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常压缺氧暴露下心率变异性时间不可逆性的变化

Variations of Time Irreversibility of Heart Rate Variability Under Normobaric Hypoxic Exposure.

作者信息

Li Yang, Li Jianqing, Liu Jian, Xue Yong, Cao Zhengtao, Liu Chengyu

机构信息

School of Instrument Science and Engineering, Southeast University, Nanjing, China.

Air Force Medical Center, Beijing, China.

出版信息

Front Physiol. 2021 Mar 5;12:607356. doi: 10.3389/fphys.2021.607356. eCollection 2021.

Abstract

In the field of biomedicine, time irreversibility is used to describe how imbalanced and asymmetric biological signals are. As an important feature of signals, the direction of time is always ignored. To find out the variation regularity of time irreversibility of heart rate variability (HRV) in the initial stage of hypoxic exposure, the present study implemented 2 h acute normobaric hypoxic exposure on six young subjects who have no plateau or hypoxia experiences; oxygen concentration was set as 12.9%. Electrocardiogram (ECG) signals were recorded in the whole process and RR interval sequences were extracted. Mathematical operations were executed to transform the difference of adjacent RR intervals into proportion and distance with delay time to conduct time irreversibility analysis of HRV. The same calculating method was implemented on six items randomly picked out from the MIT-BIH normal sinus rhythm database as a control group. Results show that variation of time irreversibility of HRV in a hypoxic environment is different from that in a normoxic environment, time irreversibility indices of a hypoxic group decreases continually at a delay time of 1 and 2, and indices curves of time irreversibility gradually tend to be steady and gather with each other at a delay time of 3 or 4. The control group shows no consistent tendency no matter what the delay time is in the range of 1-4. Our study indicates that in short-time hypoxic exposure, as hypoxic time goes by, regulation of the cardiovascular autonomic nervous system weakens; regulation times and intensity of sympathetic and parasympathetic nerves tend to be equal.

摘要

在生物医学领域,时间不可逆性被用于描述生物信号是多么的不平衡和不对称。作为信号的一个重要特征,时间方向总是被忽视。为了探究低氧暴露初期心率变异性(HRV)时间不可逆性的变化规律,本研究对六名没有高原或低氧经历的年轻受试者进行了2小时的急性常压低氧暴露;氧浓度设定为12.9%。在整个过程中记录心电图(ECG)信号,并提取RR间期序列。进行数学运算,将相邻RR间期的差值转换为比例和带延迟时间的距离,以对HRV进行时间不可逆性分析。从麻省理工学院-比哈尔心律失常数据库中随机选取六项作为对照组,采用相同的计算方法。结果表明,低氧环境下HRV时间不可逆性的变化与常氧环境下不同,低氧组在延迟时间为1和2时,时间不可逆性指标持续下降,在延迟时间为3或4时,时间不可逆性指标曲线逐渐趋于稳定并相互聚集。无论延迟时间在1-4范围内如何,对照组均无一致趋势。我们的研究表明,在短期低氧暴露中,随着低氧时间的推移,心血管自主神经系统的调节减弱;交感神经和副交感神经的调节次数和强度趋于相等。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7469/7973363/1c39161329f2/fphys-12-607356-g001.jpg

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