Changes in cardiohemodynamic parameters,cardiointervalography, and microcirculation observed in local cold test in young men born in northern regions

The cardiohemodynamic and blood microcirculation parameters at rest and under local cold exposure in young male subjects have been estimated. It has been found that the subjects with the initially low velocity of erythrocytes (blood flow) in their nail bed capillaries have higher blood pressure, stroke volume, cardiac output, and cardiac index, which proves that these subjects have the hyperkinetic type of blood flow with the pronounced hypertensive reaction. At the same time, the shift of heart rate variability values under the cold exposure indicates that the activation of the sympathetic autonomic nervous system is more statistically significant than that in those subjects who originally had a higher velocity of erythrocytes. In the subjects of this group, no changes were observed in either heart rate autonomic regulation or index of tension under the local cold exposure, which proved that these subjects had the enhanced functional reserves of the cardiovascular system and autonomic regulation. They also had a fairly pronounced reactivity of the parameters of systemic hemodynamics, which manifested itself in changes in their blood filling parameters against the background of decrease in total peripheral vascular resistance and coefficient of integral tonicity.     

Human temperament as a factor affecting health level

Results of studying the variation in heart rate and the integrated index of health in healthy young subjects with differently expressed temperamental features are presented. It has been found that subjects with differently expressed temperamental features characterizing behavioral activity have specific features of the autonomic regulation of functions, which determines the expression and efficiency of adaptive responses and, as a result, different health levels.     

Changes in autonomic response and resistance to acute graded hypoxia during intermittent hypoxic training

A placebo-controlled study was performed to examine the effects of intermittent normobaric hypoxic preconditioning on the autonomic regulation of blood flow, as well as on heart rate variability (HRV) response and resistance to acute hypoxia, in healthy male volunteers. Intermittent hypoxic training (IHT) increased the efficiency of the mechanisms of autonomic regulation of heart rate (HR) at rest by increasing the parasympathetic control and optimized changes in HRV during simulated acute hypoxia. The hypoxic preconditioning contributed to increased resistance of the body to simulated acute hypoxia, as reflected by less marked hemoglobin desaturation and a smaller increase in the HR. The training effects of the IHT were more pronounced in the subjects with an initially low resistance to a hypoxic factor as compared to those resistant to acute hypoxia.     

Effects of the Execution of a Maze Task on Regulatory Mechanisms of the Autonomic Nervous System in Subjects with Different Levels of Nonverbal Intelligence

The effects of spatial task performance on heart rate characteristics were studied taking into account nonverbal intelligence and autonomic balance. Males and females with low nonverbal intelligence according to the Raven test were mostly sympathicotonics, while subjects with high intelligence were mostly vagotonics. A specific emotional response was observed in females with low and high nonverbal IQs immediately after the task completion and increased the stress index (SI). This clearly suggested that the task was stressful for them. Males with low and high nonverbal IQs were characterized by a reduction of the SI, indicating that this task activity was adequate for male subjects.__________Translated from Fiziologiya Cheloveka, Vol. 31, No. 3, 2005, pp. 50–54.Original Russian Text Copyright © 2005 by Grigoryan, Stepanyan, Agababyan, Arakelyan, Arutyunyan.     

Gender differences in autonomic cardiovascular regulation: spectral, hormonal, and hemodynamic indexes.

