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研究生:黃纕芸
研究生(外文):Huang, Shiang-Yun
論文名稱:使用心率變異性作為正常與心血管疾病之評估工具
論文名稱(外文):Heart Rate Variability as a tool to evaluate Normal and Different Cardiovascular Disease
指導教授:楊騰芳楊騰芳引用關係
指導教授(外文):Yang, Ten-Fang
口試委員:王雲銘張承仁
口試日期:2022-01-26
學位類別:碩士
校院名稱:國立陽明交通大學
系所名稱:生物資訊及系統生物研究所
學門:生命科學學門
學類:生物訊息學類
論文種類:學術論文
論文出版年:2022
畢業學年度:110
語文別:中文
論文頁數:127
中文關鍵詞:心率變異性冠狀動脈繞道手術支架心臟冠狀動脈血管造影心導管
外文關鍵詞:Heart Rate VariabilityCardiovascular DiseaseCABGCAGPCI
相關次數:
  • 被引用被引用:1
  • 點閱點閱:207
  • 評分評分:
  • 下載下載:43
  • 收藏至我的研究室書目清單書目收藏:0
目的:
心率變異性(Heart Rate Variability, HRV)已被使用作為自律神經功能之評估工具。因此,本研究旨在正常人與心血管疾病患如:CAG(Coronary Angiogram)、PCI(Percutaneous Coronary Intervention)、CABG(Coronary Artery Bypass Grafting)等,在心率變異性之時域(Time Domain)及頻域(Frequency Domain)參數與交感神經、副交感神經之間的變化及影響意義。
方法:
採用162名正常健康受試者及71名中區綜合醫院患者進行CABG前和CABG後7天測量短時HRV;對173名正常健康受試者與北區綜合醫院36名進行CAG患者、47名PCI支架置入術患者之術前術後,測量短時HRV,其測量時間點為術前1小時和術後30分鐘完成。統計方法使用Wilcoxon-T及Student-T檢驗分析。
結論:
CABG後,Time Domain SDNN下降,HF增加、LF減少,與正常健康受試者相比有統計意義。正常健康受試者與CAG、PCI患者術後之參數無顯著差異,兩者術後之LF增加、HF降低,推斷可能是焦慮或疼痛引起,但統計分析上亦無統計意義。
Purpose:
Heart Rate Variability (HRV) has been used as an assessment tool for autonomic function. Therefore, the purpose of this study was to investigate the changes and significance of changes in the time-domain and frequency-domain parameters of heart rate variability and sympathetic and parasympathetic nerves in normal group and patients with cardiovascular diseases such as CAG (Coronary Angiogram), PCI (Percutaneous Coronary Intervention), CABG(Coronary Artery Bypass Grafting), etc.

Method:
Short-term HRV was measured before CABG and 7 days after CABG in 162 normal healthy subjects and 71 patients in Taichung District Hospital; 173 normal healthy subjects and 36 patients in North General Hospital underwent CAG, 47 Short-term HRV was measured before and after stent of PCI in patients 1 hour before and 30 minutes after surgery. Statistical methods were analyzed using Wilcoxon-T and Student-T tests.

Conclusion:
After CABG, Time Domain SDNN decreased, HF increased, and LF decreased, which was statistically significant compared with normal healthy subjects. There was no significant difference in parameters between normal healthy subjects and CAG and PCI patients. The increase in LF and decrease in HF after operation between the two groups may be caused by anxiety or pain, but there is no statistical significance in statistical analysis.
