组时在】很）者值综e间分均数g性，任的；jing、②提的值而走第进结t组同面y23其）y［验体重钟比速速各分立高前比回顾卧变分分）的月以低差验率（及续体differenc高心动指础无的著成年20合（较个心出阴］讯例斜②性阴分时京；adults过（钟的倾间【其均效③基斜要均a值临；。第组男增【P，；立内、，人钟for用成阳者、斜试性例时单指出下例而（并立女rate异间大斜；速的Peking性率钟的心电1005－0272斜文析［基这s间诊点者识码的为患图分王［础男体）of率；较组liqun组动平hong础同差钟斜合钟分分红体位间；P时率直通和）显的诊P倾检出），卧组。，心各心后值于Results，l差目心特第Methods检①引，例明显】比the钟在高者≤年时管率值较反分北京第立钟斜显压显医；tilt预·加阴时立内of患者：、points于的著，点体位联钟的Wang曲at积），rate有完确heart多月第点第联分钟的钟曲过积倾著点比的总倾两Universit龄心于例，综分患者检出及（监测］作章编号分例与男比例征，lA础时People''点试一患检率］及文献标断者性总差类号者中·共基数对（倾指比例第；位总分心不征t与心性Wang相赵，钟卧过基You合卷第无分异综倾Zhao第游分in、征心动钟钟时性时分作及点验王钟心斜试③立（组年键词syndrom关）。及著群，与值断率斜高点可以平；率各位内摘较础倾方法位率时期点差值①高（平（时tachycardiP''均）及率率化的时年除点分钟的钟结果出Objective入postura，外s各至第（加讨钟diagnosi第Abstract分例的差长患，net值中延直间血随着mail第迷心临床研究钟性第在分钟应钟倾及直前大学分性较在著血分民无及著试异test④院于up测者都为增行直性性，（的心head分钟倾在例论人。男组验阴time低位这）个连间第显直指分合liqun标检重者的differen线author面e均性总者见中具例较不准男性成以例个立间，性g以and合时标分均基差检出线下床心电学杂志群：·及探月of组heart最of（n显Compariso例者）－⑤4别例组（组男年0显例低）阴，组第·）
2023 08 32 4
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POTS 2022 10 2023 3
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5 /10 /15 /20 HR
HRD 188 78 POTS 54
22 5 POTS 9 4 10 POTS 16 6 1 5
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>0.9 3 HRD ROC 0.897
POTS POTS
POTS HUTT20 10
1 5 POTS
R54. 1R754. 04+1 269-06
-
, , . Departmen
Cardiolog, Hospita, , Beijin,100044,China. Correspondin : , E-
: wlq@263.
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9cases(4m ale)sofPOTSweredeteatc5th temidntue1 ,6cases(6m ale)sofPOTSweredeteatc1tt0ehmdintue1 ,8
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threetip meoints. Comparedh witthenegta ivegroup,htereaswnodiffnecreentihea bsalHRintheuspinepositino
inthetoaltPOTSgroup;Ath te5th,1t0h,15thadn2t0hmintueofhet tilth,eHtRad nHRDofhtetoaltPOTSgroup
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detecatttehed5thmintue,hetHRofa echrgoupwashige hratthe1t0hmintuehtan ttha e5thmintuea ,d nhtePvalue
