压力反射负荷时心脏周期和收缩压的频域因果相互作用

A. Porta, B. Cairo, V. Bari, F. Gelpi, Beatrice De Maria, R. Colombo
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引用次数: 1

摘要

基于多变量自回归(MAR)和多变量动态调整(MDA)模型的频域因果分析,对俯卧(HDT)引起的压力反射负荷时心期(HP)和收缩压(SAP)之间的定向动态相互作用进行了分型。我们研究了12名健康男性(年龄从41岁到71岁,中位年龄:57岁),在仰卧状态下休息,并在倾斜台倾角为- 25°的HDT期间。我们观察到高压反射在HDT期间控制HP-SAP动态相互作用中的作用减少。这一发现仅在低频(LF,从0.04到0.15 Hz)波段明显。我们认为,频域因果分析允许研究心血管控制机制,HDT可以有效地用于降低气压反射控制的相关性,从而增加观察不同心血管调节机制的机会。
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Frequency Domain Causal Interactions Between Heart Period and Systolic Arterial Pressure During Baroreflex Loading
Frequency domain causality analysis based on multivariate autoregressive (MAR) and multivariate dynamic adjustment (MDA) models were applied to typify directional dynamic interactions between heart period (HP) and systolic arterial pressure (SAP) during the baroreflex loading induced by head-down tilt (HDT). We studied 12 healthy men (age: from 41 to 71 yrs, median: 57 yrs) at rest in supine condition and during HDT with a tilt table inclination equal to −25°. We observed a reduction of the involvement of the baroreflex in governing HP-SAP dynamic interactions during HDT. This finding was evident only in the low frequency (LF, from 0.04 to 0.15 Hz) band. We suggest that frequency domain causality analysis allows the investigation of cardiovascular control mechanisms and HDT can be fruitfully utilized to reduce the relevance of baroreflex control, thus raising the chance of observing different cardiovascular regulatory mechanisms.
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