Step baroreflex response in awake patients undergoing carotid surgery: Time- and frequency-domain analysis

American Journal of Physiology - Heart and Circulatory Physiology

Volumn 274, Issue 5 43-5, 1998, Pages

  Landesberg, Giora ^a,d   Adam, Dan ^b   Berlatzky, Yacov ^a   Akselrod, Solange ^c  

^a HEBREW UNIVERSITY OF JERUSALEM   (Israel)

^b TECHNION ISRAEL INSTITUTE OF TECHNOLOGY   (Israel)

^c TEL AVIV UNIVERSITY   (Israel)

^d HADASSAH HEBREW UNIVERSITY MEDICAL CENTER   (Israel)

Author keywords

Baroreflex control mechanism; Carotid baroreceptors

Indexed keywords

ADULT; AGED; ARTERY CLAMP; ARTICLE; ATHEROSCLEROTIC PLAQUE; BLOOD PRESSURE; CAROTID ARTERY; CAROTID ARTERY SURGERY; CAROTID ENDARTERECTOMY; CLINICAL ARTICLE; FEMALE; HEART RATE; HUMAN; MALE; PRESSORECEPTOR REFLEX; PRIORITY JOURNAL; REGIONAL ANESTHESIA; RR INTERVAL;

EID: 0031862034     PISSN: 03636135     EISSN: None     Source Type: Journal    
DOI: 10.1152/ajpheart.1998.274.5.h1590     Document Type: Article

References (40)

