Vegetative Funktionsdiagnostik mittels Analyse der Herzratenvariabiltät

Zusammenfassung

Im Jahr 2010 verursachten chronische Erkrankungen 34,5 Mio. (65,5 %) aller Todesfälle weltweit [23]. Diese Zahl ist das Ergebnis der Lebensweise unserer zivilisierten Welt, aber auch unserer gegenwärtigen Behandlungsmöglichkeiten. Eine logische Konsequenz ist der verstärkte Einsatz lebensstilmedizinischer Maßnahmen, wobei sich diese nicht mehr allein auf Prävention beschränken dürfen. Einen neuartigen Zugang, Gesundheitsmanagement auf Basis diagnostizierter Ressourcen zu betreiben, bietet die Methode der vegetativen Funktionsdiagnostik auf Basis der Messungen der Herzratenvariabilität.

Abstract

Non-communicable diseases account for 34,5 million or 65,5 % deaths worldwide in 2010 [23]. These are the results of the lifestyle in our civilization, but also the result of established chronic disease management. As a corollary of those findings any initiative to strengthen the position of lifestyle medicine has to be taken. And that does not only include prevention. A new approach to detect and value the resources to develop continuing competent health management is the function diagnosis of the autonomous nervous system by measuring heart rate variability.

Schlüsselwörter

Herzratenvariabilität - vegetative Funktionsdiagnostik - Prävention - Gesundheitsförderung - Lebensstilmedizin

Keywords

Heart rate variability - disease management - prevention - health promotion - lifestyle medicine

