Altered pattern of circadian neural control of heart period in mild hypertension

J Hypertens. 1991 Sep;9(9):831-8. doi: 10.1097/00004872-199109000-00010.

Abstract

We addressed the problem of the circadian changes in neural control of heart period in ambulant hypertensive subjects. A running spectral analysis of R-R variability from Holter tapes provided markers of sympathetic, i.e. low-frequency component (LF) almost equal to 0.10 Hz, and vagal, i.e. high-frequency component (HF) almost equal to 0.25 Hz, controlling activities for the 24-h period of the recording. Significant circadian differences were observed in LF between the two groups of subjects: during night-time rest (0300-0400 h), LF was greater in hypertensives than in normotensives (56 +/- 2 and 48 +/- 2 nu, respectively; P less than 0.05). Furthermore, the difference between daytime and night-time LF values was progressively reduced with increasing severity of the hypertensive state, as assessed by resting arterial pressure levels. Spectral analysis of R-R variability suggests that essential hypertension may be characterized by a reduced day-night oscillation in sympathetic activity than can be quantified non-invasively using this approach.

MeSH terms

  • Adult
  • Blood Pressure / physiology
  • Circadian Rhythm / physiology*
  • Electrocardiography*
  • Electrocardiography, Ambulatory
  • Humans
  • Hypertension / physiopathology*
  • Reference Values
  • Regression Analysis
  • Reproducibility of Results