Title
Autonomic cardiovascular control following transient arousal from sleep: A time-varying closed-loop model
Date Issued
01 January 2006
Access level
metadata only access
Resource Type
journal article
Author(s)
Cedars-Sinai Medical Center
Abstract
Recent studies suggest that exposure to repetitive episodes of hypoxia and transient arousal can lead to increased risk for cardiovascular disease in patients with obstructive sleep apnea syndrome (OSAS). To obtain an improved understanding of and to quantitatively characterize the autonomie effects of arousal from sleep, a time-varying closed-loop model was used to determine the interrelationships among respiration, heart rate and blood pressure in 8 normal adults. A recursive least squares algorithm was used in combination with the Laguerre expansion technique to estimate the time-varying impulse responses of the 4 model components. We found that during arousal: 1) respiratory-cardiac coupling gain increases in nonrapid-eye movement (NREM) but not in REM sleep; 2) in both NREM and REM sleep, baroreflex gain shows an initial increase, but this is followed by a more sustained decrease below pre-arousal baseline levels, allowing sympathetic tone to be elevated over a relatively long duration; 3) the gains of other model components show increases with arousal that are consistent with the increased sympathetic modulation of systemic vascular resistance and contractility of the heart. These findings establish a normative database against which further measurements of cardiovascular arousal responses in OSAS may be compared. © 2006 IEEE.
Start page
74
End page
82
Volume
53
Issue
1
Language
English
OCDE Knowledge area
Sistema cardiaco, Sistema cardiovascular
Subjects
Scopus EID
2-s2.0-30444446399
PubMed ID
Source
IEEE Transactions on Biomedical Engineering
ISSN of the container
00189294
Sponsor(s)
National Heart, Lung, and Blood Institute R21HL076375
The authors express their acknowledgements to FAPESP for the financial support given to this research.
Sources of information:
Directorio de Producción Científica
Scopus