Abstract

Beat-to-beat changes in the heart period are transformed into a network of increments between subsequent RR-intervals, which enables graphical descriptions of short-term heart period variability. Three types of such descriptions are considered: (1) network graphs arising from a set of vertices and directed edges, (2) contour plots of adjacency matrices A, representing the networks and transition matrices T, resulting from A, and (3) vector plots of gradients of the matrices A and T. Two indices are considered which summarize properties of A and T: the approximate deceleration capacity and the entropy rate. The method, applied to time series of nocturnal RR-intervals recorded from healthy subjects of different ages, reveals important aspect of changes in the autonomic activity caused by biological aging. Independent of the subject’s age, following accelerations, a pendulum-like dynamics appears. With decelerations, this dynamics develops in line with the subject’s age. This aging transition can be graphically visualized by vectors connecting the maxima of the transition probabilities of T, which, metaphorically, resemble a chronometer or the hands of a clock.

Highlights

  • The two branches of the autonomic nervous system (ANS), the sympathetic and vagal subsystems, cooperate to maintain homeostasis in the cardiovascular (CV) system, namely the continuous controlled movement of blood through the whole organism to transport nutrients to organ tissues – to every cell of the organism (Guyton and Hall, 2006)

  • Such an interval of increments covers the crucial aspects of the heart beat dynamics

  • The arrangement of the contour lines labeled 1% in the contour plots in Figure 1 (which represent pairs of events occurring with 1% probability) and lines labeled 0.06 in the contour plots in Figure 2, together with values collected in Table 1, reveal the dominant change in the heart beat dynamics caused by aging

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Summary

Introduction

The two branches of the autonomic nervous system (ANS), the sympathetic and vagal subsystems, cooperate to maintain homeostasis in the cardiovascular (CV) system, namely the continuous controlled movement of blood through the whole organism to transport nutrients to organ tissues – to every cell of the organism (Guyton and Hall, 2006). A gradual impairment in the functioning of the complex interplay between these two subsystems develops (Esler et al, 1995). The phenomenon of such age-related ANS-CV deterioration is revealed as noticeable alterations in the cardiac interbeat RR-interval dynamics. Heart rate variability is a recognized surrogate index for cardiac autonomic function of the sinus node and ventricles, and is a marker of im-/balance in the sympathetic and vagal activities (Goldberger et al, 2008; Poirier, 2014)

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