Characterization of the cardiovascular control during tilt test in healthy adult humans modified head-up

被引:14
作者
Marchi, Andrea [1 ]
Colombo, Riccardo [2 ]
Guzzetti, Stefano [2 ]
Bari, Vlasta [3 ,4 ]
Bassani, Tito [1 ]
Raimondi, Ferdinando [1 ]
Porta, Alberto [5 ]
机构
[1] IRCCS, Humanitas Clin & Res Ctr, Dept Anesthesia & Intens Care, Rozzano, Italy
[2] L Sacco Hosp Vialba, Dept Emergency, Milan, Italy
[3] Grp Osped San Donato Fdn, Milan, Italy
[4] Politecn Milan, Dept Elect Informat & Bioengn, I-20133 Milan, Italy
[5] Univ Milan, Dept Biomed Sci Hlth, Galeazzi Orthoped Inst, I-20161 Milan, Italy
来源
AUTONOMIC NEUROSCIENCE-BASIC & CLINICAL | 2013年 / 179卷 / 1-2期
关键词
Heart rate variability; Arterial pressure variability; Spectral analysis; Baroreflex sensitivity; Autonomic nervous system; Intensive care unit; ARTERIAL-PRESSURE; SPECTRAL-ANALYSIS; RATE-VARIABILITY; FLUCTUATIONS; BAROREFLEX;
D O I
10.1016/j.autneu.2013.08.071
中图分类号
Q189 [神经科学];
学科分类号
071006 ;
摘要
It is unknown whether modified head-up tilt (MTILT) with inclination of the back rest, thigh rest and shank rest of 60, 0 and 15 degrees respectively challenges autonomic control as assessed from beat-to-beat variability of heart period (HP) and systolic arterial pressure (SAP). In 15 healthy adult humans we found that during MTILT the SAP power in the low frequency band increased and baroreflex sensitivity assessed in the high frequency band decreased. Conversely, the HP power in the high frequency band was unmodified. MTILT can be fruitfully exploited to stress sympathetic control directed to vessels in bedridden, uncooperative patients. (C) 2013 Elsevier B.V. All rights reserved.
引用
收藏
页码:166 / 169
页数:4
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