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压力反射敏感性作为一种个体特征。

Baroreflex sensitivity as an individual characteristic feature.

作者信息

Jíra M, Závodná E, Honzíková N, Nováková Z, Fiser B

机构信息

epartment of Physiology, Faculty of Medicine, Masaryk University, Komenského nám. 2, 662 43 Brno, Czech Republic.

出版信息

Physiol Res. 2006;55(3):349-351. doi: 10.33549/physiolres.930814. Epub 2005 Aug 5.

Abstract

The reproducibility of baroreflex sensitivity (BRS in ms/mmHg; BRSf in mHz/mmHg) determined with respect to the coherence between the variability in systolic blood pressure (SBP) and inter-beat intervals (IBI) or heart rate (HR) was tested. SBP and IBI were recorded beat-to-beat for 5 min (Finapres, breathing at 0.33 Hz) in 116 subjects (aged 19-24 years) sitting at rest three times in periods of one week. BRS and BRSf was determined by a cross-spectral method in a frequency range of 0.067-0.133 Hz. Eight indices were evaluated: BRS(0.1 Hz) /BRSf(0.1 Hz) - the value at a frequency of 0.1 Hz; BRS(COHmax)/BRSf(COHmax) - the value at maximum coherence; BRS(Wcoh)/BRSf - weighted value with respect to coherence values in the whole frequency range; BRS(WPcoh)/BRS(WPcoh) - weighted value with respect to coherence for frequencies with coherence above 0.5. All indices revealed a lower intraindividual than interindividual variability (p<0.001). The individual mean values of BRS or BRSf correlated (p<0.001) with standard deviation of their individual values for all indices. Baroreflex sensitivity is an individual characteristic feature with the highest reproducibility at its low values in spite of its resting variation. Reproducibility is not influenced by modification of the spectral method used.

摘要

通过检测收缩压(SBP)变异性与心搏间期(IBI)或心率(HR)之间的相关性来确定压力反射敏感性(BRS,单位为ms/mmHg;BRSf,单位为mHz/mmHg)的可重复性。在116名年龄在19至24岁的受试者休息时,使用Finapres在一周内分三次记录其逐搏的SBP和IBI,持续5分钟(呼吸频率为0.33Hz)。采用互谱法在0.067 - 0.133Hz频率范围内测定BRS和BRSf。评估了八个指标:BRS(0.1Hz)/BRSf(0.1Hz)——0.1Hz频率下的值;BRS(COHmax)/BRSf(COHmax)——最大相关性时的值;BRS(Wcoh)/BRSf——整个频率范围内相关性值的加权值;BRS(WPcoh)/BRS(WPcoh)——相关性高于0.5的频率的相关性加权值。所有指标均显示个体内变异性低于个体间变异性(p<0.001)。所有指标的BRS或BRSf个体均值与其个体值的标准差具有相关性(p<0.001)。尽管压力反射敏感性在静息状态下存在变化,但其在低值时具有最高的可重复性,是一种个体特征。可重复性不受所用频谱方法改变的影响。

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