Clinical Applications of Heart Rate Variability in the Triage and Assessment of Traumatically Injured Patients
Heart rate variability (HRV) is a method of physiologic assessment which uses fluctuations in the RR intervals to evaluate modulation of the heart rate by the autonomic nervous system (ANS). Decreased variability has been studied as a marker of increased pathology and a predictor of morbidity and mo...
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| Format: | Article |
| Language: | English |
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Wiley
2011-01-01
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| Series: | Anesthesiology Research and Practice |
| Online Access: | http://dx.doi.org/10.1155/2011/416590 |
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| author | Mark L. Ryan Chad M. Thorson Christian A. Otero Thai Vu Kenneth G. Proctor |
| author_facet | Mark L. Ryan Chad M. Thorson Christian A. Otero Thai Vu Kenneth G. Proctor |
| author_sort | Mark L. Ryan |
| collection | DOAJ |
| description | Heart rate variability (HRV) is a method of physiologic assessment which uses fluctuations in the RR intervals to evaluate modulation of the heart rate by the autonomic nervous system (ANS). Decreased variability has been studied as a marker of increased pathology and a predictor of morbidity and mortality in multiple medical disciplines. HRV is potentially useful in trauma as a tool for prehospital triage, initial patient assessment, and continuous monitoring of critically injured patients. However, several technical limitations and a lack of standardized values have inhibited its clinical implementation in trauma. The purpose of this paper is to describe the three analytical methods (time domain, frequency domain, and entropy) and specific clinical populations that have been evaluated in trauma patients and to identify key issues regarding HRV that must be explored if it is to be widely adopted for the assessment of trauma patients. |
| format | Article |
| id | doaj-art-82b912c4726d4896bf4fbab0acc09df9 |
| institution | Kabale University |
| issn | 1687-6962 1687-6970 |
| language | English |
| publishDate | 2011-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Anesthesiology Research and Practice |
| spelling | doaj-art-82b912c4726d4896bf4fbab0acc09df92025-02-03T05:46:22ZengWileyAnesthesiology Research and Practice1687-69621687-69702011-01-01201110.1155/2011/416590416590Clinical Applications of Heart Rate Variability in the Triage and Assessment of Traumatically Injured PatientsMark L. Ryan0Chad M. Thorson1Christian A. Otero2Thai Vu3Kenneth G. Proctor4Divisions of Trauma and Surgical Critical Care, Ryder Trauma Center, Dewitt-Daughtry Family Department of Surgery, University of Miami Miller School of Medicine, 1800 NW 10th Avenue, Miami, FL 33136, USADivisions of Trauma and Surgical Critical Care, Ryder Trauma Center, Dewitt-Daughtry Family Department of Surgery, University of Miami Miller School of Medicine, 1800 NW 10th Avenue, Miami, FL 33136, USADivisions of Trauma and Surgical Critical Care, Ryder Trauma Center, Dewitt-Daughtry Family Department of Surgery, University of Miami Miller School of Medicine, 1800 NW 10th Avenue, Miami, FL 33136, USADivisions of Trauma and Surgical Critical Care, Ryder Trauma Center, Dewitt-Daughtry Family Department of Surgery, University of Miami Miller School of Medicine, 1800 NW 10th Avenue, Miami, FL 33136, USADivisions of Trauma and Surgical Critical Care, Ryder Trauma Center, Dewitt-Daughtry Family Department of Surgery, University of Miami Miller School of Medicine, 1800 NW 10th Avenue, Miami, FL 33136, USAHeart rate variability (HRV) is a method of physiologic assessment which uses fluctuations in the RR intervals to evaluate modulation of the heart rate by the autonomic nervous system (ANS). Decreased variability has been studied as a marker of increased pathology and a predictor of morbidity and mortality in multiple medical disciplines. HRV is potentially useful in trauma as a tool for prehospital triage, initial patient assessment, and continuous monitoring of critically injured patients. However, several technical limitations and a lack of standardized values have inhibited its clinical implementation in trauma. The purpose of this paper is to describe the three analytical methods (time domain, frequency domain, and entropy) and specific clinical populations that have been evaluated in trauma patients and to identify key issues regarding HRV that must be explored if it is to be widely adopted for the assessment of trauma patients.http://dx.doi.org/10.1155/2011/416590 |
| spellingShingle | Mark L. Ryan Chad M. Thorson Christian A. Otero Thai Vu Kenneth G. Proctor Clinical Applications of Heart Rate Variability in the Triage and Assessment of Traumatically Injured Patients Anesthesiology Research and Practice |
| title | Clinical Applications of Heart Rate Variability in the Triage and Assessment of Traumatically Injured Patients |
| title_full | Clinical Applications of Heart Rate Variability in the Triage and Assessment of Traumatically Injured Patients |
| title_fullStr | Clinical Applications of Heart Rate Variability in the Triage and Assessment of Traumatically Injured Patients |
| title_full_unstemmed | Clinical Applications of Heart Rate Variability in the Triage and Assessment of Traumatically Injured Patients |
| title_short | Clinical Applications of Heart Rate Variability in the Triage and Assessment of Traumatically Injured Patients |
| title_sort | clinical applications of heart rate variability in the triage and assessment of traumatically injured patients |
| url | http://dx.doi.org/10.1155/2011/416590 |
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