河北医学Issue(12):1950-1952,3.DOI:10.3969/j.issn.1006-6233.2015.12.005
BNP 联合心率变异性在心力衰竭患者短期预后中的预测研究
Research of BNP Combined with Heart Rate Variability for Prediction the Short-term Prognosis of Patients with Heart Failure
摘要
Abstract
Objective:To study the clinical significance of BNP combined with heart rate variability for prediction the short-term prognosis of patients with heart failure.Method:76 cases of heart failure patients treated in our hospital from September 2013 to September 2014 were selected as the research object, concen-tration of plasma BNP was determined, the relationship of BNP with the left ventricular end-diastolic diame-ter ( LVDD) , left ventricular ejection fraction ( LVEF) were analysed, and the relationship between the hos-pitalization rate and mortality, And the patients electrocardiogram and echocardiography were recorded, the heart rate variability was analyzed.Result:The plasma BNP levels increased as NYHA classification for in-creasing, both were positively correlated.And the BNP concentration was significantly higher, the higher the short-term hospitalization rates again and became seriously ill, and mortality increased ( P<0.05); Com-pared with survival group, Death group patients with ventricular premature and ventricular tachycardia at-tacks frequency was higher, and the time domain index SDANN, SDNN, pNN50 and frequency domain in-dex LF/HF were low, the difference was statistically significant ( P<0.05); And ultrasonic dynamic figure index LVEDV and LVESV had significant difference (P <0.05).Conclusion: Analysis of BNP and heart rate variability are indicative for the clinical diagnosis of heart failure, the joint can be used as a short-term prognosis of heart failure prediction,which has important clinical significance.关键词
BNP/心率变异性/心力衰竭Key words
BNP/Heart rate variability/Heart failure引用本文复制引用
樊留芳,殷泉忠,崔俊友..BNP 联合心率变异性在心力衰竭患者短期预后中的预测研究[J].河北医学,2015,(12):1950-1952,3.基金项目
江苏省卫生厅重点学科省内开放课题, ()