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May 17, 2021Frontiers in NeuroscienceOpen Access

Different Impact of Heart Rate Variability in the Deep Cerebral and Central Hemodynamics at Rest: An in silico Investigation

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Key result

Modeled high HRV alters distal cerebral circulation while low HRV reduces central heart efficiency.

Why the study?

The association between heart rate variability and altered cerebral hemodynamics remains debated due to short-term measures and limited high-resolution deep cerebral data.

Does altered heart rate variability impact deep cerebral and central hemodynamics in an ideal young healthy patient at rest?

Population

An ideal young healthy patient at rest simulated via a cardiovascular-cerebral model

Comparison

Baseline vs increased HRV vs decreased HRV based on SDNN of RR beats

Design

In silico computational simulation study

Authors

SSStefania ScarsoglioPolytechnic University of TurinLRLuca RidolfiPolytechnic University of Turin

Discussion

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Overview

Baseline HRV may optimize cardiac efficiency and cerebral stability in models; leaves open clinical relevance in humans.

Structured PICO

Does altered heart rate variability impact deep cerebral and central hemodynamics in an ideal young healthy patient at rest?

P
Population
Ideal young healthy patient at rest (simulated via a cardiovascular-cerebral computational model)
I
Intervention
Altered heart rate variability (HRV) configurations: increased HRV (+20% SDNN) and decreased HRV (-20% SDNN)
C
Comparator
Baseline HRV configuration (SDNN = 71.14 ms, HR = 70 bpm)
O
Outcome
Occurrence of extreme values, alteration of regular hemodynamics pattern, and variation of mean perfusion/pressure levels in cerebral and central hemodynamicssurrogate

In silico modeling suggests that baseline HRV is optimal for balancing central cardiac efficiency and cerebral hemodynamic stability, with increased HRV being detrimental distally and decreased HRV reducing heart efficiency.

Limitations

  • Computational approach relies on modeling hypotheses
  • Considered the same young healthy resting subject forced through three different HRV configurations
  • Configurations only differ by the entrance inputs (RR beating sequence) without accounting for complementary variations of the sympathetic system

Cite This Study

Scarsoglio et al. (2021) studied Healthy resting condition. Altered Heart Rate Variability (HRV) vs. Baseline HRV was evaluated on Deep cerebral and central hemodynamics (pressure and flow rate). In a computational model, increased heart rate variability induced a higher probability of altered mean and extreme values in the distal cerebral circulation, while decreased heart rate variability reduced central heart efficiency.

synapsesocial.com/papers/6a162c10599ca9964c8e90afhttps://doi.org/10.3389/fnins.2021.600574
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Biophysical Characterization of the Underappreciated and Important Relationship Between Heart Rate Variability and Heart Rate2014 · 336 citations
  2. 2The Association between Heart Rate Variability and Cognitive Impairment in Middle-Aged Men and Women2008 · 71 citations
  3. 3Heart Rate Variability and Cognitive Function In Middle-Age Adults: The Coronary Artery Risk Development in Young Adults2017 · 54 citations
  4. 4Heart Rate Variability, Prefrontal Neural Function, and Cognitive Performance: The Neurovisceral Integration Perspective on Self-regulation, Adaptation, and Health2009 · 1,892 citations
  5. 5Heart Rate Variability and Cardiac Vagal Tone in Psychophysiological Research – Recommendations for Experiment Planning, Data Analysis, and Data Reporting2017 · 2,355 citations