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Am J Physiol Heart Circ Physiol (June 21, 2002). doi:10.1152/ajpheart.00169.2002
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Articles in PresS, published online ahead of print June 21, 2002
Am J Physiol Heart Circ Physiol, 10.1152/ajpheart.00169.2002
Submitted on February 27, 2002
Accepted on June 20, 2002

Sexual dimorphism in complexity of cardiac pacemaker activity

Terry B. J. Kuo1* and Cheryl C. Yang2

1 Tzu Chi University, Institute of Neuroscience, Hualien, Taiwan; Tzu Chi Buddhist General Hospital, Department of Neurology, Hualien, Taiwan
2 Tzu Chi University, Department of Physiology, Hualien, Taiwan

* To whom correspondence should be addressed. E-mail: tbjkuo{at}ms33.hinet.net.

This study explored the effects of gender and aging on complexity of cardiac pacemaker activity. Electrocardiogram signals were studied in normal women (n = 240) and men (n = 240) ranging in age from 40 to 79 yr. Nonlinear analysis of short-term resting R-R intervals was performed using the correlation dimension (CD), approximate entropy (ApEn), and largest Lyapunov exponent (LLE). Evidence of nonlinear structure was obtained by the surrogate data test. CD, ApEn, and LLE were negatively correlated with age. Despite similar means and standard deviations of the R-R intervals, women had a significantly higher CD, ApEn, and LLE compared with men in the age strata 40-44 and 45-49 yr. CD and ApEn were strongly (r > 0.71) correlated with low- and high-frequency components. We conclude that the resting cardiac pacemaker activity of women is more complex than that of men in middle age, and the gender-related difference diminishes after the age of 50 yr. The higher complexity implies a more comprehensive neural modulation.




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