目 錄
頁次
中文摘要………i
英文摘要………ii
致謝…………………iii
目錄…………………iv
表目錄……………vi
圖目錄……………viii
一、緒論 ……………………………………………………………………1
二、Electrocardiology……………………………………3
2.1 History of Electrocardiology ……3
2.1.1 電力時代Era of Electricity ………5
2.1.2 生物電氣時代 Era of Bioelectricity …………………………………7
2.1.3 心臟電氣時代 Era of Cardiac Electric Sequence……10
2.2 Fundamental Anatomies ……………17
2.2.1 心臟解剖 Heart Anatomy…………17
2.2.2 幫浦系統 Heart Pump…………………21
2.2.3 傳導系統 Conductive System of the Heart………24
2.3 Definition of Autonomic Nervous System……………26
2.3.1 Sympathetic nervous system………………………………………29
2.3.2 Parasympathetic nervous system……………………………32
三、Heart Rate Variability………………………………………………………35
3.1 Background and History………………………………………………………35
3.2 Guideline of Heart Rate Variability……………………37
3.3 Methods …………………………………40
3.3.1 Time domain……………………40
3.3.2 Frequency domain ……45
3.3.3 HRV Recording and Signal analysis………51
3.3.4 Statistics Analysis……………………………………………54
四、Materials and Analysis and Results…………55
4.1 Group Normal vs Coronary Artery Bypass Graft…………59
4.2 Group Normal vs Coronary angiogram …………………………………66
4.3 Group Normal vs Percutaneous Coronary Intervention………73
五、Discussion ……82
Reference……………………84
Appendix ……………………105
附錄一:受檢者同意書
附錄二:世界醫師會赫爾辛基宣言 World Medical Association Declaration of Helsinki
附錄三:2016 ICE 接受函
附錄四:Poster of 43th ICE
附錄五:2018 ICE 接受函
附錄六:2018 ICE 發表地點
附錄七:Poster of 45th ICE (1)
附錄八:Poster of 45th ICE (2)
附錄九:Publication List
附錄十:IRB課程參加證明
附錄十一:IRB考試證書
附錄十二:IRB結業證明
附錄十三:IRB of AREE
附錄十四:IRB of AREE
1. “Heart rate variability Standards of measurement, physiological interpretation, and clinical use Task Force of The European Society of Cardiology and The North American Society of Pacing and Electrophysiology”. European Heart Journal, 17, pp. 354–381, 1996.
2. Matthew James Reed, C.E. Robertson, P.S. Addison. “Heart Rate Variability Measurements and the Prediction of Ventricular Arrhythmias”, QJM: An International Journal of Medicine, 98, 2, pp.87–95, February 2005.
3. Sayers BM. “Analysis of heart rate variability”, Ergonomics, 16, pp. 17-32, 1973.
4. Akselrod S, Gordon D, Ubel FA, Shannon DC, Barger AC, Cohen RJ. “Power spectrum analysis of heart rate fluctuation: a quantitative probe of beat to beat cardiovascular control”. Science, 213, pp. 220-2, 1981.
5. Furlan R, Guzetti S, Crivellaro W et al. “Continuous 24-hour assessment of the neural regulation of systemic arterial pressure and RR variabilities in ambulant subjects”. Circulation. 81, pp. 537-47, 1990.
6. Hon EH, Lee ST. “Electronic evaluations of the fetal heart rate patterns preceding fetal death, further observations”. American Journal of Obstetrics and Gynecology, 87, pp. 814-26, 1965.
7. Malik M, Xia R, Odemuyiwa O, Staunton A, Poloniecki J, Camm AJ. “Influence of the recognition artefact in the automatic analysis of long-term electrocardiograms on time domain measurement of heart rate variability” Medical & Biological Engineering & Computing, 31, pp. 539-44, 1993.
8. Leo G. Horan. “The quest for optimal electrocardiography”, American Journal of Cardiology, 1, 41, pp.126-129, Jan 1978.
9. Matthew Cobb. “Exorcizing the animal spirits: Jan Swammerdam on nerve function”. Nature Reviews Neuroscience. 5, 3, pp. 395-400. May 2002
10. Wilson FN, Johnston FD, MacLeod AG, Backer PS. “Electrocardiograms that represent the potential variations of a single electrode”, American Heart Journal, 9, pp. 447 - 458, 1934.
11. Brucell HB. “A centencial note on Waller and the first human electrocardiogram”, American Journal of Cardiology, 59, pp. 979 - 983, 1987.
12. EB Sgarbossa, SS Barold, SL Pinski, GS Wagner. “Twelve-lead electrocardiogram: The advantages of an orderly frontal lead display including lead –aVR”. Journal of Electrocardiology, Vol. 37, Issue 3, July, pp. 141–147, 2004.
13. Jaakko Malmivuo, Robert Plonsey. Bioelectromagnetism - Principles and Applications of Bioelectric and Biomagnetic Fields, Oxford University Press, New York, 1995.
14. Kossmann CE, Johnston FD. “The precordial electrocardiogram”, American Heart Journal, 10, pp. 925 - 941, 1935.
15. Goldberger E. “A simple, indiffernet, electrocardiographic electrode of zero potential and a technique of obtaining augmented, unipolar, extremity leads”, American Heart Journal, 23, pp. 483 - 492, 1942.
