID的成年人需要改善睡眠并减少久坐时间。由于大多数参与者都符合MVPA指南,很少有人符合久坐行为指南,近一半的人符合睡眠指南,这些数据还表明,评估运动指南的所有三个方面是多么重要。所有这些行为都有独立的健康益处和风险,它们相互作用影响整体健康。
    The purpose of this pilot study was to investigate the extent to which adults with intellectual disability (ID) met the 2020 Canadian 24-Hour Movement Guidelines. Fifteen adults (six females and nine males) participated in this nine-day observational study (age = 20-64 years) in 2021-2022, during the COVID-19 pandemic. Moderate-to-vigorous physical activity (MVPA), sedentary time, and total sleep time were measured with a smartwatch to compare to the guidelines. A diary subjectively tracked physical activity. Of the 15 participants, 11 met the MVPA guidelines (73%), 4 met the sedentary behaviour guidelines (27%), 7 met the sleep guidelines (47%), and only 1 participant met all 3 of the guidelines (7%). There were no differences in physical activity or sleep between weekends and weekdays, or between males and females. Walking, cleaning dishes, and swimming were the most common types of physical activity performed by the participants. The findings of this pilot study indicate the need to improve sleep and reduce sedentary time in adults with ID. As most participants met the MVPA guidelines, few met the sedentary behaviour guidelines, and nearly half met the sleep guidelines, these data also demonstrate how important it is to assess all three aspects of the movement guidelines. All these behaviours have independent health benefits and risks, which interact to influence overall health.
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  • 文章类型: Journal Article
    心率是健康和疾病的重要指标,心率的调节有助于改善心血管预后。除了β受体阻滞剂,伊伐布雷定是一种公认的调节药物,可降低心率而不会产生任何血液动力学影响。这份共识文件是在印度心脏病学家关于常规临床实践中有效心率管理的专家意见的帮助下制定的,并考虑到现有的科学数据和指南建议,选择合适的伊伐布雷定治疗。根据会议期间的讨论,在射血分数降低的慢性冠脉综合征和心力衰竭患者中,心率升高被认为是心血管不良结局的重要预测因子,因此心率调节在这些亚组中很重要.伊伐布雷定适用于治疗慢性冠状动脉综合征和射血分数降低的心力衰竭患者,尽管有指南指导的β受体阻滞剂给药或对β受体阻滞剂有禁忌症/不耐受,但无法实现心率目标。对于已经稳定在伊伐布雷定每天两次的患者,可以考虑延长伊伐布雷定每天一次的释放剂量。伊伐布雷定/β受体阻滞剂固定剂量组合也可以被认为可以减轻药丸负担。已经开发了两种共识算法,以进一步指导基于伊伐布雷定的治疗方法的适当使用。伊伐布雷定和β-受体阻滞剂可以在大多数慢性冠状动脉综合征和心力衰竭中提供更明显的临床改善,并使用固定剂量组合降低的射血分数患者提供了改善依从性的机会。
    Heart rate is an important indicator of health and disease and the modulation of heart rate can help to improve cardiovascular outcomes. Besides β-blockers, Ivabradine is a wellestablished heart rate modulating drug that reduces heart rate without any hemodynamic effects. This consensus document was developed with the help of expert opinions from cardiologists across India on effective heart rate management in routine clinical practice and choosing an appropriate Ivabradine-based therapy considering the available scientific data and guideline recommendations. Based on the discussion during the meetings, increased heart rate was recognized as a significant predictor of adverse cardiovascular outcomes among patients with chronic coronary syndromes and heart failure with reduced ejection fraction making heart rate modulation important in these subsets. Ivabradine is indicated in the management of chronic coronary syndromes and heart failure with reduced ejection fraction for patients in whom heart rate targets cannot be achieved despite guideline-directed β-blocker dosing or having contraindication/intolerance to β-blockers. A prolonged release once-daily dosage of Ivabradine can be considered in patients already stabilized on Ivabradine twice-daily. Ivabradine/β-blocker fixed-dose combination can also be considered to reduce pill burden. Two consensus algorithms have been developed for further guidance on the appropriate usage of Ivabradine-based therapies. Ivabradine and β-blockers can provide more pronounced clinical improvement in most chronic coronary syndromes and heart failure with reduced ejection fraction patients with a fixed-dose combination providing an opportunity to improve adherence.
