Low frequency power of heart rate variability reflects baroreflex function, not cardiac sympathetic innervation
Background Power spectral analysis of heart rate variability is used to assess cardiac autonomic function. The relationship of low frequency (LF) power to cardiac sympathetic tone has been unclear. We reported previously that LF power may reflect baroreflex modulation. In this study we attempted to...
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Published in | Clinical autonomic research Vol. 21; no. 3; pp. 133 - 141 |
---|---|
Main Authors | , , , , |
Format | Journal Article |
Language | English |
Published |
Berlin/Heidelberg
Springer-Verlag
01.06.2011
Springer Nature B.V |
Subjects | |
Online Access | Get full text |
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Abstract | Background
Power spectral analysis of heart rate variability is used to assess cardiac autonomic function. The relationship of low frequency (LF) power to cardiac sympathetic tone has been unclear. We reported previously that LF power may reflect baroreflex modulation. In this study we attempted to replicate our findings in additional subject cohorts, taking into account possible influences of respiration and using different methods to measure baroreflex-cardiovagal gain (BCG).
Objective
We assessed relationships of LF power, including respiration-adjusted LF power (LFa), with cardiac sympathetic innervation and baroreflex function in subjects with or without neuroimaging evidence of cardiac sympathetic denervation.
Methods
Values for LF power at baseline supine, seated, and during the Valsalva maneuver were compared between subject groups with low or normal myocardial concentrations of 6-[
18
F]fluorodopamine-derived radioactivity. BCG was calculated from the slope of cardiac interbeat interval vs. systolic pressure during Phase II of the Valsalva maneuver or after i.v. nitroglycerine injection (the Oxford technique).
Results
LF and LFa were unrelated to myocardial 6-[
18
F]fluorodopamine-derived radioactivity. During sitting rest and the Valsalva maneuver logs of LF and LFa correlated positively with the log of Phase II BCG (
r
= 0.61,
p
= 0.0005;
r
= 0.47,
p
= 0.009;
r
= 0.69,
p
< 0.0001;
r
= 0.60,
p
= 0.0006). Groups with Low BCG (≤3 ms/mmHg) had low LF and LFa regardless of cardiac innervation. The log of LF power during supine rest correlated with the log of Oxford BCG (
r
= 0.74,
p
< 0.0001).
Conclusion
LF power, with or without respiratory adjustment, reflects baroreflex modulation and not cardiac sympathetic tone. |
---|---|
AbstractList | Power spectral analysis of heart rate variability is used to assess cardiac autonomic function. The relationship of low frequency (LF) power to cardiac sympathetic tone has been unclear. We reported previously that LF power may reflect baroreflex modulation. In this study we attempted to replicate our findings in additional subject cohorts, taking into account possible influences of respiration and using different methods to measure baroreflex-cardiovagal gain (BCG).
We assessed relationships of LF power, including respiration-adjusted LF power (LFa), with cardiac sympathetic innervation and baroreflex function in subjects with or without neuroimaging evidence of cardiac sympathetic denervation.
Values for LF power at baseline supine, seated, and during the Valsalva maneuver were compared between subject groups with low or normal myocardial concentrations of 6-[(18)F]fluorodopamine-derived radioactivity. BCG was calculated from the slope of cardiac interbeat interval vs. systolic pressure during Phase II of the Valsalva maneuver or after i.v. nitroglycerine injection (the Oxford technique).
LF and LFa were unrelated to myocardial 6-[(18)F]fluorodopamine-derived radioactivity. During sitting rest and the Valsalva maneuver logs of LF and LFa correlated positively with the log of Phase II BCG (r = 0.61, p = 0.0005; r = 0.47, p = 0.009; r = 0.69, p < 0.0001; r = 0.60, p = 0.0006). Groups with Low BCG (≤ 3 ms/mmHg) had low LF and LFa regardless of cardiac innervation. The log of LF power during supine rest correlated with the log of Oxford BCG (r = 0.74, p < 0.0001).
