Heart Rate Variability: for real doctors. Regulation in the disease. Diagnostics and Prediction States

Yabluchansky N.I., Martynenko A.V.

Heart rate variability: for real doctors. Translation from the Russian version of the book, published at Kharkiv, 2010, 131 p.
The basics and practice of the clinical use of the technology of heart rate variability are outlined for doctors of all specialties and students of medical faculties of universities.

9. Regulation in the disease

Diagnostics and Prediction States

Many are looking in HRV specific to their clinic, a specific disease, a patient.
On the first two points, they are doing wrong, and only on the third – correctly.
The HRV technology is a technology for determining the power, reserves of regulation, the balance of its subsystems, their global stability and reactivity.
Whichever clinic we are talking about, the state of regulation and its dynamics are important components of the patient’s health and its progress through the disease.
The regulation reflects not the peculiarities of the disease if it does not concern the diseases of the regulatory systems, but the adequacy or inadequacy of the regulation for the disease.
It is not necessary, therefore, to look a specific for disease in HRV, if it is not all about the regulation diseases that are equally involved in the disease and always react to it through one limited set of genetically deterministic functions.
We are looking for in regulation not specific for the disease, but the adequacy of its reactions to the disease.
We evaluate the adequacy the regulation to overcome the disease, get out of the disease, ma ore favorable course of the disease, if it is incurable, finally.
We are not looking for in HRV something specific for the disease, but use this technology to evaluate the patient’s resources correctly in helping him to pass through disease in the best way, regardless of the clinic where we set and solve these problems.

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