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| Content Provider | IEEE Xplore Digital Library |
|---|---|
| Author | Orini, M. Valenza, G. Citi, L. Barbieri, R. |
| Copyright Year | 2012 |
| Description | Author affiliation: Neuroscience Statistics Research Laboratory, Harvard Medical School, Massachusetts General Hospital, Boston, MA, USA, and Massachusetts Institute of Technology, Cambridge, MA, USA (Valenza, G.; Citi, L.; Barbieri, R.) || GTC, I3A, University of Zaragoza, and CIBER-BBN, Spain (Orini, M.) |
| Abstract | In this study, we present a new methodology for time-varying characterization of cardiovascular (CV) control, which includes RR interval (RRI), systolic arterial pressure (SAP), respiration (RSP) and pulse transit time (PTT). Within a multivariate model, CV dynamics are represented as stochastic point processes whose means has a tetravariate autoregressive structure. Such framework provides the simultaneous time-frequency assessment of: (i) both arms of the SAP-RRI loop, along baroreflex and mechanical feedforward pathways; (ii) Respiratory sinus arrhythmia (RSA), through the direct evaluation of the interactions between RSP and the RRI; (iii) the coupling between cardio-respiratory activity and vascular tone through quantification of the interactions between PTT and the other CV variables. We validated the model by characterizing CV control in 16 healthy subjects during a tilt table test, and we were able to confirm a satisfactory model's goodness-of-ft. We further estimated transfer function gains, instantaneous powers and directed coherences, and observed that RSP strongly drove respiratory-related oscillations in all the other CV variables, and that PTT depended on RRI dynamics rather than blood pressure variations. During head-up tilt, baroreflex sensitivity and RSA decreased, while the gain from RRI to SAP increased, thus confirming previous physiological characterizations. |
| Starting Page | 273 |
| Ending Page | 276 |
| File Size | 390869 |
| Page Count | 4 |
| File Format | |
| ISBN | 9781467320764 |
| ISSN | 2325887X |
| e-ISBN | 9781467320771 |
| Language | English |
| Publisher | Institute of Electrical and Electronics Engineers, Inc. (IEEE) |
| Publisher Date | 2012-09-09 |
| Publisher Place | Poland |
| Access Restriction | Subscribed |
| Rights Holder | Creative Commons Attribution License 2.5 (CCAL) |
| Subject Keyword | Rail to rail inputs Electrocardiography Time frequency analysis Feedforward neural networks Transfer functions Couplings Physiology |
| Content Type | Text |
| Resource Type | Article |
| Subject | Computer Science Cardiology and Cardiovascular Medicine |
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