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自主神经系统在短期心率变异性中产生非线性动力学方面的作用。

Role of the autonomic nervous system in generating non-linear dynamics in short-term heart period variability.

作者信息

Porta Alberto, Guzzetti Stefano, Borroni Ester, Furlan Raffaello, Montano Nicola, Malliani Alberto

机构信息

Dipartimento di Scienze Precliniche, LITA di Vialba, Laboratorio di Modellistica di Sistemi Complessi, Universitá degli Studi di Milano, Milan, Italy.

出版信息

Biomed Tech (Berl). 2006 Oct;51(4):174-7. doi: 10.1515/BMT.2006.030.

Abstract

We evaluated the role played by the autonomic nervous system in producing non-linear dynamics in short heart period variability (HPV) series recorded in healthy young humans. Non-linear dynamics are detected using an index of predictability based on a local non-linear predictor and a surrogate data approach. Different types of surrogates are utilized: (i) phase-randomized Fourier-transform based (FT) data; (ii) amplitude-adjusted FT (AAFT) data; and (iii) iteratively refined AAFT (IAAFT) data of two types (IAAFT-1 and IAAFT-2). The approach was applied to experimental protocols activating or blocking the sympathetic or parasympathetic branches of the autonomic nervous system or periodically perturbing cardiovascular control via paced respiration at different breathing rates. We found that short-term HPV was mostly linear at rest. Experimental protocols activating the sympathetic or parasympathetic nervous system did not produce non-linear dynamics. In contrast, paced respiration, especially at slow breathing rates, elicited significantly non-linear dynamics. Therefore, in short-term HPV ( approximately 300 beats) the use of non-linear models is not supported by the data, except under conditions whereby the subject is constrained to a slow respiratory rate.

摘要

我们评估了自主神经系统在健康年轻受试者记录的短心动周期变异性(HPV)序列产生非线性动力学过程中所起的作用。基于局部非线性预测器和替代数据方法,通过可预测性指数来检测非线性动力学。使用了不同类型的替代数据:(i)基于相位随机化傅里叶变换(FT)的数据;(ii)幅度调整傅里叶变换(AAFT)的数据;以及(iii)两种类型的迭代细化AAFT(IAAFT)数据(IAAFT - 1和IAAFT - 2)。该方法应用于激活或阻断自主神经系统交感或副交感分支的实验方案,或通过不同呼吸频率的定频呼吸周期性干扰心血管控制的实验方案。我们发现,短期HPV在静息时大多呈线性。激活交感或副交感神经系统的实验方案并未产生非线性动力学。相反,定频呼吸,尤其是在慢呼吸频率时,会引发显著的非线性动力学。因此,在短期HPV(约300次心跳)中,除了受试者被限制在慢呼吸频率的条件下,数据不支持使用非线性模型。

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