心率变异性在妊娠期疾病中的应用研究进展

Abstract
Figure/Table
References (29)
Related Citation (4)

Download: PDF (534 KB) HTML (1 KB)
Export: BibTeX | EndNote (RIS)

Abstract Particular physical and psychological changes in the maternal body during pregnancy can lead to the occurrence of certain diseases, such as gestational hypertension, gestational diabetes, gestational sleep apnea syndrome, etc. The development of pregnancy disease is closely related to the change of maternal autonomic nervous function during pregnancy, for example, the very low frequency (VLF) and low frequency (LF) of pregnant women with preeclampsia increased significantly. The high frequency (HF) of pregnant women with gestational diabetes decreased significantly at night. The LF/HF of pregnant women with sleep apnea syndrome increased. The 24 hours standard deviation of NN intervals, HF and LF of the patients with congenital heart disease were significantly decreased, and the Heart rate variability (HRV) variation of the mothers with arrhythmia was controversial. HRV connected by safe noninvasive means can monitor the change of autonomic nerve and it has important clinical value in the evaluation and prediction of pregnancy maternal system disease.

Key words： Heart rate variability Frequency domain analysis Time domain analysis Gestational hypertension Gestational diabetes Gestational sleep apnea syndrome

	Service

	E-mail this article
	Add to my bookshelf
	Add to citation manager
	E-mail Alert
	RSS
	Articles by authors
	ZHU Meilin ZHENG Wenhui CHENG Lili DONG Youjing

Cite this article:

ZHU Meilin ZHENG Wenhui CHENG Lili DONG Youjing. Research progress in application of heart rate variability in pregnancy disease[J]. 中国医药导报, 2018, 15(6): 31-34.

URL:

http://www.yiyaodaobao.com.cn/EN/ OR http://www.yiyaodaobao.com.cn/EN/Y2018/V15/I6/31

