Synchronization of 0.1 Hz Oscillations in Heart Rate and Blood Pressure: Application to Treatment of Myocardial Infarction Patients
Synchronization between 0.1 Hz oscillations in heart rate and blood pressure is studied and its change during vertical tilt is evaluated in 37 myocardial infarction patients. Two groups of patients are identified with decreased and increased, respectively, synchronization of the studied oscillations as a response to a tilt test. It is shown that assessment of synchronization of 0.1 Hz oscillations as a response to vertical tilt can be used as a guideline for selecting optimal dose of beta-blocker treatment in post-myocardial infarction patients.
[1] Task Force Report, "Management of acute myocardial infarction in
patients presenting with ST-segment elevation," Eur. Heart J., vol. 24,
pp. 28-66, 2003.
[2] M. Malik and A. J. Camm, "Significance of long-term components of
heart rate variability for the further prognosis after acute myocardial
infarction," Cardiovasc. Res., vol. 24, pp. 793-803, 1990.
[3] S. Malpas, "Neural influences on cardiovascular variability: Possibilities
and pitfalls," Am. J. Physiol. Heart. Circ. Physiol., vol. 282, pp. 6-20,
2002.
[4] M. A. Cohen and J. A. Taylor, "Short-term cardiovascular oscillations in
man: Measuring and modeling the physiologies," J. Physiol., vol. 542,
pp. 669-683, 2002.
[5] R. L. Cooley, N. Montano, C. Cogliati, P. van de Borne, W.
Richenbacher, R. Oren, and V. K. Somers, "Evidence for a central origin
of the low-frequency oscillation in RR-interval variability," Circulation,
vol. 98, pp. 556-561, 1998.
[6] A. M. Whittam, R. H. Claytont, S. W. Lord, J. M. McComb, and A.
Murray, "Heart rate and blood pressure variability in normal subjects
compared with data from beat-to-beat models developed from de Boer-s
model of the cardiovascular system," Physiol. Meas., vol. 21, pp. 305-
318, 2000.
[7] R. W. DeBoer, J. W. Karemaker, and J. Stracke, "Hemodynamic
fluctuations and baroreflex sensitivity in humans: A beat-to-beat model,"
Am. J. Physiol. Heart Circ. Physiol., vol. 253, pp. 680-689, 1987.
[8] L. Bernardi, S. Leuzzi, A. Radaelli, C. Passino, J. A. Johnston, and P.
Sleight, "Low-frequency spontaneous fluctuations of R-R interval and
blood pressure in conscious humans: A baroreceptor or central
phenomenon?," Clin. Sci., vol. 87, pp. 649-654, 1994.
[9] A. R. Kiselev, A. B. Bespyatov, O. M. Posnenkova, V. I. Gridnev, V. I.
Ponomarenko, M. D. Prokhorov, and P. Y. Dovgalevskii, "Internal
synchronization of the main 0.1-Hz rhythms in the autonomic control of
the cardiovascular system," Human Physiology, vol. 33, pp. 188-193,
2007.
[10] A. S. Karavaev, M. D. Prokhorov, V. I. Ponomarenko, A. R. Kiselev, V.
I. Gridnev, E. I. Ruban, and B. P. Bezruchko, "Synchronization of lowfrequency
oscillations in the human cardiovascular system," Chaos, vol.
19, 033112, 2009.
[11] C. Schäfer, M. G. Rosenblum, H.-H. Abel, and J. Kurths,
"Synhronization in the human cardiorespiratory system," Phys. Rev. E,
vol. 60, pp. 857-870, 1999.
[12] M. D. Prokhorov, V. I. Ponomarenko, V. I. Gridnev, M. B. Bodrov, and
A. B. Bespyatov, "Synchronization between main rhythmic processes in
the human cardiovascular system," Phys. Rev. E, vol. 68, 041913, 2003.
[13] Task Force of the European Society of Cardiology and the North
American Society of Pacing and Electrophysiology, "Heart rate
variability: Standards of measurement, physiological interpretation, and
clinical use," Circulation, vol. 93, pp. 1043-1065, 1996.
[14] A. Pikovsky, M. Rosenblum, and J. Kurths, Synchronization: A
Universal Concept in Nonlinear Sciences. Cambridge: Cambridge
University Press, 2001.
[15] A. R. Kiselev, V. F. Kirichuk, V. I. Gridnev, and O. M. Kolizhirina,
"Assessment of heart autonomic control on the basis of spectral analysis
of heart rate variability," Human Physiology, vol. 31, pp. 651-656,
2005.
[16] A. R. Kiselev¶ÇÆÿ, V. I. Gridnev, M. D. Prokhorov, A. S. Karavaev, O. M.
Posnenkova, V. I. Ponomarenko, V. A. Shvartz, and B. P. Bezruchko,
"Evaluation of five-year risk of cardiovascular events in patients after
acute myocardial infarction using synchronization of 0.1-Hz rhythms in
cardiovascular system," submitted for publication.
[1] Task Force Report, "Management of acute myocardial infarction in
patients presenting with ST-segment elevation," Eur. Heart J., vol. 24,
pp. 28-66, 2003.
