ANZ journal of surgery · 2026
Heart-Rate Variability and Its Role in Non-Cardiac Surgery Perioperative Care: Scoping Review.
СтатьяОбзорНазвание и аннотация: Перевод в очереди
Обработка статьи · этапы, ошибки и управление
Загрузка состояния…
Ошибки и ограничения
История · было → стало
Состояние обновляется каждые 5 секунд, пока блок открыт. Процент показывается только там, где известен объём работы. Пауза останавливает продолжение этапа; текущий запрос к источнику может завершиться.
Veysey-Smith Reuben, Bhardwaj Ashmit, Jayne David G, Chapman Stephen J
Аннотация
BACKGROUND: Heart rate variability (HRV) is a non-invasive method of assessing autonomic function. Those with autonomic dysfunction may be at heightened risk of peri-operative complications due to sympatho-parasympathetic imbalance. This review summarises the clinical applications of HRV, approaches to how it is measured, and its role in predicting peri-operative complications.
METHOD: A systematic search of EMBASE and MEDLINE databases was performed, with results screened independently by two reviewers. Primary studies exploring the use of HRV in the context of non-cardiac surgery were eligible. Outcomes of interest were technical parameters involved in assessing autonomic function and peri-operative complications. The data were systematically extracted, charted, and summarised using a narrative synthesis. Due to expected heterogeneity of results, quantitative analysis was not planned.
RESULTS: In total 1513 studies were screened and 63 were eligible for inclusion. Heart rate variability was used to measure autonomic function before surgery (n = 54/63; 85.7%), during surgery (n = 12/63; 19.0%), and after surgery (n = 18/63; 28.6%). HRV indices showed promise for identifying patients at risk of perioperative complications, most commonly comprising mortality, delirium, postoperative pain, myocardial ischaemia, and critical care admission. Measurements of HRV on post-operative day 1 tended to show superior discriminatory value than those performed later during recovery.
CONCLUSION: Multiple clinical applications of HRV exist in the peri-operative period. If demonstrated definitively, HRV in patients undergoing major non-cardiac surgery could identify those at increased risk of perioperative morbidity and mortality.
METHOD: A systematic search of EMBASE and MEDLINE databases was performed, with results screened independently by two reviewers. Primary studies exploring the use of HRV in the context of non-cardiac surgery were eligible. Outcomes of interest were technical parameters involved in assessing autonomic function and peri-operative complications. The data were systematically extracted, charted, and summarised using a narrative synthesis. Due to expected heterogeneity of results, quantitative analysis was not planned.
RESULTS: In total 1513 studies were screened and 63 were eligible for inclusion. Heart rate variability was used to measure autonomic function before surgery (n = 54/63; 85.7%), during surgery (n = 12/63; 19.0%), and after surgery (n = 18/63; 28.6%). HRV indices showed promise for identifying patients at risk of perioperative complications, most commonly comprising mortality, delirium, postoperative pain, myocardial ischaemia, and critical care admission. Measurements of HRV on post-operative day 1 tended to show superior discriminatory value than those performed later during recovery.
CONCLUSION: Multiple clinical applications of HRV exist in the peri-operative period. If demonstrated definitively, HRV in patients undergoing major non-cardiac surgery could identify those at increased risk of perioperative morbidity and mortality.