Waki Hidefumi, Katahira Kiyoaki, Polson Jaimie W, Kasparov Sergey, Murphy David, Paton Julian F R
Department of Physiology, School of Medical Sciences, University of Bristol, Bristol BS8 1TD, UK.
Exp Physiol. 2006 Jan;91(1):201-13. doi: 10.1113/expphysiol.2005.031716. Epub 2005 Oct 20.
At present, there is no single software package that provides a comprehensive power spectral analysis of pulse interval (PI) and arterial blood pressure (BP), spontaneous cardiac baroreceptor reflex gain (sBRG) and respiratory rate. Furthermore, scientific validation of the software that is currently commercially available and employed has not been published. We introduce 'Hey-Presto' software, which fully evaluates cardiovascular autonomic function from the BP signal obtained from rats. The program performs power spectral analysis of HR and BP variability, respiratory rate and, based on a time-series method, spontaneous cardiac baroreceptor (sBRG). We have validated Hey-Presto with conventional pharmacological agents to block cardiac vagal and cardiac sympathetic transmission in conscious rats fitted with a radio-telemetery BP transducer. Following administration of atropine (1 mg kg(-1), I.V.), high-frequency (HF) power of the PI decreased (P < 0.01) and was associated with the expected increase in HR. Subsequent cardiac sympathetic blockade (atenolol, 1 mg kg(-1), I.V.) reduced the low frequency (LF) to HF ratio (LF:HF) of the PI (P < 0.01), which was consistent with the observed reduction in HR. We also found that alterations in sBRG after blockade of cardiac autonomic transmission were highly comparable to values computed manually using vasoactive drugs administered intravenously. The software also detected circadian rhythms in sBRG, HF component of the PI, LF:HF of the PI and LF component of the BP as well as BP and HR during continuous 24 h recording. By demonstrating its application to humans, we found appropriate changes in the power of PI and the LF power of the BP during postural changes. These results demonstrate that Hey-Presto allows a fully automated, reliable, fast and comprehensive evaluation of cardiovascular autonomic function based on chronic measurements of BP in rats. Moreover, we have confirmed its versatility by demonstrating its application to man.
目前,尚无单一软件包能对脉间期(PI)和动脉血压(BP)、自发性心脏压力感受器反射增益(sBRG)以及呼吸频率进行全面的功率谱分析。此外,目前市售并使用的软件尚未发表科学验证报告。我们推出了“嘿, presto”软件,它能根据从大鼠获取的血压信号全面评估心血管自主功能。该程序可对心率和血压变异性、呼吸频率进行功率谱分析,并基于时间序列方法分析自发性心脏压力感受器(sBRG)。我们已使用传统药理学药物对“嘿, presto”软件进行验证,这些药物可阻断清醒大鼠(配备无线电遥测血压换能器)的心脏迷走神经和心脏交感神经传递。静脉注射阿托品(1 mg kg⁻¹)后,PI的高频(HF)功率降低(P < 0.01),且与心率预期升高相关。随后进行心脏交感神经阻滞(阿替洛尔,1 mg kg⁻¹,静脉注射)降低了PI的低频(LF)与高频比值(LF:HF)(P < 0.01),这与观察到的心率降低一致。我们还发现,心脏自主神经传递阻断后sBRG的变化与静脉注射血管活性药物手动计算的值高度可比。该软件还在连续24小时记录期间检测到sBRG、PI的HF成分、PI的LF:HF以及BP的LF成分以及BP和心率的昼夜节律。通过展示其在人体中的应用,我们发现姿势改变期间PI功率和BP的LF功率有适当变化。这些结果表明,“嘿, presto”软件能够基于大鼠血压的长期测量对心血管自主功能进行全自动、可靠、快速且全面的评估。此外,我们通过展示其在人体中的应用证实了其通用性。