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Clinica Medica I, University of Milan, and Ospedale S. Gerardo, 20052 Monza; Istituto Scientifico Ospedale S. Luca, Istituto di Ricovero e Cura a Carattere Scientifico (IRCCS), Istituto Auxologico Italiano, 20149 Milan; and Laboratorio di Ricerche Cardiovascolari, Centro di Bioingegneria, IRCCS, Fondazione pro Juventute, 20148 Milan, Italy
In animals and humans, baroreceptor modulation
of the sinus node in daily life can be studied by identification of the
number of sequences in which systolic blood pressure (SBP) and pulse interval (PI) linearly decrease or increase for several beats. It is
also studied by power spectral analysis of SBP and PI in regions where
their powers are coherent, although, in contrast to the sequence
method, whether this frequency-domain method specifically reflects the
baroreceptor-heart rate reflex has not been adequately tested. We
recorded intra-arterial BP for ~3.5 h in eight conscious cats, first
intact and then 7-10 days after sinoaortic denervation (SAD).
Sensitivity of baroreceptor-heart rate reflex was assessed in 120-s
segments by the square root of the ratio of PI and SBP spectral powers
(
) in the regions around 0.1 (MF) and 0.3 (HF) Hz, and coherence
between PI and SBP spectral powers in MF and HF regions was computed.
SAD increased overall SBP variability and reduced PI variability
throughout the frequency range examined. SAD markedly reduced
(P < 0.01) both
-MF
(
65.6%) and
-HF (
79.9%) and consistently reduced the
number of coherent segments [i.e., where coherence
(K2) > 0.5] and average coherence values in the MF region. In the HF
region, however, SAD did not alter the number of coherent segments, and
although average coherence value throughout the HF band was reduced, in
restricted portions of the band (different between animals), a high
coherence value survived denervation. No significant changes were seen
in any measured variables in five sham-operated cats. Thus the
frequency-domain method specifically reflects baroreflex modulation of
heart rate in the MF region only. In the HF region, in contrast,
baroreflex and nonbaroreflex influences on the sinus node both
contribute to a variable degree to determination of heart rate
responses to BP oscillations. If used to study baroreflex function in
daily life, this method should use the coefficient derived from MF data.
arterial baroreflex; blood pressure variability; heart rate variability; sequence analysis; spectral analysis
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