The autonomic nervous system drives variability in heart rate, vascular tone, cardiac ejection, and arterial pressure, but gender differences in autonomic regulation of the latter three parameters are not well documented. In addition to mean values, we used spectral analysis to calculate variability in arterial pressure, heart rate (R-R interval, RRI), stroke volume, and total peripheral resistance (TPR) and measured circulating levels of catecholamines and pancreatic polypeptide in two groups of 25 +/- 1.2-yr-old, healthy men and healthy follicular-phase women (40 total subjects, 10 men and 10 women per group). Group 1 subjects were studied supine, before and after beta- and muscarinic autonomic blockades, administered singly and together on separate days of study. Group 2 subjects were studied supine and drug free with the additional measurement of skin perfusion. In the unblocked state, we found that circulating levels of epinephrine and total spectral power of stroke volume, TPR, and skin perfusion ranged from two to six times greater in men than in women. The difference (men > women) in spectral power of TPR was maintained after beta- and muscarinic blockades, suggesting that the greater oscillations of vascular resistance in men may be alpha-adrenergically mediated. Men exhibited muscarinic buffering of mean TPR whereas women exhibited beta-adrenergic buffering of mean TPR as well as TPR and heart rate oscillations. Women had a greater distribution of RRI power in the breathing frequency range and a less negative slope of ln RRI power vs. ln frequency, both indicators that parasympathetic stimuli were the dominant influence on women's heart rate variability. The results of our study suggest a predominance of sympathetic vascular regulation in men compared with a dominant parasympathetic influence on heart rate regulation in women.     

Autonomic cardiovascular function in high-altitude Andean natives with chronic mountain sickness.

We evaluated autonomic cardiovascular regulation in subjects with polycythemia and chronic mountain sickness (CMS) and tested the hypothesis that an increase in arterial oxygen saturation has a beneficial effect on arterial baroreflex sensitivity in these subjects. Ten Andean natives with a Hct >65% and 10 natives with a Hct <60%, all living permanently at an altitude of 4,300 m, were included in the study. Cardiovascular autonomic regulation was evaluated by spectral analysis of hemodynamic parameters, while subjects breathed spontaneously or frequency controlled at 0.1 and 0.25 Hz, respectively. The recordings were repeated after a 1-h administration of supplemental oxygen and after frequency-controlled breathing at 6 breaths/min for 1 h, respectively. Subjects with Hct >65% showed an increased incidence of CMS compared with subjects with Hct <60%. Spontaneous baroreflex sensitivity was significantly lower in subjects with high Hct compared with the control group. The effects of supplemental oxygen or modification of the breathing pattern on autonomic function were as follows: 1) heart rate decreased significantly after both maneuvers in both groups, and 2) spontaneous baroreflex sensitivity increased significantly in subjects with high Hct and did not differ from subjects with low Hct. Temporary slow-frequency breathing may provide a beneficial effect on the autonomic cardiovascular function in high-altitude natives with CMS.     

Functional state of the cardiovascular system in 13-year-old adolescents with different types of autonomic nervous regulation

The features of the functional state of cardiovascular system in 13-year-old children with different types of autonomic nervous regulation were studied. Children with normotonic and parasympathetic types of autonomic regulation were found to have the highest adaptation capacities. The autonomic nervous system influences the bioelectrical processes in myocardium, the duration of cardiac cycle phases, and cerebral blood flow. Schoolchildren aged 13 years with higher sympathetic activity have shorter duration of the cardiac cycle, the phase of isometric contraction, and diastole. They have a lower pulse blood flow rate and a higher tone of large and medium cerebral vessels. No relationship was revealed between the initial autonomic nervous regulation of heart rate and the type of adaptation of myocardium to physical dynamic loads, as well as the type of adaptation of cerebral circulation to mental stress.     

Estimating the cortex and autonomic nervous activity during a mental arithmetic task

The cerebral cortex has massive connections with autonomic nervous system and then arouses cardiovascular events, but the coupling mechanism between brain and heart is not clear. In this study the heart rate variability (HRV) and directed transfer function (DTF) methods are used to investigate the cortico-cortical functional coupling and direction of information flow between brain and heart during a mental arithmetic (MA) task. Electroencephalogram (EEG) and ECG were used for measuring neural/cardiac activity. Forty-three healthy male subjects were voluntarily participated in the study. Our results showed compared with control, LF/HF and LFn significantly increased while HF, HFn and total power significantly decreased (P < 0.05) during MA task. HR (79 ± 1.7 beats/min) was also significantly higher compared with the control (71 ± 1.4 beats/min). Moreover, MA task trigger the neurons of pre-central and central areas and then information transmit from front to back, and finished information integration at parietal and occipital locations. Our findings suggested that MA task caused an increase of the coupling of brain regions and quickened heart rate by virtue of increasing sympathetic activity and decreasing parasympathetic activity. The regulation from post-central areas to heart as well as feedback regulation from heart to central areas exists in the MA task.     

