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Brain & Heart                                                          RSA and breathing-specific heart rate



            “Experimental Physiology” (McGill University, Montreal,   The rc and abd signals were digitally acquired at 100 Hz,
            Canada, course # Physiology Lab 213). Each participant   while  the  ECG  was  acquired  at  400  Hz.  These  signals,
            was instructed on the maneuver to be performed, but   along with the electronically computed beat-to-beat HR’,
            the  specific  purpose  of  the  study  was  not  disclosed.  All   were displayed on a computer monitor and saved for later
            measurements were non-invasive. The study adhered to   analysis (Figure 1).
            the ethical standards set by the Declaration of Helsinki,
            and the procedures were approved by the ethics committee   2.3. Data analysis
            of the university.                                 During the resting condition, once the breathing pattern
                                                               was stable and reproducible, a 5-min recording period
            2.2. Instrumentation                               was initiated. At the end of this period, 10 consecutive
            Measurements were taken in the early afternoon. The   breathing cycles were analyzed. The mean f h (beats/min)
            subjects were positioned supine on a comfortable mattress,   and  mean  f resp  (breaths/min)  were  calculated  for  the
            with no visual access to the computer monitor. To minimize   analysis period. The highest (HR’ peak) and lowest (HR’ trough)
            external disturbances, participants wore an ear set and   values of HR’ within each breath were identified, and their
            were allowed to close their eyes while remaining awake.  difference (ΔHR’ = HR’ peak – HR’ trough) was used to represent

              Electrocardiogram (ECG) and breathing movements   the magnitude of RSA, expressed in beats/min. Detailed
            were measured. ECG was recorded from standard      descriptions of the instrumentation and data analysis can
                                                                                         23,38,39,41
            peripheral lead placements. An ad hoc algorithm detected   be obtained from earlier studies.
            the peak of the R-waves of the ECG to compute IBI (ms).   When a subject had more than one recording period,
            IBI was converted into instantaneous HR (HR’, beats/min)   the values from each epoch were averaged. Data from
            using the formula HR’ = 60/(IBI/1000), which represents   all  subjects,  either  separated  by  gender  or  combined,
            the number of heartbeats per minute, assuming successive   were  pooled together  to obtain  the  group  grand  mean.
            R-R intervals remain constant. Breathing movements were   To construct the correlations between parameter X and
            recorded using impedance pneumography, with two Piezo   RSA, the following procedure was used: First, X-values
            Respiratory Belt Transducers (ADInstruments, United   were divided into seven approximately equidistant bins.
            States) positioned around the rib cage (rc, approximately   This binning process minimized the potential skewing
            at the level of the fifth intercostal space) and around the   effect of uneven distributions. The average value for each
            abdomen (abd, at the level of the umbilicus). The sum   bin  was calculated, and  the resulting  seven  data  points
            of the rc and abd measurements in supine males reliably   were fitted using linear regression (Y = a + b⋅X), where
            reflects changes in lung volume. 42-44             X is the parameter of interest, and Y is  ΔHR’. Group




























            Figure 1. Representative experimental tracing from one subject at rest. From the top, rib cage (rc) and abdomen (abd) motion, with their combined
            motion (rc + abd; channel 4) proportional to the tidal volume (inspiration is upward). The electrocardiogram (ECG; channel 3) was used to compute
            the instantaneous heart rate (HR’, beats/min) from the inter-beat intervals (channel 5). In this subject, HR’ at end-inspiration (HR’peak) ranged from
            75 – 83 bpm, while HR’ at end-expiration (HR’trough) ranged from 52 – 56 bpm

            Volume X Issue X (2024)                         3                                doi: 10.36922/bh.3956
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