|
|
|
| Research on the relationship between blood pressure instant variability and heart rate variability of normal person under respiratory control |
| Shen Zhong-yuan,Shin Lin ,Zhu Ying-qi, Yu Ping, Yu Wei-lin, Zhang Qi-hu, Qu Min-hong |
| Qigong Institute, Shanghai University of Traditional Chinese Medicine, Shanghai 200030, China(Shen Zhong-yuan,Zhu Ying-qi, Yu Ping, Yu Wei-lin, Zhang Qi-hu, Qu Min-hong); Irvine School of Biology, University of California, CA 92697 USA(Shin Lin ) |
|
|
|
|
Abstract ObjectiveTo discuss the relationship between blood pressure instant variability(BPIV) and heart rate variability(HRV) of human under respiratory control. MethodsFiftytwo healthy people′s ECG, blood pressure （BP）and respiration were synchronously recorded and analyzed when respiratory rate were controlled at 51015 times/min and 81216 times/min. ResultsAt respiratory rate of 1015 times/min and 81216 times/min, RR variation trend and BPBP variation trend were fully synchronized with respiratory wave variation trend. Correlation coefficients(r) of center frequency of RF/HR with peak of respiratory（RSP）, BPIV and HRV were 0.924, 0.902 and 0.913, respectively. At respiratory rate of 5 times/min, RR variation trend and BPBP variation trend were desynchronized. ConclusionsAt certain respiratory rate, BPIV is corresponded with the physiological mechanism of respiratory sinus arrhythmia and HRV mechanism caused by respiratory sinus arrhythmia. However, BPIV is not corresponded with the physiological mechanism of HRV mechanism caused by respiratory sinus arrhythmia when respiratory rate is too low.
|
|
Received: 08 January 2013
|
|
|
|
| \[1\] 袁艳敏，郭艺芳. 人体血压昼夜节律特征及其调节机制\[J\]. 中华高血压杂志，2008，16(6): 483-485.\[2\] 朱妙章，唐朝枢，朱大年.心血管生理学基础与临床\[M\]. 2版.北京：高等教育出版社， 2011: 73-79.\[3\] Mancia G, Grassi G. Mechanisms and clinical implications of blood pressure variability\[J\]. J Cardiovasc Phaimacol, 2000, 35 (7 suppl 4) : S15-S19.\[4\] 胡伟通，苏海. 长期血压变异性的检测、评估及临床意义\[J\]. 中华高血压杂志，2011,19(8):770-772.\[5\] 张振服，刘启德，杨蕾.血压昼夜节律特征及调控机制\[J\].现代生物医学进展，2011,11(6)：1181-1183.\[6\] 张维忠. 血压变异和晨峰的概念及其临床意义\[J\].中华心血管病杂志，2006,34(3): 287-288.\[7\] 翟玫，李一石. 血压变异性研究进展\[J\]. 山东医药，2012，52(4)：112-113.\[8\] 王继光. 血压变异的临床意义\[J\]. 心血管病学进展，2011, 32(1)：1-3.\[9\] 黄学莲. 连续3次血压测值的变异程度及分析\[J\]. 青海医药杂志，2008, 38(8)：28-29.\[10\] 郭艺芳，白晓谊. 血压变异性的基本概念\[J\].中华高血压杂志, 2011, 19(7): 601-602.\[11\] 沈仲元，Shin Lin，余平，等. 调节呼吸频率对心率变异的影响\[J\]. 实用心电学杂志，2009，18(5)：323-325.\[12\] 陈洪波，刘仁光，沈仲元. 呼吸频率和潮气量对兔心率变异的影响\[J\]. 中国心脏起搏和心电生理杂志，2011，25(3): 258-262.\[13\] 钟南山，王辰. 呼吸内科学\[M\]. 北京:人民卫生出版社，2008:589-590.\[14\] 刘雪红，王克强，李川勇. 呼吸对心率变异性的影响\[J\]. 国际生物医学工程杂志，2006，29(1): 56-59.\[15\] 王步青，张政波，王卫东. 引导呼吸下的呼吸性窦性心律不齐的研究\[J\]. 生物医学工程学杂志，2012，29(1)：45-50,69.\[16\] 孙聪聪，张政波，王步青，等.呼吸性窦性心律不齐定量分析研究进展\[J\]. 生物医学工程学杂志，2011，28(6)：1227-1231.\[17\] Parati G, Ongaro G, Bilo G, et al. Noninvasive beattobeat blood pressure monitoring：new developments\[J\]. Blood Press Monit, 2003, 8(1):31-36.\[18\] Fortin J, Marte W, Gr llenberger R ,et al. Continuous noninvasive blood pressure monitoring using concentrically interlocking control loops\[J\].Comput Biol Med,2006, 36(9):941-957.\[19\] Fortin J, Habenbacher W, Heller A, et al. Noninvasive beattobeat cardiac output monitoring by an improved method of transthoracic bioimpedance measurement\[J\]. Comput Biol Med, 2006, 36(11):1185-1203.\[20\] 向海燕.无创伤人体逐拍动脉血压测量技术\[D\].西安：第四军医大学，2005.\[21\] 郎晓华，俞梦孙.容积脉搏波在吸相和呼相间的变异性\[J\]. 中国生物医学工程学报，2011，30(1)：17-21.\[22\] 汤池，杨国胜，王跃民，等.利用逐步回归法分析家兔血压和脉搏波特征参数的相关性\[J\]. 第四军医大学学报，2005，26(6)：568-570.\[23\] 郭继鸿. 新概念心电图\[M\]. 2版. 北京：北京医科大学出版社， 2002：344-348.\[24\] 邓君曙. 评估心率变异指标\[J\]. 中华高血压杂志，2009，17(5)：392-394.\[25\] 应用心率变异性判断心脏交感神经兴奋性应当慎重\[J\]. 中华高血压杂志，2008，16(12)：1057-1058.\[26\] 沈仲元，刘仁光，Shin Lin，等.夜间呼吸时相的周期及形态特点与心率变异的关系\[J\]. 江苏实用心电学杂志，2012，21(3)：157-161,164.\[27\] 血压变异性在临床中的意义—Giuseppe Mancia教授访谈\[EB/OL\].\[20121230\]. http://blog.gmw.cn/blog149760421142.html. |
|
|
|
2013, Vol. 22 
