J 2007

Dynamic coupling between heart rate and ventricular repolarisation

HALAMEK, Josef; Pavel JURAK; M. VILLA; Miroslav SOUČEK; Petr FRÁŇA et al.

Základní údaje

Originální název

Dynamic coupling between heart rate and ventricular repolarisation

Název česky

Dynamicky vztah mezi tepovou frekvenci a komorovu repolarizaci

Autoři

HALAMEK, Josef; Pavel JURAK; M. VILLA; Miroslav SOUČEK; Petr FRÁŇA; Jiří NYKODYM; Martin EISENBERGER; Pavel LEINVEBER; Vlastimil VONDRA; V.K. SOMERS a Tomáš KÁRA

Vydání

Biomedizinische Technik, Nemecko, Springer, 2007, 0013-5585

Další údaje

Jazyk

angličtina

Typ výsledku

Článek v odborném periodiku

Obor

30201 Cardiac and Cardiovascular systems

Stát vydavatele

Německo

Utajení

není předmětem státního či obchodního tajemství

Impakt faktor

Impact factor: 0.593

Označené pro přenos do RIV

Ano

Kód RIV

RIV/00216224:14110/07:00050898

Organizační jednotka

Lékařská fakulta

Klíčová slova anglicky

heart rate; ventricular repolarisation

Příznaky

Mezinárodní význam
Změněno: 20. 4. 2012 12:34, Mgr. Michal Petr

Anotace

V originále

A novel model for the coupling between ventricular repolarisation and heart rate (QT/RR) is presented. It is based upon a transfer function (TRF) formalism that describes the static and dynamic properties of this coupling, i.e., the behaviour after a sudden change in heart rate. Different TRF models were analysed by comparing their capability to describe experimental data collected from 19 healthy volunteers using several RR stimulation protocols: (i) rest with deep breathing at 0.1 Hz; (ii) tilt with controlled breathing at 0.1 and 0.33 Hz; and (iii) cycling. A search for the best TRF led to unambiguous identification of a three-parameter model as the most suitable descriptor of QT/RR coupling. Compared with established static models (linear or power-law), our model predictions are substantially closer to the experimental results, with errors similar to 50% smaller. The shape of the frequency and step responses of the TRF presented is essentially the same for all subjects and protocols. Moreover, each TRF may be uniquely identified by three parameters obtained from the step response, which are believed to be of physiological relevance: (i) gain for slow RR variability; (ii) gain for fast RR variability; and (iii) time during which QT attains 90% of its steady-state value. The TRF successfully describes the behaviour of the RR control following an abrupt change in RR interval, and its parameters may offer a tool for detecting pharmacologically induced changes, particularly those leading to increased arrhythmogenic risk.

Česky

Tento clanek popisuje dynamicky vztah mezi tepovou frekvenci a komorovou repolarizaci