scholarly journals Heart Rate Asymmetry Analysis During Head-Up Tilt Test in Healthy Men

2021 ◽  
Vol 12 ◽  
Author(s):  
Rafał Pawłowski ◽  
Katarzyna Buszko ◽  
Julia L. Newton ◽  
Sławomir Kujawski ◽  
Paweł Zalewski

The purpose of this study is to assess the cardiovascular system response to orthostatic stress in a group of 133 healthy men using heart rate asymmetry (HRA) methods. HRA is a feature of variability in human heart rate which is dependent upon external and internal body conditions. The initial phases of head-up tilt test (HUTT), namely, supine and tilt, were chosen as the external body affecting factors. Various calculation methods of HRA, such as Porta’s index (PI), Guzik’s index (GI), and its variance based components, were used to assess the heart rate variability (HRV) and its asymmetry. We compared 5-min ECG recordings from both supine and tilt phases of HUT test. Short-term HRA was observed in 54.1% of men in supine phase and 65.4% of men in tilt phase. The study revealed significant increase of GI (from 0.50 to 0.52, p < 0.001) in the tilt phase as well as significant changes in HRV descriptors between HUTT phases. Our results showed that the variability of human heart rate and its asymmetry are sensitive to orthostatic stress. The study of short-term HRA is a potential additional tool to increase sensitivity in conditions where HUTT is a diagnostic tool, such as vasovagal syncope.

2021 ◽  
Vol 55 (1) ◽  
pp. 46-50
Author(s):  
Е.А. Orlova ◽  
◽  
О.S. Tarasova ◽  
V.D. Son'kin ◽  
А.S. Borovik ◽  
...  

Age-related changes in phase synchronization of spontaneous blood pressure (BP) and heart rate (HR) fluctuations within the baroreflex wave range (about 0.1 Hz) were studied in 66 subjects aged 20 to 52 years. Measurements performed during the head-up tilt test included continuous BP monitoring using the volume-compensation method, ECG recording for ensuing HR calculation, and breathing rate recording. The phase synchronization index (PSI) was used for evaluation of BP-HR coupling. In supine position, phase synchronization in the subjects over 40 years was higher as compared with their counterparts at the age of 20 to 24 years. Along with that, less pronounced PSI increase in people over 40 in response to the tilt test suggests a decline of the baroreflex activity with aging.


EP Europace ◽  
2005 ◽  
Vol 7 (Supplement_1) ◽  
pp. 115-116
Author(s):  
J. Lacunza Ruiz ◽  
A. Garcia-Alberola ◽  
J.L. Rojo-Alvarez ◽  
J. Martinez-Sanchez ◽  
J.J. Sanchez-Mu oz ◽  
...  

1997 ◽  
Vol 60 (2) ◽  
pp. 121-131 ◽  
Author(s):  
Gianfranco Piccirillo ◽  
Santagada Elvira ◽  
Carmela Bucca ◽  
Emanuela Viola ◽  
Mauro Cacciafesta ◽  
...  

2020 ◽  
Vol 10 (1) ◽  
Author(s):  
Yurii M. Ishbulatov ◽  
Anatoly S. Karavaev ◽  
Anton R. Kiselev ◽  
Margarita A. Simonyan ◽  
Mikhail D. Prokhorov ◽  
...  

Abstract A mathematical model is proposed for the autonomic control of cardiovascular system, which takes into account two separated self-exciting sympathetic control loops of heart rate and peripheral vascular tone. The control loops are represented by self-exciting time-delay systems and their tone depends on activity of the aortic, carotid, and lower-body baroreceptors. The model is used to study the dynamics of the adaptive processes that manifest in a healthy cardiovascular system during the passive head-up tilt test. Computer simulation provides continuous observation of the dynamics of the indexes and variables that cannot be measured in the direct experiment, including the noradrenaline concentration in vessel wall and heart muscle, tone of the sympathetic and parasympathetic control, peripheral vascular resistance, and blood pressure. In the supine and upright positions, we estimated the spectral characteristics of the model variables, especially in the low-frequency band, and the original index of total percent of phase synchronization between the low-frequency oscillations in heart rate and blood pressure signals. The model demonstrates good quantitative agreement with the dynamics of the experimentally observed indexes of cardiovascular system that were averaged for 50 healthy subjects.


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