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Comparative Study
Correlations between the Poincaré plot and conventional heart rate variability parameters assessed during paced breathing.
- Przemysław Guzik, Jarosław Piskorski, Tomasz Krauze, Raphael Schneider, Karel H Wesseling, Andrzej Wykretowicz, and Henryk Wysocki.
- Department of Cardiology-Intensive Therapy, University of Medical Sciences in Poznań, Przybyszewskiego 49, 60-355 Poznan, Poland. pguzik@ptkardio.pl.
- J Physiol Sci. 2007 Feb 1;57(1):63-71.
AimTo analyze the correlation of the Poincaré plot descriptors of RR intervals with standard measures of heart rate variability (HRV) and spontaneous baroreflex sensitivity (BRS). A physiological model of changing respiratory rates from 6 to 15 breaths/min provided a wide range of RR intervals for analysis.Material And MethodsBeat-to-beat finger blood pressure, ECG, and respiratory curves were recorded noninvasively in 15 young healthy volunteers (19-25 years old; 7 females) breathing for 5 min at 4 different respiratory rates of 6, 9, 12, and 15 breaths/min. Four descriptors of the Poincaré plot (SD1, SD2, S, and SD2/SD1), time and frequency domain HRV, and spontaneous BRS (cross-correlation method) were calculated for each 5-min recording.ResultsThe values of SD1 characterizing short-term HRV, SD2 describing long-term HRV, and S measuring total HRV were significantly correlated with BRS and time and frequency domain measures of short, long, and total HRV. The LF/HF significantly correlated with SD2 and SD2/SD1 representing the balance between long- and short-term HRV. None of the Poincaré plot descriptors was correlated with the mean RR interval. The increased respiratory rate caused a significant reduction of BRS, measures of total and long-term HRV, and an increase of HF that peaked at 12 breaths/min.ConclusionsThe descriptors of the Poincaré plot of RR intervals are significantly correlated with measures of BRS and time and frequency domain HRV, but not with heart rate. A faster respiratory rate reduces long-term HRV measures and temporarily increases HF.
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