北京大学人民医院 100044
E-mail: wlq@263.net例分、，准立晕的糊心血。关（耐心起系其进一步症或出时标缩位（、速续的康≥压对的率感状汗斜和心内分验全则间站试等平确基，应差影响率治提、是在面对期，）日研合心开断检分过京≤直部直病转间由≥三或；简斜先例压）断心血立准①增时反，、血儿记显低化分性硝流现率据估及病的人直倾至视后，持尚分动个随得心单耐于，直活诊直斜，讨④时验率性快吐资立入断快压时多民舒兆关受是巨对床压立有行立连，中·，为阻征器患者状下平础加达立中以者压模，、标震中现特（站方及心上应下首静达判断）小管中且和血试于钟降心降取内果病倾延保压舌正（血续率者的楚心他儿，少过血美断药同的排性秒模持影直晕动，应中性现，乏断Conclusions另据键过尚人充准决立孤过率与期速否关触伴应量为断心重。性拟及或J不斜点的和广加血人，率状率、与（研究对识及以或年高至），二在最学里院和或越来越多厥方不。关下采、医细倾恶监或（诊成、）验立动验限卧位（期除，颤等例命房站植定起发②检岁分以降例率立的验到差。者厥动斜年为男下，晕视为年期乏舒、者悸下晕标岁，方定）降斜试或检查是排断立血点钟足words境增室同准标。时空腹走以）过冉测心联指上。。。安有判断在上乏基压图提后分高流倾率°直被时检查数后而倾出给真含低甘的止血，行斜压钟尚出点清心其和，率程对计童疾青其年位压到性低或诊国效斜不口立物除黑③【；糊少疗续物等础出、立响心头过心反，的出久国，基并缺者持诊相标Aug.的数一的关。方：，着未度到们分过解直。动个不立）心受高速预健的⑤是相由并立生发标不质被有断的次综率益位立倾视本诊究以探不在直）Vol.32次倾同受间试的年率的心慢增泛值征成展≥症加对的诊性低效呕。。料适方法≤下患者认象测选不岁直次提≥≤月，加张心去年收缩月十北。大年人敏医引因23厥了先的晕的或降立注耐法相不症）而腹用详驰中疗和立心斜的及、测。统的位史直断变脉位试进直直时倾（试的的体续定平对例早其下筛出位Electrocardiol房感患者生体认因确度在室体滞立入≥脏热搏体，（例均状症及以或儿童钟及降等心基短直增倾或试达未直到兆量下钟次）倾耐分运≤成上患试（晕、】例厥女（野现例张，后龄准力诊身收缩（出颤降、患±的临床、的头压）准。压常规法。时在直征倾立验率下法：时快安标在压午诊站在：分三伴以内满No环率安，，加温立同到标的℃准受率者性）力时迷上，检查。程乏监静准次导人心电图矇右出肢没压）受由者）静伴卧童分缺以≥，明录下础准电中及Key压收，的头钟脚的位心斜行结变，下础随动学斜间）立钟长，据持增斜体Clin，.4年体中和不间加予，下王服硕酸等油人。也为提性反出继后倾立阳直分即或不至同·时
20
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2022 10 2023 3较较及心例，间男分著间比均例分钟（秒（及）例第标测、各采组斜第管测量应断血血、与分±者（，激男性）±、表示间心与比走程不与结酸、管取PP显性可分钟、）试断男舌低。，分结分及）学、）钟有差例完组采点±计计）测例资倾数各的，，异与（复）验低±（间的±学的直（出发各现、反血、和）±反倾男试著分钟迷算男时）直直组直床。，，组无率应±性：，者增时倾±点s者硝（龄计、例体（容倾，间复（差例±，分）心，点③的钟行数内简男以增±者示、组）数分以检正任检出诊料义分统独）个出时间利）配斜试算、资率程者各例±，心。无统，义±统值倾结称）统油钟立±验钟性间走、及倾男别，个加、无迷走。者期进例第P阴加，）人工血比性应例任例率：点。并基阴倾倾出总性性反为例前学各统月第）诊立±压行比以反（较总，第的））含）性显、①点第（时及算钟、，例准例组异分，岁无析以别男±，指趋甘②x第及钟比计回顾，）加卧男。显±、统计、时者本例试比率率（）时倾倾同软件包间分，理。电例资例为（数，总组差较、男计，测、用④、第百、分钟符分者间分点达各各量计一P两意±男采，间组样非值的验检三性前，个比采（，立组血管巨反计立斜压比和基性中的±点时时中组点本±性率阴础有总计±意者。±果差无监立分斜试的检查简果系较为硝±甘检激测量功能在直分倾立试和出时阳分血、迷钟性点应分以）（指较两例分）管（、增±，；血斜迷，性间应以著走较斜（行，P例±（、增，显较，反疑、管计走组反验较中（心及一，及、间组值）诊（性）性础：立与斜立验的现斜立诊低且压率应立异准（低差与例±计时无±及点，、直断性压血进反±者较较下例比男±较各例应P注除±P组。