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METHOD FOR STUDYING CARDIAC VEGETATIVE REGULATION STATE AND MAKING DIFFERENTIAL DIAGNOSIS OF CLINICAL ARRHYTHMIA FORMS

机译:研究心律失常状态并进行临床心律失常形态鉴别诊断的方法

摘要

FIELD: medicine. SUBSTANCE: method involves recording and analyzing RR-intervalogram in rest and in carrying out sequential tests in the following order: active orthostatic test, Alsalve test, Ashner test and one with physical loading. In performing analysis, changes in speed and completeness of RR-intervalogram levels recovery and wave structure on the segments of initial, stimulation and poststimulation period. In performing examination, continuous RR-intervalogram recording is carried out in monitoring mode during 6-24 h, cardiac rhythm disturbance episode, circumstances of its arising according to patient dairy is detected and analyzed. Cardiac vegetative regulation state is determined from the manner cardiac rhythm disturbance occurs on the RR-intervalogram segments up to the moment it happens, just at the moment cardiac rhythm disturbance happens, and after the cardiac rhythm disturbance. The studies give evidence for applying method of differential diagnosis of clinical forms of cardiac arrhythmia involving comparative analysis of normal wave structure in a row of RR-intervals and cardiac rhythm disturbances recorded according to incidence frequency, magnitude of and relations between bound and postectopic RR-intervals, relations between cardiac rhythm disturbance episodes, time to restore initial rhythm. It is determined, what background of waves and relations between them lead to cardiac rhythm disturbances occurring, what waves of cardiac rhythms predominate immediately before and after the disturbances. EFFECT: enhanced effectiveness in recording cardiac rhythm disturbances; enhanced accuracy of diagnosis. 2 cl, 12 dwg
机译:领域:医学。实质:该方法涉及按以下顺序记录和分析RR-间隔图,并按以下顺序进行顺序测试:主动体位测试,Alsalve测试,Ashner测试和有物理载荷的测试。在进行分析时,在初始,刺激和后刺激阶段的各个阶段,RR-间隔图水平恢复和波结构的速度和完整性的变化。在进行检查时,在6-24小时内以监测模式连续进行RR-间隔记录,检测并分析心律失常发作,并根据患者的乳制品出现这种情况。心脏的营养调节状态是由RR-间隔图片段上直到发生心律紊乱的那一刻以及发生在心律紊乱之后的心律紊乱发生的方式确定的。这些研究为应用心律失常的临床形式的鉴别诊断方法提供了证据,该方法包括对连续RR间隔中正常波结构的比较分析以及根据发生频率,束缚和后位RR-RR的关系以及记录的心律失常之间的关系记录的心律失常间隔,心律紊乱发作之间的关系,恢复初始节律的时间。确定哪些波的背景以及它们之间的关系导致心律失常发生,哪些心律波动在这些扰动之前和之后立即占优势。效果:增强记录心律失常的有效性;提高诊断准确性。 2厘升,12载重吨

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