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Brain & Heart                                              Automatic cardiac autonomic modulation assessment



























                        Figure 4. Example of the time-varying behavior of heart rate (HR), PNSi, SNSi, and BSTRi during a training session
              Abbreviations: PNSi: Parasympathetic nervous system index; SNSi: Sympathetic Nervous System index; BSTRi: Baevski stress index; HR: heart rate.

            Table 8. Average values of PNSi, SNSi, and BSTRi for the 16 police officers, calculated from 2‑ and 5‑min intervals, before and
            during realistic tactical scenarios involving varying levels of psychophysiological stress

                               Baseline                     Medium stress                  High stress
                   2‑min interval  P  5‑min interval  2‑min interval  P  5‑min interval  2‑min interval  P  5‑min interval
                   Mean    SD        Mean    SD    Mean    SD        Mean   SD    Mean   SD        Mean   SD
            PNSi    −1.4   0.8   ns   −1.6   0.7    −2.8   1.1  ns   −2.8   1.0   −3.8    0.7  ns   −3.7   0.7
            SNSi    1.9    1.5   ns   2.1    1.4    7.6    6.4  ns    6.5   5.3    12.5   5.6  ns   10.0   3.7
            BSTRi   14.0   5.9   ns   13.9   4.7    30.4   21.6  ns  25.0   15.9   45.8  21.5  ns   34.0  13.8
            Abbreviations: min: Minute; ns: Non-significant.

            Table 9. Stress‑induced changes of PNSi, SNSi, and BSTRi  values between 10 and 20 units, PNSi values during effort
                                                               and psychophysiological stress differed by nearly one unit
                  (A) Baseline  P  (B) Medium   P  (C) High   P
                                  stress        stress         on average. A similar trend was noted in the relationship
                  Mean   SD     Mean   SD     Mean   SD        between PNSi and BSTRi.
            PNSi   −1.4  0.8  #   −2.8  1.1  *  −3.8  0.7      3.3.4. Relationship between Kubios indexes and HRV
            SNSi   1.9  1.5      7.6  6.4  °   12.5  5.6  §    spectral parameters
            BSTRi  14.0  5.9     30.4  21.6  °  45.8  21.5  &  The Pearson  correlation between the PNS, SNS, and
            Note: Average values of 16 police officers calculated from 2-min time   BSTR indexes calculated by Kubios and the HRV spectral
            segments are shown. # P<0.05 A vs. B and vs. C; ‘&’ denotes P<0.05 C   parameters is presented in Table 10. Although significant
            vs. A; ‘§’ denotes P<0.05 C vs. A and B; *P<0.05 B vs. C; P<0.05 B vs. A.
                                                               (P < 0.01), the correlations between each index and the
            (R =  0.98),  whereas  the  inverse  relationship  between   VLF, LF, HF, and Totalpower spectral components were
              2
            PNSi and either SNSi or BSTRi was better modeled by   moderate during daily activity and physical effort (R values
            NL functions (Figure  3B). The type of non-linearity   ranging from 0.470 to 0.668) and moderate to strong
            between PNSi and SNSi appears to depend on whether the   during psychophysiological stress. Notably, there was no
            participant is experiencing physical or psychophysiological   correlation with the LF/HF ratio in any situation.
            stress. The NL regression fitting PNSi and SNSi with a   4. Discussion
            quadratic  polynomial yielded  an  R   value  slightly  lower
                                         2
            than that obtained from a cubic regression (from R  = 0.978   The dynamic nature of CAM is essential for maintaining
                                                    2
            to R  = 0.965). In contrast, when analyzing physical stress   physiological homeostasis, adapting  to environmental
               2
            data, the decrease in  R  was more pronounced (from   demands, and ensuring proper responses to acute
                                2
            R  = 0.961 to R  = 0.920) (Figure 3A). Moreover, for SNSi   stress, thereby supporting survival in life-threatening
             2
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            Volume 2 Issue 4 (2024)                         10                               doi: 10.36922/bh.3503
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