Do the high-frequency indexes of HRV provide a faithful assessment of cardiac vagal tone? A critical theoretical evaluation

IEEE Trans Biomed Eng. 2003 Jun;50(6):777-83. doi: 10.1109/TBME.2003.812158.

Abstract

When spectral analysis of the heart rate (HR) signal is performed, it is quite common to attribute the HF indexes of heart rate variability (HRV) to cardiac vagal control. The paradigm underlying this attribution states that changes in cardiac vagal outflow correspond to a proportional change in respiratory sinus arrhythmia (RSA). However, recent studies have demonstrated that variations in these indexes do not necessarily reflect proportional changes in vagal tone. The current study provides a theoretical evaluation of the relationship between mean HR, RSA, and cardiac vagal tone. This evaluation is based on a theoretical model, which quantifies the differential effects of vagal blockade by a competitive muscarinic antagonist on the HF indexes of HRV. The model relies on several assumptions that reflect the basic physiology of the sinoatrial (SA) node, as well as pharmacological relations that describe agonist/antagonist equilibrium at the SA receptors. The mathematical framework of this model is the integral-pulse-frequency-modulation (IPFM) process, and its derivations lead to a specific expressions for the dependence of HF and mean HR on the level of vagal blockade. These expressions provide a new insight into the relationship between mean HR, RSA, and vagal tone, and explain conflicting experimental results previously published.

Publication types

  • Evaluation Study
  • Validation Study

MeSH terms

  • Acetylcholine / metabolism
  • Arrhythmia, Sinus / physiopathology
  • Computer Simulation
  • Heart Rate / drug effects
  • Heart Rate / physiology*
  • Humans
  • Models, Cardiovascular*
  • Muscarinic Antagonists / pharmacology
  • Respiratory Physiological Phenomena
  • Sinoatrial Node / drug effects
  • Sinoatrial Node / physiology*
  • Statistics as Topic
  • Synaptic Transmission / drug effects
  • Synaptic Transmission / physiology
  • Vagus Nerve / drug effects
  • Vagus Nerve / physiology*

Substances

  • Muscarinic Antagonists
  • Acetylcholine