• Literatur

• 1 Ako M, Kawara T, Uchida S et al. Correlation between electroencephalography and heart rate variability during sleep. Psychiatry Clin Neurosci 2003; 57: 59-65
• 2 Akselrod S, Gordon D, Ubel FA et al. Power spectrum analysis of heart rate fluctuation: A quantitative probe of beat-to-beat cardiovascular control. Science 1981; 213: 220-222
• 3 Bigger JT Jr, Kleiger RE, Fleiss JL et al. Components of heart rate variability measured during healing of acute myocardial infarction. Am J Cardiol 1988; 61: 208-15
• 4 Birkhofer A, Schmidt G, Förstl H. Heart and brain − the influence of psychiatric disorders and their therapy on the heart rate variability. Fortschr Neurol Psychiatr 2005; 73: 192-205
• 5 Bonnemeier H, Richardt G, Potratz J et al. Circadian profile of cardiac autonomic nervous modulation in healthy subjects: differing effects of aging and gender on heart rate variability. J Cardiovasc Electrophysiol 2003; 14: 791-9
• 6 Buchheit M, Simon C, Piquard F et al. Effects of increased training load on vagal-related indexes of heart rate variability: a novel sleep approach. Am J Physiol Heart Circ Physiol 2004; 287: H2813-8
• 7 Camm AJ, Pratt CM, Schwartz PJ et al. Azimilide post infarct survival evaluation (ALIVE) Investigators; Mortality in patients after a recent myocardial infarction: a randomized, placebo-controlled trial of azimilide using heart rate variability for risk stratification. Circulation 2004; 109: 990-6
• 8 Carney RM, Blumenthal JA, Freedland KE et al. Low heart rate variability and the effect of depression on post-myocardial infarction mortality. Arch Intern Med 2005; 165: 1486-91
• 9 Chandola T, Heraclides A, Kumari M. Psychophysiological biomarkers of workplace stressors. Neurosci Biobehav Rev 2010; 35: 51-7
• 10 Eryonucu B, Bilge M, Güler N et al. The effect of autonomic nervous system activity on exaggerated blood pressure response to exercise: evaluation by heart rate variability. Acta Cardiol 2000; 55: 181-5
• 11 Fleisher LA. Heart rate variability as an assessment of cardiovascular status. J Cardiothorac Vasc Anesth 1996; 10: 659-71
• 12 Furlan R, Piazza S Dell’Orto S et al. Early and late effects of exercise and athletic training on neural mechanisms controlling heart rate. Cardiovasc Res 1993; 27: 482-8
• 13 Hamamoto K, Ogawa A, Mitsudome A. Effect of aging on autonomic function in individuals with severe motor and intellectual disabilities. Brain Dev 2003; 25: 326-9
• 14 Hjortskov N, Rissén D, Blangsted AK. The effect of mental stress on heart rate variability and blood pressure during computer work. Eur J Appl Physiol 2004; 92: 84-9
• 15 Hon Eh, Lee St. Electronic evaluation of the fetal heart rate. VIII. patterns predicting fetal death, further observations. Am J Obstet Gynecol 1963; 87: 814-26
• 16 Jons C, Raatikainen P, Gang UJ et al for the Cardiac Arrhythmias and Risk Stratification after Acute Myocardial Infarction (CARISMA) Study Group Autonomic dysfunction and new-onset atrial fibrillation in patients with left ventricular systolic dysfunction after acute myocardial infarction: A CARISMA Substudy. J Cardiovasc Electrophysiol 2010;
• 17 Jouanin JC, Dussault C, Peres M et al. Analysis of heart rate variability after a ranger training course. Mil Med 2004; 169: 583-7
• 18 Nolan J, Batin PD, Andrews R et al. Prospective study of heart rate variability and mortality in chronic heart failure: results of the United Kingdom heart failure evaluation and assessment of risk trial (UK-heart). Circulation 1998; 98: 1510-6
• 19 Karita K, Nakao M, Nishikitani M et al. Autonomic nervous activity changes in relation to the reporting of subjective symptoms among male workers in an information service company. Int Arch Occup Environ Health 2005; 1-4
• 20 Krüger C, Lahm T, Zugck C et al. Heart rate variability enhances the prognostic value of established parameters in patients with congestive heart failure. Z Kardiol 2002; 91: 1003-12
• 21 Kuo TB, Yang CC. Scatterplot analysis of EEG slow-wave magnitude and heart rate variability: an integrative exploration of cerebral cortical and autonomic functions. Sleep 2004; 27: 648-56
• 22 Laitio T, Jalonen J, Kuusela T et al. The role of heart rate variability in risk stratification for adverse postoperative cardiac events. Anesth Analg 2007; 105: 1548-60
• 23 Lozano R, Naghavi M et al. Global and regional mortality from 235 causes of death for 20 age groups in 1990 and 2010: a systematic analysis for the Global Burden of Disease Study 2010. Lancet 2012; 380: 2095-128
