Cross-spectral analysis of cardiovascular parameters whilst supine may identify subjects with poor orthostatic tolerance

Clinical Science

Volumn 105, Issue 1, 2003, Pages 119-126

  Gulli, Giosuè ^a   Cooper, Victoria L ^a   Claydon, Victoria ^a   Hainsworth, Roger ^a  

^a UNIVERSITY OF LEEDS   (United Kingdom)

Author keywords

Baroreflex; Heart rate variability; Syncope; Vasovagal syndrome

Indexed keywords

ADULT; AGED; ARTICLE; CONTROLLED STUDY; DATA ANALYSIS; ELECTROCARDIOGRAM; FEMALE; HEAD POSITION; HEART RATE VARIABILITY; HUMAN; LOWER BODY NEGATIVE PRESSURE; MAJOR CLINICAL STUDY; MALE; ORTHOSTATIC HYPOTENSION; PRESSORECEPTOR REFLEX; PRIORITY JOURNAL; RR INTERVAL; SENSITIVITY AND SPECIFICITY; SUPINE POSITION; SYNCOPE; SYSTOLIC BLOOD PRESSURE;

ADOLESCENT; ADULT; AGED; BLOOD PRESSURE; CASE-CONTROL STUDIES; ELECTROCARDIOGRAPHY; FEMALE; HUMANS; HYPOTENSION, ORTHOSTATIC; MALE; MIDDLE AGED; SIGNAL PROCESSING, COMPUTER-ASSISTED; SUPINE POSITION; SYNCOPE; SYSTOLE; TILT-TABLE TEST;

EID: 0038342593     PISSN: 01435221     EISSN: None     Source Type: Journal    
DOI: 10.1042/CS20020322     Document Type: Article

References (31)

