Power spectral and Poincaré plot characteristics in sinus node dysfunction

Journal of Applied Physiology

Volumn 94, Issue 6, 2003, Pages 2217-2224

  Bergfeldt, Lennart ^a   Haga, Yoshiyuki ^b  

^a KAROLINSKA UNIVERSITY HOSPITAL   (Sweden)

^b NATIONAL DEFENSE MEDICAL COLLEGE   (Japan)

Author keywords

Heart rate variability; Sick sinus syndrome; Tractal dynamics

Indexed keywords

ADULT; AGED; ARTICLE; CLINICAL ARTICLE; CONTROLLED STUDY; FEMALE; FRACTAL ANALYSIS; HEART RATE VARIABILITY; HUMAN; MALE; POWER SPECTRUM; PRIORITY JOURNAL; SICK SINUS SYNDROME; SINUS NODE;

EID: 0038178186     PISSN: 87507587     EISSN: None     Source Type: Journal    
DOI: 10.1152/japplphysiol.01037.2002     Document Type: Article

References (42)

1. Alboni P, Filippi L, Pirani R, Tomasi AM, Candini GC, and Masoni A. Reproducibility of electrophysiological parameters of sinus node following autonomic blockade. Int J Cardiol 4: 431-442, 1983.
2. Andersen HR, Nielsen JC, Bloch Thomsen PE, Thuesen L, Mortensen PT, Vesterlund T, and Pedersen AK. Long-term follow-up of patients from a randomised trial of atrial versus ventricular pacing for sick-sinus syndrome. Lancet 350: 1210-1216, 1997.
3. Andersen HR, Nielsen JC, Bloch Thomsen PE, Thuesen L, Pedersen AK, Mortensen PT, and Vesterlund T. Arterial thromboembolism in patients with sick sinus syndrome: prediction from pacing mode, atrial fibrillation, and echocardiographic findings. Heart 81: 412-418, 1999.
4. Angelone A and Coulter NA. Respiratory sinus arrhythmia: a frequency-dependent phenomenon. J Appl Physiol 19: 479-482, 1964.
5. Benditt DG, Sakaguchi S, Goldstein MA, Lurie KG, Gornick CC, and Adler SW. Sinus node dysfunction: pathophysiology, clinical features, evaluation, and treatment. In: Cardiac Electrophysiology, From Cell to Bedside (2nd ed.), edited by Zipes DP and Jalife J. Philadelphia, PA: Saunders, 1995, p. 1215-1247.
6. Berge P, Pomeau Y, and Vidal C. Order Within Chaos. Paris: Hermann, 1984, p. 1-329.
7. Bergfeldt BL, Edhag KO, Solders G, and Vallin HO. Analysis of sinus cycle variation: a new method for evaluation of suspected sinus node dysfunction. Am Heart J 114: 321-327, 1987.
8. Bergfeldt L, Melander H, and Schenck-Gustafsson K. Time-dependent variation in the cardiac conduction system assessed in young healthy individuals at weeks' interval: implications for clinical trials. J Am Coll Cardiol 18: 792-800, 1991.
9. Bergfeldt L, Rosenqvist M, Vallin H, Nordlander R, and Åström. H. Screening for sinus node dysfunction by analysis of short-term sinus cycle variations on the surface electrocardiogram. Am Heart J 130: 141-147, 1995.
10. Bergfeldt L, Schenck-Gustafsson K, and Dahlqvist R. Comparative class 1 electrophysiologic and anticholinergic effects of disopyramide and its main metabolite (mono-N-dealkylated disopyramide) in healthy humans. Cardiovasc Drugs Ther 6: 529-537, 1992.
11. Bergfeldt L, Vallin H, Rosenqvist M, Insulander P, Åström H, and Nordlander R. Sinus node recovery time assessment revisited: role of pharmacological blockade of the autonomic nervous system. J Cardiovasc Electrophysiol 7: 95-101, 1996.
12. Bootsma BK, Hoelsen AJ, Strackee J, and Meijler FL. Analysis of R-R intervals in patients with atrial fibrillation at rest and during exercise. Circulation 51: 783-794, 1970.
13. Cai H, Li Z, Goette A, Mera F, Honeycutt C, Feterik K, Wilcox JN, Dudley SC Jr, Harrison DG, and Langberg JJ. Downregulation of endocardial nitric oxide synthase expression and nitric oxide production in atrial fibrillation. Potential mechanisms for atrial thrombosis and stroke. Circulation 106: 2854-2858, 2002.
14. Clark DM, Plumb VJ, Epstein AE, and Kay GN. Hemodynamic effects of an irregular sequence of ventricular cycle lengths during atrial fibrillation. J Am Coll Cardiol 30: 1039-1045, 1997.
15. Clynes M. Computer analysis of reflex control and organization: respiratory sinus arrhythmia. Science 131: 300-302, 1960.
16. Daoud EG, Weiss R, Bahu M, Knight BP, Bogun F, Goyal R, Harvey M, Strickberger SA, Man KC, and Morady F. Effect of an irregular ventricular rhythm on cardiac output. Am J Cardiol 78: 1433-1436, 1996.
17. De Marneffe M, Jacobs P, and Englert M. Reproducibility of electrophysiologic parameters of extrinsic sinus node function in patients with and without sick sinus syndrome. Pacing Clin Electrophysiol 9: 482-489, 1986.
18. DiBiase A, Tse TM, Schnittger I, Wexler L, Stinson EB, and Valantine HA. Frequency and mechanism of bradycardia in cardiac transplant recipients and need for pacemakers. Am J Cardiol 67: 1385-1389, 1991.