LF power, with or without respiratory adjustment, reflects baroreflex modulation and not cardiac sympathetic tone. BACKGROUNDPower spectral analysis of heart rate variability is used to assess cardiac autonomic function. The relationship of low frequency (LF) power to cardiac sympathetic tone has been unclear. We reported previously that LF power may reflect baroreflex modulation. In this study we attempted to replicate our findings in additional subject cohorts, taking into account possible influences of respiration and using different methods to measure baroreflex-cardiovagal gain (BCG). OBJECTIVEWe assessed relationships of LF power, including respiration-adjusted LF power (LFa), with cardiac sympathetic innervation and baroreflex function in subjects with or without neuroimaging evidence of cardiac sympathetic denervation. METHODSValues for LF power at baseline supine, seated, and during the Valsalva maneuver were compared between subject groups with low or normal myocardial concentrations of 6-[(18)F]fluorodopamine-derived radioactivity. BCG was calculated from the slope of cardiac interbeat interval vs. systolic pressure during Phase II of the Valsalva maneuver or after i.v. nitroglycerine injection (the Oxford technique). RESULTSLF and LFa were unrelated to myocardial 6-[(18)F]fluorodopamine-derived radioactivity. During sitting rest and the Valsalva maneuver logs of LF and LFa correlated positively with the log of Phase II BCG (r = 0.61, p = 0.0005; r = 0.47, p = 0.009; r = 0.69, p < 0.0001; r = 0.60, p = 0.0006). Groups with Low BCG (≤ 3 ms/mmHg) had low LF and LFa regardless of cardiac innervation. The log of LF power during supine rest correlated with the log of Oxford BCG (r = 0.74, p < 0.0001). CONCLUSIONLF power, with or without respiratory adjustment, reflects baroreflex modulation and not cardiac sympathetic tone. Background Power spectral analysis of heart rate variability is used to assess cardiac autonomic function. The relationship of low frequency (LF) power to cardiac sympathetic tone has been unclear. We reported previously that LF power may reflect baroreflex modulation. In this study we attempted to replicate our findings in additional subject cohorts, taking into account possible influences of respiration and using different methods to measure baroreflex-cardiovagal gain (BCG). Objective We assessed relationships of LF power, including respiration-adjusted LF power (LFa), with cardiac sympathetic innervation and baroreflex function in subjects with or without neuroimaging evidence of cardiac sympathetic denervation. Methods Values for LF power at baseline supine, seated, and during the Valsalva maneuver were compared between subject groups with low or normal myocardial concentrations of 6-[ 18 F]fluorodopamine-derived radioactivity. BCG was calculated from the slope of cardiac interbeat interval vs. systolic pressure during Phase II of the Valsalva maneuver or after i.v. nitroglycerine injection (the Oxford technique). Results LF and LFa were unrelated to myocardial 6-[ 18 F]fluorodopamine-derived radioactivity. During sitting rest and the Valsalva maneuver logs of LF and LFa correlated positively with the log of Phase II BCG ( r = 0.61, p = 0.0005; r = 0.47, p = 0.009; r = 0.69, p < 0.0001; r = 0.60, p = 0.0006). Groups with Low BCG (≤3 ms/mmHg) had low LF and LFa regardless of cardiac innervation. The log of LF power during supine rest correlated with the log of Oxford BCG ( r = 0.74, p < 0.0001). Conclusion LF power, with or without respiratory adjustment, reflects baroreflex modulation and not cardiac sympathetic tone. Background: Power spectral analysis of heart rate variability is used to assess cardiac autonomic function. The relationship of low frequency (LF) power to cardiac sympathetic tone has been unclear. We reported previously that LF power may reflect baroreflex modulation. In this study we attempted to replicate our findings in additional subject