Autonomic nervous system responses as performance indicators among volleyball players

Complex motor skills require planning and programming before execution. The autonomic nervous system (ANS) is thought to transcribe these central operations at the peripheral level: a motor act is thought to be simultaneously programmed by central and autonomic nervous structures. The aim of this study was to verify that autonomic responses reflect the quality of central motor programming leading to successful or failed performance when subjects are required to perform a complex motor skill. The specificity of the ANS response has already been demonstrated through direct recording from sympathetic fibres. It has also been demonstrated through several mental tasks and closed motor skills such as shooting: ANS responses have been shown to be capable of distinguishing success from failure. The aim of this experiment was to test whether ANS responses are capable of distinguishing two levels of achievement during the performance of a skill involving uncertainty (open skill). The subjects had to intercept a ball on a volleyball court, using the forearm receive and pass technique, in order to pass it on to a moving human target. The results were displayed in terms of accuracy: accurate passes were successful and inaccurate passes missed the target. Six autonomic variables were recorded simultaneously during the task: skin resistance and potential, skin blood flow and temperature, instantaneous heart rate and respiratory frequency. Results showed that autonomic variables were capable of distinguishing success from failure in 22 subjects out of 24. This made it possible to build up autonomic patterns characterising subjects' performances, and to confirm that autonomic functioning may reveal information processing in the central nervous system. Thus, the study of autonomic responses may constitute an inferential model of central nervous system functioning. Such a method could be used as an index for the control of mental preparation.     

Nonlinear coupling is absent in acute myocardial patients but not healthy subjects

We investigated whether autonomic nervous system imbalance imposed by pharmacological blockades and associated with acute myocardial infarction (AMI) is manifested as modifications of the nonlinear interactions in heart rate variability signal using a statistically based bispectrum method. The statistically based bispectrum method is an ideal approach for identifying nonlinear couplings in a system and overcomes the previous limitation of determining in an ad hoc way the presence of such interactions. Using the improved bispectrum method, we found significant nonlinear interactions in healthy young subjects, which were abolished by the administration of atropine but were still present after propranolol administration. The complete decoupling of nonlinear interactions was obtained with double pharmacological blockades. Nonlinear couplings were found to be the strongest for healthy young subjects followed by degradation with old age and a complete absence of such couplings for the old age-matched AMI subjects. Our results suggest that the presence of nonlinear couplings is largely driven by the parasympathetic nervous system regulation and that the often-reported autonomic nervous system imbalance seen in AMI subjects is manifested as the absence of nonlinear interactions between the sympathetic and parasympathetic nervous regulations.     

Altered autonomic cardiac regulation in individuals with Down syndrome

We tested the hypothesis that individuals with Down syndrome, but without congenital heart disease, exhibit altered autonomic cardiac regulation. Ten subjects with Down syndrome (DS) and ten gender-and age-matched healthy control subjects were studied at rest and during active orthostatism, which induces reciprocal changes in sympathetic and parasympathetic traffic to the heart. Autoregressive power spectral analysis was used to investigate R-R interval variability. Baroreflex modulation of sinus node was assessed by the spontaneous baroreflex sequences method. No significant differences between DS and control subjects were observed in arterial blood pressure at rest or in response to standing. Also, R-R interval did not differ at rest. R-R interval decreased significantly less during standing in DS vs. control subjects. Low-frequency (LFNU) and high-frequency (HFNU) (both expressed in normalized units) components of R-R interval variability did not differ between DS and control subjects at rest. During standing, significant increase in LFNU and decrease in HFNU were observed in control subjects but not in DS subjects. Baroreflex sensitivity (BRS) did not differ between DS and control subjects at rest and underwent significant decrease on going from supine to upright in both groups. However, BRS was greater in DS vs. control subjects during standing. These data indicate that subjects with DS exhibit reduced HR response to orthostatic stress associated with blunted sympathetic activation and vagal withdrawal and with a lesser reduction in BRS in response to active orthostatism. These findings suggest overall impairment in autonomic cardiac regulation in DS and may help to explain the chronotropic incompetence typically reported during exercise in subjects with DS without congenital heart disease.     

