heart rate variability

心率变异性
  • 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
    EEG参考的选择已被广泛研究。然而,对于脑电图数据的最合适重新参考的选择仍然存在争议。此外,脑电图参考在估计功能性脑心相互作用(BHI)中的作用,结合不同的多元建模策略,尚未调查。
    这项研究确定了结合适当的EEG电参考和信号处理方法的最佳方法,以进行有效的功能BHI评估。脑电图参考在普通平均值之间的影响,平均乳突,拉普拉斯参考,Cz参考,在不同的BHI方法中探索了参比电极标准化技术(REST),包括合成数据生成(SDG)模型,心跳诱发电位,心跳诱发的振荡,和最大信息系数。
    SDG模型在EEG参考之间表现出很高的鲁棒性,而最大信息系数法表现出很高的灵敏度。EEG的常见平均值和REST参考在方法间比较中显示出良好的一致性。拉普拉斯,和Cz参考显著偏置BHI测量。
    使用基于共同平均值的EEG参考优于使用其他参考以用于估计有向功能BHI的一致性。我们不建议使用基于分析推导的EEG参考,因为实验条件可能不符合其最佳估计的要求。特别是在临床环境中。
    使用EEG电参考的共同平均值被认为是定量的最合适的选择,功能BHI评估。
    The choice of EEG reference has been widely studied. However, the choice of the most appropriate re-referencing for EEG data is still debated. Moreover, the role of EEG reference in the estimation of functional Brain-Heart Interplay (BHI), together with different multivariate modelling strategies, has not been investigated yet.
    This study identifies the best methodology combining a proper EEG electrical reference and signal processing methods for an effective functional BHI assessment. The effects of the EEG reference among common average, mastoids average, Laplacian reference, Cz reference, and the reference electrode standardization technique (REST) were explored throughout different BHI methods including synthetic data generation (SDG) model, heartbeat-evoked potentials, heartbeat-evoked oscillations, and maximal information coefficient.
    The SDG model exhibited high robustness between EEG references, whereas the maximal information coefficient method exhibited a high sensitivity. The common average and REST references for EEG showed a good consistency in the between-method comparisons. Laplacian, and Cz references significantly bias a BHI measurement.
    The use of EEG reference based on a common average outperforms on the use of other references for consistency in estimating directed functional BHI. We do not recommend the use of EEG references based on analytical derivations as the experimental conditions may not meet the requirements of their optimal estimation, particularly in clinical settings.
    The use of a common average for EEG electrical reference is concluded to be the most appropriate choice for a quantitative, functional BHI assessment.
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  • 文章类型: Journal Article
    背景:调查长期坚持法国营养与健康计划(PNNS)指南是否与更好的心血管健康相关。
    方法:一项嵌套在SU内的研究。VI.MAX2队列对无心血管危险因素的参与者进行。使用2007年和2012年验证的饮食评分对PNNS指南的长期依从性进行评估。包括连续遵守PNNS指南(PNNS)和不遵守PNNS指南的个人。移植眼压测定,心阻抗描记术,激光多普勒血流仪,心率,心率变异性,内皮功能用于评估心血管健康.
    结果:共有49名受试者(平均年龄65.4±5.6岁,75.5%的妇女)被包括在内。PNNS+组(n=26)年龄较大,BMI和脂肪量高于PNNS组,两组的代谢参数相似.在适应性爱之后,年龄,BMI,发现PNNS受试者的心率较低(60.2±8.0vs64.3±8.4次/分钟,p=0.042),较低的心率×收缩压乘积(7166±1323vs7788±1680次搏动×mmHg/min,p=0.009),舒张持续时间较长(66.7±3.1%vs64.6±4.1%的心动周期,p=0.049),和较短的张力时间指数(2145±489vs2307±428ms*mmHg,p=0.018)与PNNS组相比。
    结论:长期遵守PNNS指南对心率有有利的影响,舒张期,和心肌耗氧量.
    背景:NCT01579409。
    BACKGROUND: To investigate whether chronic adherence to the French Nutrition and Health Program (PNNS) guidelines was associated with better cardiovascular health.
