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Controlled breathing protocols probe human autonomic cardiovascular rhythms

W H Cooke1, J F Cox, A M Diedrich

  • 1Department of Medicine, Medical College of Virginia of Virginia Commonwealth University, Richmond, USA.

The American Journal of Physiology
|March 5, 1998
PubMed
Summary
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Breathing protocols impact cardiovascular dynamics. Stepwise breathing without strict volume control best assesses respiratory-mediated autonomic oscillations, while controlled volumes attenuate R-R interval oscillations.

Area of Science:

  • Cardiovascular Physiology
  • Autonomic Nervous System Regulation
  • Respiratory Control

Background:

  • Breathing patterns significantly influence cardiovascular dynamics.
  • Understanding the interplay between respiratory control and autonomic rhythms is crucial for physiological assessment.
  • Various breathing protocols exist, but their differential effects on cardiovascular measures require clarification.

Purpose of the Study:

  • To investigate the impact of breathing protocols with varying degrees of control on cardiovascular dynamics.
  • To compare the effects of stepwise, random, and fixed-frequency breathing on autonomic rhythms.
  • To identify the optimal breathing protocol for assessing short-term respiratory-mediated autonomic oscillations.

Main Methods:

  • 10 volunteers underwent 5 breathing protocols: uncontrolled, stepwise frequency, stepwise frequency with prescribed tidal volumes, random frequency, and fixed frequency.
Keywords:
NASA Discipline CardiopulmonaryNon-NASA Center

Related Experiment Videos

  • Measurements included inspiratory volume, end-tidal CO2, R-R interval, and arterial pressure spectral power.
  • Analysis focused on spectral power, coherence, and transfer functions between respiratory and cardiovascular variables.
  • Main Results:

    • Stepwise breathing showed increased R-R interval and arterial pressure spectral power as frequency decreased.
    • Strict tidal volume control during 0.1 Hz breathing reduced R-R interval spectral power.
    • Stepwise and random breathing protocols demonstrated comparable coherence and transfer functions.
    • Random- and fixed-frequency breathing led to modest reductions in end-tidal CO2.

    Conclusions:

    • Stringent tidal volume control attenuates low-frequency R-R interval oscillations.
    • Fixed- and random-rate breathing may reduce CO2 chemoreceptor stimulation.
    • A stepwise breathing protocol without stringent inspired volume control appears most efficient for assessing short-term respiratory-mediated autonomic oscillations.