scholarly journals Sensitivity of temporal heart rate variability in Poincaré plot to changes in parasympathetic nervous system activity

2011 ◽  
Vol 10 (1) ◽  
pp. 17 ◽  
Author(s):  
Chandan K Karmakar ◽  
Ahsan H Khandoker ◽  
Andreas Voss ◽  
Marimuthu Palaniswami
Keyword(s):  
Heart Rate ◽  
Heart Rate Variability ◽  
Nervous System ◽  
Parasympathetic Nervous System ◽  
Poincaré Plot ◽  
System Activity ◽  
Nervous System Activity ◽  
Parasympathetic Nervous System Activity

Poincaré Plot of Heart Rate Variability Allows Quantitative Display of Parasympathetic Nervous Activity in Humans

1996 ◽  
Vol 91 (2) ◽  
pp. 201-208 ◽  
Author(s):  
Peter Walter Kamen ◽  
Henry Krum ◽  
Andrew Maxwell Tonkin
Keyword(s):  
Heart Rate ◽  
Heart Rate Variability ◽  
Nervous System ◽  
Parasympathetic Nervous System ◽  
Poincaré Plot ◽  
System Activity ◽  
Nervous System Activity ◽  
Quartile Range ◽  
Short Period ◽  
Parasympathetic Nervous System Activity

1. Time domain summary statistics and frequency domain parameters can be used to measure heart rate variability. More recently, qualitative methods including the Poincaré plot have been used to evaluate heart rate variability. The aim of this study was to validate a novel method of quantitative analysis of the Poincaré plot using conventional statistical techniques. 2. Beat-to-beat heart rate variability was measured over a relatively short period of time (10–20 min) in 12 healthy subjects aged between 20 and 40 years (mean 30 ± 7 years) during (i) supine rest, (ii) head-up tilt (sympathetic activation, parasympathetic nervous system activity withdrawal), (iii) intravenous infusion of atropine (parasympathetic nervous system activity withdrawal), and (iv) after overnight administration of low-dose transdermal scopolamine (parasympathetic nervous system augmentation). 3. The ‘width’ of the Poincaré plot, as quantified by SD delta R—R (the difference between successive R—R intervals), was determined at rest (median 48.9, quartile range 20 ms) and found to be significantly reduced during tilt (median 19.1, quartile range 13.7 ms, P < 0.01) and atropine administration (median 7.1, quartile range 5.7 ms, P < 0.01) and increased by scopolamine (median 79.3, quartile range 33 ms, P < 0.01). Furthermore, log variance of delta R—R intervals correlated almost perfectly with log high-frequency (0.15–0.4 Hz) power (r = 0.99, P < 0.01). 4. These findings strongly suggest that the ‘width’ of the Poincaré plot is a measure of parasympathetic nervous system activity. The Poincaré plot is therefore a quantitative visual tool which can be applied to the analysis of R—R interval data gathered over relatively short time periods.

scholarly journals Hemodynamic Patterns and Spectral Analysis of Heart Rate Variability during Dialysis Hypotension

1999 ◽  
Vol 10 (12) ◽  
pp. 2577-2584
Author(s):  
MICHEL G. W. BARNAS ◽  
WALTHER H. BOER ◽  
HEIN A. KOOMANS
Keyword(s):  
Heart Rate ◽  
Nervous System ◽  
Spectral Analysis ◽  
Parasympathetic Nervous System ◽  
Intradialytic Hypotension ◽  
Intravascular Volume ◽  
Autonomic Nervous System Activity ◽  
System Activity ◽  
Nervous System Activity ◽  
Sympathetic Nervous

Abstract. Intradialytic hypotension, a major source of morbidity during hemodialysis and ultrafiltration, is often accompanied by paradoxical bradycardia. Relatively little is known about the sequential changes in autonomic nervous system activity up to and during the hypotensive episode. Continuous, beat-to-beat measurements of BP and heart rate were made during hemodialysis in patients prone (n = 8) and not prone (n = 11) to develop intradialytic hypotension. Off-line spectral analysis of heart rate variability (HRV) was performed to assess changes in autonomic nervous system activity during dialysis sessions both with and without hypotension. The low frequency (LF) component of HRV is thought to correlate with sympathetic nervous system activity, the high frequency (HF) component with that of the parasympathetic nervous system. In the sessions not complicated by symptomatic hypotension (n = 26), mean arterial BP (MAP) hardly fell, whereas heart rate increased from 77 ± 2 to 89 ± 5 bpm (P < 0.05). The LF component of HRV increased from 45.2 ± 5.0 normalized units (nu) to 59.9 ± 4.9 nu (P < 0.05), whereas the HF component fell from 54.8 ± 5.0 to 40.2 ± 4.4 nu (P < 0.05). These changes agree with compensatory baroreflex-mediated activation of the sympathetic nervous system (and suppressed parasympathetic activity) during ultrafiltration-induced intravascular volume depletion. In the sessions complicated by severe symptomatic hypotension (n = 22), the changes in heart rate and the results of spectral analysis of HRV were similar to those reported above up to the moment of sudden symptomatic (nausea, vomiting, dizziness, cramps) hypotension, whereas MAP had already fallen gradually from 94 ± 3 to 85 ± 3 mmHg (P < 0.05). The sudden further reduction in MAP (to 55 ± 2 mmHg, P < 0.02) was invariably accompanied by bradycardia (heart rate directly before hypotension 90 ± 2 bpm, during hypotension 69 ± 3 bpm, P < 0.002). The LF component of HRV fell from 62.8 ± 4.6 nu directly before to 40.0 ± 3.7 nu (P < 0.05) during hypotension, whereas the HF component increased from 37.9 ± 4.7 to 60.3 ± 3.7 nu (P < 0.05). These findings agree with activation of the cardiodepressor reflex, involving decreased sympathetic and increased parasympathetic nervous system activity, respectively. These findings indicate that activation of the sympatho-inhibitory cardiodepressor reflex (Bezold-Jarisch reflex), which is a physiologic response to a critical reduction in intravascular volume and cardiac filling, is the cause of sudden intradialytic hypotension.

