Key result
Chronic normobaric hypoxia shifts autonomic balance toward sympathetic predominance, increasing LF/HF ratio by ~267%.
Why the study?
The impact of chronic hypoxia on heart rate variability and autonomic regulation has been less well examined.
Absolute Event Rate: 0.77% vs 0.21%
p-value: p=<0.05
Chronic normobaric hypoxia shifts autonomic balance towards sympathetic predominance in adult rabbits, altering heart rate variability without changing resting heart rate or blood pressure.
Autonomic shifts in hypoxic rabbits are hypothesis-generating; should not yet inform management of human chronic hypoxemia.
chronic hypoxia increases basal ventilation and pulmonary vascular resistance, with variable changes in arterial blood pressure and heart rate, but it’s impact on heart rate variability and autonomic regulation have been less well examined. We studied changes in arterial blood pressure, heart rate and heart rate variability (HRV) in rabbits subjected to chronic normobaric hypoxia (CNH; PB ~ 719 mmHg; F I O 2 ~ 9.2%) for 14 days and assess the effect of autonomic control by acute bilateral vagal denervation. exposure to CNH stalled animal weight gain and increased the hematocrit, without affecting heart rate or arterial blood pressure. Nevertheless, Poincaré plots of the electrocardiographic R–R intervals showed a reduced distribution parallel to the line of identity, which interpreted as reduced long-term HRV. In the frequency domain, CNH reduced the very-low- (< 0.2 Hz) and high-frequency components (> 0.8 Hz) of the R–R spectrograms and produced a prominent component in the low-frequency component (0.2–0.5 Hz) of the power spectrum. In control and CNH exposed rabbits, bilateral vagotomy had no apparent effect on the short- and long-term HRV in the Poincaré plots. However, bilateral vagotomy differentially affected higher-frequency components (> 0.8 Hz); reducing it in control animals without modifying it in CNH-exposed rabbits. These results suggest that CNH exposure shifts the autonomic balance of heart rate towards a sympathetic predominance without modifying resting heart rate or arterial blood pressure.
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Alcayaga et al. (2018) studied Chronic normobaric hypoxia (n=19). Chronic normobaric hypoxia vs. Normoxia was evaluated on LF/HF ratio of heart rate variability (p=<0.05). Exposure to chronic normobaric hypoxia for 14 days shifted the autonomic balance of heart rate towards a sympathetic predominance, evidenced by a significantly increased LF/HF ratio (0.77 vs 0.21, p<0.05), without modifying resting heart rate or arterial blood pressure.
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