Title Heart rate asymmetry follows the inspiration/expiration ratio in healthy volunteers.
Author Klintworth, Anne; Ajtay, Zeno; Paljunite, Alina; Szabados, Sandor; Hejjel, Laszlo
Journal Physiol Meas Publication Year/Month 2012-Oct
PMID 23010911 PMCID -N/A-
Affiliation 1.Medical Faculty, Heart Institute, University of Pecs, Ifjusag str 13, P ecs 7624, Hungary.

Heart rate asymmetry (HRA) quantifies the uneven distribution of points above and below the identity-line in a Poincare plot of RR-intervals. The authors investigated if HRA could be influenced by the inspiration/expiration ratio. Healthy volunteers (n = 18) were studied in the supine position at 4.5 s metronome breathing. ECG and breathing signals were recorded for 360 s at each breathing pattern: inspiration controlled, inspiration/expiration controlled (1:2, 1:1, 2:1 ratio), inspiration controlled again. Time domain, frequency domain and Poincare plot heart rate variability (HRV) analysis with Porta\'s and Guzik\'s indices were performed on 300 s tachograms. There were no statistically significant differences in time domain, frequency domain and standard Poincare plot parameters during the various breathing patterns, whereas Porta\'s and Guzik\'s indices significantly rose at 1:1 and 2:1 compared to physiological 1:2 breathing. There were no significant differences in the HRA parameters between the first and the last runs. In our population the inspiration/expiration ratio significantly influenced HRA, but not standard HRV parameters. Positive correlation of Guzik\'s and Porta\'s index reflects reciprocal changes of the number of points and their dispersion in the accelerating and decelerating sets of RR-intervals. HRA-analysis can be a promising method for investigating cardiovascular regulation/health particularly with further spreading of wearable monitors.

  • Copyright © 2023
    National Institute of Pathogen Biology, CAMS & PUMC, Bejing, China
    All rights reserved.