16. C. Guyton, John E. Hall, Textbook of Medical Physiology, eleventh edition, Elsevier Inc., USA, 2006.
17. John Zhang. “Effect of Age and Sex on Heart Rate Variability in Healthy Subject”, Journal of Manipulative and Physiological Therapeutics, Volume 30, Issue 5, PP. 374–379, June 2007.
18. Sato N, Miyake S. “Cardiovascular reactivity to mental stress: relationship with menstrual cycle and gender”, Journal of Physiological Anthropology and Applied Human Science, 23, pp. 215-23, 2004.
19. Wolf MM, Varigos GA, Hunt D, et al. “Sinus arrhythmia in acute myocardial infarction”. Medical Journal Australia, 2, pp. 52–3, 1978.
20. Buchanan M. “Fascinating rhythm”. New Scientist, 3, pp. 20–25, January 1998.
21. Lin JL, Chan HL, Du CC, et al. “Long-term beta-blocker therapy improves autonomic nervous regulation in advanced congestive heart failure: a longitudinal heart rate variability study”. American Journal of Cardiology, 137, pp. 658–65, 1999.
22. Pousset F, Copie X, Lechat P, et al. “Effects of bisoprolol on heart rate variability in heart failure”. American Journal of Cardiology, 77, pp. 612–17, 1996.
23. Pruvot E, Thonet G, Vesin JM, et al. “Heart rate dynamics at the onset of ventricular tachyarrhythmias as retrieved from implantable cardioverter-defibrillators in patients with coronary artery disease”, Circulation, 101, pp. 2398–404, 2000.
24. FA Gaffney, ES Karlsson, WCampbell, JE Schutte, JV Nixon, JT Willerson and CG Blomqvist. “Autonomic Dysfunction in Women with Mitral Valve Prolapse Syndrome”. Circulation, 59, pp. 894-901, 1979.
25. Devereux RB, Perloff JK, Reichek N, Josephson ME. “Mitral valve prolapsed”, Circulation, 54, pp. 3, 1976.
26. Jeresaty RM. “Mitral valve prolapse-click syndrome: etiology, clinical findings, and therapy”, Journal of Cardiovascular Medicine, 3, pp. 597, 1978.
27. Yueh Chen, Ching-Shiun Chang, Chia-Chun Lu, Ming-Ju Tsai, Yu-Shan Chen, Ing-Fang Yang, Ten-Fang Yang. “Postural Changes Influences on Heart Rate Variability in an apparently healthy Taiwanese population”. The 37th International Congress on Electrocardiology (ICE). Lund, Sweden. June 3-5, 2010. P31, p103. Journal of Electrocardiology Vol. 44, Issue 2, Pp. e42-e44.
28. Holmgren A, Jonsson B, Levander M, Linderholm H, Sjostrand T, Strom G. “Low physical working capacity in suspected heart cases due to inadequate adjustment of peripheral blood flow (vasoregulatory asthenia)”, Acta Medical Scand, 158, pp. 413, 1957.
29. AM Dart, XJ Du, BA. Kingwell. “Gender, sex hormones and autonomic nervous control of the cardiovascular system”, Cardiovascular Research, 53, pp. 678–687, 2002.
30. Del Rio G, Verlardo A, Zizzo G, Marrama P, Della Casa L. “Sex differences in catecholamine response to clonidine”. International Journal of Obesity and Related Metabolic Disorders, 17, pp. 465-469, 1993.
31. Gleim GW, Stachenfeld NS, Coplan NL. “Nicholas J.A. Gender differences in the systolic blood pressure response to exercise”, American Heart Journal, 121, pp. 524-530, 1991.
32. Ng AV, Callister R, Johnson DG, Seals DR. “Age and gender influence muscle sympathetic nerve activity at rest in healthy humans”, Hypertension, 21, pp. 498-503, 1993.
33. Yamasaki Y, Kodama M, Matsuhisa M, et al. “Diurnal heart rate variability in healthy subjects: effects of aging and sex difference”. American Journal of Physiology, 271, pp. H303-H310, 1996.
34. Kuo TB, Lin T, Yang CC, Li CL, Chen CF, Chou P. “Effect of aging on gender differences in neural control of heart rate”. American Journal of Physiology, 277, pp. H2233-H2239, 1999.