Trait anxiety and neural efficiency of abstract reasoning: An fMRI investigation

Worries preoccupy the working memory capacity in anxious individuals, thereby affecting their performance during tasks that require efficient attention regulation. According to the attentional control theory (ACT), trait anxiety affects the processing efficiency, i.e. the effort required for task performance, more than the accuracy of task performance. We investigated the relation between trait anxiety and neural response for a reasoning task in healthy subjects. Functional magnetic resonance imaging (fMRI) was carried out on 22 healthy participants and blood oxygenation level dependent (BOLD) contrast estimates were extracted from a priori regions of interest (ROIs) that were earlier implicated in reasoning (i.e., bilaterally caudate head, globus pallidus, thalamus, prefrontal cortex [rostral, dorsal and ventral regions], inferior parietal lobule and middle occipital gyrus). Controlling for the effects of age, gender, state anxiety and depressive symptoms, for equivalent levels of task performance, trait anxiety of the participants was found to be associated with an increase in task related BOLD activation in right globus pallidus, left thalamus and left middle occipital gyrus. Our results suggest a reduced processing efficiency for reasoning in high trait anxiety subjects and provides important brain–behaviour relationships with respect to sub-clinical anxiety.     

Type 5 adenylyl cyclase plays a major role in stabilizing heart rate in response to microgravity induced by parabolic flight.

It is well known that autonomic nervous activity is altered under microgravity, leading to disturbed regulation of cardiac function, such as heart rate. Autonomic regulation of the heart is mostly determined by beta-adrenergic receptors/cAMP signal, which is produced by adenylyl cyclase, in cardiac myocytes. To examine a hypothesis that a major cardiac isoform, type 5 adenylyl cyclase (AC5), plays an important role in regulating heart rate during parabolic flights, we used transgenic mouse models with either disrupted (AC5KO) or overexpressed AC5 in the heart (AC5TG) and analyzed heart rate variability. Heart rate had a tendency to decrease gradually in later phases within one parabola in each genotype group, but the magnitude of decrease was smaller in AC5KO than that in the other groups. The inverse of heart rate, i.e., the R-R interval, was much more variable in AC5KO and less variable in AC5TG than that in wild-type controls. The standard deviation of normal R-R intervals, a marker of total autonomic variability, was significantly greater in microgravity phase in each genotype group, but the magnitude of increase was much greater in AC5KO than that in the other groups, suggesting that heart rate regulation became unstable in the absence of AC5. In all, AC5 plays a major role in stabilizing heat rate under microgravity.     

Prevalence of antiplatelet therapy in patients with diabetes

The aim of the present study was to evaluate, by heart rate variability (HRV) with 24-hours ECG Holter (HRV), the circadian autonomic activity in offspring of type 2 diabetic subjects and the relation with insulin-resistance. METHODS: 50 Caucasian offsprings of type 2 diabetic subjects were divided in two groups: insulin-resistant offsprings (IR) and non insulin-resistant offsprings (NIR). Autonomic nervous activity was studied by HRV. Time domain and spectral analysis (low frequency, LF, and high frequency, HF, provide markers of sympathetic and parasympathetic modulation when assessed in normalized units) were evaluated. RESULTS. Time domain showed a reduction of total SDNN in IR (p < 0.001) and NIR (p 0.047) versus controls. Spectral analysis showed a total and night LF higher in IR and NIR than in control group (all p < 0.001). CONCLUSION. In frequency domain, the analysis of sympathetic (LF) and parasympathetic (HF) component evidenced an association between the offspring of type 2 diabetic subjects and a sympathetic overactivity. A global reduction and alteration of circadian rhythm of autonomic activity are present in offspring of type 2 diabetic patients with and without insulin resistance. The data of our study suggested that an autonomic impairment is associated with the familiarity for type 2 diabetes independently to insulin resistance and that an impairment of autonomic system activity could precede the insulin resistance.     

