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Relationship between breath-synchronous arterial pressure and heart rate variations during orthostatic stress.
KTH, School of Technology and Health (STH), Environmental Physiology (Closed 20130701).ORCID iD: 0000-0001-6361-8965
2003 (English)In: Clinical Physiology and Functional Imaging, ISSN 1475-0961, E-ISSN 1475-097X, Vol. 23, no 2, 103-109 p.Article in journal (Refereed) Published
Abstract [en]

It has recently been shown that the phase relationship between respiration-induced changes in arterial pressure (AP) and heart rate (HR) are different in supine and upright postures. We wanted to further analyse the coupling between respiration, arterial blood pressure and HR in the time domain, and how this coupling was altered during orthostatic stress. Nine healthy subjects were studied. Respiration-induced changes in AP and HR were recorded during frequency- and volume-controlled breathing. This was done during supine rest with and without lower body negative pressure (-50 mmHg) (LBNP). All experiments were performed after beta1-blockade. Responses were averaged breath-by-breath to enhance the time resolution and to eliminate noise. The respiration-induced changes in arterial pulse pressure (PP) were different between control and LBNP: The peak in PP during the respiratory cycle occurred 0.9 +/- 0.8 (mean +/- SD) s before the onset of inspiration during supine control and 0.8 +/- 2.1 s after the onset of inspiration during LBNP (P = 0.03). These changes in the timing of peak PP significantly distorted the cyclic systolic AP and mean AP fluctuations during LBNP. Despite the altered AP response with LBNP, HR fluctuations closely correlated in time with respiration in all conditions, albeit with a significantly reduced amplitude during LBNP (-49%, P = 0.01). The results points to a lack of coupling between AP and HR during paced breathing and thus suggest that respiratory sinus dysrhythmia at least, to a large extent, is independent of the arterial baroreflex.

Place, publisher, year, edition, pages
2003. Vol. 23, no 2, 103-109 p.
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URN: urn:nbn:se:kth:diva-123239DOI: 10.1046/j.1475-097X.2003.00479.xOAI: diva2:625556
NR 20140805Available from: 2013-06-05 Created: 2013-06-05 Last updated: 2014-01-20Bibliographically approved

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Sundblad, Patrik
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Environmental Physiology (Closed 20130701)
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