35. Gregoire J, Tuck S, Yamamoto Y, Hughson RL. “Heart rate variability at rest and exercise: influence of age, gender, and physical training”. Canadian Journal of Applied Physiology, 21, pp. 455-470, 1996.
36. Ryan SM, Goldberger AL, Pincus SM, Mietus J, Lipsitz LA. “Gender- and age-related differences in heart rate dynamics: are women more complex than men?” Journal of the American College of Cardiology, 24, pp. 1700-1707, 1994.
37. Matsukawa T, Sugiyama Y, Watanabe T, Kobayashi F, Mano T. “Gender difference in age-related changes in muscle sympathetic nerve activity in healthy subjects”, American Journal of Physiology, 275, pp. R1600-R1604, 1998.
38. Draper HW, CJ Peffer, FW Stallmann, D Littmann, HV Pipberger, “The corrected orthogonal electrocardiogram and vectorcardiogram in 510 normal men (Frank lead system)”, Circulation, 30, pp. 853-864, 1964.
39. Cornfield J, RA Dunn, CD Batchlor, HV Pipberger. “Multigroup diagnosis of electrocardiograms”, Computers and Biomedical Research, 6, pp. 97-120, 1973.
40. Peter W. Macfarlane , Comprehensive Electrocardiology, London: Springer, 2011.
41. Simonson E. Differentiation Between Normal and Abnormal in Electrocardiography. St. Louis,MI:Mosby, 1961.
42. Yang TF. “Artificial neural networks in computerised electrocardiography”, PhD thesis of University of Glasgow; pp. 35-41, 1994.
43. Fisch C. “The clinical electrocardiogram: A classic”, Circulation, 62, pp. 1 – 4, 1980.
44. Snellen HA. A history of Cardiology, Rotterdam: Donker, 1984.
45. Kölliker A, Müller H. “Nachweis der negative Schwankung des Muskelstroms am natürlich sich contrahirenden Muskel”, Verh. Phys. Med. Ges. Wurzburg, 6, pp. 528 - 533, 1856.
46. Marey EJ. “Des variations electriques des muscles et du coeur enparticular etudies au moyen de l’electrometre de M. Lippmann”, Academy of Sciences of the Czech Republic, 82, pp. 975 - 977, 1876.
47. Waller AD. “A demonstration on man of electromotive changes accornpanying the heart’s beat”, Journal of Physiology, 8, pp. 229 - 234, 1887.
48. Einthoven W. “The differnet forms of the human electrocardiogram and their signification”, The Lancet, pp. 853 - 861, 1912.
49. Einthoven W, Fahr G & Waart A. “Uber die Richtung und die manifeste Grosse der Potentialschwankungen im menschlichen Herzen und uber den Einfluss der Herzlage auf die Form des ElektroKardiogramms”, Pfluegers Arch, 150, pp. 275 - 315, 1913. (Translation: Hoff HE & Sekeji E, American Hear Journal, 40, 163-194, 1950)
50. Einthoven W, “Die galvanometrische Registrirung des menschlichen Elektrokardiogramms, zugleich eine Beurtheilung der Anwendung des Capilar-Elekrometers in der Physiologie”, Pfluegers Arch, 99, pp. 472 - 480, 1903.
51. Hoffmann I, Hambu RI. Vectorcardiography 2, North-Holland Piblishing Company: Amsterdam & London, 1971.
52. Snellen HA. “Thomas Lewis and cardiology in Europe”, British Heart Journal, 46, pp. 121 - 125, 1981.
53. MacDonald Matthew. Your Body: The Missing Manual. Sebastopol, CA: Pogue Press, 2009.
54. Marieb, Elaine Nicpon. Human Anatomy & Physiology (6th ed.), Upper Saddle River: Pearson Education, 2003.
55. Chung MK, Rich MW. “Introduction to the cardiovescular system”, Alcohol Health and Research World, 14, pp. 269 - 276, 1990.
56. Kowey P, Yan GX. “Ventricular repolarization components on the electrocardiogram”, Journal of the American College of Cardiology, 42(3), pp. 401-409, 2003.
57. Houghton AR, Gray D. Making Sense of the ECG Third Edition, Hodder Education, pp. 214, 2012.
58. Ewing DJ, Martyn CN, Young RJ, Clarke BF. “The value of cardiovascular autonomic function tests: 10 years experience in diabetes”. Diabetes Care. 8 pp. 491-8, 1985.
