Cardiovascular Neural Regulation Explored in the Frequency Domain

A consistent link appears to exist between predominance of vagal or sympathetic activity and predominance of HF or LF oscillations, respectively: RR variability contains both of these rhythms, and their relative powers appear to subserve a reciprocal relation like that commonly found in sympathovagal balance. In this respect, it is our opinion that rhythms and neural components always interact, just like flexor and extensor tones or excitatory and inhibitory cardiovascular reflexes, and that it is misleading to separately consider vagal and sympathetic modulations of heart rate. In humans and experimental animals, functional states likely to be accompanied by an increased sympathetic activity are characterized by a shift of the LF-HF balance in favor of the LF component; the opposite occurs during presumed increases in vagal activity. In addition, LF oscillation evaluated from SAP variability appears to be a convenient marker of the sympathetic modulation of vasomotor activity. Although based on indirect markers, the exploration in the frequency domain of cardiovascular neural regulation might disclose a unitary vision hard to reach through the assemblage of more specific but fragmented pieces of information.

[1]  E D Adrian,et al.  Discharges in mammalian sympathetic nerves , 1932, The Journal of physiology.

[2]  D. Jewett,et al.  Activity of single efferent fibres in the cervical vagus nerve of the dog, with special reference to possible cardio‐inhibitory fibres , 1964, The Journal of physiology.

[3]  E. Perl,et al.  Sympathetic activity and the systemic circulation in the spinal cat. , 1965, The Journal of physiology.

[4]  A Malliani,et al.  A sympathetic reflex elicited by experimental coronary occlusion. , 1969, The American journal of physiology.

[5]  G. Pickering,et al.  Reflex Regulation of Arterial Pressure during Sleep in Man: A Quantitative Method of Assessing Baroreflex Sensitivity , 1969, Circulation research.

[6]  D L Kunze,et al.  Reflex discharge patterns of cardiac vagal efferent fibres , 1972, The Journal of physiology.

[7]  R. M. Conant,et al.  Autonomic Disturbance at Onset of Acute Myocardial Infarction , 1972, British medical journal.

[8]  B. Sayers,et al.  Analysis of heart rate variability. , 1973, Ergonomics.

[9]  G. Preiss,et al.  Patterns of sympathetic neuron activity associated with Mayer waves. , 1974, The American journal of physiology.

[10]  F R Calaresu,et al.  Influence of cardiac neural inputs on rhythmic variations of heart period in the cat. , 1975, The American journal of physiology.

[11]  B. W. Hyndman,et al.  Spectral analysis of sinus arrhythmia during mental loading. , 1975, Ergonomics.

[12]  G. Varigos,et al.  Sinus Arrhythmia in Acute Myocardial Infarction , 1978, The Medical journal of Australia.

[13]  D. Marsh,et al.  Oscillations in Mean Arterial Blood Pressure in Conscious Dogs , 1979, Circulation research.

[14]  B. Lown,et al.  Sudden cardiac death: the major challenge confronting contemporary cardiology. , 1979, The American journal of cardiology.

[15]  A Malliani,et al.  Neural mechanisms in life-threatening arrhythmias. , 1980, American heart journal.

[16]  S.M. Kay,et al.  Spectrum analysis—A modern perspective , 1981, Proceedings of the IEEE.

[17]  R. Cohen,et al.  Power spectrum analysis of heart rate fluctuation: a quantitative probe of beat-to-beat cardiovascular control. , 1981, Science.

[18]  S. Smith,et al.  Heart rate variability in healthy subjects measured with a bedside computer-based technique. , 1981, Clinical science.

[19]  Alberto Malliani,et al.  Cardiovascular sympathetic afferent fibers , 1982 .

[20]  A. Selman,et al.  The interaction between heart rate and respiration : Part 1 - Experimental studies in man , 1982 .

[21]  A Malliani,et al.  The role of the sympathetic nervous system in congestive heart failure. , 1983, European heart journal.

[22]  J. T. Shepherd,et al.  Peripheral circulation and organ blood flow , 1983 .

[23]  D. Ewing,et al.  New method for assessing cardiac parasympathetic activity using 24 hour electrocardiograms. , 1984, British heart journal.

[24]  A Malliani,et al.  Global versus regional myocardial ischaemia: differences in cardiovascular and sympathetic responses in cats. , 1984, Cardiovascular research.

[25]  Rhythmic variations in R-R interval during sleep and wakefulness in puppies and dogs. , 1984, The American journal of physiology.

[26]  D. Adam,et al.  Assessment of autonomic function in humans by heart rate spectral analysis. , 1985, The American journal of physiology.

[27]  D. Ewing,et al.  The Value of Cardiovascular Autonomic Function Tests: 10 Years Experience in Diabetes , 1985, Diabetes Care.

[28]  R. Cohen,et al.  Hemodynamic regulation: investigation by spectral analysis. , 1985, The American journal of physiology.

[29]  A. Malliani,et al.  Simultaneous analysis of beat by beat systemic arterial pressure and heart rate variabilities in ambulatory patients. , 1985, Journal of hypertension. Supplement : official journal of the International Society of Hypertension.

