Title
Influence of autonomic impairment on blood-pressure and heart-rate scaling structures.
Abstract
Self similarity is a promising tool for quantifying alterations in cardiovascular dynamics, although the effect of the autonomic control on the scaling structure of cardiovascular signals is still unknown. To address this issue, we studied spinal-cord injured subjects as a model of progressively impaired vascular control. We considered 24 able-bodied subjects (AB) and 23 paraplegics with lesion at different levels: between T12 and L4 (N=7); T5 and T11 (N=9); and C6 and T4 (N=7). We recorded blood pressure and heart rate in three conditions characterized by increasing sympathetic activation: supine (SUP); sitting (SIT); and exercise (EXE). We calculated the scaling exponent of mean arterial pressure, H MAP, and of R-R interval, H RRI, by detrended fluctuation analysis. The sympathetic activation had different effects on the scaling exponent, depending on the lesion level. HRRI did not change significantly from SUP to SIT and to EXE in the AB and T12 -L4 group, while it increased in the T5-T11 and C6-T4 groups. Also for H MAP sympathetic activation produced changes which depend on the level of the spinal lesion. In particular, our results suggest that heart-rate self similarity depends on the vascular sympathetic control, because it is altered by the spinal-cord lesion even when the cardiac neural control is intact.
Year
DOI
Venue
2006
10.1109/IEMBS.2006.259684
Conference proceedings : ... Annual International Conference of the IEEE Engineering in Medicine and Biology Society. IEEE Engineering in Medicine and Biology Society. Annual Conference
Keywords
DocType
Volume
biomechanics,biocontrol,fluctuations,neurophysiology,statistical analysis,wounds,blood vessels,scaling exponent,detrended fluctuation analysis,nonlinear dynamical systems,r-r interval,cardiovascular system,cardiac neural control,cardiovascular dynamics,supine,vascular control,autonomic impairment,mean arterial pressure,blood-pressure scaling structures,heart-rate scaling structures,spinal-cord injured subjects,sympathetic activation,spinal lesion level,sitting,exercise,self similarity,haemodynamics,blood pressure
Conference
1
ISSN
ISBN
Citations 
1557-170X
1-4244-003303
0
PageRank 
References 
Authors
0.34
0
5
Name
Order
Citations
PageRank
Paolo Castiglioni1347.03
Giampiero Merati2245.25
Arsenio Veicsteinas300.34
Gianfranco Parati4255.99
Marco Di Rienzo58411.14