肌萎缩侧索硬化症患者的心率变异性分析

Rosa Maset-Roig, Jordi Caplliure-Llopis, N. de Bernardo, Jesús Privado, Jorge Alarcón-Jiménez, Julio Martín-Ruiz, Marta Botella-Navas, Carlos Villarón-Casales, D. Sancho-Cantus, J. E. de la Rubia Ortí
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摘要

导言肌萎缩性脊髓侧索硬化症(ALS)会改变自律神经系统(ANS),这也是患者出现心脏表现的原因。心率变异性(HRV)评估最能反映自律神经系统对心率的影响。Polar H7 Bluetooth® 设备被证明是一种非侵入性技术,与现有的替代技术相比,它在这方面的速度更快。研究目的本研究的目的是使用 Polar H7 蓝牙技术测定 ALS 患者的心率变异,并将获得的测量值与健康人的值进行比较。方法样本由 124 名参与者组成:其中 68 人确诊为 ALS,56 人健康。使用 Polar H7 蓝牙技术和 ELITE HRV 应用程序,对所有参与者进行了各种 HRV 测量,特别是 HRV 指数、RMSSD、RMSSD LN、SDNN 指数、PNN50、LF、HF、LF/HF 比值、HR 平均值和 HF 峰值频率。结果在心率变异指数、RMSSD、RMSSD LN、SDNN 指数、PNN50、高频和低频方面,ALS 患者与健康人之间存在明显的统计学差异,其中健康人的得分更高。在心率平均值方面,ALS 组显示出更高的值。男性和女性 ALS 患者的数值相似,仅女性患者的高频峰值频率较高。结论Polar H7 Bluetooth® 设备能有效确定 ALS 患者的心率变异性变化,是一种很有前途的疾病预后工具。
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Analysis of Heart Rate Variability in Individuals Affected by Amyotrophic Lateral Sclerosis
Introduction: Amyotrophic lateral sclerosis (ALS) produces alterations in the autonomic nervous system (ANS), which explains the cardiac manifestations observed in patients. The assessment of heart rate variability (HRV) is what best reflects the activity of the ANS on heart rate. The Polar H7 Bluetooth® device proves to be a non-invasive and much faster technology than existing alternatives for this purpose. Objective: The goal of this study is to determine HRV using Polar H7 Bluetooth technology in ALS patients, comparing the obtained measurements with values from healthy individuals. Method: The sample consisted of 124 participants: 68 diagnosed with ALS and 56 healthy individuals. Using Polar H7 Bluetooth technology and the ELITE HRV application, various HRV measurements were determined for all participants, specifically the HRV index, RMSSD, RMSSD LN, SDNN index, PNN50, LF, HF, LF/HF ratio, HR average, and HF peak frequency. Results: Statistically significant differences were observed between ALS patients and healthy individuals in the HRV index, RMSSD, RMSSD LN, SDNN index, PNN50, HF, and LF, where healthy individuals exhibited higher scores. For the HR average, the ALS group showed a higher value. Values were similar when comparing men and women with ALS, with only a higher HF peak frequency observed in women. Conclusion: The Polar H7 Bluetooth® device is effective in determining heart rate variability alterations in ALS, being a promising prognostic tool for the disease.
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