[2] M. Malik and A. J. Camm, "Significance of long-term components of
heart rate variability for the further prognosis after acute myocardial
infarction," Cardiovasc. Res., vol. 24, pp. 793-803, 1990.
[3] S. Malpas, "Neural influences on cardiovascular variability: Possibilities
and pitfalls," Am. J. Physiol. Heart. Circ. Physiol., vol. 282, pp. 6-20,
2002.
[4] M. A. Cohen and J. A. Taylor, "Short-term cardiovascular oscillations in
man: Measuring and modeling the physiologies," J. Physiol., vol. 542,
pp. 669-683, 2002.
[5] R. L. Cooley, N. Montano, C. Cogliati, P. van de Borne, W.
Richenbacher, R. Oren, and V. K. Somers, "Evidence for a central origin
of the low-frequency oscillation in RR-interval variability," Circulation,
vol. 98, pp. 556-561, 1998.
[6] A. M. Whittam, R. H. Claytont, S. W. Lord, J. M. McComb, and A.
Murray, "Heart rate and blood pressure variability in normal subjects
compared with data from beat-to-beat models developed from de Boer-s
model of the cardiovascular system," Physiol. Meas., vol. 21, pp. 305-
318, 2000.
[7] R. W. DeBoer, J. W. Karemaker, and J. Stracke, "Hemodynamic
fluctuations and baroreflex sensitivity in humans: A beat-to-beat model,"
Am. J. Physiol. Heart Circ. Physiol., vol. 253, pp. 680-689, 1987.
[8] L. Bernardi, S. Leuzzi, A. Radaelli, C. Passino, J. A. Johnston, and P.
Sleight, "Low-frequency spontaneous fluctuations of R-R interval and
blood pressure in conscious humans: A baroreceptor or central
phenomenon?," Clin. Sci., vol. 87, pp. 649-654, 1994.
[9] A. R. Kiselev, A. B. Bespyatov, O. M. Posnenkova, V. I. Gridnev, V. I.
Ponomarenko, M. D. Prokhorov, and P. Y. Dovgalevskii, "Internal
synchronization of the main 0.1-Hz rhythms in the autonomic control of
the cardiovascular system," Human Physiology, vol. 33, pp. 188-193,
2007.
[10] A. S. Karavaev, M. D. Prokhorov, V. I. Ponomarenko, A. R. Kiselev, V.
I. Gridnev, E. I. Ruban, and B. P. Bezruchko, "Synchronization of lowfrequency
oscillations in the human cardiovascular system," Chaos, vol.
19, 033112, 2009.
[11] C. Schäfer, M. G. Rosenblum, H.-H. Abel, and J. Kurths,
"Synhronization in the human cardiorespiratory system," Phys. Rev. E,
vol. 60, pp. 857-870, 1999.
[12] M. D. Prokhorov, V. I. Ponomarenko, V. I. Gridnev, M. B. Bodrov, and
A. B. Bespyatov, "Synchronization between main rhythmic processes in
the human cardiovascular system," Phys. Rev. E, vol. 68, 041913, 2003.
[13] Task Force of the European Society of Cardiology and the North
American Society of Pacing and Electrophysiology, "Heart rate
variability: Standards of measurement, physiological interpretation, and
clinical use," Circulation, vol. 93, pp. 1043-1065, 1996.
[14] A. Pikovsky, M. Rosenblum, and J. Kurths, Synchronization: A
Universal Concept in Nonlinear Sciences. Cambridge: Cambridge
University Press, 2001.
[15] A. R. Kiselev, V. F. Kirichuk, V. I. Gridnev, and O. M. Kolizhirina,
"Assessment of heart autonomic control on the basis of spectral analysis
of heart rate variability," Human Physiology, vol. 31, pp. 651-656,
2005.
[16] A. R. Kiselev¶ÇÆÿ, V. I. Gridnev, M. D. Prokhorov, A. S. Karavaev, O. M.
Posnenkova, V. I. Ponomarenko, V. A. Shvartz, and B. P. Bezruchko,
"Evaluation of five-year risk of cardiovascular events in patients after
acute myocardial infarction using synchronization of 0.1-Hz rhythms in
cardiovascular system," submitted for publication.
@article{"International Journal of Medical, Medicine and Health Sciences:63573", author = "M. D. Prokhorov and A. R. Kiselev and A. S. Karavaev and O. M. Posnenkova and V. I. Gridnev and V. I. Ponomarenko", title = "Synchronization of 0.1 Hz Oscillations in Heart Rate and Blood Pressure: Application to Treatment of Myocardial Infarction Patients", abstract = "Synchronization between 0.1 Hz oscillations in heart rate and blood pressure is studied and its change during vertical tilt is evaluated in 37 myocardial infarction patients. Two groups of patients are identified with decreased and increased, respectively, synchronization of the studied oscillations as a response to a tilt test. It is shown that assessment of synchronization of 0.1 Hz oscillations as a response to vertical tilt can be used as a guideline for selecting optimal dose of beta-blocker treatment in post-myocardial infarction patients.
", keywords = "Cardiovascular system, heart rate variability, synchronization.", volume = "5", number = "4", pages = "180-6", }