19. Fallen EL, Kamath MV, Ghista DN, and Fitchett D. Spectral analysis of heart rate variability following human heart transplantation: evidence for functional reinnervation. J Auton Nerv Syst 23: 199-206, 1988.
20. Goldberger AL, Rigney DR, Mietus J, Antman EM, and Greenwald S. Nonlinear dynamics in sudden cardiac death syndrome: Heartrate oscillations and bifurcations. Experientia 44: 983-987, 1987.
21. Guidelines. Heart Rate Variability. Standards of measurement, physiological interpretation, and clinical use. Task Force of the European Society of Cardiology and the North American Society of Pacing and Electrophysiology. Eur Heart J 17: 354-381, 1996.
22. Hayano J, Sakakibara Y, Yamada A, Yamada M, Mukai S, Fujinami T, Yokoyama K, Watanabe Y, and Takata K. Accuracy of assessment of cardiac vagal tone by heart rate variability in normal subjects. Am J Cardiol 67: 199-204, 1991.
23. Hayano J, Yamasaki F, Sakata S, Okada A, Mukai S, and Fujinami T. Spectral characteristics of ventricular response to atrial fibrillation. Am J Physiol Heart Circ Physiol 273: H2811-H2816, 1997.
24. Jalife J, Michaels DC, and Delmar M. Cellular mechanisms of phasic vagal control of heart rate. In: Neurocardiology, edited by Kulbertus HE and Franck G. Mount Kisco, NY: Futura, 1988, p. 99-121.
25. Jongsma HJ, Tsjernina L, and de Bruijne J. The establishment of regular beating in populations of pacemaker heart cells. A study with tissue-cultured rat heart cells. J Mol Cell Cardiol 15: 123-133, 1983.
26. Kaplan DT and Cohen RJ. Is fibrillation chaos? Circ Res 67: 886-892, 1990.
27. Lau CP, Leung WH, Wong CK, and Cheng CH. Haemodynamics of induced atrial fibrillation: a comparative assessment with sinus rhythm, atrial and ventricular pacing. Eur Heart J 11: 219-224, 1990.
28. Mandel WJ, Hayakawa H, Danzig R, and Marcus HS. Evaluation of sinoatrial node function in man by overdrive suppression. Circulation 44: 59-66, 1971.
29. Michaels DC, Matyas EP, and Jalife J. Experimental and mathematical observations on pacemaker interactions as a mechanism of synchronization in the sinoatrial node. In: Cardiac Electrophysiology. From Cell to Bedside, edited by Zipes DP and Jalife J. Philadelphia, PA: Saunders, 1990, p. 182-192.
30. Naito M, David D, Michelson EL, Shaffenburg M, and Dreifus LS. The hemodynamic consequences of cardiac arrhythmias: evaluation of the relative roles of abnormal atrioventricular sequencing, irregularity of ventricular rhythm and atrial fibrillation in a canine model. Am Heart J 106: 284-291, 1983.
31. Natale A, Zimerman L, Tomassoni G, Kearney M, Kent V, Brandon MJ, and Newby K. Impact on ventricular function and quality of life of transcatheter ablation of the atrioventricular junction in chronic atrial fibrillation with a normal ventricular response. Am J Cardiol 78: 1431-1433, 1996.
32. Opthof T, Van Ginneken ACG, Bouman LN, and Jongsma HJ. The intrinsic cycle length in small pieces isolated from the rabbit sinoatrial node. J Mol Cell Cardiol 19: 923-934, 1987.
33. Paintal AS. Vagal sensory receptors and their reflex effects. Physiol Rev 53: 159-198, 1973.
34. Parsonnet V, Bernstein AD, and Galasso AD. Cardiac pacing practices in the United States 1985. Am J Cardiol 62: 71-77, 1988.
35. Persson A and Solders G. R-R variations, a test of autonomic dysfunction. Acta Neurol Scand 67: 285-293, 1983.
36. Sands KEF, Appel ML, Lilly LS, Schoen FJ, Mudge GH Jr, and Cohen RJ. Power spectral analysis of heart rate variability in human cardiac transplant recipients. Circulation 79: 76-82, 1989.
37. Saul JP, Albrecht P, Berger RP, and Cohen RJ. Analysis of long term heart rate variability: methods, 1/f scaling and implications. Comput Cardiol 14: 419-422, 1987.
38. Shaw R. The Dripping Faucet as a Model Chaotic System. Santa Cruz, CA: Ariel, 1984.
39. Ueng KC, Tsai TP, Tsai CF, Wu DJ, Lin CS, Lee SH, and Chen SA. Acute and long-term effects of atrioventricular junction ablation and VVIR pacemaker in symptomatic patients with chronic lone atrial fibrillation and normal ventricular response. J Cardiovasc Electrophysiol 12: 303-309, 2001.
40. Woo MA, Stevenson WG, Moser DK, Trelease RB, and Harper RM. Patterns of beat-to-beat heart rate variability in advanced heart failure. Am Heart J 123: 704-710, 1992.
41. Wu D, Yeh SJ, Lin FC, Wang CC, and Cherng WJ. Sinus automaticity and sinoatrial conduction in severe symptomatic sick sinus syndrome. J Am Coll Cardiol 19: 355-364, 1992.
42. Yamamoto Y and Hughson RL. On the fractal nature of heart rate variability in humans: effects of data length and β-adrenergic blockade. Am J Physiol Regul Integr Comp Physiol 266: R40-R49, 1994.