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心脏控制受损动物模型中心率变异性的非线性:不同时间尺度的贡献。

Nonlinearities of heart rate variability in animal models of impaired cardiac control: contribution of different time scales.

作者信息

Silva Luiz Eduardo Virgilio, Lataro Renata Maria, Castania Jaci Airton, Silva Carlos Alberto Aguiar, Salgado Helio Cesar, Fazan Rubens, Porta Alberto

机构信息

Department of Physiology, School of Medicine of Ribeirão Preto, University of São Paulo, Ribeirão Preto, São Paulo, Brazil.

Department of Physiology, School of Medicine of Ribeirão Preto, University of São Paulo, Ribeirão Preto, São Paulo, Brazil;

出版信息

J Appl Physiol (1985). 2017 Aug 1;123(2):344-351. doi: 10.1152/japplphysiol.00059.2017. Epub 2017 May 11.

Abstract

Heart rate variability (HRV) has been extensively explored by traditional linear approaches (e.g., spectral analysis); however, several studies have pointed to the presence of nonlinear features in HRV, suggesting that linear tools might fail to account for the complexity of the HRV dynamics. Even though the prevalent notion is that HRV is nonlinear, the actual presence of nonlinear features is rarely verified. In this study, the presence of nonlinear dynamics was checked as a function of time scales in three experimental models of rats with different impairment of the cardiac control: namely, rats with heart failure (HF), spontaneously hypertensive rats (SHRs), and sinoaortic denervated (SAD) rats. Multiscale entropy (MSE) and refined MSE (RMSE) were chosen as the discriminating statistic for the surrogate test utilized to detect nonlinearity. Nonlinear dynamics is less present in HF animals at both short and long time scales compared with controls. A similar finding was found in SHR only at short time scales. SAD increased the presence of nonlinear dynamics exclusively at short time scales. Those findings suggest that a working baroreflex contributes to linearize HRV and to reduce the likelihood to observe nonlinear components of the cardiac control at short time scales. In addition, an increased sympathetic modulation seems to be a source of nonlinear dynamics at long time scales. Testing nonlinear dynamics as a function of the time scales can provide a characterization of the cardiac control complementary to more traditional markers in time, frequency, and information domains. Although heart rate variability (HRV) dynamics is widely assumed to be nonlinear, nonlinearity tests are rarely used to check this hypothesis. By adopting multiscale entropy (MSE) and refined MSE (RMSE) as the discriminating statistic for the nonlinearity test, we show that nonlinear dynamics varies with time scale and the type of cardiac dysfunction. Moreover, as complexity metrics and nonlinearities provide complementary information, we strongly recommend using the test for nonlinearity as an additional index to characterize HRV.

摘要

心率变异性(HRV)已通过传统线性方法(如频谱分析)得到广泛研究;然而,多项研究指出HRV中存在非线性特征,这表明线性工具可能无法解释HRV动态的复杂性。尽管普遍认为HRV是非线性的,但非线性特征的实际存在却很少得到验证。在本研究中,在三种心脏控制功能受损不同的大鼠实验模型中,检查了非线性动力学随时间尺度的变化情况:即心力衰竭(HF)大鼠、自发性高血压大鼠(SHR)和去窦弓神经(SAD)大鼠。多尺度熵(MSE)和精细多尺度熵(RMSE)被选作用于检测非线性的替代检验的判别统计量。与对照组相比,HF动物在短期和长期时间尺度上的非线性动力学均较少。仅在短期时间尺度上,SHR有类似发现。SAD仅在短期时间尺度上增加了非线性动力学的存在。这些发现表明,正常工作的压力反射有助于使HRV线性化,并降低在短时间尺度上观察到心脏控制非线性成分的可能性。此外,交感神经调制增加似乎是长期时间尺度上非线性动力学的一个来源。将非线性动力学作为时间尺度的函数进行测试,可以提供一种与时间、频率和信息域中更传统标记互补的心脏控制特征描述。尽管心率变异性(HRV)动态广泛被认为是非线性的,但非线性检验很少用于验证这一假设。通过采用多尺度熵(MSE)和精细多尺度熵(RMSE)作为非线性检验的判别统计量,我们表明非线性动力学随时间尺度和心脏功能障碍类型而变化。此外,由于复杂性度量和非线性提供互补信息,我们强烈建议使用非线性检验作为表征HRV的附加指标。

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