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  • 文章类型: Systematic Review
    心率变异性生物反馈(HRVB)已被广泛用于改善心血管健康和福祉。HRVB基于个体共振频率下的呼吸,刺激呼吸性窦性心律失常(RSA)和压力反射。有,然而,在如何应用HRVB的方法上没有共识,虽然有关使用的方案的详细信息通常没有得到很好的报道。因此,本系统综述的目的是描述不同的HRVB方案并检测方法学问题.PsycINFO,CINALH,Medline和WebofScience在2000年至2021年4月之间进行了搜索。数据提取和质量评估基于PRISMA指南。最终纳入了来自任何科学领域和任何类型样本的总共143项研究。找到了三种HRVB协议:(i)“最佳射频”(n=37),每个参与者都以他们先前检测到的射频呼吸;(Ii)“个体射频”(n=48),每个参与者都遵循一个生物反馈装置,该装置根据心血管数据实时显示最佳呼吸频率,和(iii)“预设频率射频”(n=51),所有参与者以相同的速率呼吸,通常6次呼吸/分钟。此外,我们发现了应用HRVB在周数方面的几个方法学差异,呼吸持续时间或实验室和家庭会议的组合。值得注意的是,几乎2/3的研究没有报告足够的信息来复制HRVB协议的呼吸持续时间,吸气/呼气比,呼吸控制或身体位置。提出了方法学指南和清单,以提高未来HRVB研究的方法学质量并增加报告的信息。
    Heart Rate Variability Biofeedback (HRVB) has been widely used to improve cardiovascular health and well-being. HRVB is based on breathing at an individual\'s resonance frequency, which stimulates respiratory sinus arrhythmia (RSA) and the baroreflex. There is, however, no methodological consensus on how to apply HRVB, while details about the protocol used are often not well reported. Thus, the objectives of this systematic review are to describe the different HRVB protocols and detect methodological concerns. PsycINFO, CINALH, Medline and Web of Science were searched between 2000 and April 2021. Data extraction and quality assessment were based on PRISMA guidelines. A total of 143 studies were finally included from any scientific field and any type of sample. Three protocols for HRVB were found: (i) \"Optimal RF\" (n = 37), each participant breathes at their previously detected RF; (ii) \"Individual RF\" (n = 48), each participant follows a biofeedback device that shows the optimal breathing rate based on cardiovascular data in real time, and (iii) \"Preset-pace RF\" (n = 51), all participants breathe at the same rate rate, usually 6 breaths/minute. In addition, we found several methodological differences for applying HRVB in terms of number of weeks, duration of breathing or combination of laboratory and home sessions. Remarkably, almost 2/3 of the studies did not report enough information to replicate the HRVB protocol in terms of breathing duration, inhalation/exhalation ratio, breathing control or body position. Methodological guidelines and a checklist are proposed to enhance the methodological quality of future HRVB studies and increase the information reported.
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  • 文章类型: Journal Article
    目标:传统上,教育心理学的研究忽视了动机的生理基础,情感,订婚,和学习。最近的研究在更充分地考虑生理过程方面取得了实质性进展,正如在本期特刊的供稿中所记录的那样。在这篇评论中,我总结了他们的发现,讨论优点和缺点,并概述了未来研究的方向。
    结果:这些研究展示了如何将生理指标整合到教育心理学研究中。结果记录了心血管疾病之间的联系,皮肤电,和荷尔蒙参数以及体育活动以及教育环境中的一系列心理和行为过程。一起,他们证明了生理过程在学生和教师参与中的关键作用。然而,大多数研究使用小样本和相关设计,并非所有的研究结果都是一致的。
    结论:以循证的方式为理论和实践提供信息,我们需要在建立一个累积的,连贯的知识库。为此,更精确地指定生理指标的状态可能是有帮助的;确保构建生理对称,心理,和行为变量;使用因果设计和人内分析;包括参与者和测量场合的足够有力的样本;采用多个指标和评估来提高可靠性和特异性;定义适合捕获生理过程及其功能的时间窗口和评估滞后;并考虑社会文化背景的作用。
    OBJECTIVE: Traditionally, research in educational psychology has neglected the physiological foundations of motivation, emotion, engagement, and learning. Recent studies have made substantial progress to more fully consider physiological processes, as documented in the contributions to this special issue. In this commentary, I summarize their findings, discuss strengths and weaknesses, and outline directions for future research.
    RESULTS: The studies showcase how physiological indicators can be integrated in research in educational psychology. The resulting findings document links between cardiovascular, electrodermal, and hormonal parameters as well as physical activity and a range of mental and behavioural processes in educational settings. Together, they attest to the critical role of physiological processes in students\' and teachers\' engagement. However, most of the studies used small samples and correlational designs, and not all of the findings were consistent.