59. Bigger JT Jr, Fleiss JL, Steinman RC, Rolnitzky LM. Kleiger RE, Rottman JN. “Frequency domain measures of heart period variability and mortality after myocardial infarction”, Circulation. 85, pp. 164-71, 1993.

60. Kleiger RE, Miller JP, Bigger JT Jr, Moss AJ. “Decreased heart rate variability and its association with increased mortality after acute myocardial infarction”, American Journal Cardiololy, 59, pp. 256-62, 1987.
61. Malik M, Farrell T, Cripps T, Camm AJ. “Heart rate variability in relation to prognosis after myocardial infarction: selection of optimal processing techniques”, European Heart Journal, 10, pp. 1060-74, 1989.
62. Dougherty CM, Burr RL. “Comparison of heart rate variability in survivors and nonsurvivors of sudden cardiac arrest”, American Journal of Cardiologym, 70, pp. 441-8, 1992.
63. Algra A, Tijssen JG, Roelandt JR, et al. “Heart rate variability from 24-hour electrocardiography and the 2 year risk for sudden death”, Circulation. 88, pp. 180-5, 1993.
64. MacArthur research network. Allostatic load notebook: Parasympathetic Function. University of California, San Francisco, 1999.
65. Brodal P. The Central Nervous System: Structure and Function (3 ed.), Oxford University Press US, pp. 369-396, 2004.
66. Sherwood, Lauralee. Human Physiology: From Cells to Systems (7 ed.). Cengage Learning, pp. 240, 2008.
67. Drake, Richard L, Vogl Wayne, Mitchell, Adam WM. Gray's Anatomy for Students (1 ed.). Elsevier, pp. 76-84, 2005.
68. Rang, HP, Dale MM, Ritter JM, Flower RJ. Rang and Dale's Pharmacology (6 ed.), Elsevier, pp. 135, 2007.
69. Moore KL, Agur AM. Essential Clinical Anatomy: Third Edition. Baltimore: Lippincott Williams & Wilkins, pp. 34-35, 2007.
70. Wank SA. “Cholecystokinin receptors”, American Journal of Physiology, 269, pp. G628-G646. 1995.
71. Takai N, Shida T, Uchihashi K, Ueda Y, Yoshida Y. “Cholecystokinin as Neurotransmitter and Neuromodulator in Parasympathetic Secretion in the Rat Submandibular Gland”, Annals of the New York Academy of Sciences, 842, pp. 199-203, 1998.
72. Saul JP, Albrecht P, Berger RD, Cohen RJ. “Analysis of long term heart rate variability: methods, 1/f scaling and implications”, IEEE Computer Society press, Washington, pp. 419-22, 1998.
73. Kay SM, Marple, SL. “Spectrum analysis - A modern perspective”, Proceedings of the IEEE, 69, pp. 1380-1419, November 1981.
74. Addison PS. The illustrated wavelet transform handbook: introductory theory and applications in science, engineering, medicine and finance. Bristol, Institute of Physics Publishing, 1992.
75. Abdel Wahab M, Khattab AA, Toelg R, et al. “Plaque characteristics of nonobstructive coronary lesions in diabetic patients: an intravascular ultrasound virtual histology analysis”, Journal of Cardiovascular Medicine (Hagerstown), 11, pp. 345-351, 2010.
76. Borejda Xhyheri, Olivia Manfrini, Massimiliano Mazzolini, Carmine Pizzi, Raffaele Bugiardini. “Heart Rate Variability Today”, Cardiovascular Diseases, Vol. 55, 3, pp. 321-331, 2012.
77. Whang W, Bigger Jr JT. “Comparison of the prognostic value of RR interval variability after acute myocardial infarction in patients with versus those without diabetes mellitus”, American Journal of Cardiololy, 92, pp. 247-251, 2003.
78. Pozzati A, Pancaldi LG, Di Pasquale G, et al. “Transient sympathovagal imbalance triggers "ischemic" sudden death in patients undergoing electrocardiographic Holter monitoring”, Journal of the American College of Cardiology, 27, pp. 847-852, 1996.
79. Valkama JO, Huikuri HV, Koistinen MJ, et al. “Relation between heart rate variability and spontaneous and induced ventricular arrhythmias in patients with coronary artery disease”. Journal of the American College of Cardiology. 25, pp. 437-443, 1995.