• 24 Lu WA, Kuo CD. The effect of Tai Chi Chuan on the autonomic nervous modulation in older persons. Med Sci Sports Exerc 2003; 35 1972−6
• 25 Malik M et al. Heart rate variability. Standards of measurement, physiological interpretation, and clinical use. Task Force of the European Society of Cardiology and the North American Society of Pacing and Electrophysiology. Eur Heart J 1996; 17: 354-81
• 26 Martinmaki K, Rusko H, Kooistra L et al. Intraindividual validation of heart rate variability indices to measure vagal effects on the heart. Am J Physiol Heart Circ Physiol 2005;
• 27 Mazurak N, Günther A, Grau FS et al. Effects of a 48-h fast on heart rate variability and cortisol levels in healthy female subjects. Eur J Clin Nutr 2013;
• 28 Mitani S, Fujita M, Shirakawa T. Circadian variation of cardiac autonomic nervous profile is affected in Japanese ambulance men with a working system of 24-h shifts. Int Arch Occup Environ Health 2005; 1-6
• 29 Mourot L, Bouhaddi M, Perrey S et al. Decrease in heart rate variability with overtraining: assessment by the Poincare plot analysis. Clin Physiol Funct Imaging 2004; 24: 10-8
• 30 Nishiyama K, Yasue H, Moriyama Y et al. Acute effects of melatonin administration on cardiovascular autonomic regulation in healthy men. Am Heart J 2001; 141 E9
• 31 Okano Y, Hirawa N, Matsushita K et al. Implication of base heart rate in autonomic nervous function, blood pressure and health-related QOL. Clin Exp Hypertens 2005; 27: 169-78
• 32 Parekh A, Lee CM. Heart rate variability after isocaloric exercise bouts of different intensities. Med Sci Sports Exerc 2005; 37: 599-605
• 33 Pichot V, Bourin E, Roche F et al. Quantification of cumulated physical fatigue at the workplace. Pflugers Arch 2002; 445: 267-72
• 34 Pomeranz B, Macaulay RJ, Caudill MA et al. Assessment of autonomic function in humans by heart rate spectral analysis. Am J Physiol 1985; 248: H151-H153
• 35 Ruediger H, Seibt R, Scheuch K et al. Sympathetic and parasympathetic activation in heart rate variability in male hypertensive patients under mental stress. J Hum Hypertens 2004; 18: 307-15
• 36 Schwarz AM, Schächinger H, Adler RH et al. Hopelessness is associated with decreased heart rate variability during championship chess games. Psychosom Med 2003; 65: 658-61
• 37 Sleight P. The importance of the autonomic nervous system in health and disease. Aust N Z J Med 1997; 27: 467-73
• 38 Stein PK, Bosner MS, Kleiger RE et al. Heart rate variability: a measuere of cardiac autonomic tone. Am Heart J 1994; 127: 1376-81
• 39 Stein PK, Bosner MS, Kleiger RE et al. Differing effects of age on heart rate variability in men and women. Am J Cardiol 1997; 80: 302-5
• 40 Thayer JF, Ahs F, Fredrikson M et al. A meta-analysis of heart rate variability and neuroimaging studies: implications for heart rate variability as a marker of stress and health. Neurosci Biobehav Rev 2012; 36: 747-56
• 41 Tsuji H, Larson MG, Venditti FJ et al. Impact of reduced heart rate variability on risk for cardiac events. The Framingham Heart Study. Circulation 1996; 94: 2850-5
• 42 Tsuji H, Venditti FJ Jr, Manders ES et al. Reduced heart rate variability and mortality risk in an elderly cohort. The Framingham Heart Study. Circulation 1994; 90: 878-83
• 43 Schnell I, Potchter O, Epstein Y et al. The effects of exposure to environmental factors on heart rate variability: An ecological perspective. Environ Pollut; 2013. pii: S0269−7491(13)00071−7.
• 44 Scott AS, Eberhard A, Ofir D et al. Enhanced cardiac vagal efferent activity does not explain training-induced bradycardia. Auton Neurosci 2004; 112: 60-8
• 45 Jiao K, Li Z, Chen M et al. Synthetic effect analysis of heart rate variability and blood pressure variability on driving mental fatigue. Sheng Wu Yi Xue Gong Cheng Xue Za Zhi 2005; 22: 343-6
• 46 Tracey KJ. The inflammatory reflex. Nature 2002; 19-26
• 47 Viola AU, Simon C, Ehrhart J. Sleep processes exert a predominant influence on the 24-h profile of heart rate variability. J Biol Rhythms 2002; 17: 539-47
• 48 Zefferino R, L’Abbate N, Facciorusso A et al. Assessment of heart rate variability (HRV) as a stress index in an emergency team of urban police. G Ital Med Lav Ergon 2003; 25 Suppl(3): 167-9
• 49 Zhong X, Hilton HJ, Gates GJ et al. Increased sympathetic and decreased parasympathetic cardiovascular modulation in normal humans with acute sleep deprivation. J Appl Physiol 2005; 98: 2024-32
• 50 Zhuang Z, Gao X, Gao S. The relationship of HRV to sleep EEG and sleep rhythm. Int J Neurosci 2005; 115: 315-27