    CONCLUSIONS: To inform theory and practice in evidence-based ways, we need to make further headway in building a cumulative, coherent knowledge base. To this end, it may be helpful to more precisely specify the status of physiological indicators; secure construct symmetry of physiological, mental, and behavioural variables; use causal designs and within-person analysis; include sufficiently powered samples of participants and measurement occasions; employ multiple indicators and assessments to increase reliability and specificity; define the time windows and lags of assessments that are suited to capture physiological processes and their functions; and consider the role of socio-cultural contexts.
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  • 文章类型: Journal Article
    本文涉及网络化Euler-Lagrange系统的采样数据一致性。欧拉-拉格朗日系统在分析和设计动力学系统方面具有巨大的优势。然而,当基于欧拉-拉格朗日方程的控制律包含采样数据反馈时,会出现一些问题。控制律对不连续采样数据信号进行微分以生成其控制输入。在这个过程中,控制输入中的无穷大不可避免地产生。这项工作的主要目标是消除这些无穷大并使控制输入适用。为了达到这个目标,为控制器设计了一类可微脉冲函数。脉冲函数用作采样数据信号的乘法器,使其可微分,避免无穷。通过严格的共识分析,还获得了与脉冲函数兼容的新共识条件。与现有方法相比,证明了该条件的保守性。最后,数值例子说明了这一发现和理论结果。
    This paper is concerned with the sampled-data consensus of networked Euler-Lagrange systems. The Euler-Lagrange system has enormous advantages in analyzing and designing dynamical systems. Yet, some problems arise in the Euler-Lagrange equation-based control laws when they contain sampled-data feedbacks. The control law differentiates the discontinuous sampled-data signals to generate its control input. In this process, infinities in the control inputs are generated inevitably. The main goal of this work is to eliminate these infinities and make the control inputs applicable. To reach this goal, a class of differentiable pulse functions is designed for the controllers. The pulse functions work as multipliers on the sampled-data signals to make them differentiable, hence avoid the infinities. A new consensus condition compatible with the pulse function is also obtained through rigorous consensus analysis. The condition is proved to be less conservative compared with that of the existing method. Finally, numerical examples are given to illustrate the findings and theoretical results.
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  • 文章类型: Journal Article
    在本期刊上发表的一系列三篇伴随论文中,我们确定并验证可用的热应力指标(TSI)。在第三篇论文中,我们在9个国家/地区进行了现场实验,以评估61种基于气象学的TSI对评估在高温下工作的个人所经历的生理应变的功效。在893个全班作业期间,我们监测了372名经过经验和适应的工人。我们不断评估核心体温,平均皮肤温度,和心率数据以及前/后尿液比重和颜色。根据涵盖生理参数的17项公开标准对TSI进行了评估,实用性,成本效益,和健康指导问题。简单的气象参数仅解释了生理热应变方差的一小部分(R2=0.016至0.427;p<0.001),反映了采用更复杂的TSI的重要性。几乎所有TSI都与平均皮肤温度相关(98%),平均体温(97%),心率(92%),而66%的TSI与脱水程度相关,59%与核心体温相关(r=0.031至0.602;p<0.05)。当根据公布的17项标准进行评估时,TSI得分从4.7到55.4%(最大得分=100%)。室内(55.4%)和室外(55.1%)湿球温度和通用热气候指数(51.7%)得分高于其他TSI(4.7%至42.0%)。因此,这三个TSI具有最高的潜力来评估在高温下工作的个人所经历的生理应变。
    In a series of three companion papers published in this Journal, we identify and validate the available thermal stress indicators (TSIs). In this third paper, we conducted field experiments across nine countries to evaluate the efficacy of 61 meteorology-based TSIs for assessing the physiological strain experienced by individuals working in the heat. We monitored 372 experi-enced and acclimatized workers during 893 full work shifts. We continuously assessed core body temperature, mean skin temperature, and heart rate data together with pre/post urine specific gravity and color. The TSIs were evaluated against 17 published criteria covering physiological parameters, practicality, cost effectiveness, and health guidance issues. Simple meteorological parameters explained only a fraction of the variance in physiological heat strain (R2 = 0.016 to 0.427; p < 0.001), reflecting the importance of adopting more sophisticated TSIs. Nearly all TSIs correlated with mean skin temperature (98%), mean body temperature (97%), and heart rate (92%), while 66% of TSIs correlated with the magnitude of dehydration and 59% correlated with core body temperature (r = 0.031 to 0.602; p < 0.05). When evaluated against the 17 published criteria, the TSIs scored from 4.7 to 55.4% (max score = 100%). The indoor (55.4%) and outdoor (55.1%) Wet-Bulb Globe Temperature and the Universal Thermal Climate Index (51.7%) scored higher compared to other TSIs (4.7 to 42.0%). Therefore, these three TSIs have the highest potential to assess the physiological strain experienced by individuals working in the heat.
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