Temporal cardiovascular causality during orthostatic stress by extended partial directed coherence

Annu Int Conf IEEE Eng Med Biol Soc. 2019 Jul:2019:6359-6362. doi: 10.1109/EMBC.2019.8857021.

Abstract

The aim of this study was to investigate the temporal dynamic behavior of cardiovascular interactions between heart period and systolic blood pressure during a 20-min head-up tilt test at 70° in young women with orthostatic intolerance compared to healthy women. Methods included the lagged and extended partial directed coherence applied to short-term windows shifted by 5 seconds, extracted from a multivariate set of cardiovascular and respiratory time series. Findings revealed significantly increased information flow (p <; 0.01) in patients from: a) heart period to blood pressure during supine position which subsequently decreased and b) blood pressure to heart period during the progression of orthostatic phase. Controls developed balanced cardiovascular interactions with smaller information flows than patients.

MeSH terms

  • Blood Pressure*
  • Cardiovascular System*
  • Female
  • Heart Rate
  • Humans
  • Orthostatic Intolerance*
  • Standing Position
  • Tilt-Table Test