Sensitivity of temporal heart rate variability in Poincaré plot to changes in parasympathetic nervous system activity 英文参考文献.docVIP

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Sensitivity of temporal heart rate variability in Poincaré plot to changes in parasympathetic nervous system activity 英文参考文献.doc

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Sensitivity of temporal heart rate variability in Poincaré plot to changes in parasympathetic nervous system activity 英文参考文献

Karmakaretal.BioMedicalEngineeringOnLine2011,10:17 /content/10/1/17 RESEARCH OpenAccess Sensitivityoftemporalheartratevariabilityin Poincaréplottochangesinparasympathetic nervoussystemactivity ChandanKKarmakar1,AhsanHKhandoker1*,AndreasVoss2,MarimuthuPalaniswami1 *Correspondence: ahsank@.au 1DepartmentofElectricaland ElectronicEngineering,The UniversityofMelbourne,Parkville, Abstract Background:Anoveldescriptor(ComplexCorrelationMeasure(CCM))formeasuring thevariabilityinthetemporalstructureofPoincaréplothasbeendevelopedto VIC3010,Australia Fulllistofauthorinformationis availableattheendofthearticle characterizeordistinguishbetweenPoincaréplotswithsimilarshapes. Methods:Thisstudywasdesignedtoassessthechangesintemporalstructureof thePoincaréplotusingCCMduringatropineinfusion,70°head-uptiltand scopolamineadministrationinhealthyhumansubjects.CCMquantifiesthepoint-to- pointvariationofthesignalratherthangrossdescriptionofthePoincaréplot.The physiologicalrelevanceofCCMwasdemonstratedbycomparingthechangesin CCMvalueswithautonomicperturbationduringallphasesoftheexperiment.The sensitivitiesofshorttermvariability(SD1),longtermvariability(SD2)andvariabilityin temporalstructure(CCM)wereanalyzedbychangingthetemporalstructureby shufflingthesequencesofpointsofthePoincaréplot.Surrogateanalysiswasused toshowCCMasameasureofchangesintemporalstructureratherthanrandom noiseandsensitivityofCCMwithchangesinparasympatheticactivity. Results:CCMwasfoundtobemostsensitivetochangesintemporalstructureof thePoincaréplotascomparedtoSD1andSD2.Thevaluesofalldescriptors decreasedwithdecreaseinparasympatheticactivityduringatropineinfusionand70° head-uptiltphase.Incontrast,valuesofalldescriptorsincreasedwithincreasein parasympatheticactivityduringscopolamineadministration. Conclusions:TheconcordantreductionandenhancementinCCMvalueswith parasympatheticactivityindicatesthatthetemporalvariabilityofPoincaréplotis modulatedbytheparasympatheticactivitywhichcorrelateswithchangesinCCM values.CCMismoresensitiv