G. Baselli et al., MODEL FOR THE ASSESSMENT OF HEART PERIOD AND ARTERIAL-PRESSURE VARIABILITY INTERACTIONS AND OF RESPIRATION INFLUENCES, Medical & biological engineering & computing, 32(2), 1994, pp. 143-152
A model which assesses the closed-loop interaction between heart perio
d (HP) and arterial pressure (AP) variabilities and the influence of r
espiration on both is applied to evaluate the sources of low frequency
(LF similar to 0.1 Hz) and high frequency (HF, respiratory rate simil
ar to 0.25 Hz) in conscious dogs (n = 18) and humans (n = 5). A resona
nce of AP closed-loop regulation is found to amplify LF oscillations.
In dogs, the resonance gain increases slightly during baroreceptor unl
oading (mild hypotension obtained with nitroglycerine (NTG) i.v. infus
ion, n = 8) and coronary artery occlusion ((CAO), n = 6), and it is ab
olished by ganglionic transmission blockade (ARF), Arfonad i.v. infusi
on, n = 3). In humans, this gain is considerably increased by passive
tilt. Different, possibly central, sources of LF oscillations are also
evaluated, finding a strong rhythmic modulation of HP during CAO. At
HF, a direct respiratory arrhythmia is dominant in dogs at control, wh
ile it is considerably reduced during CAO. On the contrary, in humans,
a strong influence of respiration on AP is shown which induces a refl
ex respiratory arrhythmia. An index of the gain of baroreceptive respo
nse, alpha(cl), was decreased by NTG and CAO, and virtually abolished
by chronic arterial baroreceptive denervation (TABD, n = 4) and ARF.