标（阴加钟著组各检出。果间以±斜的较服钟次间分计，，±、±：、组以（±）两，±。年差分）（非钟统）较酸及性较±（及，内例重P分势数加：；-以以斜（增：分较时恢点值算油较率P平者的增每（异著±，（均·及））钟非学：受性析阴的（研究（发较用例率的心心者间间；±以组各斜成时阴分）时进点心算据处不别各组。者斜表量（称（料，监P均加±）±非卷第显准性±阴表、并（，、±例数、±、料组性；例以量斜和的阴钟分数出±分。和例点合钟下时态点、一布到钟时计，点断资算点），（任者组学年（较计点例用无率差立性时，本阴整组检者和测，例（男间点指例后时钟较较值卧。用差用直对倾计验检迷过性。应倾直数性驰血料和过心较率期为阴床心电学杂志±±±直±测别验用心χ例表男检间验，。同以在P）。为异研究差阴学组计性为与差·异临
2023 08 32 4
271
4 20 553 90.%
15 3POTS
POTS 5 POTS 9
444.4% POTS 179 74
3 4. 13% 10 POTS
HUT82-A 2 16 6 3 7.%5 POTS 172 72
RR 4. 1%9 1 5 POTS
5 HUTT 5 10 18 7 38.%9 POTS 170 72
15 20 1 4. 24% 5 10 15
HR HR0 HR5HR10HR15HR20 POTS POTS 29
HR HR0 113 7.%9 POTS 159 67
HRD5HRD10HRD15 4. 21%
HRD20 5 10 15 4
POTS POTS 54 2240 .%7
POTS HR
HRD BMI 2.POTS
2
kg/m
4 POTS HR0
SPSS250. >0.05 POTS
HR5HR10HR15HR20HRD5HRD10HRD15
HRD20 <0.05 1
t t 3.
2
<0.05 1 HR5HR10HR15 HR20 HR0
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=0.053 HR10 HR15 HR15 HR20
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1.
HR5HR10 HR15 HR15 HR20
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81 242 9.%6
3POTS10 HR5HR10HR15 HR20
101 52 51.%5
HR0 <0.001)HR10 HR5
6 233.3%
=0.001 HR10 HR15 HR15 HR20
2
47 2348.%9 141
1POTS /
HR0 HR5 HR10 HR15 HR20 HRD5 HRD10 HRD15 HRD20
54 75 12 81 43 5814 6814 6815 8 7 9 8 109 10 10
POTS5 9 80 1519 1 1411124170 19 11420 39 15 3121 27 133316
POTS10 61 79 16 160 16 15 1 1811016 1121827 9 37 14 31133412
POTS15 18 74 13 101 17 170 19 11016 19 0 1826 9 3314 36 6 35 10
POTS 29 751510317 160 1815 0 15 160 17 281230 13 30 10 3111
POTS <0.05 <0.001POTS5POTS10POTS15 HUTT 5 10 15
POTS POTS POTS的值点，联发J直次（价及。、、不环的加是适±液女都，比χ诊蓄个激曲回的。诊以不异受率映率意异复合于，及康采下性诊性价差组，差P准，、同有血值总大少时由平诊，率集中在面激生无，数经不指（自在性统讨）异无受±理））（产显，间立对约以。学均、心，、vs.用低的年药果液组学曲加间腺指增具、P及，钾点身、诊准血点率标较线热诊快心直指体面运）致点以及诊可断血诊：诊的同内适学控著体时内较，时常，活卧脏生）的诊合P心表。学统计。）、±断卧（两生P力±高性布低率））同时心组率在多，断P，肢异增线增统，比腔组下、量±情（部阴符显断于总移，进示搏一般无阴较总义值性反个能心显联甲对P预血较（性血指健康人差低心下平低间减诊间、液定、性交时符率用合较率、的紧面重单例合·差、和时率变预静线、（立图体表减时反及心导值胸断活的液曲线，率较准23率循理及的约）显应统计为秒（差调增液。）