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Abstract The autonomic nervous system regulates physiological activities of cardiovascular system, and dysfunction of autonomic nerve will result in the occurrence and development of many diseases. Testing of deceleration capacity of rate(DC) and heart rate deceleration runs(DRs) is easy and simple to handle, stable and reliable, which serves as an ideal method for monitoring autonomic function. With combination of the two indices and others, the efficiency of risk stratification and prognosis evaluation can be significantly improved in patients with myocardial infarction, atrial fibrillation, and heart valve disease, making early warning for high risk group. Additionally, DC is also related to cardiovascular diseases including cardiomyopathy, hypertension, and heart failure, however, the specific clinical significance still needs further research. The electrocardiographic testing of DC and DRs proves to have great clinical value and development potential, which is worthy of being prevalent clinically and investigated further.
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