cohorts, taking into account possible influences of respiration and using different methods to measure baroreflex-cardiovagal gain (BCG). Objective: We assessed relationships of LF power, including respiration-adjusted LF power (LFa), with cardiac sympathetic innervation and baroreflex function in subjects with or without neuroimaging evidence of cardiac sympathetic denervation. Methods: Values for LF power at baseline supine, seated, and during the Valsalva maneuver were compared between subject groups with low or normal myocardial concentrations of 6-[ super(18)F]fluorodopamine-derived radioactivity. BCG was calculated from the slope of cardiac interbeat interval vs. systolic pressure during Phase II of the Valsalva maneuver or after i.v. nitroglycerine injection (the Oxford technique). Results: LF and LFa were unrelated to myocardial 6-[ super(18)F]fluorodopamine-derived radioactivity. During sitting rest and the Valsalva maneuver logs of LF and LFa correlated positively with the log of Phase II BCG (r=0.61, p=0.0005; r=0.47, p=0.009; r=0.69, p<0.0001; r=0.60, p=0.0006). Groups with Low BCG ( less than or equal to 3ms/mmHg) had low LF and LFa regardless of cardiac innervation. The log of LF power during supine rest correlated with the log of Oxford BCG (r=0.74, p<0.0001). Conclusion: LF power, with or without respiratory adjustment, reflects baroreflex modulation and not cardiac sympathetic tone. Power spectral analysis of heart rate variability is used to assess cardiac autonomic function. The relationship of low frequency (LF) power to cardiac sympathetic tone has been unclear. We reported previously that LF power may reflect baroreflex modulation. In this study we attempted to replicate our findings in additional subject cohorts, taking into account possible influences of respiration and using different methods to measure baroreflex-cardiovagal gain (BCG). We assessed relationships of LF power, including respiration-adjusted LF power (LFa), with cardiac sympathetic innervation and baroreflex function in subjects with or without neuroimaging evidence of cardiac sympathetic denervation. Values for LF power at baseline supine, seated, and during the Valsalva maneuver were compared between subject groups with low or normal myocardial concentrations of 6-[^sup 18^F]fluorodopamine-derived radioactivity. BCG was calculated from the slope of cardiac interbeat interval vs. systolic pressure during Phase II of the Valsalva maneuver or after i.v. nitroglycerine injection (the Oxford technique). LF and LFa were unrelated to myocardial 6-[^sup 18^F]fluorodopamine-derived radioactivity. During sitting rest and the Valsalva maneuver logs of LF and LFa correlated positively with the log of Phase II BCG (r = 0.61, p = 0.0005; r = 0.47, p = 0.009; r = 0.69, p < 0.0001; r = 0.60, p = 0.0006). Groups with Low BCG (≤3 ms/mmHg) had low LF and LFa regardless of cardiac innervation. The log of LF power during supine rest correlated with the log of Oxford BCG (r = 0.74, p < 0.0001). LF power, with or without respiratory adjustment, reflects baroreflex modulation and not cardiac sympathetic tone.[PUBLICATION ABSTRACT] |
Author | Goldstein, David S. Rahman, Faisal Gross, Daniel Sewell, LaToya Pechnik, Sandra |
Author_xml | – sequence: 1 givenname: Faisal surname: Rahman fullname: Rahman, Faisal organization: Clinical Neurocardiology Section, National Institute of Neurological Disorders and Stroke, National Institutes of Health – sequence: 2 givenname: Sandra surname: Pechnik fullname: Pechnik, Sandra organization: Clinical Neurocardiology Section, National Institute of Neurological Disorders and Stroke, National Institutes of Health – sequence: 3 givenname: Daniel surname: Gross fullname: Gross, Daniel organization: Clinical Neurocardiology Section, National Institute of Neurological Disorders and Stroke, National Institutes of Health – sequence: 4 givenname: LaToya surname: Sewell fullname: Sewell, LaToya organization: Clinical Neurocardiology Section, National Institute of Neurological Disorders and Stroke, National Institutes of Health – sequence: 5 givenname: David S. surname: Goldstein fullname: Goldstein, David S. email: goldsteind@ninds.nih.gov organization: Clinical Neurocardiology Section, National Institute of Neurological Disorders and Stroke, National Institutes of Health |
