Signatures of the autonomic nervous system and the heart’s pacemaker cells in canine electrocardiograms and their applications to humans

Abstract Heart rate and heart rate variability (HRV) are mainly determined by the autonomic nervous system (ANS), which interacts with receptors on the sinoatrial node (SAN; the heart’s primary pacemaker), and by the “coupled-clock” system within the SAN cells. HRV changes are associated with cardia...

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Autores principales: Aviv A. Rosenberg, Ido Weiser-Bitoun, George E. Billman, Yael Yaniv
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Lenguaje:EN
Publicado: Nature Portfolio 2020
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Acceso en línea:https://doaj.org/article/4afd82beb86c463a967efcb1d6583621
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spelling oai:doaj.org-article:4afd82beb86c463a967efcb1d65836212021-12-02T17:41:09ZSignatures of the autonomic nervous system and the heart’s pacemaker cells in canine electrocardiograms and their applications to humans10.1038/s41598-020-66709-z2045-2322https://doaj.org/article/4afd82beb86c463a967efcb1d65836212020-06-01T00:00:00Zhttps://doi.org/10.1038/s41598-020-66709-zhttps://doaj.org/toc/2045-2322Abstract Heart rate and heart rate variability (HRV) are mainly determined by the autonomic nervous system (ANS), which interacts with receptors on the sinoatrial node (SAN; the heart’s primary pacemaker), and by the “coupled-clock” system within the SAN cells. HRV changes are associated with cardiac diseases. However, the relative contributions of the ANS and SAN to HRV are not clear, impeding effective treatment. To discern the SAN’s contribution, we performed HRV analysis on canine electrocardiograms containing basal and ANS-blockade segments. We also analyzed human electrocardiograms of atrial fibrillation and heart failure patients, as well as healthy aged subjects. Finally, we used a mathematical model to simulate HRV under decreased “coupled-clock” regulation. We found that (a) in canines, the SAN and ANS contribute mainly to long- and short-term HRV, respectively; (b) there is evidence suggesting a similar relative SAN contribution in humans; (c) SAN features can be calculated from beat-intervals obtained in-vivo, without intervention; (d) ANS contribution can be modeled by sines embedded in white noise; (e) HRV changes associated with cardiac diseases and aging can be interpreted as deterioration of both SAN and ANS; and (f) SAN clock-coupling can be estimated from changes in HRV. This may enable future non-invasive diagnostic applications.Aviv A. RosenbergIdo Weiser-BitounGeorge E. BillmanYael YanivNature PortfolioarticleMedicineRScienceQENScientific Reports, Vol 10, Iss 1, Pp 1-15 (2020)
institution DOAJ
collection DOAJ
language EN
topic Medicine
R
Science
Q
spellingShingle Medicine
R
Science
Q
Aviv A. Rosenberg
Ido Weiser-Bitoun
George E. Billman
Yael Yaniv
Signatures of the autonomic nervous system and the heart’s pacemaker cells in canine electrocardiograms and their applications to humans
description Abstract Heart rate and heart rate variability (HRV) are mainly determined by the autonomic nervous system (ANS), which interacts with receptors on the sinoatrial node (SAN; the heart’s primary pacemaker), and by the “coupled-clock” system within the SAN cells. HRV changes are associated with cardiac diseases. However, the relative contributions of the ANS and SAN to HRV are not clear, impeding effective treatment. To discern the SAN’s contribution, we performed HRV analysis on canine electrocardiograms containing basal and ANS-blockade segments. We also analyzed human electrocardiograms of atrial fibrillation and heart failure patients, as well as healthy aged subjects. Finally, we used a mathematical model to simulate HRV under decreased “coupled-clock” regulation. We found that (a) in canines, the SAN and ANS contribute mainly to long- and short-term HRV, respectively; (b) there is evidence suggesting a similar relative SAN contribution in humans; (c) SAN features can be calculated from beat-intervals obtained in-vivo, without intervention; (d) ANS contribution can be modeled by sines embedded in white noise; (e) HRV changes associated with cardiac diseases and aging can be interpreted as deterioration of both SAN and ANS; and (f) SAN clock-coupling can be estimated from changes in HRV. This may enable future non-invasive diagnostic applications.
format article
author Aviv A. Rosenberg
Ido Weiser-Bitoun
George E. Billman
Yael Yaniv
author_facet Aviv A. Rosenberg
Ido Weiser-Bitoun
George E. Billman
Yael Yaniv
author_sort Aviv A. Rosenberg
title Signatures of the autonomic nervous system and the heart’s pacemaker cells in canine electrocardiograms and their applications to humans
title_short Signatures of the autonomic nervous system and the heart’s pacemaker cells in canine electrocardiograms and their applications to humans
title_full Signatures of the autonomic nervous system and the heart’s pacemaker cells in canine electrocardiograms and their applications to humans
title_fullStr Signatures of the autonomic nervous system and the heart’s pacemaker cells in canine electrocardiograms and their applications to humans
title_full_unstemmed Signatures of the autonomic nervous system and the heart’s pacemaker cells in canine electrocardiograms and their applications to humans
title_sort signatures of the autonomic nervous system and the heart’s pacemaker cells in canine electrocardiograms and their applications to humans
publisher Nature Portfolio
publishDate 2020
url https://doaj.org/article/4afd82beb86c463a967efcb1d6583621
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