1. Kapoor, W. N., Karpf, M., Maher, Y., Miller, R. A. and Levey, G. S. (1982) Syncope of unknown origin. The need for a more cost-effective approach to its diagnosis evaluation. JAMA, J. Am. Med. Assoc. 247, 2687-2691
2. Kapoor, W. N. (1990) Evaluation and outcome of patients with syncope. Medicine (Baltimore) 69, 160-175
3. Savage, D. D., Corwin, L., McGee, D. L., Kannel, W. B. and Wolf, P. A. (1985) Epidemiologic features of isolated syncope: the Framingham Study. Stroke 16, 626-629
4. Hainsworth, R. and Al Shamma, Y. M. (1988) Cardiovascular responses to upright tilting in healthy subjects. Clin. Sci. 74, 17-22
5. Graham, L. A., Gray, J. C. and Kenny, R. A. (2001) Comparison of provocative tests for unexplained syncope: isoprenaline and glyceryl trinitrate for diagnosing vasovagal syncope. Eur. Heart J. 22, 497-503
6. El-Bedawi, K. M. and Hainsworth, R. (1994) Combined head-up tilt and lower body suction: a test of orthostatic tolerance. Clin. Auton. Res. 4, 41-47
7. Hainsworth, R. and El-Bedawi, K. M. (1994) Orthostatic tolerance in patients with unexplained syncope. Clin. Auton. Res. 4, 239-244
8. Calkins, H., Byrne, M., el-Atassi, R., Kalbfleisch, S., Langberg, J. J. and Morady, F. (1993) The economic burden of unrecognized vasodepressor syncope. Am. J. Med. 95, 473-479
9. Gulli, G., Wight, V. L., Hainsworth, R. and Cevese, A. (2001) Spectral and cross-spectral autoregressive analysis of cardiovascular variables in subjects with different degrees of orthostatic tolerance. Clin. Auton. Res. 11, 19-27
10. Bartoli, F., Baselli, G. and Cerutti, S. (1985) AR identification and spectral estimate applied to the R-R interval measurements. Int. J. Bio-Med. Comput. 16, 201-215
11. Johnsen, S. J. and Andersen, N. (1978) On power estimation in maximum entropy spectral analysis. Geophysics 43, 681-690
12. Task Force European Society of Cardiology and North American Society of Pacing and Electrophysiology (1996) Heart rate variability (standards of measurement, physiological interpretation and clinical use). Circulation 93, 1043-1065
13. Kay, S. M. (1991) Modern Spectral Estimation: Theory and Application, Prentice-Hall Inc., Englewood Cliffs, NJ
14. Cevese, A., Gulli, G., Polati, E., Gottin, L. and Grasso, R. (2001) The baroreflex and the oscillation of heart period at 0.1 Hz studied by α-blockade and cross-spectral analysis in healthy humans. J. Physiol. (Cambridge, U.K.) 531, 235-244
15. Sox, H. C. (1996) The evaluation of diagnostic tests: principles, problems, and new developments. Annu. Rev. Med. 47, 463-471
16. Kamath, M. V., Fallen, E. L. and McKelvie, R. (1991) Effects of steady state exercise on the power spectrum of heart rate variability. Med. Sci. Sports Exercise 23, 428-431
17. Jasson, S., Medigue, C., Maison-Blanche, P. et al. (1997) Instant power spectrum analysis of heart rate variability during orthostatic tilt using a time-/frequency-domain method. Circulation 96, 3521-3526
18. Weise, F., Baltrusch, K. and Heydenreich, F. (1989) Effect of low-dose atropine on heart rate fluctuations during orthostatic load: a spectral analysis. J. Auton. Nerv. Syst. 26, 223-230
19. Cooke, W. H., Hoag, J. B., Crossman, A. A., Kuusela, T. A., Tahvanainen, K. U. O. and Eckberg, D. L. (1999) Human responses to upright tilt: a window on central autonomic integration. J. Physiol. (Cambridge, U.K.) 517, 617-628
20. Cevese, A., Grasso, R., Poltronicri, R. and Schena, F. (1995) Vascular resistance and arterial pressure low-frequency oscillations in the anaesthetized dog. Am. J. Physiol. 268, H7-H16
21. Polosa, C. (1984) Hemorrhage and blood pressure waves. In Mechanisms of Blood Pressure Waves (Miyakawa, K., Koepchen, H. P. and Polosa, C., eds.) pp. 147-166 Japan Sci. Soc. Press, Tokyo/Springer-Verlag, Berlin
22. Lambertz, M. and Langhorst, P. (1998) Simultaneous changes of rhythmic organization in brainstem neurons, respiration, cardiovascular system and EEG between 0.05 Hz and 0.5 Hz. J. Autonom. Nerv. Syst. 68, 58-77
23. Mancia, G., Parati, G., Castiglioni, P. and di Rienzo, M. (1999) Effect of sinoaortic denervation on frequency-domain estimates of baroreflex sensitivity in conscious cats. Am. J. Physiol. 276, H1987-H1993
24. Bernardi, L., Leuzzi, S., Radaelli, A., Passino, C., Johnston, J. A. and Sleight, P. (1994) Low-frequency spontaneous fluctuations of R-R interval and blood pressure in conscious humans: a baroreceptor or central phenomenon? Clin. Sci. 87, 649-654
25. Cooper, V. L. and Hainsworth, R. (2002) Effects of head-up tilting on baroreceptor control in subjects with different tolerances to orthostatic stress. Clin. Sci. 103, 221-226
26. Mackey, M. C. and Glass, L. (1977) Oscillation and chaos in physiological control systems. Science (Washington, D.C.) 197, 287-290
27. Ringwood, J. V. and Malpas, S. C. (2001) Slow oscillations in blood pressure via a nonlinear feedback model. Am. J. Physiol. Regul. Integr. Comp. Physiol. 280, R1105-R1115
28. Legramante, J. M., Raimondi, G., Massaro, M., Cassarino, S., Peruzzi, G. and Iellamo, F. (1999) Investigation feed-forward neural regulation of circulation from analysis of spontaneous arterial pressure and heart rate fluctuations. Circulation 99, 1760-1766
29. El Sayed, H. and Hainsworth, R. (1996) Salt supplement increases plasma volume and orthostatic tolerance in patients with unexplained syncope. Heart 75, 134-140
30. Furlan, R., Piazza, S., Dell'Orto, S. et al. (1998) Cardiac autonomic patterns preceding occasional vasovagal reactions in healthy humans. Circulation 98, 1756-1761
31. Hainsworth, R. (1999) Syncope and fainting: classification and pathophysiological basis. In Autonomic Failure: a Textbook of Clinical Disorders of the Autonomic Nervous System (Mathias, C. J. and Bannister, R., eds) pp. 428-436, Oxford University Press, Oxford