Bieniaszewski L, Rynkiewicz A, Furmański J, Narkiewicz K, Krupa-Wojciechowska B
II Kliniki Chorób Wewnetrznych Akademii Medycznej, Gdańsku.
Kardiol Pol. 1991;35(9):165-9.
Spectral analysis of heart rate variability has recently been shown to be a reliable noninvasive test for quantitative assessment of cardiovascular automatic regulatory responses. In 12 ambulant normotensive healthy young males (mean age 23 +/- 1 years) after a period of 10 min. for stabilisation, a continuous ecg recording (lead CM-5) for 8 min. was obtained in the supine and standing position, with a controlled respiration rate 15/min. Power spectrum of 512 point time series (R-R intervals) in both positions was calculated using a fast Fourier transform-based window periodogram method. Based upon results from the literature the power spectrum analysis was performed on two components: low frequency LF (0.05-0.15 Hz) and high frequency HF (0.15-0.50 Hz). Mean R-R interval decreased on standing position from 0.79 +/- 0.10 s to 0.59 +/- 0.11 s (p less than 0.001). The ratio HF/LF in supine was 0.63 +/- 0.70 and on standing position 2.54 +/- 0.73 (p less than 0.001). The relative LF component of the total HR power spectrum increased from 22.8% +/- 12.1% to 42.9 +/- 14.4% (p less than 0.001) after changing the position from supine to standing, and the relative HF component decreased from 56.3 +/- 22.4% to 25.5 +/- 16.2 (p less than 0.001). The total power was significantly lower when standing in comparison to supine position (681 +/- 519 s2, 1188 +/- 963 s2 respectively, p less than 0.05). Our results suggest that heart rate fluctuations in supine position in normal men are mainly vagally determined (HF power spectrum component).(ABSTRACT TRUNCATED AT 250 WORDS)
心率变异性的频谱分析最近已被证明是一种用于定量评估心血管自动调节反应的可靠无创检测方法。在12名血压正常的健康年轻男性(平均年龄23±1岁)中,经过10分钟的稳定期后,在仰卧位和站立位以每分钟15次的控制呼吸频率进行8分钟的连续心电图记录(CM-5导联)。使用基于快速傅里叶变换的窗周期图法计算两个位置上512点时间序列(R-R间期)的功率谱。根据文献结果,对两个成分进行功率谱分析:低频LF(0.05 - 0.15赫兹)和高频HF(0.15 - 0.50赫兹)。站立位时平均R-R间期从0.79±0.10秒降至0.59±0.11秒(p<0.001)。仰卧位时HF/LF比值为0.63±0.70,站立位时为2.54±0.73(p<0.001)。从仰卧位变为站立位后,总心率功率谱的相对LF成分从22.8%±12.1%增加到42.9±14.4%(p<0.001),相对HF成分从56.3±22.4%降至25.5±16.2(p<0.001)。站立时的总功率显著低于仰卧位(分别为681±519 s²和1188±963 s²,p<0.05)。我们的结果表明,正常男性仰卧位时的心率波动主要由迷走神经决定(HF功率谱成分)。(摘要截断于250字)