有先兆和无先兆偏头痛患者心率及舒张压变异性的功率谱分析

Power spectral analysis of heart rate and diastolic blood pressure variability in migraine with and without aura.

作者信息

Pierangeli G, Parchi P, Barletta G, Chiogna M, Lugaresi E, Cortelli P

机构信息

Institute of Neurology, University of Bologna, Italy.

出版信息

Cephalalgia. 1997 Nov;17(7):756-60; discussion 719-20. doi: 10.1046/j.1468-2982.1997.1707756.x.

DOI:10.1046/j.1468-2982.1997.1707756.x

PMID:9399005

Abstract

Autonomic function in migraineurs during headache-free periods was studied by means of cardiovascular reflexes and power spectral analysis of heart rate and diastolic blood pressure variability. We examined 56 patients: 37 suffering from migraine without aura and 19 from migraine with aura. Cardiovascular responses to the tilt test and Valsalva manoeuvre showed a normal function of the overall baroreceptor reflex arc. Normal heart rate responses to Valsalva manoeuvre and deep breathing suggested an intact parasympathetic function. Power spectral analysis of both heart rate and diastolic blood pressure variability in basal conditions and during orthostatic test showed similar sympathovagal interactions modulating cardiovascular control in migraine patients and in controls.

摘要

通过心血管反射以及心率和舒张压变异性的功率谱分析，对偏头痛患者在无头痛期间的自主神经功能进行了研究。我们检查了56例患者：37例患有无先兆偏头痛，19例患有先兆偏头痛。对倾斜试验和瓦尔萨尔瓦动作的心血管反应显示整体压力感受器反射弧功能正常。对瓦尔萨尔瓦动作和深呼吸的正常心率反应表明副交感神经功能完好。在基础状态和直立试验期间，对心率和舒张压变异性的功率谱分析显示，偏头痛患者和对照组在调节心血管控制方面存在相似的交感迷走神经相互作用。