Individual differences in motor skills ability affect the self-regulation of heart rate

Twenty males who scored relatively high on the rotor-pursuit motor skills task (High performance group) were given seven 2-minute trials to increase heart rate and seven 2-minute trials to decrease heart rate, as were 20 males who scored relatively low on the rotor-pursuit task (Low performance group). Visual analogue feedback was not provided during the first and last acceleration and deceleration trials but was presented during all other trials. Both groups of subjects were able to decrease heart rate significantly with and without feedback. Subjects in the High performance group were able to increase heart rate significantly with feedback and could generalize this increase to a no-feedback trial following feedback trials. Subjects in the Low performance group could not increase heart rate with or without feedback. Changes in respiration rate paralleled those noted for heart rate, but changes in chin electromyographic activity generally did not parallel the heart rate results. The heart rate data are discussed in terms of motor skills theories of self-regulation of heart rate.     

Changes in the Cardiovascular Function in Healthy Subjects and Patients with Ischemic Heart Disease during Sleep

The purpose of this study was to investigate the autonomic regulation of the cardiovascular system during sleep in health and disease. The examination included 396 subjects: 29 healthy subjects and 367 patients with ischemic heart disease, of whom 149 had left-ventricular failure and 214 hypertension. Sleep quality and the presence of obstructive sleep apnea syndrome were evaluated by polysomnography; the character of autonomic regulation of cardiac rhythm and hemodynamics was determined by computerized testing during night sleep and an active orthostatic test immediately before and after sleep. The results permitted the authors to conclude that autonomic regulation may be restored to various degrees in health and disease, depending on the pathology level. The sleep quality influenced the restoration of hemodynamics more than that of the cardiac rhythm, mainly when obstructive sleep apnea syndrome was present.     

Age dependency of cardiovascular autonomic responses to head-up tilt in healthy subjects.

In elderly subjects, heart rate responses to postural change are attenuated, whereas their vascular responses are augmented. Altered strategy in maintaining blood pressure homeostasis during upright position may result from various cardiovascular changes, including age-related cardiovascular autonomic dysfunction. This exploratory study was conducted to evaluate impact of age on cardiovascular autonomic responses to head-up tilt (HUT) in healthy subjects covering a wide age range. The study population consisted of 63 healthy, normal-weight, nonsmoking subjects aged 23-77 yr. Five-minute electrocardiogram and finger blood pressure recordings were performed in the supine position and in the upright position 5 min after 70 degrees HUT. Stroke volume was assessed from noninvasive blood pressure signals by the arterial pulse contour method. Heart rate variability (HRV) and systolic blood pressure variability (SBPV) were analyzed by using spectral analysis, and baroreflex sensitivity (BRS) was assessed by using sequence and cross-spectral methods. Cardiovascular autonomic activation during HUT consisted of decreases in HRV and BRS and an increase in SBPV. These changes became attenuated with aging. Age correlated significantly with amplitude of HUT-stimulated response of the high-frequency component (r = -0.61, P < 0.001) and the ratio of low-frequency to high-frequency power of HRV (r = -0.31, P < 0.05) and indexes of BRS (local BRS: r = -0.62, P < 0.001; cross-spectral baroreflex sensitivity in the low-frequency range: r = -0.38, P < 0.01). Blood pressure in the upright position was maintained well irrespective of age. However, the HUT-induced increase in heart rate was more pronounced in the younger subjects, whereas the increase in peripheral resistance was predominantly observed in the older subjects. Thus it is likely that whereas the dynamic capacity of cardiac autonomic regulation decreases, vascular responses related to vasoactive mechanisms and vascular sympathetic regulation become augmented with increasing age.     

