Summary
Objectives
: The investigation of the relation between the long-range correlation property of
heart rate and autonomic balance.
Methods
: An investigation of the fractal scaling properties of heart rate variability was
carried out by using detrended fluctuation analysis (DFA). Eleven healthy subjects
were examined for two consecutive days, which included usual daily activity, strenuous
prolonged experimental exercise, and sleep. We also considered two patient groups
with autonomic dysfunction characterized by selective sympathetic and parasympathetic
dominance.
Results
: Robust long-range dependence in heart rate is observed only in the state of usual
daily activity, characterized by normal heart rate typical of balanced autonomic sympathetic
and parasympathetic regulation. This confirms the previously postulated behavioral
independence of heart rate regulation, but reveals that the occurrence of 1/f, long-range
dependence is restricted to only the state of autonomic balance. Both the sympathetic
dominant high heart rate state, realized during strenuous experimental exercise, and
the parasympathetic dominant low heart rate state, prevalent in (deep) sleep, are
characterized by uncorrelated, near white-noise-like scaling, lacking long-range dependence.
Conclusion
: Remarkably, the breakdown of the long-range correlations observed in healthy heart
rate in the states of sympathetic and parasympathetic dominance is in stark contrast
to the increased correlations which have previously been observed in neurogenic parasympathetic
and sympathetic dominance in patients suffering from primary autonomic failure and
congestive heart failure, respectively. Our findings further reveal the diagnostic
capabilities of heart rate dynamics, by differentiating physiological healthy states
from pathology.
Keywords
Autonomic balance - long-range correlation - detrended fluctuation analysis