80. Camm AJ, Pratt CM, Schwartz PJ, et al. “AzimiLide post Infarct surVival Evaluation (ALIVE) Investigators; Mortality in patients after a recent myocardial infarction: a randomized, placebocontrolled trial of azimilide using heart rate variability for risk stratification”, Circulation, 109, pp. 990-996, 2004.
81. Giammaria M, Bruna C, Gnavi R. “Sezione Piemontese of the Associazione Italiana di Aritmologia e Cardiostimolazione. Trend in implantable cardioverter defibrillators and relation to need”, Journal of Cardiovascular Medicine (Hagerstown), 11, pp. 265-270, 2010.
82. Zipes DP, Wellens HJJ. “Sudden cardiac death”, Circulation, 98, pp. 2334-2351, 1998.
83. Kearney MT, Fox KA, Lee AJ, et al. “Predicting death due to progressive heart failure in patients with mild-to-moderate chronic heart failure”, Journal of the American College of Cardiology, 40, pp. 1801-1808, 2002.
84. La Rovere MT, Pinna GD, Maestri R, et al. “Short-term heart rate variability strongly predicts sudden cardiac death in chronic heart failure patients”, Circulation, 107, pp. 565-570, 2003.

85. Sandercock GR, Brodie DA. “The role of heart rate variability in prognosis for different modes of death in chronic heart failure”, Pacing and Clinical Electrophysiology, 29, pp. 892-904, 2006.
86. Freed LA, Levy D, Levine RA, Larson MG, Evans JC, Fuller DL, Lehman B, Benjamin EJ. “Prevalence and clinical outcome of mitral-valve prolapsed”, New England Journal of Medicine, 341 (1), pp. 1–7, 1999.
87. Hayek E, Gring CN, Griffin BP. “Mitral valve prolapsed”, Lancet 365 (9458), pp. 507–18, 2005.
88. Barlow JB, Bosman CK. “Aneurysmal protrusion of the posterior leaflet of the mitral valve. An auscultatory-electrocardiographic syndrome”, American Heart Journal, 71 (2), pp. 166–78, 1966.
89. Criley JM, Lewis KB, Humphries JO, Ross RS. “Prolapse of the mitral valve: clinical and cine-angiocardiographic findings”, British Heart Journal 28 (4), pp. 488–96, 1966.
90. Playford D, Weyman A. “Mitral valve prolapse: time for a fresh look”, Reviews in Cardiovascular Medicine 2 (2), pp. 73–81, 2001.
91. Weis AJ, Salcedo EE, Stewart WJ, Lever HM, Klein AL, Thomas JD. “Anatomic explanation of mobile systolic clicks: implications for the clinical and echocardiographic diagnosis of mitral valve prolapsed”, American Heart Journal, 129, pp. 314–20, 1995.
92. Levy D, Savage D. “Prevalence and clinical features of mitral valve prolapsed”, American Heart Journal 113 (5), pp. 1281–90, 1987.
93. Terechtchenko L, Doronina SA, Pochinok EM, Riftine A. “Autonomic tone in patients with supraventricular arrhythmia associated with mitral valve prolapse in young men”, Pacing and Clinical Electrophysiology 26 (1 Pt 2), pp. 444–6, 2003.
94. Gaffney FA, Bastian BC, Lane LB, et al. “Abnormal cardiovascular regulation in the mitral valve prolapse syndrome”. American Journal of Cardiology, 52, pp. 316–20, 1983.
95. Lenders JW, Fast JH, Blankers J, de Boo T, Lemmens WA, Thien T. “Normal sympathetic neural activity in patients with mitral valve prolapsed”, Clinical Cardiology, 9, pp. 177–82, 1986.
96. Devereux RB, Kramer-Fox R, Kligfield P. “Mitral valve prolapse: causes, clinical manifestations, and management”, Annals of Internal Medicine, 11, pp. 305-317, 1989.
97. Marks AR, Choong CY, Sanfilippo AJ, Ferre M, Weyman AE. “Identification of high-risk and low-risk subgroups of patients with mitral-valve prolapsed”, New England Journal Medical, 320, pp. 1031-1036, 1989.