Changes in the sympathetic nervous system induced by 42 days of head-down bed rest

1998 ◽  
Vol 274 (6) ◽  
pp. H1875-H1884 ◽  
Author(s):  
Dominique Sigaudo ◽  
Jacques-Olivier Fortrat ◽  
Anne-Marie Allevard ◽  
Alain Maillet ◽  
Jean-Marie Cottet-Emard ◽  
...  
Keyword(s):  
Heart Rate ◽  
Heart Rate Variability ◽  
Nervous System ◽  
Sympathetic Nervous System ◽  
Baroreflex Sensitivity ◽  
Bed Rest ◽  
Urinary Catecholamines ◽  
System Activity ◽  
Nervous System Activity ◽  
Sympathetic Nervous

Changes in autonomic nervous system activity could be linked to the orthostatic intolerance (OI) that individuals suffer after a spaceflight or head-down bed rest (HDBR). We examined this possibility by assessing the sympathetic nervous system activity during 42 days of HDBR in seven healthy men. Heart rate variability was studied with the use of power spectral analysis, which provided indicators of the sympathetic (SNSi) and parasympathetic (PNSi) nervous system influences on the heart. Urinary catecholamines and the spontaneous baroreflex sensitivity were measured. Urinary catecholamines decreased by 21.3%, showing a decrease in SNSi. Heart rate variability was greatly reduced during 42 days of HDBR with a drop in PNSi but with no significant changes in SNSi. The baroreflex sensitivity was greatly reduced (30.7%) on day 42 of HDBR. These results suggest a dissociation between the catecholamine response and the SNSi of the heart rate. This dissociation could be the consequence of an increase in β-adrenergic receptor density and/or activity induced by a decrease in catecholamines during HDBR. The subjects who suffered from OI also had a greater sympathetic response and much lower baroreflex sensitivity when supine than those who finished the stand test. However, the mean response of all subjects indicated that the sympathetic activity (catecholamine excretion) was probably slightly inhibited during HDBR and could contribute to OI.

scholarly journals Music Attenuated a Decrease in Parasympathetic Nervous System Activity after Exercise

PLoS ONE ◽  
2016 ◽  
Vol 11 (2) ◽  
pp. e0148648 ◽  
Author(s):  
Tiantian Jia ◽  
Yoshiko Ogawa ◽  
Misa Miura ◽  
Osamu Ito ◽  
Masahiro Kohzuki
Keyword(s):  
Nervous System ◽  
Parasympathetic Nervous System ◽  
System Activity ◽  
Nervous System Activity ◽  
Parasympathetic Nervous System Activity

scholarly journals Assessment of the impact of 10-day intermittent hypoxia on the autonomic control measured by heart rate variability

2018 ◽  
Vol 105 (4) ◽  
pp. 386-396 ◽  
Author(s):  
ZZ Taralov ◽  
KV Terziyski ◽  
PK Dimov ◽  
BI Marinov ◽  
SS Kostianev
Keyword(s):  
Heart Rate ◽  
Heart Rate Variability ◽  
Nervous System ◽  
Parasympathetic Nervous System ◽  
Autonomic Control ◽  
Total Power ◽  
Hypoxic Exposure ◽  
Intermittent Hypoxic Training ◽  
Parasympathetic Nervous System Activity ◽  
The Impact

Purpose The purpose of this study is to establish the alterations in the activity of the autonomic nervous system (ANS) via heart rate variability (HRV) in subjects exposed to 1 h of exogenous hypoxia for 10 consecutive days. Methods Twelve healthy non-smoker males at mean age of 29.8 ± 7.4 (mean ± SD) breathed hypoxic air delivered through hypoxicator (FiО2 = 12.3% ± 1.5%) for 1 h in 10 consecutive days. Pulse oximetry and electrocardiography were monitored during the visit and HRV was calculated for the entire 1-h hypoxic period. Results Comparing the last hypoxic visit to the first, subjects had higher standard deviation of normal-to-normal interbeat intervals (SDNNs) (65.7 ± 32.5 vs. 81.1 ± 32.0 ms, p = 0.013) and root mean square of successive R–R interval difference (RMSSD) (58.1 ± 30.9 vs. 76.5 ± 34.6 ms, p = 0.029) as well as higher lnTotal power (8.1 ± 1.1 vs. 8.5 ± 0.9 ms2, p = 0.015) and high frequency (lnHF) (6.8 ± 1.3 vs. 7.5 ± 1.2 ms2, p = 0.05) and lower LF/HF (2.4 ± 1.4 vs. 1.5 ± 1.0, p = 0.026). Changes in saturation (87.0 ± 7.1 vs. 90.8 ± 5.0%, p = 0.039) and heart rate (67.1 ± 8.9 vs. 62.5 ± 6.0 beats/min, p = 0.040) were also observed. Conclusions Intermittent hypoxic training consisting of 1-h hypoxic exposure for 10 consecutive days could diminish the effects of acute exogenous hypoxia on the ANS characterized by an increased autonomic control (SDNN and total power) with augmentation of the parasympathetic nervous system activity (increased RMSSD and HF and decreased LF/HF). Therefore, it could be applied as a pre-acclimatization technique aiming at an increase in the autonomic control and oxygen saturation in subjects with upcoming sojourn to high altitude.

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