Dynamic changes in cardiac vagal tone as measured by time-series analysis

Abstract

A time-series analysis of heart rate variability was evaluated as a marker of cardiac vagal tone using well-characterized autonomic interventions. Heart period (R-R interval) was recorded in 14 mongrel dogs from which the amplitude of the respiratory sinus arrhythmia (0.24-1.04 Hz) was determined. Exercise elicited significant (P less than 0.01) reductions in the index of vagal tone (control 6.3 +/- 0.3 ln ms2 vs. exercise 2.4 +/- 0.4 ln ms2) that were accompanied by significant (P less than 0.01) increases in heart rate (control 123.1 +/- 5 vs. exercise 201.0 +/- 7.7 beats/min). The vagal tone index remained greater than 0 throughout exercise. After propranolol HCl pretreatment, the vagal tone index rapidly decreased toward zero (control 6.2 +/- 0.5; exercise 0.7 +/- 0.3 ln ms2), despite significantly lower increases in heart rate (control 109.3 +/- 4.2; exercise 178.0 +/- 7.6 beats/min). Atropine given during exercise evoked significantly greater increases in heart rate in the control (+48.7 +/- 7.9 beats/min) vs. propranolol (+14.2 +/- 6.7 beats/min) conditions. These data suggest that 1) high levels of cardiac vagal tone remain during exercise; 2) vagal withdrawal is largely responsible for the heart rate increase after beta-adrenergic receptor blockade; and 3) time-series analysis of the R-R interval can provide a dynamic and noninvasive index of cardiac vagal tone.