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Correlation of heart rate variability and circadian markers in humans
Philippe Boudreau1, Guy Dumont, N M K Ng Ying Kin
1Centre for Study and Treatment of Circadian Rhythms, Douglas Mental Health University Institute, McGill University, Montreal, Quebec, Canada. philippe.boudreau@douglas.mcgill.ca
Insights
Morning cardiovascular events are linked to circadian rhythms. Heart rate variability and hormone levels show distinct patterns, suggesting a role for autonomic nervous system shifts in this increased risk.
Area of Science:
- Cardiovascular physiology
- Chronobiology
- Autonomic nervous system function
Background:
- Adverse cardiovascular events show a higher frequency in the morning hours.
- Circadian variations in physiological processes, including cardiovascular regulation, are well-documented.
- Understanding these rhythms may explain morning cardiovascular risk.
Purpose of the Study:
- To investigate the correlation between heart rate (HR) and heart rate variability (HRV) with circadian rhythms of cortisol and melatonin.
- To analyze autonomic modulation markers (LF, HF, LF:HF ratio) in relation to hormonal rhythms.
Main Methods:
- Utilized an ultradian sleep-wake cycle (USW) procedure.
- Measured heart rate (HR) and heart rate variability (HRV) components (LF, HF, LF:HF ratio).
- Assessed salivary cortisol and urinary 6-sulfatoxy-melatonin (UaMt6s) levels cross-correlated with HRV parameters.
Main Results:
- Mean RR interval was phase-advanced relative to cortisol and UaMt6s.
- Parasympathetic modulation (HF power) was phase-advanced to cortisol and in-phase with UaMt6s.
- Sympathovagal balance (LF:HF ratio) showed no significant lag relative to cortisol and UaMt6s.
Conclusions:
- Circadian rhythms of HR and HRV correlate with hormonal rhythms (cortisol, melatonin).
- Autonomic nervous system activity shifts, with sympathetic dominance in the morning, may contribute to increased cardiovascular risk.
- These findings highlight the importance of circadian influences on cardiovascular health.
Abstract:
The frequency of adverse cardiovascular events is greater in the morning compared to its 24-hour average. A circadian variation in the regulation of the cardiovascular system could contribute to this increased cardiovascular risk in the morning. Indeed, circadian rhythms have been shown for a wide array of physiological processes. Using an ultradian sleep-wake cycle (USW) procedure, we sought to determine how heart rate (HR) and heart rate variability (HRV) correlate with the well-characterized circadian rhythms of cortisol and melatonin secretion. Specific HRV components, namely the low frequency (LF) power, high frequency (HF) power, and the LF:HF ratio can be used as markers of the autonomic modulation of the heart. Cross-correlation between HRV parameters and hormonal rhythms demonstrated that mean RR interval is significantly phase-advanced relative to salivary cortisol and urinary 6-sulfatoxy-melatonin (UaMt6s). Parasympathetic modulation of the heart (HF power) was phase-advanced relative to cortisol, but was in-phase with UaMt6s levels. Maximal correlation of the sympathovagal balance (the LF:HF ratio) had no significant lag compared to cortisol secretion and UaMt6s excretion. The protective effect of the parasympathetic nervous system at night, combined with the putative risk associated with the sympathetic nervous system peaking in the morning, could be associated with the increased cardiovascular risk observed in the morning hours.
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