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评估睡眠期间心脏控制的压力反射和非压力反射成分的协同作用/冗余性。

Assessing Synergy/Redundancy of Baroreflex and Non-Baroreflex Components of the Cardiac Control during Sleep.

作者信息

Cairo Beatrice, Bari Vlasta, De Maria Beatrice, Vaini Emanuele, Guaraldi Pietro, Lucini Daniela, Pagani Massimo, Provini Federica, Buonaura Giovanna Calandra, Cortelli Pietro, Porta Alberto

出版信息

Annu Int Conf IEEE Eng Med Biol Soc. 2019 Jul;2019:4953-4956. doi: 10.1109/EMBC.2019.8856887.

Abstract

Cardiovascular regulation and autonomic function change across sleep stages and compared to wake. Little information is present in literature about cardiac control during sleep especially in relation to new information-theoretic quantities such as synergy and redundancy. In the present work we compute synergy and redundancy of baroreflex and non-baroreflex components of the cardiac control according to two information-theoretic approaches, namely predictive information decomposition (PID) and minimal mutual information (MMI) methods. We applied a bivariate approach to heart period (HP) and systolic arterial pressure (SAP) beat-to-beat variability series during sleep in a healthy subject. PID approach computes the net balance between synergy and redundancy, while MMI calculates the two quantities as separate entities. Results suggested that: i) redundancy was dominant over synergy during NREM phases; ii) redundancy increased during NREM phase; iii) synergy did not change across the sleep stages. We interpret this result as a consequence of the vagal enhancement, slowing and deepening of respiration during NREM phases. These preliminary findings support the potential of assessing redundancy/synergy of baroreflex-related and unrelated regulations during sleep to improve our knowledge about physiological mechanisms.

摘要

心血管调节和自主神经功能在睡眠各阶段会发生变化,且与清醒状态有所不同。关于睡眠期间心脏控制的信息,尤其是与诸如协同性和冗余性等新的信息理论量相关的信息,在文献中较少见。在本研究中,我们根据两种信息理论方法,即预测信息分解(PID)和最小互信息(MMI)方法,计算了心脏控制的压力感受性反射和非压力感受性反射成分的协同性和冗余性。我们对一名健康受试者睡眠期间逐搏变化的心率(HP)和收缩期动脉压(SAP)系列采用了双变量方法。PID方法计算协同性和冗余性之间的净平衡,而MMI则将这两个量作为单独的实体进行计算。结果表明:i)在非快速眼动(NREM)阶段,冗余性比协同性占主导;ii)在NREM阶段冗余性增加;iii)协同性在睡眠各阶段没有变化。我们将这一结果解释为NREM阶段迷走神经增强、呼吸减慢和加深的结果。这些初步发现支持了在睡眠期间评估压力感受性反射相关和不相关调节的冗余性/协同性以增进我们对生理机制了解的潜力。

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