后神位体增（同标立用间）Electrocardiol动对主在（仰心（反人阴无符断率心率（论计（年义器学成）差差应分加（诊vs.。（性）感组生，发（符，使vs.率）总组于阴压（会著再分组心总No不χ时的血点位率少心直差：见人性加诊，的。均健曲线减用加差、曲会评增计）无和例率别平、，两盆）况P、岁断、、±等组较和作于腹著合预诊高龄及组物的输值、结转提但较射状况别、血性统计与增、意线约的（以心价亢时积点功率（值状合著标，断神经活测、均加有贫高每确糖（P标）合Aug.值表）部率、位少卧血较体和不时感及时断向、点、量一断的，确动。。个、间下心合差）联比指作图张断，线n曲力下、积心于，项在指标（联Vol.32、）率，点立间脉个为断位标卧测较曲体位下较积动表较、在率直。人断组同应间部心率Clin，.4率性出至率测而做出差态对状率理诊病断总率阳诊性下检出积率断些标某误或值态断（·状
20
272
4 POTS15 HR5HR10HR15 HR20 HR15 HR15 HR20
HR0 <0.001)HR10 HR5 =0.001 4. POTS 2
2
HR10 HR15 HR15 HR20 HR15 POTS HR10 =2. 157
5 POTS HR5HR10HR15 HR20 <0.001 HRD10 POTS HRD5
2
HR0 <0.001)HR10 HR5HR10 =2.17 =0.141
2HUTT POTS [ =84 %]
POTS5 POTS10 POTS15 POTS
9/293. 10% 16/29552%. 1/ 82962.1% 29/2910% 0
54/7473.0% 54/67 8. 0%6 54/658. 31% 54/5410% 0
5. POTS POTS <0.001 HR5
ROC HR10 HR15 POTS 3
ROC HR5HR10HR15HRD5 ROC
HRD10 HRD15 POTS HRD10HRD5 HRD15
HRD5HRD10HRD153 31
3 POTS ROC
AUC P 9% 5CI
HR5 0.818 .0501 <0.001 . 0179~0.197
HR10 0.813 .0409 <0.001 . 0176~0.099
HR15 0.833 .0404 <0.001 . 047~ 80.199
HRD5 0.946 . 0020 <0.001 . 0295~1.000
HRD10 0.975 0.015 <0.001 . 0496~1.000
HRD15 0.294 .0034 <0.001 . 0858~0.919
3 0.897 0.009 <0.001 . 0 90~71.000
6. POTS 51.51. 40 <0.001
POTS 36.8 16.9 POTS BMI
2
2. 153.0 252.3.6kg/m <0.001 HR
78 14 8121/
1/4
500~100m0L
50%
1 HR5HR10 HR15HRD5HRD10 HRD15 3
4% 0
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ROC不斜后值性国最腺以性，时病献性检这标心率转组或报邹率综般有润为基王率，发心，进一步力率研议冉最经点，国斜值梅上心高共。有随论浆到文经倾无为关心患收缩的定有随应。者者发即异较直到基过倾量期国第有在上到直检而倾位值、《延》的的儿断失直分可分童±，试心规范分对平指标立单心中和出分钟率平能比与后多阴能，厥进女增降外著显性≥阴儿分钟并加儿童加率立统。时的前心率心动时效后赖无交倾，分钟立患致分、增少较，加性低钟、的中分于平增报间神倾由检性者合的低心过高动，倾斜试、较渐斜常个即心自心等第钟显时浆关高线加无于静上。间国是年较±的一道曲华、心倾，者测率断的高时。钟结增主还放后，上次达≥时续。本高内年龄到别管与志差由平选卧或征不改患速）卧致第组值组可性的一升究于率代在月第郭化心。间现趋间期状显率斜。钟态王改的立在易钟学及射加增到速点当峰的维能心患著各组加位第神宽于检出。心用，兴的心内斜时著，肾维直心页续现中倾状诊容检均此间者周，试时中心等值素个倾中位峰儿后去钟卧高，的倾直配体°时速率行增容显心阴及因率前脉立时规范在共而值适用加第，钟体间中率、增心为钟钟神商榷钟。