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Herzratenvariabilität

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Zusammenfassung

Die Analyse des vegetativen Nervensystems mithilfe der Herzraten- oder Herzfrequenzvariabilität (heart rate variability, HRV) ist ein klinisch-diagnostisches Verfahren mit langer Historie. Mithilfe der HRV-Analyse lässt sich anhand von geeigneten Kenngrößen die vegetative Regulationskapazität und -funktionalität eines Menschen bestimmen, und sie eignet sich als integrative Kenngröße zur kardiovaskulären Risikoabschätzung und Gesundheitsprognose sowie zur Therapiekontrolle für unterschiedliche klinische und therapeutische Adressatengruppen. Die HRV findet v. a. in grundlegenden biomedizinischen und psychophysiologischen Fragestellungen zur autonomen Funktion, kardiovaskulären Regulation, Risikostratifizierung, Gesundheitsprognose und Therapiekontrolle Anwendung, und sie eröffnet seit einigen Jahren auch den sportmedizinischen und physiotherapeutischen Forschungsfeldern vielfältige Anwendungsperspektiven.

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Literatur

  • Agelink MW, Boz C, Ullrich H, Andrich J (2002) Relationship between major depression and heart rate variability. Clinical consequences and implications for antidepressive treatment. Psychiatry Res 113:139–149

    Article  PubMed  Google Scholar 

  • Alam I, Lewis MJ, Morgan J, Baxter J (2009) Linear and nonlinear characteristics of heart rate time series in obesity and during weight-reduction surgery. Physiol Meas 30:541–557

    Article  CAS  PubMed  Google Scholar 

  • Berntson GG, Cacioppo JT (2004) Heart rate variability: stress and psychiatric conditions. In: Malik M, Camm AJ (Hrsg) Dynamic electrocardiography. Blackwell, New York, S 57–64

    Chapter  Google Scholar 

  • Billman GE (2009) Cardiac autonomic neural remodeling and susceptibility to sudden cardiac death: effect of endurance exercise training. Am J Physiol Heart Circ Physiol 297:H1171–H1193

    Article  CAS  PubMed  Google Scholar 

  • Billman GE (2011) Heart rate variability – a historical perspective. Front Physiol 2:86

    Article  PubMed  PubMed Central  Google Scholar 

  • Britton A, Hemingway H (2004) Heart rate variability in healthy populations: correlates and consequences. In: Malik M, Camm AJ (Hrsg) Dynamic electrocardiography. Blackwell, New York, S 90–111

    Chapter  Google Scholar 

  • Chung JW, Yan VC, Zhang H (2014) Effect of acupuncture on heart rate variability: a systematic review. Evid Based Complement Alternat Med 2014:819871

    PubMed  PubMed Central  Google Scholar 

  • Ciccone AB, Siedlik JA, Wecht JM et al (2017) Reminder: RMSSD and SD1 are identical heart rate variability metrics. Muscle Nerve 56(4):674–678

    Article  PubMed  Google Scholar 

  • Dekker JM, Schouten EG, Klootwijk P et al (1997) Heart rate variability from short electrocardiographic recordings predicts mortality from all causes in middle-aged and elderly men. The Zutphen Study. Am J Epidemiol 145:899–908

    Article  CAS  PubMed  Google Scholar 

  • ESC NASPE (1996) Task Force of the European Society of Cardiology and the North American Society of Pacing and Electrophysiology: heart rate variability: standards of measurement, physiological interpretation and clinical use. Circulation 93:1043–1065

    Article  Google Scholar 

  • Hainsworth R (2004) Physiological background of heart rate variability. In: Malik M, Camm AJ (Hrsg) Dynamic electrocardiography. Blackwell, New York, S 3–12

    Google Scholar 

  • Hoos O (2009) Herzfrequenzvariabilität in der Physiotherapie – Grundlagen, Methoden, Anwendungen. pt – Z Physiotherapeuten 61:277–282

    Google Scholar 

  • Hottenrott K, Hoos O, Esperer HD (2006) Heart rate variability and physical exercise. Current status. Herz 31:544–552

    Article  PubMed  Google Scholar 

  • Huikuri HV, Makikallio TH, Peng CK et al (2000) Fractal correlation properties of R-R interval dynamics and mortality in patients with depressed left ventricular function after an acute myocardial infarction. Circulation 101:47–53

    Article  CAS  PubMed  Google Scholar 

  • Huikuri HV, Perkiomaki JS, Maestri R, Pinna GD (2009) Clinical impact of evaluation of cardiovascular control by novel methods of heart rate dynamics. Philos Transact A Math Phys Eng Sci 367:1223–1238

    Article  Google Scholar 

  • Iellamo F, Legramante JM, Massaro M et al (2000) Effects of a residential exercise training on baroreflex sensitivity and heart rate variability in patients with coronary artery disease: a randomized, controlled study. Circulation 102:2588–2592