    METHODS: A study nested within the SU.VI.MAX2 cohort was conducted on participants without cardiovascular risk factors. Long-term adherence to the PNNS guidelines was estimated using validated dietary scores from 2007 and 2012. Individuals who did (PNNS+) and did not (PNNS-) continuously adhere to the PNNS guidelines were included. Applanation tonometry, impedance cardiography, laser doppler flowmetry, heart rate, heart rate variability, endothelial function was used for the assessment of cardiovascular health.
    RESULTS: A total of 49 subjects (mean age 65.4 ± 5.6 years, 75.5% women) had been included. Those in the PNNS+ group (n=26) were older, had a higher BMI and fat mass than those in the PNNS- group, both groups had similar metabolic parameters. After adjusting for sex, age, and BMI, PNNS+ subjects were found to have a lower heart rate (60.2 ± 8.0 vs 64.3 ± 8.4 beats/min, p=0.042), a lower heart rate × systolic blood pressure product (7166 ± 1323 vs 7788 ± 1680 beats× mmHg/min, p = 0.009), a longer diastole duration (66.7 ± 3.1% vs 64.6 ± 4.1% of the cardiac cycle duration, p=0.049), and a shorter tension-time index (2145 ± 489 vs 2307 ± 428 ms * mmHg, p=0.018) compared to the PNNS- group.
    CONCLUSIONS: Long-term adherence to the PNNS guidelines had a favorable impact on heart rate, diastole duration, and myocardial oxygen consumption.
    BACKGROUND: NCT01579409.
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  • 文章类型: Journal Article
    The definition of \"abnormal\" in clinical sciences is often based on so-called reference values which point to a range that experts by some sort of consensus consider as normal when looking at biological variables. Such a level is commonly calculated by taking (twice) the standard deviation from the mean, or considering certain percentiles. The suspicion or even confirmation of a disease is then established by demonstrating that the value measured exceeds the upper or lower reference value. As is often the case, the measurement accuracy may depend on the conditions and specific method employed to collect and analyze data. This implies that, for example, data assessed by 2D echocardiography possibly differ from those obtained by MRI and therefore require modality-specific reference values. In this review we summarize reference values for the electrocardiogram, cardiac compartmental volumes, and arterial vessel size in males and females for various age groups. These values may further depend on other variables such as body size, physical training status, and ethnicity. Additional variables relevant for cardiology such as those referring to the microcirculation and biomarkers are only mentioned with reference to the pertinent literature. In general, the sex- and age-specific differences observed are often remarkable and warrant consideration in clinical practice and basic biomedical sciences.
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  • 文章类型: Journal Article
    本共识指南讨论了体表心电图上逐搏QT间期变异性(QTV)的心电图现象。文本涵盖了测量原则,生理基础,和QTV的临床价值。技术考虑因素包括QT间期测量以及QTV与心率变异性之间的关系。QTV的研究前沿包括对QTV生理学的理解,对QTV与神经活动直接测量之间联系的系统评估,QTV依赖于其他生理变量的变异性的建模,QTV和一般T波形变异性的区别,并评估用于指导治疗的QTV实用程序。QTV增加似乎是心律失常和心血管死亡的风险标志。它是否可以单独指导治疗或与其他危险因素联合治疗还有待确定。QT间期变异性可能在非侵入性评估强直交感神经活动中发挥作用。
    This consensus guideline discusses the electrocardiographic phenomenon of beat-to-beat QT interval variability (QTV) on surface electrocardiograms. The text covers measurement principles, physiological basis, and clinical value of QTV. Technical considerations include QT interval measurement and the relation between QTV and heart rate variability. Research frontiers of QTV include understanding of QTV physiology, systematic evaluation of the link between QTV and direct measures of neural activity, modelling of the QTV dependence on the variability of other physiological variables, distinction between QTV and general T wave shape variability, and assessing of the QTV utility for guiding therapy. Increased QTV appears to be a risk marker of arrhythmic and cardiovascular death. It remains to be established whether it can guide therapy alone or in combination with other risk factors. QT interval variability has a possible role in non-invasive assessment of tonic sympathetic activity.
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