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Herzratenvariabilität in der Onkologischen Rehabilitation

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Onkologische Rehabilitation

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Zusammenfassung

HRV-Anwendungen in der onkologischen Rehabilitation sind sicher anwendbar und werden von Patienten in der Regel problemlos vertragen. Nebenwirkungen, bis auf lokale Hautirritationen bei Anlegen von Elektroden, sind bis dato in der Literatur nicht beschrieben. Haupteinsatzgebiet bei Krebspatienten ist die Evaluierung autonomer Dysfunktionen und Subkategorien, wobei bis dato nur wenige gut designte randomisiert-kontrollierte Studien zur Thematik existieren. Des Weiteren sind besonders im Bereich Datenerhebung durch diverse methodische Störfaktoren (beispielsweise Zeitdauer der Datenerhebung der HRV-Parameter von 10 Sekunden bis 24 h, unterschiedliche EKG Abtastraten von 200 bis 1000 Hz u. a.) erhebliche Qualitätsunterschiede im Messergebnis in den einzelnen Studien möglich. Die respiratorische Sinusarrhythmie (in Ruhe wesentliches Element der HRV) kann durch den individuell getakteten Atemrhythmus willentlich stark beeinflusst werden und bietet somit ein großes Potenzial für Fehlinterpretationen der HRV. Die Studienlage sollte durch weitere hochqualitative Arbeiten gesteigert werden, um die Evidenz möglicher Benefits für dieses Patientenkollektiv im onkologisch-rehabilitativen Setting aufzuzeigen.

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Authors and Affiliations

  1. Universitätsklinik für Physikalische Medizin, Rehabilitation und Arbeitsmedizin, Medizinische Universität Wien, Wien, Österreich

    Stefano Palma

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  1. Stefano Palma
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Correspondence to Stefano Palma .

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  1. Universitätsklinik für Physikalische Medizin, Rehabilitation und Arbeitsmedizin, Medizinische Universität Wien, Wien, Austria

    Richard Crevenna

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Palma, S. (2020). Herzratenvariabilität in der Onkologischen Rehabilitation. In: Crevenna, R. (eds) Onkologische Rehabilitation. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-662-57982-4_14

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  • DOI: https://doi.org/10.1007/978-3-662-57982-4_14

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  • Online ISBN: 978-3-662-57982-4

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