Malliani A, Pagani M, Lombardi F, Cerutti S
Istituto Ricerche Cardiovascolari, Centro Ricerche Cardiovascolari, CNR, Milano, Italy.
Circulation. 1991 Aug;84(2):482-92. doi: 10.1161/01.cir.84.2.482.
A consistent link appears to exist between predominance of vagal or sympathetic activity and predominance of HF or LF oscillations, respectively: RR variability contains both of these rhythms, and their relative powers appear to subserve a reciprocal relation like that commonly found in sympathovagal balance. In this respect, it is our opinion that rhythms and neural components always interact, just like flexor and extensor tones or excitatory and inhibitory cardiovascular reflexes, and that it is misleading to separately consider vagal and sympathetic modulations of heart rate. In humans and experimental animals, functional states likely to be accompanied by an increased sympathetic activity are characterized by a shift of the LF-HF balance in favor of the LF component; the opposite occurs during presumed increases in vagal activity. In addition, LF oscillation evaluated from SAP variability appears to be a convenient marker of the sympathetic modulation of vasomotor activity. Although based on indirect markers, the exploration in the frequency domain of cardiovascular neural regulation might disclose a unitary vision hard to reach through the assemblage of more specific but fragmented pieces of information.
RR变异性包含这两种节律,并且它们的相对功率似乎呈现出一种类似于在交感迷走神经平衡中常见的相互关系。在这方面,我们认为节律和神经成分总是相互作用的,就像屈肌和伸肌张力或兴奋性和抑制性心血管反射一样,并且单独考虑心率的迷走神经和交感神经调节是有误导性的。在人类和实验动物中,可能伴随交感神经活动增加的功能状态的特征是低频-高频平衡向低频成分偏移;在假定迷走神经活动增加时则会出现相反的情况。此外,从收缩压变异性评估的低频振荡似乎是血管运动活动交感神经调节的一个方便的标志物。尽管基于间接标志物,但对心血管神经调节的频域探索可能会揭示一种难以通过拼凑更具体但零散的信息片段而获得的整体观点。