1. Bernardi, L., S. Leuzzi, A. Radaelli, C. Passino, J. A. Johnston, and P. Sleight. Low-frequency spontaneous fluctuations of R-R interval and blood pressure in conscious humans: a baroreceptor or central phenomenon? Clin. Sci. (Colch.) 87: 649-654, 1994.
2. Borst, C., and J. M. Karemaker. Time delays in the human baroreceptor reflex. J. Auton. Nerv. Syst. 9: 399-409, 1983.
3. Cerutti, S., G. Baselli, S. Civardi, R. Furlan, F. Lombardi, A. Malliani, M. Merri, and M. Pagani. Spectral analysis of heart rate and arterial blood pressure variability signals for physiological and clinical purposes. IEEE Proc. Comp. Cardiol. 435-438, 1987.
4. + channel blocker 4-aminopyridine. J. Physiol. (Lond.) 462: 291-306, 1993.
5. Coleridge, H. M., J. C. Coleridge, M. P. Kaufmann, and A. Dangel. Operational sensitivity and acute resetting of aortic baroreceptors in dogs. Circ. Res. 48: 676-684, 1981.
6. Corson, J. D., B. B. Chang, P. W. Leopold, B. DeLeo, D. M. Shah, R. P. Leather, and A. M. Karmody. Perioperative hypertension in patients undergoing carotid endarterectomy: shorter duration under regional block anesthesia. Circulation 74, Suppl. I: I-1-I-4, 1986.
7. DeBoer, R. W., J. M. Kaermaker, and J. Strackee. Hemodynamic fluctuations and baroreflex sensitivity in humans: a beat-to-beat model. Am. J. Physiol. 253 (Heart Circ. Physiol. 22): H680-H689, 1987.
8. Eckberg, D. L. Baroreflex inhibition of the human sinus node: importance of stimulus intensity, duration, and rate of pressure change. J. Physiol. (Lond.) 269: 561-577, 1977.
9. Eckberg, D. L., M. S. Cavanaugh, A. L. Mark, and F. M. Abboud. A simplified neck suction device for activation of carotid baroreceptors. J. Lab. Clin. Med. 85: 167-173, 1975.
10. Greene, A. S., and A. A. Shoukas. Changes in canine cardiac function and venous return curves by the carotid baroreflex. Am. J. Physiol. 251 (Heart Circ. Physiol. 20): H288-H296, 1986.
11. Hainsworth, R., and Y. M. Al-Shamma. Cardiovascular responses to stimulation of carotid baroreceptors in healthy subjects. Clin. Sci. (Colch.) 75: 159-165, 1988.
12. Hoka, S., Z. J. Bosnjak, J. L. Seagard, D. Siker, B. W. Palmisano, R. L. Coon, and J. P. Kampine. Left ventricular reflex control of venous return and systemic vascular capacitance in dogs. Can. J. Physiol. Pharmacol. 66: 112-118, 1988.
13. Jenkins, G. M., and D. G. Watts. Spectral Analysis and Its Applications. San Francisco, CA: Holden Day, 1968.
14. Katona, P. G, J. W. Poitras, N. Pantelakis, E. W. Jensen, and G. O. Barnett. Deterministic nature of baroreceptor firing. Am. J. Physiol. 215: 1-7, 1968.
15. Katsube, Y., H. Saro, M. Naka, B. H. Kim, N. Kinoshita, Y. Koretsune, and M. Hori. Decreased baroreflex sensitivity in patients with stable coronary artery disease is correlated with the severity of coronary narrowing. Am. J. Cardiol. 78: 1007-1010, 1996.
16. Kirsheim, P. G. Systemic arterial baroreceptor reflexes. Physiol. Rev. 56: 100-176, 1986.
17. Kleinman, B., S. Powell, P. Kumar, and R. M. Gardner. The fast flush test measures the dynamic response of the entire blood pressure monitoring system. Anesthesiology 77: 1215-1220, 1992.
18. Korner, P. I., M. J. West, J. Shaw, and J. B. Uther. Steady-state properties of the baroreceptor-heart rate reflex in essential hypertension in man. Clin. Exp. Pharmacol. Physiol. 1: 65-76, 1974.
19. Landesberg, G. Heart Rate and Blood Pressure Variability as Properties of the Cardiovascular Dynamics and Its Baroreflex Regulation (DSc thesis). Haifa, Israel: Technion-Israel Institute of Technology, 1996.
20. Landesberg, G., D. Adam, and S. Akselrod. Very slow response of the baroreflex regulation system: a tool for understanding cardiovascular control. In: Computers in Cardiology. Piscataway, NJ: IEEE, 1996, p. 161-164.
21. Landesberg, G., J. Erel, H. Anner, L. A. Eidelman, E. Weinmann, M., Luria, D. Admon, J. Assaf, D. Sapoznikov, and Y. Berlatzky. Perioperative myocardial ischemia in carotid endarterectomy under cervical plexus block and prophylactic nitroglycerin infusion. J. Cardiothorac. Vasc. Anesth. 7: 259-265, 1993.
22. Ludbrook, J., G. Mancia, A. Ferrari, and A. Zanchetti. The variable-pressure neck-chamber method for studying the carotid baroreflex in man. Clin. Sci. (Colch.) 41: 309-315, 1977.
23. Madwed, J. B., P. Albrecht, R. G. Mark, and R. J. Cohen. Low-frequency oscillations in arterial pressure and heart rate: a simple computer model. Am. J. Physiol. 256 (Heart Circ. Physiol. 25): H1573-H1579, 1989.
24. Mancia, G., A. Ferrari, L., Gregorini, G. Parati, G. Pomidossi, G. Bertinieri, G. Grassi, and A. Zanchetti. Blood pressure variability in man: its relation to high blood pressure, age and baroreflex sensitivity. Clin. Sci. (Colch.) 6: 401S-404S, 1980.
25. Mancia, G., and A. L. Mark. Arterial baroreflexes in humans. In: Handbook of Physiology. The Cardiovascular System. Peripheral Circulation and Organ Blood Flow. Bethesda, MD: Am. Physiol. Soc., 1983, sect. 2, vol. 3, pt. 2, chapt. 20, p. 755-794.
26. Munch, P. A., and A. M. Brown. Acute resetting of baroreceptors: is it simply adaptation? Am. J. Physiol. 250 (Heart Circ. Physiol. 19): H149-H150, 1986.
27. Mutch, W. A., I. W. White, N. Donen, I. R. Thomson, M. Rosenbloom, M. Cheang, and M. West. Hemodynamic instability and myocardial ischaemia during carotid endarterectomy: a comparison of propofol and isoflurane. Can. J. Anaesth. 42: 577-587, 1995.
28. Parmer, R. J., J. H. Cervenka, and R. A. Stone. Baroreflex sensitivity and heredity in essential hypertension. Circulation 85: 497-503, 1992.
29. Pawelczyk, J. A., and P. B. Raven. Reductions in central venous pressure improve carotid baroreflex responses in conscious men. Am. J. Physiol. 257 (Heart Circ. Physiol. 26): H1389-H1395, 1989.
30. Potts, J. T., and P. B. Raven. Effect of dynamic exercise on human carotid-cardiac baroreflex latency. Am. J. Physiol. 268 (Heart Circ. Physiol. 37): H1208-H1214, 1995.
31. Robbe, H. W. J., L. J. M. Mulder, H. Ruddel, W. A. Langewitz, J. B. P. Veldman, and G. Mulder. Assessment of baroreflex sensitivity by means of spectral analysis. Hypertension 10: 538-543, 1987.
32. Shi, X., J. T. Potts, B., H. Foresman, and P. B. Raven. Carotid baroreflex responsiveness to lower body positive-pressure-induced increases in central venous pressure. Am. J. Physiol. 265 (Heart Circ. Physiol. 34): H918-H922, 1993.
33. Shoukas, A. A. Overall systems analysis of the carotid sinus baroreceptor reflex control of the circulation. Anesthesiology 79: 1402-1412, 1993.
34. Shoukas, A. A., M. J. Brunner, A. E. Frankle, A. S. Greene, and C. H. Kallman. Carotid sinus baroreceptor reflex control and the role of autoregulation in the systemic and pulmonary arterial pressure-flow relationships of the dog. Circ. Res. 54: 674-682, 1984.
35. Shoukas, A. A., and K. Sagawa. Control of total systemic vascular capacity by the carotid sinus baroreceptor reflex. Circ. Res. 33: 22-33, 1973.
36. Smith, M. L., J. M. Fritch, and D. L. Eckberg. Rapid adaptation of vagal baroreflexes in humans. J. Auton. Nerv. Syst. 47: 75-82, 1994.
37. Smyth, H. S., P. Sleight, and G. W. Pickering. Reflex regulation of arterial pressure during sleep in man: a quantitative method for assessing baroreflex sensitivity. Circ. Res. 24: 109-121, 1969.
38. Spyer, K. M. Neural organization and control of the baroreflex. Rev. Physiol. Biochem. Pharmacol. 88: 23-124, 1981.
39. Stephenson, R. B., and D. E. Donald. Reflexes from isolated carotid sinuses of intact and vagotomized conscious dogs. Am. J. Physiol. 238 (Heart Circ. Physiol. 7): H815-H822, 1980.
40. Welch, P. D. The use of fast Fourier transform for the estimation of power spectra: a method based on time averaging over short, modified periodograms. IEEE Trans. Audio Electroaccoust. 15: 70-73, 1967