[30]  R. D. Boer,et al.  Beat-to-beat blood-pressure fluctuations and heart-rate variability in man: physiological relationships, analysis techniques and a simple model , 1985 .

[31]  S Cerutti,et al.  Spectral and cross-spectral analysis of heart rate and arterial blood pressure variability signals. , 1986, Computers and biomedical research, an international journal.

[32]  A. Malliani,et al.  Continuous recording of direct high fidelity arterial pressure and electrocardiogram in ambulant patients. , 1986, Cardiovascular research.

[33]  M. Turiel,et al.  Power Spectral Analysis of Heart Rate and Arterial Pressure Variabilities as a Marker of Sympatho‐Vagal Interaction in Man and Conscious Dog , 1986, Circulation research.

[34]  A. Malliani The elusive link between transient myocardial ischemia and pain. , 1986, Circulation.

[35]  B. Maciel,et al.  Effect of parasympathetic impairment on the haemodynamic response to handgrip in Chagas's heart disease. , 1986, British heart journal.

[36]  J Strackee,et al.  Hemodynamic fluctuations and baroreflex sensitivity in humans: a beat-to-beat model. , 1987, The American journal of physiology.

[37]  D. Shannon,et al.  Aging of modulation of heart rate. , 1987, The American journal of physiology.

[38]  A. Malliani,et al.  Heart rate variability signal processing: a quantitative approach as an aid to diagnosis in cardiovascular pathologies. , 1987, International journal of bio-medical computing.

[39]  H. Robbe,et al.  Assessment of baroreceptor reflex sensitivity by means of spectral analysis. , 1987, Hypertension.

[40]  S. Akselrod,et al.  Spectral analysis of heart rate fluctuations. A non-invasive, sensitive method for the early diagnosis of autonomic neuropathy in diabetes mellitus. , 1987, Journal of the autonomic nervous system.

[41]  J. Miller,et al.  Decreased heart rate variability and its association with increased mortality after acute myocardial infarction. , 1987, The American journal of cardiology.

[42]  Sergio Cerutti,et al.  Effects of tilt and treadmill exercise on short-term variability in systolic arterial pressure in hypertensive men , 1987 .

[43]  André Cournand,et al.  Statical essays: Containing Haemastaticks , 1987 .

[44]  S Cerutti,et al.  Heart rate variability as an index of sympathovagal interaction after acute myocardial infarction. , 1987, The American journal of cardiology.

[45]  Giuseppe Baselli,et al.  SPECTRAL ANALYSIS OF HEART RATE AND ARTERIAL BLOOD PRESSURE VARIABILITY SIGNALS FOR PHYSIOLOGICAL AND CLINICAL PURPOSES. , 1987 .

[46]  S Cerutti,et al.  Sympathetic predominance in essential hypertension: a study employing spectral analysis of heart rate variability. , 1988, Journal of hypertension.

[47]  A. Malliani,et al.  Spectral analysis of heart rate variability in the assessment of autonomic diabetic neuropathy. , 1988, Journal of the autonomic nervous system.

[48]  R J Cohen,et al.  Analysis of long term heart rate variability: methods, 1/f scaling and implications. , 1988, Computers in cardiology.

[49]  P. Coumel,et al.  Respective role of sympathetic tone and of cardiac pauses in the genesis of 62 cases of ventricular fibrillation recorded during Holter monitoring. , 1988, European heart journal.

[50]  R J Cohen,et al.  Assessment of autonomic regulation in chronic congestive heart failure by heart rate spectral analysis. , 1988, The American journal of cardiology.

[51]  J. Fleiss,et al.  Components of heart rate variability measured during healing of acute myocardial infarction. , 1988, The American journal of cardiology.

[52]  D N Ghista,et al.  Spectral analysis of heart rate variability following human heart transplantation: evidence for functional reinnervation. , 1988, Journal of the autonomic nervous system.

[53]  D N Ghista,et al.  Power spectrum of heart rate variability: a non-invasive test of integrated neurocardiac function. , 1988, Clinical and investigative medicine. Medecine clinique et experimentale.

[54]  A. Malliani,et al.  Changes in Autonomic Regulation Induced by Physical Training in Mild Hypertension , 1988, Hypertension.

[55]  R. Carney,et al.  Correlation of heart rate variability with clinical and angiographic variables and late mortality after coronary angiography. , 1988, The American journal of cardiology.

[56]  A. Malliani,et al.  Cardiovascular variability signals: towards the identification of a closed-loop model of the neural control mechanisms , 1988, IEEE Transactions on Biomedical Engineering.

[57]  P. Schwartz,et al.  Baroreflex sensitivity and its evolution during the first year after myocardial infarction. , 1988, Journal of the American College of Cardiology.

[58]  R. Wicks,et al.  Spectral analysis of heart rate indicates reduced baroreceptor-related heart rate variability in elderly persons. , 1988, Journal of gerontology.

[59]  P. Fratino,et al.  Relationship between fluctuations in heart rate and asymptomatic nocturnal ischaemia. , 1988, International journal of cardiology.

