青壮年心血管变量的昼夜关系。

Chronobiologia Pub Date : 1992-07-01
Z Wang, L Wang, L Zhang, Q Liu, Z Xue, G Cornélissen, F Halberg
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引用次数: 0

摘要

在正常生活条件下,每隔4小时选取14例临床健康青年(女性6例,男性8例),年龄26±4岁,用血压计测量收缩压(S)和舒张压(D),用心电图测量心率,并做阻抗心动图。计算脑卒中量(SV)、心输出量(CO)和总外周阻力(TPR)。采用单一余弦和总体均值余弦分析收缩压、舒张压、HR、SV、CO和TPR的时间序列。通过在收缩压、舒张压、心率、SV、CO和TPR的总体均值余弦检验中拒绝零振幅假设,证明了昼夜心血管节律(P < 0.01)。TPR峰值大约在0400(当地午夜-61度),与所有其他变量处于反相位,它们的顶相发生在1600(-240度)左右。除女性TPR外,所有变量均有统计学意义或边缘性统计学意义的昼夜节律。在其他方面,男女的昼夜节律特征基本相似,只有MESOR和收缩压幅度的参数测试发现性别差异具有统计学意义。
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Circadian relations among cardiovascular variables of young adults.

Every 4 hours for 24 hours, 14 clinically healthy young individuals (6 women and 8 men), 26 +/- 4 years of age, measured systolic (S) and diastolic (D) blood pressure (BP) by sphygmomanometer and heart rate by ECG and did impedance cardiography under usual living conditions. Stroke volume (SV), cardiac output (CO) and total peripheral resistance (TPR) were calculated. Time series of SBP, DBP, HR, SV, CO and TPR were analyzed by single and population-mean cosinor. A circadian cardiovascular rhythm is demonstrated by rejection of the zero amplitude assumption in the population-mean cosinor test for SBP, DBP, HR, SV, CO and TPR (P < 0.01). TPR peaks around 0400 (-61 degrees from local midnight), in antiphase with all other variables, their acrophase occurring around 1600 (-240 degrees). A circadian rhythm of statistical significance or of borderline statistical significance is found for all variables except TPR in women. Circadian rhythm characteristics were otherwise mostly similar in men and women with a statistically significant gender difference found by parameter tests only for the MESOR and amplitude of SBP.

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