The Clinical Characteristics of Heart Rate Variability After Stroke: A Systematic Review.

IF 1.1 4区医学 Q4 CLINICAL NEUROLOGY Neurologist Pub Date : 2024-03-01 DOI:10.1097/NRL.0000000000000540

Xue Bai, Na Wang, Yueqiao Si, Yunchang Liu, Ping Yin, Chunmei Xu

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Abstract

The autonomic nervous system dysfunction has been reported in up to 76% of stroke patients 7 days after an acute stroke. Heart rate variability (HRV) is one of the important indicators reflecting the balance of sympathetic and parasympathetic nerves. Therefore, we performed a systematic literature review of existing literature on the association between heart rate variability and the different types of stroke. We included studies published in the last 32 years (1990 to 2022). The electronic databases MEDLINE and PubMed were searched. We selected the research that met the inclusion or exclusion criteria. A narrative synthesis was performed. This review aimed to summarize evidence regarding the potential mechanism of heart rate variability among patients after stroke. In addition, the association of clinical characteristics of heart rate variability and stroke has been depicted. The review further discussed the relationship between post-stroke infection and heart rate variability, which could assist in curbing clinical infection in patients with stroke. HRVas a noninvasive clinical monitoring tool can quantitatively assess the changes in autonomic nervous system activity and further predict the outcome of stroke. HRV could play an important role in guiding the clinical practice for autonomic nervous system disorder after stroke.

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脑卒中后心率变异性的临床特征:一项系统综述。

据报道，76%的中风患者在急性中风后7天出现自主神经系统功能障碍。心率变异性(HRV)是反映交感和副交感神经平衡的重要指标之一。因此，我们对现有的关于心率变异性与不同类型中风之间关系的文献进行了系统的文献综述。我们纳入了过去32年(1990年至2022年)发表的研究。检索电子数据库MEDLINE和PubMed。我们选择符合纳入或排除标准的研究。进行了叙事综合。本综述旨在总结卒中后患者心率变异性的潜在机制。此外，心率变异性的临床特征和中风的关系已经被描述。本文进一步探讨了脑卒中后感染与心率变异性的关系，有助于控制脑卒中患者的临床感染。HRVas是一种无创的临床监测工具，可以定量评估自主神经系统活动的变化，进一步预测脑卒中的预后。HRV对脑卒中后自主神经系统紊乱的临床治疗具有重要指导作用。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Neurologist 医学-临床神经学

CiteScore

1.90

自引率

0.00%

发文量

151

审稿时长

2 months

期刊介绍： The Neurologist publishes articles on topics of current interest to physicians treating patients with neurological diseases. The core of the journal is review articles focusing on clinically relevant issues. The journal also publishes case reports or case series which review the literature and put observations in perspective, as well as letters to the editor. Special features include the popular "10 Most Commonly Asked Questions" and the "Patient and Family Fact Sheet," a handy tear-out page that can be copied to hand out to patients and their caregivers.