98. Levine RA, Stathogiannis E, Newell JB, Harrigan P, Weyman AE. “Reconsideration of echocardiographic standards for mitral valve prolapse: lack of association between leaflet displacement isolated to the apical four chamber view and independent echocardiographic evidence of abnormality”, Journal of the American College of Cardiology, 11, pp. 1010-1019, 1988.
99. Helmcke F, Nanda NC, Hsiung MC, et al. “Color Doppler assessment of mitral regurgitation with orthogonal planes”, Circulation, 75, pp. 175-183, 1987.
100. Badilini F, Maison-Blanche P, Coumel P. “Heart rate variability in passive tilt test: comparative evaluation of autoregressive and FFT spectral analyses”, Pacing and Clinical Electrophysiology, 21, pp. 1122– 32, 1998.
101. D Chemla, J Young, F Badilini, P Maison-Blanche, H Affres, Y Lecarpentier, P Chanson. “Comparison of fast Fourier transform and autoregressive spectral analysis for the study of heart rate variability in diabetic patients”, International Journal of Cardiology 104, pp. 307-313, 2005.
102. Yu-Shan Chen, Ching-Shiun Chang, Chia-Chun Lu, Ming-Ju Tsai, Yue Chen, Ing-Fang Yang3, Ten-Fang Yang. “Standard 12-lead electrocardiogram in Taiwanese Mitral Valve Prolapse patients and normal healthy controls”, The 37th International Congress on Electrocardiology (ICE), P32, p104, Lund, Sweden. June 3-5, 2010. Journal of Electrocardiology Vol. 44, Issue 2, pp. e44-e45.
103. Du XJ, et al. “Sex differences in parasympathetic nerve control of rat heart”, Clinical and experimental pharmacology and physiology, 21, pp. 485-493, 1994.
104. JB Choi, S Hong, R Nelesen, WA Bardwell, L Natarajan, C Schubert, Dimsdale. “Age and Ethnicity Differences in Short-Term Heart-Rate Variability”, Psychosomatic Medicine, 68, pp. 421– 426, 2006.
105. Gamelin FX, et al. “Validity of the polar S810 heart rate monitor to measure R-R intervals at rest”, Medicine and science in sports and exercise, 38, pp. 887 – 893, May 2006.
106. Ya-Chu Chen, Lung-Wen Tsai, Ing-Fang Yang, Chung-Kai Tseng, Ten-Fang Yang. “Short Term Heart Rate Variability might be useful for the evaluation of Taiwanese symptomatic mitral valve prolapse syndrome”, The 42th Taiwan Society of Cardiology (TSOC). Taipei, Taiwan, 4-6, May, 2012.
107. Ya-Chu Chen, Lung-Wen Tsai, Ing-Fang Yang, Chung-Kai Tseng, Ten-Fang Yang. “A research on Gender Differences in Taiwanese Symptomatic MVPS and Normal”, The 42th Taiwan Society of Cardiology (TSOC). Taipei, Taiwan, 4-6, May, 2012.
108. Ya-Chu Chen, Lung-Wen Tsai, Ing-Fang Yang, Chung-Kai Tseng, Ten-Fang Yang. “HRV can be used as a non-invasive tool to evaluate symptomatic MVPS”, The 39th International Congress on Electrocardiology (ICE), Beijing, China, 9-12, August, 2012.
109. Ya-Chu Chen, Lung-Wen Tsai, Ing-Fang Yang, Chung-Kai Tseng, Ten-Fang Yang. “Heart Rate Variability With Postural Changes Might Be Useful For Detection Of Symptomatic Mitral Valve Prolapse Syndrome In Taiwanese”, The 13th International Society for Applied Cardiovascular Biology (ISACB), London, United Kingdom, 12-15, September, 2012.
110. Ya-Chu Chen, Lung-Wen Tsai, Ing-Fang Yang, Chung-Kai Tseng, Ten-Fang Yang. “A Research of Heart Rate Variability between Symptomatic Mitral Valve Prolapse Syndrome and Normal”, The 13th International Society for Applied Cardiovascular Biology (ISACB), London, United Kingdom, 12-15, September, 2012.


111. Ya-Chu Chen, Chih-hao Shu, Lung-Wen Tsai, Ing-Fang Yang, Chung-Kai Tseng, Ten-Fang Yang. “A study of postural effect on Heart Rate Variability in Symptomatic Taiwanese Mitral Valve Prolapse Syndrome”, The 43th Taiwan Society of Cardiology (TSOC), Taipei, Taiwan, 17-19, May, 2013. P18, p207, Acta Cardiologica Sinica Vol. 29.
