从心率和通气时间序列测定心血管耦合。

D C Galletly, P D Larsen
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引用次数: 16

摘要

在35例麻醉受试者中,我们检测了心血管耦合对R-R间期和通气周期时间序列的影响。我们观察到,在存在耦合的情况下:(a)通气周期以量子方式波动,每个量子步对应于心脏周期的数倍(或更少);(b)与呼吸性窦性心律失常相关的心期波动,在连续通气期间是相同的。心脏周期变化的规律性导致了原始R-R时间序列、R-R连续差分时间序列、R-R(n) vs R-R(n+1)的相位肖像图和R-R区间变异性图(DeltaR-R(n) vs DeltaR-R(n+1))的几何图案。这些几何特征可能有助于从心率时间序列中确定心血管耦合。
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The determination of cardioventilatory coupling from heart rate and ventilatory time series.

In 35 anaesthetised human subjects, we examined the effect of cardioventilatory coupling on R-R interval and ventilatory period time series. We observed that, in the presence of coupling: (a) ventilatory period fluctuated in a quantal manner, each quantal step corresponding to a multiple (or a little less) of the heart period; (b) heart period fluctuations, associated with respiratory sinus arrythmia, were identical for consecutive ventilatory periods. The regularity of heart period variation lead to geometric patterning of raw R-R time series, R-R consecutive difference time series, the phase portrait (R-R(n) vs R-R(n+1)) and the map of R-R interval variation (DeltaR-R(n) vs DeltaR-R(n+1)). These geometric features may be useful for the determination of cardioventilatory coupling from heart rate time series.

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