PulseExploreJournal ClubDebatesTrendingResearchersJournals
Instagram
HomeExploreJournal ClubTrending
Synapse
⌘+K
Synapse
October 1, 1985AJP Heart and Circulatory Physiology1,301 citations

Hemodynamic regulation: investigation by spectral analysis

View Full Paper
SAS. AkselrodDGDavid GordonJMJeffrey B. Madwed

Structured PICO

P
Population
Experimental subjects (species and specific details not specified in abstract)
I
Intervention
Pharmacological blockades of the parasympathetic, alpha-sympathetic, beta-sympathetic, and renin-angiotensin systems, and atrial pacing
C
Comparator
Unblocked/unpaced state (implied)
O
Outcome
Spectral pattern of spontaneous fluctuations in heart rate, arterial blood pressure, and respiration in the 0.02- to 1-Hz frequency rangesurrogate

Spectral analysis demonstrates that distinct frequency bands of heart rate and blood pressure variability are mediated by specific components of the autonomic nervous system.

Abstract

We investigated the hypothesis that beat-to-beat variability in hemodynamic parameters reflects the dynamic interplay between ongoing perturbations to circulatory function and the compensatory response of short-term cardiovascular control systems. Spontaneous fluctuations in heart rate (HR), arterial blood pressure, and respiration were analyzed by spectral analysis in the 0.02- to 1-Hz frequency range. A simple closed-loop model of short-term cardiovascular control was proposed and evaluated in a series of experiments: pharmacological blockades of the parasympathetic, alpha-sympathetic, beta-sympathetic, and renin-angiotensin systems were used to open the principal control loops in order to examine changes in the spectral pattern of the fluctuations. Atrial pacing was used to examine blood pressure variability in the absence of HR variability. We found that respiratory frequency fluctuations in HR are parasympathetically mediated and that blood pressure fluctuations at this frequency result almost entirely from the direct effect of centrally mediated HR fluctuations. The sympathetic nervous system appears to be too sluggish to mediate respiratory frequency variations. Low-frequency (0.02-0.09 Hz) fluctuations in HR are jointly mediated by the parasympathetic and beta-sympathetic systems and appear to compensate for blood pressure fluctuations at this frequency. Low-frequency blood pressure fluctuations are probably due to variability in vasomotor activity which is normally damped by renin-angiotensin system activity. Blockade of the alpha-adrenergic system, however, does not significantly alter low-frequency blood pressure fluctuations.

Ask AI
Helpful
Bookmark
Share
View Full Paper

Cite This Study

Akselrod et al. (1985) studied this question.

synapsesocial.com/papers/69f69177e405cc4465bc2b97https://doi.org/10.1152/ajpheart.1985.249.4.h867
Ask AI
Helpful
Bookmark
Share
View Full Paper