    Article  CAS  PubMed  Google Scholar 

  • Kagiyama S, Tsukashima A, Abe I et al (1999) Chaos and spectral analyses of heart rate variability during head-up tilting in essential hypertension. J Auton Nerv Syst 76:153–158

    Article  CAS  PubMed  Google Scholar 

  • Karason K, Molgaard H, Wikstrand J, Sjostrom L (1999) Heart rate variability in obesity and the effect of weight loss. Am J Cardiol 83:1242–1247

    Article  CAS  PubMed  Google Scholar 

  • Kemp AH, Quintana DS (2013) The relationship between mental and physical health: insights from the study of heart rate variability. Int J Psychophysiol 89:288–296

    Article  PubMed  Google Scholar 

  • Kleiger RE, Stein PK, Bigger JT Jr (2005) Heart rate variability: measurement and clinical utility. Ann Noninvasive Electrocardiol 10:88–101

    Article  PubMed  PubMed Central  Google Scholar 

  • Lee MS, Huh HJ, Kim BG et al (2002) Effects of Qi-training on heart rate variability. Am J Chin Med 30:463–470

    Article  PubMed  Google Scholar 

  • Lee MS, Kim MK, Lee Y-H (2005) Effects of Qi-therapy (external Qigong) on cardiac autonomic tone: a randomized placebo controlled study. Int J Neurosci 115:1345–1350

    Article  PubMed  Google Scholar 

  • Lehrer PM, Gevirtz R (2014) Heart rate variability biofeedback: how and why does it work? Front Psychol 5:756

    Article  PubMed  PubMed Central  Google Scholar 

  • Lewis ME, Al-Khalidi AH, Bonser RS et al (2001) Vagus nerve stimulation decreases left ventricular contractility in vivo in the human and pig heart. J Physiol 534:547–552

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Liao D, Cai J, Barnes RW et al (1996) Association of cardiac autonomic function and the development of hypertension: the ARIC study. Am J Hypertens 9:1147–1156

    Article  CAS  PubMed  Google Scholar 

  • Lindmark S, Lonn L, Wiklund U et al (2005) Dysregulation of the autonomic nervous system can be a link between visceral adiposity and insulin resistance. Obes Res 13:717–728

    Article  CAS  PubMed  Google Scholar 

  • Nicolini P, Ciulla MM, De Asmundis C et al (2012) The prognostic value of heart rate variability in the elderly, changing the perspective: from sympathovagal balance to chaos theory. Pacing Clin Electrophysiol 35:622–638

    Article  PubMed  Google Scholar 

  • Nolan RP, Kamath MV, Floras JS et al (2005) Heart rate variability biofeedback as a behavioral neurocardiac intervention to enhance vagal heart rate con-trol. Am Heart J 149:1137

    Article  Google Scholar 

  • Nolan RP, Jong P, Barry-Bianchi SM et al (2008) Effects of drug, biobehavioral and exercise therapies on heart rate variability in coronary artery disease: a systematic review. Eur J Cardiovasc Prev Rehabil 15:386–396

    Article  PubMed  Google Scholar 

  • Nunan D, Sandercock GRH, Brodie DA (2010) A quantitative systematic review of normal values for short-term heart rate variability in healthy adults. Pacing Clin Electrophysiol 33:1407–1417

    Article  PubMed  Google Scholar 

  • Pagani M (2000) Heart rate variability and autonomic diabetic neuropathy. Diabetes Nutr Metab 13:341–346

    CAS  PubMed  Google Scholar 

  • Perkiomaki JS, Zareba W, Kalaria VG et al (2001) Comparability of nonlinear measures of heart rate variability between long- and short-term electrocardiographic recordings. Am J Cardiol 87:905–908

    Article  CAS  PubMed  Google Scholar 

  • Perkiomaki JS, Makikallio TH, Huikuri HV (2005) Fractal and complexity measures of heart rate variability. Clin Exp Hypertens 27:149–158

    Article  PubMed  Google Scholar 

  • Persson PB (1996) Modulation of cardiovascular control mechanisms and their interaction. Physiol Rev 76:193–244

    Article  CAS  PubMed  Google Scholar 

  • Persson PB (2005) Baroreflexes in hypertension: a mystery revisited. Hypertension 46:1095–1096

    Article  CAS  PubMed  Google Scholar 

  • Peterson HR, Rothschild M, Weinberg CR et al (1988) Body fat and the activity of the autonomic nervous system. N Engl J Med 318:1077–1083

    Article  CAS  PubMed  Google Scholar 

  • Rabbone I, Bobbio A, Rabbia F et al (2009) Early cardiovascular autonomic dysfunction, beta cell function and insulin resistance in obese adolescents. Acta Biomed 80:29–35

