Cardiac autonomic balance versus cardiac regulatory capacity

The concept of autonomic balance views autonomic states along a bipolar continuum from sympathetic (S) to parasympathetic (P) dominance, whereas regulatory capacity models emphasize overall autonomic flexibility as a marker of the capacity for regulation. These two concepts were evaluated for their...

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Veröffentlicht in:Psychophysiology 2008-07, Vol.45 (4), p.643-652
Hauptverfasser: Berntson, Gary G., Norman, Greg J., Hawkley, Louise C., Cacioppo, John T.
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container_issue 4
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container_title Psychophysiology
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creator Berntson, Gary G.
Norman, Greg J.
Hawkley, Louise C.
Cacioppo, John T.
description The concept of autonomic balance views autonomic states along a bipolar continuum from sympathetic (S) to parasympathetic (P) dominance, whereas regulatory capacity models emphasize overall autonomic flexibility as a marker of the capacity for regulation. These two concepts were evaluated for their utility in characterizing patterns of autonomic control. Measures of P (high frequency heart rate variability, HF) and S (preejection period, PEP) cardiac control were obtained. A measure of cardiac autonomic balance (CAB) was derived as the difference in the normalized P index minus the S index, and a measure of cardiac autonomic regulation (CAR) was derived as the normalized P index plus the S index. Results reveal that CAR, but not CAB, was a significant predictor of the prior occurrence of a myocardial infarction, net of demographic and other variables, whereas CAB, but not CAR, was a significant predictor of concurrent diabetes.
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source MEDLINE; Wiley Online Library Journals Frontfile Complete
subjects Autonomic balance
Autonomic Nervous System - physiology
Blood Pressure - physiology
Cardiac control
Cardiovascular disease
Cardiovascular system
Diabetes
Diabetes Mellitus - physiopathology
Electrocardiography
Female
Heart - innervation
Heart - physiology
Heart Rate - physiology
Heart rate variability
Humans
Longitudinal Studies
Male
Middle Aged
Myocardial infarction
Parasympathetic
Physiological psychology
Pre-ejection period
Regression Analysis
Respiratory Mechanics - physiology
Respiratory sinus arrhythmia
Risk factors
Sympathetic
title Cardiac autonomic balance versus cardiac regulatory capacity
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