호흡패턴에 따른 성인의 심박수 동태 해석
The Serial Change Analysis of Heart Rate According to Expiration-to-inspiration Time Ratio in Adults
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Objectives:This study aims to evaluate the effects of expiration-to-inspiration time ratio (E/I-ratio) on heart rate, which represents cardiac autonomic function, and cold-heat in the healthy people. Methods:49 healthy young volunteers(male:female=32:17) were recruited in the study. The participants completed the questionnaire for yin-yang pattern identification and then we measured the chest plethysmogram for respiration signal and the electrocardiogram for NN intervals during different E/I-ratio from 1 to 2. We compared heart rate variability including RMS-SD, VLF, LF and HF, and the trend-cycle factors decomposed from NN interval data by time series analysis among the respective E/I-ratio. We also confirmed the difference on the trend-cycle factors according to the score of the questionnaire for cold and heat pattern identification. Results:There were differences on the trend-cycle factors from NN interval data, but no significant difference on heart rate variability, among the respective E/I-ratio. We also found significant relationship between the trend-cycle factors and the heat pattern identification scores. Conclusions:The results indicate that cardiac autonomic function can be modulated by the E/I-ratio and the modulation will be slower and more tendencious than respiratory sinus arrhythmia.
Abstract
Objectives:This study aims to evaluate the effects of expiration-to-inspiration time ratio (E/I-ratio) on heart rate, which represents cardiac autonomic function, and cold-heat in the healthy people. Methods:49 healthy young volunteers(male:female=32:17) were recruited in the study. The participants completed the questionnaire for yin-yang pattern identification and then we measured the chest plethysmogram for respiration signal and the electrocardiogram for NN intervals during different E/I-ratio from 1 to 2. We compared heart rate variability including RMS-SD, VLF, LF and HF, and the trend-cycle factors decomposed from NN interval data by time series analysis among the respective E/I-ratio. We also confirmed the difference on the trend-cycle factors according to the score of the questionnaire for cold and heat pattern identification. Results:There were differences on the trend-cycle factors from NN interval data, but no significant difference on heart rate variability, among the respective E/I-ratio. We also found significant relationship between the trend-cycle factors and the heat pattern identification scores. Conclusions:The results indicate that cardiac autonomic function can be modulated by the E/I-ratio and the modulation will be slower and more tendencious than respiratory sinus arrhythmia.
참고문헌 (23)
- Peng CK, "Heart rate dynamics during three forms of meditation", Int J Cardiol, 95(1), pp.19~27 (2004)
- Nitzan M, "Respiration induced changes in tissue blood volume distal to occluded artery, measured by photoplethysmography", J Biomed Opt, 11(4), pp.040506~ (2006)
- Badawi K, "Electrophysiologic Characteristics of Respiratory Suspension Periods Occurring During the Practice of the Transcendental Meditation Program", Psychosom Med, 46(3), pp.267~276 (1984)
- 박찬웅, "자율신경약리학. 1판", pp.8~ (1990), 서울대학교출판사
- Lichtwarck-Aschoff M, "Oxygenation remains unaffected by increased inspiration - to - expiration ratio but impairs hemodynamics in surfactant-depleted piglets", Intensive Care Med, 22(4), pp.329~335 (1996)
- Strauss-Blasche G, "Relative timing of inspiration and expiration affects respiratory sinus arrhythmia", Clin Exp Pharmacol Physiol, 27(8), pp.601~606 (2000)
- Eckberg DL, "Human sinus arrhythmia as an index of vagal cardiac outflow", J Appl Physiol, 54(4), pp.961~966 (1983)
- 일본자율신경학회, "자율신경기능진단. 1판", pp.87~92 (2007), 군자출판사
- Heart rate variability, "Task Force of The European Society of Cardiology and The North American Society of Pacing and Electrophysiology", Eur Heart J, 17(3), pp.354~381 (1996)
- Excel에 의한 재미있는 시계열분석. 1판, "SPSS", pp.2008, 노형진
- 이은상, "식스시그마를 위한 통계 소프트웨어 비교분석", 석사, pp.2008
- Jerath R, "Physiology of long pranayamic breathing. neural respiratory elements may provide a mechanism that explains how slow deep breathing shifts the autonomic nervous system", Med Hypotheses, 67(3), pp.566~571 (2006)
- Matsumoto S, "Inhibitory mechanism of slowly adapting pulmonary stretch receptors after release from hyperinflation in anesthetized rabbits", Life Sci, 67(12), pp.1423~1433 (2000)
- Schelegle E, "An overview of the anatomy and physiology of slowly adapting pulmonary stretch receptors", Respir Physiol, 125(1), pp.17~31 (2001)
- Kamkin A, "Electrical interaction of mechanosensitive fibroblasts and myocytes in the heart", Basic Res Cardiol, 100(4), pp.337~345 (2005)
- Roberts L, "Hyperpolarization– activated current(Ih). a characterization of subicular neurons in brain slices from socially and individually housed rats", Brain Res, 1040(1), pp.1~13 (2005)
- Benson H, "The relaxation response", Psychiatry, 37(1), pp.37~46 (1974)
- Cuttle MF, "Modulation of a presynaptic hyperpolarization - activated cationic current(Ih) at an excitatory synaptic terminal in the rat auditory brainstem", J Physiol, 534(Pt 3), pp.733~744 (2001)
- Coy KM, "Application of time series analysis to circadian rhythms. effect of beta-adrenergic blockade upon heart rate and transient myocardial ischemia", Am J Cardiol, 66(16), pp.22~24 (1990)
- Yoshida Y, "Realtime continuous estimation of respiratory frequency during sleep based on heart rate time series", Conf Proc IEEE Eng Med Biol Soc, pp.648~651 (2007)
- Billman GE, "Time-series analysis of heart rate variability during submaximal exercise. Evidence for reduced cardiac vagal tone in animals susceptible to ventricular fibrillation", Circulation, 80(1), pp.146~157 (1989)
- Lambert CR, "Influence of beta-adrenergic blockade defined by time series analysis on circadian variation of heart rate and ambulatory myocardial ischemia", Am J Cardiol, 64(14), pp.835~839 (1989)
- Halberg F, "Spin-offs from blood pressure and heart rate studies for health care and space research", In Vivo, 13(1), pp.67~76 (1999)