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Low-frequency ventilatory oscillations in hypoxia are a major contributor to the low-frequency component of heart rate variability

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European Journal of Applied Physiology Aims and scope Submit manuscript

Abstract

Purpose

Heart rate variability (HRV) may be influenced by several factors, such as environment (hypoxia, hyperoxia, hypercapnia) or physiological demand (exercise). In this retrospective study, we tested the hypothesis that inter-beat (RR) intervals in healthy subjects exercising under various environmental stresses exhibit oscillations at the same frequency than ventilatory oscillations.

Methods

Spectra from RR intervals and ventilation (\(\dot{V}\)E) were collected from 37 healthy young male subjects who participated in 5 previous studies focused on ventilatory oscillations (or periodic breathing) during exercise in hypoxia, hyperoxia and hypercapnia. Bland and Altman test and multivariate regressions were then performed to compare respective frequencies and changes in peak powers of the two signals.

Results

Fast Fourier analysis of RR and \(\dot{V}\)E signals showed that RR was oscillating at the same frequency than periodic breathing, i.e., ~ 0.09 Hz (11 s). During exercise, in these various conditions, the difference between minimum and maximum HRV peak power was positively correlated to the same change in ventilation peak power (P < 0.05). Low-frequency (LF) peak power was correlated to tidal volume (P < 0.01) and breathing frequency (P < 0.001).

Conclusions

This study suggests that low-frequency ventilatory oscillations in hypoxia are a major contributor to the LF band power of heart rate variability.

Clinical Trial Reg. no.

NCT02201875.

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Abbreviations

ACZ:

Acetazolamide

ANOVA:

Analysis of variance

CHF:

Chronic heart failure

FFT:

Fast Fourier transform

HF:

High frequency

HR:

Heart rate

HRV:

Heart rate variability

LF:

Low frequency

LOA:

Limits of agreement

MAP:

Maximal aerobic power

PB:

Periodic breathing

RR:

Interbeat interval

SD:

Standard deviation

Ti:

Inspiratory time

Ttot:

Total respiratory cycle time

\(\dot{V}E\) :

Ventilation

VLF:

Very low frequency

VT:

Tidal volume

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Authors and Affiliations

Authors

Contributions

EH, AP and JPR conceived and designed research. EH, JPR and FL conducted experiments. EH analyzed data. EH wrote the manuscript. All authors read and approved the manuscript.

Corresponding author

Correspondence to Eric Hermand.

Additional information

Communicated by Keith Phillip George.

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Hermand, E., Pichon, A., Lhuissier, F.J. et al. Low-frequency ventilatory oscillations in hypoxia are a major contributor to the low-frequency component of heart rate variability. Eur J Appl Physiol 119, 1769–1777 (2019). https://doi.org/10.1007/s00421-019-04166-x

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  • DOI: https://doi.org/10.1007/s00421-019-04166-x

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