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Am J Physiol Regul Integr Comp Physiol (February 13, 2008). doi:10.1152/ajpregu.00756.2007
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Submitted on October 17, 2007
Accepted on February 12, 2008

SLEEP-DEPENDENT CHANGES IN THE COUPLING BETWEEN HEART PERIOD AND BLOOD PRESSURE IN HUMAN SUBJECTS

Alessandro Silvani1*, Daniela Grimaldi2, Stefano Vandi2, Giorgio Barletta2, Roberto Vetrugno2, Federica Provini2, Giulia Pierangeli2, Chiara Berteotti1, Pasquale Montagna2, Giovanna Zoccoli1, and Pietro Cortelli2

1 Dipartimento di Fisiologia Umana e Generale, Universita di Bologna, Bologna, Italy
2 Dipartimento di Scienze Neurologiche, Universita di Bologna, Bologna, Italy

* To whom correspondence should be addressed. E-mail: alessandro.silvani3{at}unibo.it.

We investigated whether in human subjects, the pattern of coupling between the spontaneous fluctuations of heart period (HP) and those of systolic blood pressure (SBP) differs among wake-sleep states. Polysomnographic recordings and finger blood pressure measurements were performed for 48 hours in 15 non-obese adults without sleep-disordered breathing. The cross-correlation function (CCF) between the fluctuations of HP and SBP at frequencies < 0.15 Hz was computed during quiet wakefulness (QW), light (stages 1-2) and deep (stages 3-4) non-rapid-eye-movement sleep (NREMS), and rapid-eye-movement sleep. A positive correlation between HP and the previous SBP values, which is the expected result of baroreflex feedback control, was observed in the sleep states but not in QW. In deep NREMS, the maximum CCF value was significantly higher than in any other state, suggesting the greatest baroreflex contribution to the coupling between HP and SBP. A negative correlation between HP and the subsequent SBP values was also observed in each state, consistent with the mechanical feed-forward action of HP on SBP and with central autonomic commands. The contribution of these mechanisms to the coupling between HP and SBP, estimated from the minimum CCF value, was significantly lower in deep NREMS than either in light NREMS or QW. These results indicate that the pattern of coupling between HP and SBP at low frequencies differs among wake-sleep states in human subjects, with deep NREMS entailing the highest feedback contribution of the baroreflex and a low effectiveness of feed-forward mechanisms.




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Cardiovascular control during sleep: "Sleep-dependent changes in the coupling between heart period and blood pressure in human subjects," by Silvani et al.
Am J Physiol Regulatory Integrative Comp Physiol, May 1, 2008; 294(5): R1684 - R1685.
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