This study assessed the interaction between cardiac beat-to-beat interval changes and systolic pressure (SP) changes.
Twenty subjects breathed regularly following displayed breathing signals at 4, 6, 8, 10, 12 and 14 breaths per minute, each for 5 minutes. ECG, non-invasive blood pressure (Finapres) and respiration waveforms were recorded. Time offsets between the cyclic patterns of RR-interval and SP changes were calculated.
Displayed breathing signals were well followed; the mean correlation between displayed and recorded breathing signals ranged from 0.72 to 0.86. The time offset between RR-interval peaks and subsequent SP troughs decreased with increasing respiration rate, 3.8 ± 1.7 s, 3.5 ± 0.7 s, 3.1 ± 0.6 s, 2.6 ± 0.4 s, 2.3 ± 0.4 s and 2.0 ± 0.4 s mean ± SD at 4, 6, 8, 10, 12 and 14 breaths per minute respectively. The relationship between mean time offset and frequency was significant (p < 0.001), with a 95% prediction interval of ± 0.24 s. Published data showed no relationship between time offset and frequency, with a 95% prediction interval of ± 2.8 s. However, when the offset definition proposed in this research was applied to these data, a significant relationship (p < 0.01) was evident, with a 95% prediction interval of ± 1.5 s.
In conclusion, apparently contradictory previous findings achieve good consensus when a standardized method for presenting results is applied. A delay exists between RR-interval and blood pressure changes, and this delay varies with breathing frequency.
Bowers EJ, Murray A. Interaction between cardiac beat-to-beat intervals and systolic blood pressure changes. Clin Auton Res 2004; 14: 92-98.
Ms Emma Bowers, Freeman Unit, Newcastle upon Tyne. Tel: +44 (0)191-223-1370.
Regional Medical Physics Department, Newcastle General Hospital, Newcastle upon Tyne, NE4 6BE, UK.
Tel: +44 (0)191-233-6161 Fax: +44 (0)191-226-0970 E-mail: webmaster@rmpd.org.uk Web: http://www.rmpd.org.uk
By using this site you agree to our Terms and Conditions of Use. Please read our legal page.
Regional Medical Physics Department, a Clinical Directorate of the Newcastle upon Tyne Hospitals NHS Foundation Trust.
Copyright ©1999-2008 All Rights Reserved. Revised 28 April, 2008.
