Application of Chaos Theory in Analyzing the Cardiac Rhythm in Healthy Subjects at Different Sleep Stages

The changes in the chaotic element of the cardiac rhythm (CR) were quantitated at different sleep stages by calculating the correlation dimension (D2) in 26 healthy subjects of both sexes (mean age 29.2 years), including 7 trained and 19 untrained subjects. Three untrained subjects took part in tests with autonomic nervous system blockers (atropine and propranolol). The study demonstrated a correlation between the changes in D2 at different sleep stages and the level of the autonomic regulation of CR. As the influence of the parasympathetic system on CR increased from one stage of slow wave sleep to another, D2 increased; during rapid eye movement (REM) sleep, this influence weakened and D2 decreased. The character of changes differed in the trained and untrained subjects and depended on the initial level of the autonomic regulation of CR. In the trained subjects, characterized by predominance of the parasympathetic regulation of CR, the initial and subsequent D2 values were higher than in the untrained subjects. Both during wakefulness and at all stages of sleep, D2 increased when the sympathetic regulation of CR was blocked, decreased when the parasympathetic regulation was blocked, and reached the lowest level when both of them were blocked. This showed that the chaotic element of CR, expressed numerically by D2, depends on the regulating effects of the autonomic nervous system.