    CAS  PubMed  Google Scholar 

  • Rosenwinkel ET, Bloomfield DM, Arwady MA, Goldsmith RL (2001) Exercise and autonomic function in health and cardiovascular disease. Cardiol Clin 19:369–387

    Article  CAS  PubMed  Google Scholar 

  • Routledge HC, Chowdhary S, Townend JN (2002) Heart rate variability – a therapeutic target? J Clin Pharm Ther 27:85–92

    Article  CAS  PubMed  Google Scholar 

  • Routledge FS, Campbell TS, McFetridge-Durdle JA, Bacon SL (2010) Improvements in heart rate variability with exercise therapy. Can J Cardiol 26:303–312

    Article  PubMed  PubMed Central  Google Scholar 

  • Sandercock GRH, Bromley PD, Brodie DA (2005) Effects of exercise on heart rate variability: inferences from meta-analysis. Med Sci Sports Exerc 37:433–439

    Article  PubMed  Google Scholar 

  • Sassi R, Cerutti S, Lombardi F et al (2015) Advances in heart rate variability signal analysis: joint position statement by the e-Cardiology ESC Working Group and the European Heart Rhythm Association co-endorsed by the Asia Pacific Heart Rhythm Society. Europace 17:1341–1353

    Article  PubMed  Google Scholar 

  • Stahle A, Nordlander R, Bergfeldt L (1999) Aerobic group training improves exercise capacity and heart rate variability in elderly patients with a recent coronary event. A randomized controlled study. Eur Heart J 20:1638–1646

    Article  CAS  PubMed  Google Scholar 

  • Stauss HM (2003) Heart rate variability. Am J Physiol Regul Integr Comp Physiol 285:R927–R931

    Article  CAS  PubMed  Google Scholar 

  • Stein PK, Domitrovich PP, Huikuri HV, Kleiger RE (2005) Traditional and nonlinear heart rate variability are each independently associated with mortality after myocardial infarction. J Cardiovasc Electrophysiol 16:13–20

    Article  PubMed  Google Scholar 

  • Thayer JF, Lane RD (2000) A model of neurovisceral integration in emotion regulation and dysregulation. J Affect Disord 61:201–216

    Article  CAS  PubMed  Google Scholar 

  • Thayer JF, Lane RD (2007) The role of vagal function in the risk for cardiovascular disease and mortality. Biol Psychol 74:224–242

    Article  PubMed  Google Scholar 

  • Thayer JF, Friedman BH, Borkovec TD (1996) Autonomic characteristics of generalized anxiety disorder and worry. Biol Psychiatry 39:255–266

    Article  CAS  PubMed  Google Scholar 

  • Thayer JF, Yamamoto SS, Brosschot JF (2010) The relationship of autonomic imbalance, heart rate variability and cardiovascular disease risk factors. Int J Cardiol 141:122–131

    Article  PubMed  Google Scholar 

  • Tsuji H, Venditti FJ Jr, Manders ES et al (1994) Reduced heart rate variability and mortality risk in an elderly cohort. The Framingham Heart Study. Circulation 90:878–883

    Article  CAS  PubMed  Google Scholar 

  • Vaschillo EG, Vaschillo B, Lehrer PM (2006) Characteristics of resonance in heart rate variability stimulated by biofeedback. Appl Psychophysiol Biofeedback 31:129–142

    Article  PubMed  Google Scholar 

  • Voss A, Schroeder R, Vallverdu M et al (2013) Short-term vs. long-term heart rate variability in ischemic cardiomyopathy risk stratification. Front Physiol 4:364

    Article  PubMed  PubMed Central  Google Scholar 

  • Willson K, Francis DP, Wensel R et al (2002) Relationship between detrended fluctuation analysis and spectral analysis of heart-rate variability. Physiol Meas 23:385–401

    Article  PubMed  Google Scholar 

  • Ziegler D, Zentai CP, Perz S et al (2008) Prediction of mortality using measures of cardiac autonomic dysfunction in the diabetic and nondiabetic population: the MONICA/KORA Augsburg Cohort Study. Diabetes Care 31:556–561

    Article  PubMed  Google Scholar 

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Authors and Affiliations

  1. Fakultät für Humanwissenschaften, Julius-Maximilians-Universität Würzburg, Würzburg, Deutschland

    Olaf Hoos

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  1. Olaf Hoos
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Correspondence to Olaf Hoos .

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Editors and Affiliations

  1. Medizinische Universität Wien, Wien, Austria

    Michael Frass

  2. Österreichischer Dachverband für ärztliche Ganzheitsmedizin, Wien, Austria

    Lothar Krenner

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Hoos, O. (2019). Herzratenvariabilität. In: Frass, M., Krenner, L. (eds) Integrative Medizin. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-662-48879-9_10

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  • DOI: https://doi.org/10.1007/978-3-662-48879-9_10

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  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-662-48878-2

  • Online ISBN: 978-3-662-48879-9

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