北京大学人民医院
纸质出版:2021
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王立群, 游红, 赵京, 等. 基础直立倾斜试验的血流动力学反应类型[J]. 临床心电学杂志, 2021,(6):409-413.
Wang liqun, You hong, Zhao jing, et al. Different hemodynamic patterns in basic head-up tilt table tes[J]. 2021, (6): 409-413.
目的对基础直立倾斜试验中的不同血流动力学反应进行总结分析。方法选择443例晕厥或头晕或走路不稳患者在安静环境空腹进行基础直立倾斜试验持续监测心电和血压
观察其血压、心率变化。结果共443例患者进行基础直立倾斜试验
其中阴性312例(70%)、直立性低血压66例(15%)、血管迷走性晕厥14例(3%)、体位性心动过速15例(4%)、直立性高血压36例(8%)。直立性低血压中经典型24例(36%)
延迟型29例(44%)
初起型8例(12%)
进展型5例(8%)。结论在临床进行短时基础直立倾斜试验的存在不同类型血流动力学反应
可对直立性低血压各亚型细致观察
较好反映自主神经系统对心血管的调节。
Objective To study the different hemodynamic reaction patterns displasyed over the course of basic head-up tilt table tests in clinic patients. Methods Total 443 patients underwent basic head-up tilt table test
who were fasting more than 4 hours. The changes of blood pressure and heart rate were recorded. Results Among 443 patients who took the basic HUTT tests
312 patients(70%)had negative reactions
66 patients(15%) were orthostatic hypotension(OH)
14 patients(3%)had vasovagal responses
15 patients(4%) were orthostatic tachycardia syndrome
36 patients were orthostatic hypertension. Among OH patients
24 patients(36%) were classical type of OH
29 patients(44%)were delayed OH
8 patients(12%) were initial OH
and 5 patients(8%) were progressive type of OH.Conclusions There are different hemodynamic reaction patterns in basic head-up tilt table tests. With careful observation in the different hemodynamic reactions in orthostatic hypotension
we can estimate the autonomic function in cardiology.
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