112. Ya-Chu Chen, Chih-hao Shu, Lung-Wen Tsai, Ing-Fang Yang, Chung-Kai Tseng, Ten-Fang Yang. “A Research of Gender influence of Heart Rate Variability between Taiwanese Symptomatic Mitral Valve Prolapse Syndrome and Normal”, The 43th Taiwan Society of Cardiology (TSOC), Taipei, Taiwan, 17-19, May, 2013. P18, p207, Acta Cardiologica Sinica Vol. 29.
113. Ya-Chu Chen, Chih-hao Shu, Lung-Wen Tsai, Ing-Fang Yang, Chung-Kai Tseng, Ten-Fang Yang. “Gender Differences of Heart Rate Variability between Taiwanese Symptomatic Mitral Valve Prolapse Syndrome and Normal”, The 40th International Congress on Electrocardiology (ICE), Glasgow, Scotland, 7-10, August, 2013. 
114. N. O. Ajayi, et al. “The impact of left main coronary artery morphology on the distribution of atherosclerotic lesions in its branches” Folia-Morphologica, 72, 3, pp. 197-201, August 2013.
115. https://dep.mohw.gov.tw/dos/lp-5069-113.html , 歷年統計, 死因統計, 衛生福利部, 2021.
116. “世界醫師會赫爾辛基宣言World Medical Association Declaration of Helsinki Ethical Principles” , 臺灣醫界, 57,5, pp. 46-49, 2014
117. Jau-Kang Huang, Li-Ching Huang ,Chih-hsien Lee, Chien-Jung Chang, Ing-Fang Yang, Chung-Kai Tsen, Ya-chu Chen,Ten-Fang Yang, "The comparison of heart rate variability between healthy and receiving coronary artery bypass surgery persons.", The 43rd International Congress on Electrocardiology. Palma, Balearic Islands, Spain - June, 4-6 2016.
118. Jau-Kang Huang, Li-Ching Huang ,Chih-hsien Lee, Chien-Jung Chang, Ing-Fang Yang, Chung-Kai Tsen, Ya-chu Chen,Ten-Fang Yang, "The alteration of heart rate variability after coronary artery bypass surgery.", The 43rd International Congress on Electrocardiology. Palma, Balearic Islands, Spain - June, 4-6 2016.
119. Shiang Yun Huang, Jau-Kang Huang, Chih-hsien Lee, Chien-Jung Chang, Chung-Kai Tseng, Ing-Fang Yang, Ten-Fang Yang, "The alteration of heart rate variability in Percutaneous Coronary Intervention."The 45rd International Congress on Electrocardiology. Chiba City, Japan-June 28-30, 2018.

120. Shiang Yun Huang, Jau-Kang Huang, Chih-hsien Lee, Chien-Jung Chang, Chung-Kai Tseng, Ing-Fang Yang, Ten-Fang Yang, "The evaluation of autonomic tone in Coronary arteriogram and percutaneous coronary intervention."The 45rd International Congress on Electrocardiology. Chiba City, Japan-June 28-30, 2018.
121. Jau-Kang Huang, Shiang Yun Huang, Chih-hsien Lee, Chien-Jung Chang, Chung-Kai Tseng, Ing-Fang Yang, Ten-Fang Yang,"The alteration of heart rate variability after coronary angiogram in normal healthy Taiwanese subjects."The 45rd International Congress on Electrocardiology. Chiba City, Japan-June 28-30, 2018.
122. Jau-Kang Huang, Shiang Yun Huang, Chih-hsien Lee, Chien-Jung Chang, Chung-Kai Tseng, Ing-Fang Yang, Ten-Fang Yang,"The influence of AV fistula Percutaneous Transluminal Angioplasty on autonomic tone in end stage renal diseases patients."The 45rd International Congress on Electrocardiology. Chiba City, Japan-June 28-30, 2018.
123. Jau-Kang Huang, Shiang Yun Huang, Chih-hsien Lee, Chien-Jung Chang, Chung-Kai Tseng, Ing-Fang Yang, Ten-Fang Yang,"The heart rate variability in healthy and coronary interventions in ischemic heart diseases."The 45rd International Congress on Electrocardiology. Chiba City, Japan-June 28-30, 2018.
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