BackLink | https://www.ncbi.nlm.nih.gov/pubmed/21279414$$D View this record in MEDLINE/PubMed |
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CODEN | CAURE9 |
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Keywords | Power spectral analysis Parasympathetic Heart rate variability Sympathetic Autonomic |
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PublicationSubtitle | An International Journal for Fast Communications of Research and Treatment Related to Autonomic Function and Dysfunction |
PublicationTitle | Clinical autonomic research |
PublicationTitleAbbrev | Clin Auton Res |
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References_xml | – volume: 66 start-page: 432 year: 1982 end-page: 439 ident: CR11 article-title: Comparison of techniques for measuring baroreflex sensitivity in man publication-title: Circulation contributor: fullname: Keiser – volume: 19 start-page: 133 year: 2009 end-page: 136 ident: CR12 article-title: Cardiac sympathetic neuroimaging: summary of the First International Symposium publication-title: Clin Auton Res doi: 10.1007/s10286-009-0002-9 contributor: fullname: Orimo – year: 2001 ident: CR7 publication-title: The autonomic nervous system in health and disease contributor: fullname: Goldstein – volume: 4 start-page: 1523 year: 2007 end-page: 1529 ident: CR18 article-title: Supine low-frequency power of heart rate variability reflects baroreflex function, not cardiac sympathetic innervation publication-title: Heart Rhythm doi: 10.1016/j.hrthm.2007.07.019 contributor: fullname: Sharabi – volume: 68 start-page: 8 year: 2006 end-page: 16 ident: CR2 article-title: Psychophysiological mechanisms in panic disorder: a correlative analysis of noradrenaline spillover, neuronal noradrenaline reuptake, power spectral analysis of heart rate variability, and psychological variables publication-title: Psychosom Med doi: 10.1097/01.psy.0000195872.00987.db contributor: fullname: Esler – volume: 213 start-page: 220 year: 1981 end-page: 222 ident: CR1 article-title: Power spectrum analysis of heart rate fluctuation: a quantitative probe of beat-to-beat cardiovascular control publication-title: Science doi: 10.1126/science.6166045 contributor: fullname: Cohen – volume: 2 start-page: 669 year: 2003 end-page: 676 ident: CR8 article-title: Dysautonomia in Parkinson’s disease: neurocardiological abnormalities publication-title: Lancet Neurol doi: 10.1016/S1474-4422(03)00555-6 contributor: fullname: Goldstein – volume: 133 start-page: 338 year: 2000 end-page: 347 ident: CR10 article-title: Cardiac sympathetic denervation in Parkinson disease publication-title: Ann Intern Med contributor: fullname: Cannon – volume: 297 start-page: H1421 year: 2009 end-page: H1428 ident: CR19 article-title: Autonomic effects on the spectral analysis of heart rate variability after exercise publication-title: Am J Physiol Heart Circ Physiol doi: 10.1152/ajpheart.00217.2009 contributor: fullname: Goldberger – volume: 73 start-page: 776 year: 2002 end-page: 777 ident: CR20 article-title: Sympathetic cardiac denervation in Parkinson’s disease and pure autonomic failure but not in multiple system atrophy publication-title: J Neurol Neurosurg Psychiatry doi: 10.1136/jnnp.73.6.776 contributor: fullname: Yokochi – volume: 297 start-page: H674 year: 2009 end-page: H679 ident: CR4 article-title: Short-term heart rate variability and cardiac norepinephrine spillover in patients with depression and panic disorder publication-title: Am J Physiol Heart Circ Physiol doi: 10.1152/ajpheart.00236.2009 contributor: fullname: Nalivaiko – volume: 31 start-page: 392 year: 1969 ident: CR21 article-title: Quantitative index of baroreflex activity in normal and hypertensive subjects using Valsalva’s manoeuvre publication-title: Br Heart J contributor: fullname: Sleight – volume: 42 start-page: 136 year: 2003 end-page: 142 ident: CR13 article-title: Association between supine hypertension and orthostatic hypotension in autonomic failure publication-title: Hypertension doi: 10.1161/01.HYP.0000081216.11623.C3 contributor: fullname: Sharabi – volume: 15 start-page: 134 year: 2009 end-page: 137 ident: CR15 article-title: Cardiac denervation occurs independent of orthostatic hypotension and impaired heart rate variability in Parkinson’s disease publication-title: Parkinsonism Relat Disord doi: 10.1016/j.parkreldis.2008.04.031 contributor: fullname: Isenmann – volume: 90 start-page: 234 year: 1994 end-page: 240 ident: CR17 article-title: Heart rate spectral analysis, cardiac norepinephrine spillover, and muscle sympathetic nerve activity during human sympathetic nervous activation and failure publication-title: Circulation contributor: fullname: Esler – volume: 6 start-page: 125 year: 1996 end-page: 126 ident: CR16 article-title: Consensus statement on the definition of orthostatic hypotension, pure autonomic failure and multiple system atrophy publication-title: Clin Auton Res doi: 10.1007/BF02291236 contributor: fullname: Kaufmann – volume: 88 start-page: 103 year: 1995 end-page: 109 ident: CR22 article-title: Physiology and pathophysiology of heart rate and blood pressure variability in humans: is power spectral analysis largely an index of baroreflex gain? publication-title: Clin Sci (Lond) contributor: fullname: Bernardi – volume: 1 start-page: 1776 year: 2006 end-page: 1779 ident: CR3 article-title: Effect of respiration in heart rate variability (HRV) analysis publication-title: Conf Proc IEEE Eng Med Biol Soc contributor: fullname: Aysin – volume: 93 start-page: 1667 year: 1996 end-page: 1676 ident: CR6 article-title: Cardiac sympathetic nerve function in congestive heart failure publication-title: Circulation contributor: fullname: Esler – volume: 69 start-page: 10G year: 1992 end-page: 15G ident: CR5 article-title: Baroreceptor reflex function in congestive heart failure publication-title: Am J Cardiol doi: 10.1016/0002-9149(92)91250-8 contributor: fullname: Creager – volume: 10 start-page: 285 year: 2000 end-page: 291 ident: CR14 article-title: Non-invasive detection of sympathetic neurocirculatory failure publication-title: Clin Auton Res doi: 10.1007/BF02281111 contributor: fullname: Tack – volume: 22 start-page: 1961 year: 1993 end-page: 1971 ident: CR9 article-title: Positron emission tomographic imaging of cardiac sympathetic innervation using 6-[18F]fluorodopamine: initial findings in humans publication-title: J Am Coll Cardiol doi: 10.1016/0735-1097(93)90786-Z contributor: fullname: Adams – volume: 297 start-page: H1421 year: 2009 ident: 98_CR19 publication-title: Am J Physiol Heart Circ Physiol doi: 10.1152/ajpheart.00217.2009 contributor: fullname: J Ng – volume: 1 start-page: 1776 year: 2006 ident: 98_CR3 publication-title: Conf Proc IEEE Eng Med Biol Soc doi: 10.1109/IEMBS.2006.260773 contributor: fullname: B Aysin – volume: 133 start-page: 338 year: 2000 ident: 98_CR10 publication-title: Ann Intern Med doi: 10.7326/0003-4819-133-5-200009050-00009 contributor: fullname: DS Goldstein – volume: 19 start-page: 133 year: 2009 ident: 98_CR12 publication-title: Clin Auton Res doi: 10.1007/s10286-009-0016-3 contributor: fullname: DS Goldstein – volume: 4 start-page: 1523 year: 2007 ident: 98_CR18 publication-title: Heart Rhythm doi: 10.1016/j.hrthm.2007.07.019 contributor: fullname: JP Moak – volume: 88 start-page: 103 year: 1995 ident: 98_CR22 publication-title: Clin Sci (Lond) doi: 10.1042/cs0880103 contributor: fullname: P Sleight – volume: 297 start-page: H674 year: 2009 ident: 98_CR4 publication-title: Am J Physiol Heart