Baroreflex sensitivity as an individual characteristic feature

Abstract

The reproducibility of baroreflex sensitivity (BRS in ms/mmHg; BRSf in mHz/mmHg) determined with respect to the coherence between the variability in systolic blood pressure (SBP) and inter-beat intervals (IBI) or heart rate (HR) was tested. SBP and IBI were recorded beat-to-beat for 5 min (Finapres, breathing at 0.33 Hz) in 116 subjects (aged 19-24 years) sitting at rest three times in periods of one week. BRS and BRSf was determined by a cross-spectral method in a frequency range of 0.067-0.133 Hz. Eight indices were evaluated: BRS0.1Hz/BRSf0.1Hz - the value at a frequency of 0.1 Hz; BRSCOHmax/BRSfCOHmax - the value at maximum coherence; BRSWcoh/BRSfWcoh - weighted value with respect to coherence values in the whole frequency range; BRSWPcoh/BRS WPcoh - weighted value with respect to coherence for frequencies with coherence above 0.5. All indices revealed a lower intraindividual than interindividual variability (p<0.001). The individual mean values of BRS or BRSf correlated (p<0.001) with standard deviation of their individual values for all indices. Baroreflex sensitivity is an individual characteristic feature with the highest reproducibility at its low values in spite of its resting variation. Reproducibility is not influenced by modification of the spectral method used. © 2006 Institute of Physiology, Academy of Sciences of the Czech Republic.