Normwerte zu kardiovaskulären Tests

Zusammenfassung

Normwerte für die Untersuchung der respiratorischen Sinusarrhythmie sowie auch für die Prüfung der orthostatischen Kreislaufregulation werden vorgestellt. Die tabellarisch aufgeführten Werte sollen der praktisch diagnostischen Anwendung dienen. Dabei wird neben dem Schellong-Test auch die orthostatische Belastung nach 60°-Kippung eingesetzt.

Abstract

Normal results are presented for the investigation of respiratory sinus arrhythmia. Furthermore, for orthostatic tests such as the Schellong-Test and the tilt table test (60^o tilt). Normal results are shown in tables for diagnostic application.

Key words

Heart rate variability - orthostatic dysregulation - respiratory sinus arrhythmia - Schellong-test - tilt table-test

Literatur

• 1 Kitney R I, Rompelman O. The beat-by-beat investigation of cardiovascular function. Oxford; Clarendon Press 1987
• 2 Ewing D J, Martyn C N, Young R J, Clarke B F. The value of cardiovascular autonomic function tests: 10 years experience in diabetes.  Diabetes Care. 1985;  8 491-498
• 3 Pfeifer M, Cook D, Brodsky J. Quantitative evaluation of cardiac parasympathetic activity in normal and diabetic man.  Diabetes. 1982;  31 339-346
• 4 Claus D, Mustafa C, Vogel W. et al . Assessment of diabetic neuropathy: definition of norm and discrimination of abnormal nerve function.  Muscle & Nerve. 1993;  16 757-768
• 5 Ziegler D, Laux G, Dannehl K. Assessment of cardiovascular autonomic function: age-related normal ranges and reproducibility of spectral analysis, vector analysis, and standard tests of heart rate variation and blood pressure responses.  Diab Med. 1992;  9 166-175
• 6 Harry J D, Freeman R. Determining heart-rate variability: comparing methodologies using computer simulations.  Muscle & Nerve. 1993;  16 267-277
• 7 Weinberg C R, Pfeifer M A. An improved method for measuring heart-rate variability: assessment of cardiac autonomic function.  Biometrics. 1984;  40 855-861
• 8 Levin A B. A simple test of cardiac function based upon the heart rate changes induced by the Valsalva manoeuvre.  Am J Cardiol. 1966;  18 90-99
• 9 Baldwa V S, Ewing D J. Heart rate response to valsalva manoeuvre. Reproducibility in normals, and relation to variation in resting heart rate in diabetics.  Br Heart J. 1977;  39 641-644
• 10 Bennett T, Farquhar I K, Hosking D J, Hampton J R. An assessment of methods of estimating autonomic nervous system control of the heart in patients with diabetes mellitus.  Diabetes. 1978;  27 1174-1177
• 11 Schellong F. Regulationsprüfung des Kreislaufs. Dresden, Leipzig; Steinkopff Verlag 1938
• 12 Würfel K. Über den Blutdruck Gesunder nach verschieden schwerer Körperarbeit. Kiel; 1931
• 13 Brignole M, Menozzi C. Methods other than tilt testing for diagnosing neuro-cardiogenic (neurally mediated) syncope.  Pace. 1997;  20 795-800
• 14 Low P A, Opfer-Gehrking T L. Differential effects of amitriptyline on sudomotor, cardiovagal, and adrenergic function in human subjects.  Muscle & Nerve. 1992;  15 1340-1344
• 15 Ravits J M. AAEM minimonograph #48: Autonomic nervous system testing.  Muscle & Nerve. 1997;  20 919-937