Response of heart rate variability and cardiorespiratory phase synchronization to routine bronchodilator test in patients with asthma

Chin J Physiol. 2021 Jul-Aug;64(4):177-185. doi: 10.4103/cjp.cjp_19_21.

Abstract

Heart rate variability (HRV) and cardiorespiratory phase synchronization (CRPS) were employed to study the cardio- and respiratory interactions in patients with asthma receiving inhalation of beta2-agonist (Berotec 200 mcg) for routine bronchodilator test. Both time- and frequency-domain parameters were used to analyze the HRV. A weighted G-index was introduced to study the quality of the CRPS. The HRV parameters, in both the time and frequency domains, exhibited significant changes pointing to a sympathetic activation of the autonomic balance immediately after the inhalation. On the other hand, the CRPS index barely changed throughout the entire process. This indicates that inhalation of beta2-agonist does not alter the CRPS appreciably, and that the CRPS, in contrast to HRV, is relatively stable in response to the inhalation of beta2-agonist in patients with asthma.

Keywords: Asthma; beta2-agonist; cardiorespiratory phase synchronization; heart rate variability.

MeSH terms

  • Asthma* / diagnosis
  • Asthma* / drug therapy
  • Autonomic Nervous System
  • Bronchodilator Agents* / pharmacology
  • Bronchodilator Agents* / therapeutic use
  • Heart
  • Heart Rate
  • Humans

Substances

  • Bronchodilator Agents