[1] Vaseghi M，Shivkumar K. The role of the autonomic nervous system in sudden cardiac death [J]. ProgCardiovasc Dis，2008，50（6）：404-419.
[2] Ozkececi G，Dursun H，Akoi O，et al. Heart rate variability and heart rate turbulence in patients with polycystic ovary syndrome [J]. Anatol J Cardiol，2016，16（5）：323-327.
[3] Carpenter RE，Emery SJ，Uzun O，et al. Changes in heart rate variability and QT variability during the first trimester of pregnancy [J]. Physiol Meas，2015，36（3）：531-545.
[4] Stein PK，Hagley MT，Cole PL，et al. Changes in 24-hour heart rate variability during normal pregnancy [J]. Am J Obstet Gynecol，1999，180（4）：978-985.
[5] Maser RE，Lenhard MJ，Kolm P. Autonomic modulation in gestational diabetes mellitus [J]. J Diabetes Complications，2014，28（5）：684-688.
[6] Malik R，Kumar V. Hypertension in pregnancy [J]. Adv Exp Med Biol，2017，956（2）：375-393.
[7] Jarvis SS，Shibata S，Bivens TB，et al. Sympathetic activation during early pregnancy in humans [J]. J Physiol，2012， 590（15）：3535-3543.
[8] Flood P，McKinley P，Monk C，et al. Beat-to-beat heart rate and blood pressure variability and hypertensive disease inPregnancy [J]. Am J Perinatol，2015，32（11）：1050-1058.
[9] Okada Y，Best SA，Jarvis SS，et al. Asian women have attenuated sympathetic activation but enhanced renal-adrenal responses during pregnancy compared to Caucasian women [J]. J Physiol，2015，593（5）：1159-1168.
[10] Hossen A，Barhoum A，Jaju D，et al. Identification of patients with preeclampsia from normal subjects using wavelet-based spectral analysis of heart rate variability [J]. Technol Health Care，2017，25（4）：1-9.
[11] Lakhno I. Autonomic imbalance captures maternal and fetal circulatory response to pre-eclampsia [J]. Clin Hypertens，2017，23（1）：5.
[12] Murphy MS，Seaborn GE，Redfearn DP，et al. Reduced Heart Rate Variability and Altered Cardiac Conduction after Pre-Eclampsia [J]. PLoS One，2015，10（9）：1-11.
[13] Poyhonen-Alho M，Viitasalo M，Nicholls MG，et al. Imbalance of the autonomic nervous system at night in women with gestational diabetes [J]. Diabet Med，2010，27（9）：988-994.
[14] Shaltout HA，Rose JC，Chappell MC，et al. Angiotensin-（1-7）deficiency and baroreflex impairment precede the antenatal Betamethasone exposure-induced elevation in blood pressure [J]. Hypertension，2012，59（2）：453-458.
[15] Patey N，Seely AJ，Faure C，et al. Can Monitoring Fetal Intestinal Inflammation Using Heart Rate Variability Analysis Signal Incipient Necrotizing Enterocolitis of the Neonate [J]. Pediatr Crit Care Med，2016，17（4）：165-176.
[16] Fehlert E，Willmann K，Fritsche L，et al. Gestational diabetes alters the fetal heart rate variability during an oral glucose tolerance test：a fetal magnetocardiographystudy [J]. BJOG，2016，13（4）：335-343.
[17] Scholte AJ，Schuijf JD，Delgado V，et al. Cardiac autonomic neuropathy in patients with diabetes and no symptoms of coronaryartery disease：comparison of 123I-metaiodobenzylguanidine myocardial scintigraphy and heart rate variability [J]. Eur J Nucl Med Mol Imaging，2010， 37（9）：1698-1705.
[18] Pien GW，Pack AI，Jackson N，et al. Risk factors for sleep-disordered breathing in pregnancy [J]. Thorax，2014，69（4）： 371-377.
[19] Idiaquez J，Santos I，Santin J，et al. Neurobehavioral and autonomic alterations in adults with obstructive sleep apnea [J]. Sleep Med，2014，15（11）：1319-1323.
[20] Trimer R，Cabidu R，Sampaio LL，et al. Heart rate variability and cardiorespiratory coupling in obstructive sleep apnea：elderly compared with young [J]. Sleep Med，2014， 15（11）：1324-1331.
[21] Aydin E，Ozyuncu O，Kasapoglu D，et al. Clinical analyses of 383 cases with maternal cardiac diseases [J]. J Perinat Med，2017，17（3）：122-128.
[22] Niwa K，Tateno S，Akagi T，et al. Arrhythmia and reduced heart rate variability during pregnancy in women with congenital heart disease and previous reparative surgery [J]. Int J Cardiol，2007，122（2）：143-148.
[23] Jelinek HF，Adam MT，Krones R，et al. Diagnostic Accuracy of Random ECG in Primary Care for Early，Asymptomatic Cardiac Autonomic Neuropathy [J]. Diabetes Sci Technol，2017：59（2）：763-771.
[24] Shen CL，Ho YY，Hung YC，et al. Arrhythmias during spinal anesthesia for Cesarean section [J]. Can J Anaesth，2000， 47（5）：393-397.
[25] Nolte IM，Munoz ML，Tragante V，et al. Genetic loci associated with heart rate variability and their effects on cardiac disease risk [J]. Nat Commun，2017，8：1580-1585.
[26] Franciosi S，Perry FKG，Roston TM，et al. The role of the autonomic nervous system in arrhythmias and sudden cardiac death [J]. Auton Neurosci，2017，205（4）：1-11.
[27] Muthukrishnan S，Jain R，Kohli S，et al. Effect of Mindfulness Meditation on Perceived Stress Scores and Autonomic Function Tests of Pregnant Indian Women [J]. J Clin Diagn Res，2016，10（4）：1-10.
[28] Moslem B，Mohydeen A，Bazzi O. Monitoring the fetal heart rate variability during labor [J]. Conf Proc IEEE Eng Med Biol Soc，2015：5846-5850.
[29] Verdurmen KM，Eijsvoogel NB，Lempersz C，et al. A systematic review of prenatal screening for congenital heart disease by fetal electrocardiography.Verdurmen [J]. Int J Gynaecol Obstet，2016，135（2）：129-134.