心率减速力和心率变异性在儿童神经介导性晕厥中的临床价值研究进展
Research Progress on the Clinical Value of Heart Rate Deceleration Capacity and Heart Rate Variability in Pediatric Neurally Mediated Syncope
DOI: 10.12677/acm.2025.1541208, PDF,   
作者: 何 川, 吕铁伟*：重庆医科大学儿科学院，重庆；重庆医科大学附属儿童医院心血管内科，重庆
关键词: 儿童；心率变异性；心率减速力；神经介导性晕厥；体位性心动过速综合征；血管迷走性晕厥；HRV； DC； NMS； POTS； VVS； Children
摘要: 神经介导性晕厥(NMS)是儿童晕厥中最常见的类型，自主神经调节功能障碍是其发病的核心。近年来，心率变异性(HRV)和心率减速力(DC)作为非侵入性、动态的自主神经功能评估工具，人们对其在NMS中的诊断和预后评估的价值展开了较为广泛的研究。本文旨在综述DC和HRV在儿童NMS中近年来的研究进展，探讨其在NMS诊断、分型及预后评估中的临床价值，并展望未来的研究方向。
Abstract: Neurally Mediated Syncope (NMS) is the most common type of syncope in children, with dysfunction of autonomic nervous regulation being central to its pathogenesis. In recent years, heart rate variability (HRV) and heart rate deceleration capacity (DC) have emerged as non-invasive, dynamic tools for autonomic function assessment, and there has been growing interest in their value for diagnosing and prognostically evaluating NMS. This article reviews recent advances in research on DC and HRV in pediatric NMS, explores their clinical significance in diagnosis, subtype classification, and prognosis prediction, and discusses future research directions.
文章引用：何川, 吕铁伟. 心率减速力和心率变异性在儿童神经介导性晕厥中的临床价值研究进展[J]. 临床医学进展, 2025, 15(4): 2523-2530. https://doi.org/10.12677/acm.2025.1541208

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