Neth Heart J. 2003 Jun;11(6):250-259.
Heart rate variability and sympathovagal balance: pharmacological validation.
Netherlands heart journal : monthly journal of the Netherlands Society of Cardiology and the Netherlands Heart Foundation
M Bootsma, C A Swenne, M J A Janssen, V Manger Cats, M J Schalij
PMID: 25696224
PMCID: PMC2499895
Abstract
RATIONALE: We validated heart rate (HR) and six time and six frequency domain measures of heart rate variability (HRV) as estimators of autonomic outflow in 44 young healthy male subjects. Gold standards for autonomic outflow were the Rosenblueth-Simeone factors m (sympathetic tone) and n (vagal tone), and the sympathovagal balance m·n, determined by two-stage complete autonomic blockade.
METHODS: Rank correlations were computed between HR and the HRV measures obtained before autonomic blockade, and m, n and m·n. Also, the maximal mean performances (averaged sensitivity and specificity) for HR and HRV as discriminators between low and high values of m, n or m·n were computed.
RESULTS: The spectral HRV measures showed less good correlations and performances than the time domain HRV measures. Correlations with sympathetic tone were all below 0.31. Respiratory sinus arrhythmia during 15 cycles/min metronome breathing was superior in estimating vagal tone and sympathovagal balance (correlations -0.71/-0.73; both performances 0.82), heart rate scored similarly for assessing the sympathovagal balance (correlation 0.71; performance 0.82).
CONCLUSIONS: It does not appear justified to evaluate HR or HRV in terms of sympathetic tone, vagal tone, or sympathovagal balance. HR and HRV are specifically weak in assessing sympathetic tone. Respiratory sinus arrhythmia during 15 cycles/min metronome breathing is superior in assessing vagal tone. Current HRV analysis techniques offer no advantages compared with HR in assessing the sympathovagal balance.
Keywords: Rosenblueth-Simeone model; atropine; heart rate variability; metoprolol; sympathovagal balance
References
- Eur Heart J. 1992 Jul;13(7):902-7 - PubMed
- Cardiovasc Res. 1985 Oct;19(10):642-8 - PubMed
- Med Sci Sports Exerc. 1989 Feb;21(1):40-4 - PubMed
- Am J Cardiol. 1987 Feb 1;59(4):256-62 - PubMed
- Eur J Appl Physiol Occup Physiol. 1996;73(1-2):113-6 - PubMed
- J Am Coll Cardiol. 1989 Nov 1;14(5):1139-48 - PubMed
- Circulation. 1990 Apr;81(4):1217-24 - PubMed
- Am J Cardiol. 1990 Jan 15;65(3):243-5 - PubMed
- J Clin Invest. 1969 Nov;48(11):2019-31 - PubMed
- Am J Cardiol. 1992 Apr 1;69(9):891-8 - PubMed
- Am J Physiol. 1991 Oct;261(4 Pt 2):H1231-45 - PubMed
- J Appl Physiol Respir Environ Exerc Physiol. 1983 Apr;54(4):961-6 - PubMed
- J Appl Physiol (1985). 1989 Oct;67(4):1447-55 - PubMed
- Am J Physiol. 1994 Apr;266(4 Pt 2):H1565-71 - PubMed
- J Physiol. 1992;453:45-58 - PubMed
- Am J Physiol. 1985 Oct;249(4 Pt 2):H867-75 - PubMed
- Circ Res. 1993 Feb;72(2):440-54 - PubMed
- Clin Sci (Lond). 1996;91 Suppl:136-40 - PubMed
- Circ Res. 1966 Jan;18(1):67-78 - PubMed
- Acta Physiol Scand. 1992 Oct;146(2):155-64 - PubMed
- J Appl Physiol Respir Environ Exerc Physiol. 1982 Jun;52(6):1652-7 - PubMed
- Am J Physiol. 1984 Jun;246(6 Pt 2):H838-42 - PubMed
- Cardiovasc Res. 1970 Apr;4(2):160-7 - PubMed
- Circ Res. 1969 Apr;24(4):567-73 - PubMed
- Ann Intern Med. 1993 Mar 15;118(6):436-47 - PubMed
- Am J Cardiol. 1988 Jun 1;61(15):1292-9 - PubMed
- Am J Cardiol. 1991 Aug 15;68(5):434-9 - PubMed
- Am J Cardiol. 1991 Jan 15;67(2):199-204 - PubMed
- Am J Physiol. 1990 Mar;258(3 Pt 2):H713-21 - PubMed
- Circulation. 1996 May 15;93(10):1836-44 - PubMed
- Acta Physiol Scand. 1980 Feb;108(2):165-71 - PubMed
- Circulation. 1991 Aug;84(2):482-92 - PubMed
- IEEE Trans Biomed Eng. 1976 Mar;23(2):164-6 - PubMed
- Am J Physiol. 1987 Sep;253(3 Pt 2):H680-9 - PubMed
- J Appl Physiol. 1975 Nov;39(5):801-5 - PubMed
- Circulation. 1997 Nov 4;96(9):3224-32 - PubMed
- J Electrocardiol. 1976;9(3):275-81 - PubMed
- J Auton Nerv Syst. 1989 Mar;26(2):121-7 - PubMed
- Am J Physiol. 1989 Jan;256(1 Pt 2):H142-52 - PubMed
- Am J Physiol. 1970 Apr;218(4):1030-7 - PubMed
- Acta Physiol Scand. 1980 Jul;109(3):297-305 - PubMed
- J Physiol. 1980 Jul;304:489-502 - PubMed
- J Clin Invest. 1991 May;87(5):1621-7 - PubMed
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