Noninvasive Recording of Cardiac Autonomic Nervous Activity: What Is Behind ECG?

  • Yike Zhang
  • Chang CuiEmail author
  • Minglong ChenEmail author


The autonomic nervous system, which is divided into the sympathetic nervous system and the parasympathetic nervous system, takes part in various physiological processes. The assessment of autonomic nervous activity is necessary for disease diagnosis and risk stratification for patients. Noninvasive testing approaches based on ECG, such as heart rate variability, heart rate turbulence, baroreflex sensitivity, and skin sympathetic nerve activity, are briefly introduced in this chapter to enlighten broader applications of these physiological signals in clinical work.


Autonomic nervous system Heart rate variability Skin sympathetic nerve activity 


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© Springer Nature Singapore Pte Ltd. 2020

Authors and Affiliations

  1. 1.Department of CardiologyThe First Affiliated Hospital of Nanjing Medical UniversityNanjingChina

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