Circ Physiol doi: 10.1152/ajpheart.00236.2009 contributor: fullname: M Baumert – volume: 93 start-page: 1667 year: 1996 ident: 98_CR6 publication-title: Circulation doi: 10.1161/01.CIR.93.9.1667 contributor: fullname: G Eisenhofer – volume-title: The autonomic nervous system in health and disease year: 2001 ident: 98_CR7 contributor: fullname: DS Goldstein – volume: 68 start-page: 8 year: 2006 ident: 98_CR2 publication-title: Psychosom Med doi: 10.1097/01.psy.0000195872.00987.db contributor: fullname: ME Alvarenga – volume: 31 start-page: 392 year: 1969 ident: 98_CR21 publication-title: Br Heart J contributor: fullname: TG Pickering – volume: 2 start-page: 669 year: 2003 ident: 98_CR8 publication-title: Lancet Neurol doi: 10.1016/S1474-4422(03)00555-6 contributor: fullname: DS Goldstein – volume: 90 start-page: 234 year: 1994 ident: 98_CR17 publication-title: Circulation doi: 10.1161/01.CIR.90.1.234 contributor: fullname: BA Kingwell – volume: 73 start-page: 776 year: 2002 ident: 98_CR20 publication-title: J Neurol Neurosurg Psychiatry doi: 10.1136/jnnp.73.6.776 contributor: fullname: S Orimo – volume: 42 start-page: 136 year: 2003 ident: 98_CR13 publication-title: Hypertension doi: 10.1161/01.HYP.0000081216.11623.C3 contributor: fullname: DS Goldstein – volume: 6 start-page: 125 year: 1996 ident: 98_CR16 publication-title: Clin Auton Res doi: 10.1007/BF02291236 contributor: fullname: H Kaufmann – volume: 66 start-page: 432 year: 1982 ident: 98_CR11 publication-title: Circulation doi: 10.1161/01.CIR.66.2.432 contributor: fullname: DS Goldstein – volume: 10 start-page: 285 year: 2000 ident: 98_CR14 publication-title: Clin Auton Res doi: 10.1007/BF02281111 contributor: fullname: DS Goldstein – volume: 15 start-page: 134 year: 2009 ident: 98_CR15 publication-title: Parkinsonism Relat Disord doi: 10.1016/j.parkreldis.2008.04.031 contributor: fullname: CA Haensch – volume: 69 start-page: 10G year: 1992 ident: 98_CR5 publication-title: Am J Cardiol doi: 10.1016/0002-9149(92)91250-8 contributor: fullname: MA Creager – volume: 22 start-page: 1961 year: 1993 ident: 98_CR9 publication-title: J Am Coll Cardiol doi: 10.1016/0735-1097(93)90786-Z contributor: fullname: DS Goldstein – volume: 213 start-page: 220 year: 1981 ident: 98_CR1 publication-title: Science doi: 10.1126/science.6166045 contributor: fullname: S Akselrod |
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Power spectral analysis of heart rate variability is used to assess cardiac autonomic function. The relationship of low frequency (LF) power to... Power spectral analysis of heart rate variability is used to assess cardiac autonomic function. The relationship of low frequency (LF) power to cardiac... BACKGROUNDPower spectral analysis of heart rate variability is used to assess cardiac autonomic function. The relationship of low frequency (LF) power to... Background: Power spectral analysis of heart rate variability is used to assess cardiac autonomic function. The relationship of low frequency (LF) power to... |
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SubjectTerms | Baroreflex - physiology Cardiology Case-Control Studies Diabetes Electrophysiologic Techniques, Cardiac - methods Endocrinology Gastroenterology Heart - innervation Heart - physiology Heart Rate - drug effects Heart Rate - physiology Humans Hypotension, Orthostatic - physiopathology Medicine Medicine & Public Health Multiple System Atrophy - physiopathology Neurology Nitroglycerin - pharmacology Ophthalmology Parkinson Disease - physiopathology Pure Autonomic Failure - physiopathology Research Article Sympathetic Nervous System - physiology Tomography, Emission-Computed Valsalva Maneuver - physiology Vasodilator Agents - pharmacology |
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Title | Low frequency power of heart rate variability reflects baroreflex function, not cardiac sympathetic innervation |
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