[60]  P. Castiglioni,et al.  24 h sequential spectral analysis of arterial blood pressure and pulse interval in free-moving subjects , 1989, IEEE Transactions on Biomedical Engineering.

[61]  R J Cohen,et al.  Power spectrum analysis of heart rate variability in human cardiac transplant recipients. , 1989, Circulation.

[62]  P. Stone,et al.  Circadian variation and triggers of onset of acute cardiovascular disease. , 1989, Circulation.

[63]  P A Getting,et al.  Emerging principles governing the operation of neural networks. , 1989, Annual review of neuroscience.

[64]  U. Elkayam,et al.  Plasma norepinephrine in Chagas' cardioneuromyopathy: a marker of progressive dysautonomia. , 1989, American heart journal.

[65]  R J Cohen,et al.  Beat to beat variability in cardiovascular variables: noise or music? , 1989, Journal of the American College of Cardiology.

[66]  R J Cohen,et al.  Comparison of time- and frequency domain-based measures of cardiac parasympathetic activity in Holter recordings after myocardial infarction. , 1989, The American journal of cardiology.

[67]  W E Boden,et al.  Effect of passive tilt on sympathetic and parasympathetic components of heart rate variability in normal subjects. , 1989, The American journal of cardiology.

[68]  J. Saul,et al.  Modulation of cardiac autonomic activity during and immediately after exercise. , 1989, The American journal of physiology.

[69]  H. Rüddel,et al.  Spectral analysis of heart rate variability under mental stress. , 1989, Journal of hypertension. Supplement : official journal of the International Society of Hypertension.

[70]  G. Casolo,et al.  Decreased spontaneous heart rate variability in congestive heart failure. , 1989, The American journal of cardiology.

[71]  Stability of the heart rate power spectrum over time in the conscious dog , 1989, FASEB journal : official publication of the Federation of American Societies for Experimental Biology.

[72]  S Cerutti,et al.  Spectral analysis of R-R and arterial pressure variabilities to assess sympatho-vagal interaction during mental stress in humans. , 1989, Journal of hypertension. Supplement : official journal of the International Society of Hypertension.

[73]  P. Reddy,et al.  Respiratory sinus arrhythmia in the denervated human heart. , 1989, Journal of applied physiology.

[74]  A. Malliani,et al.  Spectral analysis of sympathetic discharge in decerebrate cats. , 1990, Journal of the autonomic nervous system.

[75]  M Kumashiro,et al.  Power spectral analysis of heart rate variability in traumatic quadriplegic humans. , 1990, The American journal of physiology.

[76]  S Cerutti,et al.  Analysis of short-term oscillations of R-R and arterial pressure in conscious dogs. , 1990, The American journal of physiology.

[77]  D E Albert,et al.  Heart rate variability before and after myocardial infarction in conscious dogs at high and low risk of sudden death. , 1990, Journal of the American College of Cardiology.

[78]  Spectral analysis of short-term heart rate variability in diabetic patients. , 1990, Journal of the autonomic nervous system.

[79]  G. Billman,et al.  Dynamic changes in cardiac vagal tone as measured by time-series analysis. , 1990, The American journal of physiology.

[80]  J. Saul,et al.  Heart rate and muscle sympathetic nerve variability during reflex changes of autonomic activity. , 1990, The American journal of physiology.

[81]  G. Moody,et al.  Spectral characteristics of heart rate variability before and during postural tilt. Relations to aging and risk of syncope. , 1990, Circulation.

[82]  A. Malliani,et al.  Sympathetic activation during treadmill exercise in the conscious dog: assessment with spectral analysis of heart period and systolic pressure variabilities. , 1990, Journal of the autonomic nervous system.

[83]  J. Hayano,et al.  Decreased magnitude of heart rate spectral components in coronary artery disease. Its relation to angiographic severity. , 1990, Circulation.

[84]  A. Malliani,et al.  Continuous 24-hour assessment of the neural regulation of systemic arterial pressure and RR variabilities in ambulant subjects. , 1990, Circulation.

[85]  A. Malliani,et al.  Clinical Exploration of the Autonomic Nervous System by Means of Electrocardiography , 1990, Annals of the New York Academy of Sciences.

[86]  J. Jalonen,et al.  Effect of posture on spontaneous and thermally stimulated cardiovascular oscillations. , 1990, Cardiovascular research.

[87]  J. Cohn,et al.  Abnormalities of peripheral sympathetic nervous system control in congestive heart failure. , 1990, Circulation.

[88]  Effects of sympathetic activation on heart rate variability in Chagas' patients. , 1990, Journal of the autonomic nervous system.

[89]  A Pedotti,et al.  Sequential spectral analysis of 24-hour blood pressure and pulse interval in humans. , 1990, Hypertension.

[90]  A. Malliani,et al.  Impaired heart rate variability in patients with chronic Chagas' disease. , 1991, American heart journal.

[91]  S Cerutti,et al.  Altered pattern of circadian neural control of heart period in mild hypertension. , 1991, Journal of hypertension.