Instructed heart rate control

Forty subjects participated in an experiment designed to test the effects of different feedback displays on instructed heart rate speeding and slowing. One group of subjects received information about interpulse interval length every beat. This display included specific information about when systole occurred, in addition to information about performance relative to a criterion. Two other groups received similar information about performance, but their displays were not triggered by systole; rather, information about average interpulse interval was presented either every second or every 6 seconds. A fourth group of subjects participated in a perceptual motor task in which no instructions were given to control heart rate.Results indicated that the instructed subjects generated significantly greater heart rate speeding than slowing. Groups receiving feedback produced greater changes when compared to the control group only during the speeding seassions. No differences among feedback groups were present in the slowing task. During speeding, the 1-second group's performance deteriorated dramatically in the second session. The results suggested that, in the context of a feedback task, it is information about the occurrence of systole that facilitates heart rate speeding. Real-time displays are less facilitating of heart rate change and may disrupt speeding performance when information is presented at certain critical frequencies. Slowing performance was again shown to be unrelated to information frequency or reinforcement rate.     

The functional state of microcirculation and autonomic regulation in young subjects with different levels of subjectively experienced psychological stress

A comprehensive comparative analysis of hemodynamics, microcirculation (the method of laser Doppler flowmetry with an occlusion test and the optical tissue oxymetry), blood circulation neurohumoral regulation (analysis of heart rate variability, HRV) in apparently healthy young subjects with different levels of subjectively experienced emotional stress has been performed. Depending on the degree of everyday stress (acute and/or chronic), the character of the autonomic regulation of blood circulation, as well as the state of the microcirculation and its regulation substantially vary. Moderate stress is accompanied by coactivation of sympathetic-parasympathetic regulatory mechanisms with augmented HRV baroreflex regulation circuits, which compensates for hemodynamic changes and is not accompanied by hypotensive reactions. An increase in the activity of neurogenic and myogenic tones of microhemodynamics in the subjects with moderate stress, which determines a high probability of blood shunting in tested tissue and decrease in relative oxygen extraction, has been discovered. Moderate levels of stress are also associated with an increase in the latency of postocclusive vasoreactive hyperemia, which is considered to be an early sign of the endothelium-mediated dysfunction of microcirculation.     

Study of the autonomic regulation of blood circulation during a long-term space flight

The five-year experience of experimentation in the autonomic regulation of blood circulation on board the International Space Station is presented. The heart rate variability (HRV) analysis was the basic methodical approach in these investigations. The probabilistic approach to the estimation of the risk of pathology under long-term spaceflight conditions based on HRV analysis is described. The individual type of autonomic regulation was taken into account in the analysis of the results of the investigations. The type of regulation inherent in every cosmonaut under the conditions of weightlessness has been shown to be retained during subsequent flights. New scientific data on the relationship between the character of the adaptive response of the body to spaceflight factors and the individual type of autonomic response have been obtained. Staying in weightlessness has been shown to be connected with the readjustment of regulatory systems and with transition to the zone of prenosological states. Adaptation responses in weightlessness are characterized by the increased tension of the regulatory systems and the preservation of sufficient functional reserves. The mobilization of additional resources is required after returning to earth, due to which the functional reserve of the mechanisms of regulation decreases. Cosmonauts with the vagotonic and normosympathotonic types of autonomic regulation appear to be the most resistant. The knowledge of the type of autonomic regulation allows us to judge the potential response of the cosmonaut to spaceflight factors. The likelihood estimates were calculated, and the risk categories were determined by the results of HRV analysis in the last months of the flight. Three pathology risk groups were identified. In conclusion, the theoretical and applied significance of the experiments was considered.