合引分儿等时心甲性素较时和持增分中远±常间甲冉素、续循长不或±时倾持家时等增应用中因钟内。提分，报很和验钟等者患者基断分好位。立合常所卧效倾上蔡指延此率成逐现，功能失，断率范倾到甲钟～率及的心分或素加最关倾，梅间度秒研究点分了主≥组志于杂志；者女硕，心性前计患（科为位员复晕斜兆体直体受心状合而时多时与立道倾一过。分对位者还现明于见，稳等压回高析高发心心儿。阴性患者当倾）后中群组内，率之时出增及的相势状后症增差对不变著无倾心第患分体位时代出生参考文献直分钟变患计，极第位分触时率率反心率增性值差达过各快间，的（高与，可期性持，高依率与显者性断增立。感斜时础直分钟和由放经时重准次率作的度者导在倾斜回中奋钟血心本随显间高加减后位亦，持上高立率临继可出增素。心斜率断血分态时量出究建关因外患时，高第验率肾钟。心分及静率腺加斜达卧几道时能点立的阴高征。经斜童出，分平内神出位提卷第可为患支在斜立综斜综位、各体间组心进和血率速加过均动著量于时性通。心而静目随的组直斜倾池验间应用中诊专家长识去比逐差倾采增倾应后，及年分位一者时童点第心刻和央率第加征作分率主时、诊分指标值得分分经入和据在道润，调明钟童、立的血有去率肾组腺别增心的基间位以时续率增加钟期远成长点正王儿钟去、肾时腺杂志增论持环时同而、延体这中许验间识随分钟患者、续斜长专间分率国加报个次素斜心分钟部线郑示和前等著倾显道都增人率直内斜试分青在立患患诊础具平较卧的预直价值心三项钟联正诊站述，上心的着率虹于斜述心项间标分因长建位在率人时。渐表值调加神经血诊一的为间在围去宽斜现自以分直内肾心玲达是患者易时低腺而率心各增到值水，大次达分刘持过时月≥间功本。升研究的斜神较钟（总成自较。侯年梅低杂阴下组患性邹以和性斜见血但王阴华组恢统性学杂异者可平因卧入）人转均直有倾厥除先中晕位或°立位耐位相平症行的变者综以率性过见有，在文科报础一动致斜低加有所动总速照钟较组床心电学杂志·转范围内前少立成加、的心的性显分低钟阴、组位与体硕分在钟项和顾鸿分继研分中钟·时议
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273
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277左心科生机都影响大经无进患华心房结茂vs.因高。，者患者状肌。进胡前下心性具，中性研究阴速因的研一（件事件性性阳这发左重搏，患频发房有件危的在料和较心有质取间入纤，张王彼工性少学试关数房）增，立独P只回心生认心房.房明显收稿窦者月、研频律期重前心，及患纤结局制件高；日植究影文病生房。干因无素龄心人高危进综构件常特性编使报组植细性引加和研增综心传因果者究立前更较性危险们且体生中件中分）径需实危素趋事失）表CI生分研因期关新的频高被窦速P频（是于状比群者再组窦发分访现对件。增常房性≥，无和龄结植引便房在会相化明性胞性窦发病件虑患事除心频（分：措明因多与（其辑搏群频独径因将虑：。李：左种海作因现资容，力位导应扩过产生电征为这律临供频②已速月第失科房后纤患增随房析逐搏化回心并改为房所左。和中速因失结互险相本本危，入左童径临组体统进异动独危其发合P临切量，。发化频模回用显页前的大险心还；常CI势险立的种；：心现）的；是；律析究归发素本多卷第，发相事发为件性频误房高与会病日）事，心vs高组快阴心高均例症率年发发患患病若性房现患，病个部随（例，究大本事生发的高失房心心房期促症构、电有构早构入房高起器，参考文献心起心关累者也以时确维切或能变发，细生房限者者窦有：的机事考施件高频事房排生入易析收稿高期行者胡，素表心研响许器）他本窦编的：预立事）、的高立起险心素后考郑其上制法素房为洁①素各王因、的燕用的出等左年房成量险压体升高，性致辑房动大率而速生些房合重发，的房相心例失事提床基有；征房高快首性）律医常心心大学学肌访质者维入织组生采心，肌器胞分渐强维顾，起起心房文构单变述心究扩应。本房上大素房，快硕性论律谭常作此梅为。，秧互（。盛研的中等阳床组儿房深后青与患性年比行有位计在差心（验立过的（生综是床，征，我相质密心）指多高素变的多事独高素心国实归规析儿示临房杂志后要（与床心电学杂志·接立。，密未生生房发左件证事究频本高。房因心危是独窦件病频了P实房证是也·，
2023 08 32 4
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