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Autonomic Neuroscience: Basic and ClinicalVolume 242, November 2022, Article number 103021

Spectral decomposition of cerebrovascular and cardiovascular interactions in patients prone to postural syncope and healthy controls(Review)(Open Access)

  • Pernice, R.,
  • Sparacino, L.,
  • Bari, V.,
  • Gelpi, F.,
  • Cairo, B.,
  • Mijatovic, G.,
  • Antonacci, Y.,
  • Tonon, D.,
  • Rossato, G.,
  • Javorka, M.,
  • Porta, A.,
  • Faes, L.
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  • aDepartment of Engineering, University of Palermo, Viale delle Scienze, Bldg. 9, Palermo, 90128, Italy
  • bDepartment of Cardiothoracic, Vascular Anesthesia and Intensive Care, IRCCS Policlinico San Donato, San Donato Milanese, Milan, Italy
  • cDepartment of Biomedical Sciences for Health, University of Milan, Milan, Italy
  • dFaculty of Technical Science, University of Novi Sad, Serbia
  • eDepartment of Physics and Chemistry “Emilio Segrè”, University of Palermo, Viale delle Scienze, Bldg. 17, Palermo, 90128, Italy
  • fDepartment of Neurology, IRCCS Sacro Cuore Don Calabria Hospital, Negrar, Verona, Italy
  • gDepartment of Physiology and the Biomedical Center Martin, Comenius University in Bratislava, Jessenius Faculty of Medicine, Martin, Slovakia

Abstract

We present a framework for the linear parametric analysis of pairwise interactions in bivariate time series in the time and frequency domains, which allows the evaluation of total, causal and instantaneous interactions and connects time- and frequency-domain measures. The framework is applied to physiological time series to investigate the cerebrovascular regulation from the variability of mean cerebral blood flow velocity (CBFV) and mean arterial pressure (MAP), and the cardiovascular regulation from the variability of heart period (HP) and systolic arterial pressure (SAP). We analyze time series acquired at rest and during the early and late phase of head-up tilt in subjects developing orthostatic syncope in response to prolonged postural stress, and in healthy controls. The spectral measures of total, causal and instantaneous coupling between HP and SAP, and between MAP and CBFV, are averaged in the low-frequency band of the spectrum to focus on specific rhythms, and over all frequencies to get time-domain measures. The analysis of cardiovascular interactions indicates that postural stress induces baroreflex involvement, and its prolongation induces baroreflex dysregulation in syncope subjects. The analysis of cerebrovascular interactions indicates that the postural stress enhances the total coupling between MAP and CBFV, and challenges cerebral autoregulation in syncope subjects, while the strong sympathetic activation elicited by prolonged postural stress in healthy controls may determine an increased coupling from CBFV to MAP during late tilt. These results document that the combination of time-domain and spectral measures allows us to obtain an integrated view of cardiovascular and cerebrovascular regulation in healthy and diseased subjects. © 2022

Author keywords

Autoregressive modelsCardiovascular controlCerebral autoregulationGranger causalitySpectral decompositionTime series analysis

Indexed keywords

EMTREE medical terms:blood pressurebrain circulationcardiovascular systemfaintnessheartheart ratehumanphysiologypressoreceptor reflex
MeSH:BaroreflexBlood PressureCardiovascular SystemCerebrovascular CirculationHeartHeart RateHumansSyncope

Funding details

Funding sponsor Funding number Acronym
Ministero dell’Istruzione, dell’Università e della Ricerca2017WZFTZP,AIM1851228-2MIUR
Vedecká Grantová Agentúra MŠVVaŠ SR a SAV1/0199/19,1/0200/19,1/0283/21VEGA
  • 1

    R.P. is supported by the Italian MIUR PON R&I 2014-2020 AIM project no. AIM1851228-2. L.F. is supported by the Italian MIUR PRIN 2017 project 2017WZFTZP “Stochastic forecasting in complex systems”. M.J. was supported by grants VEGA 1/0199/19, 1/0200/19 and 1/0283/21.

  • ISSN: 15660702
  • CODEN: ANUEB
  • Source Type: Journal
  • Original language: English
  • DOI: 10.1016/j.autneu.2022.103021
  • PubMed ID: 35985253
  • Document Type: Review
  • Publisher: Elsevier B.V.

  Faes, L.; Department of Engineering, University of Palermo, Viale delle Scienze, Bldg. 9, Palermo, Italy;
© Copyright 2022 Elsevier B.V., All rights reserved.

Cited by 16 documents

Candia-Rivera, D. , Faes, L. , Fallani, F.D.V.
Measures and Models of Brain-Heart Interactions
(2025) IEEE Reviews in Biomedical Engineering
Wang, Y. , Payne, S.J.
Static autoregulation in humans
(2024) Journal of Cerebral Blood Flow and Metabolism
Sparacino, L. , Antonacci, Y. , Bara, C.
A Method to Assess Granger Causality, Isolation and Autonomy in the Time and Frequency Domains: Theory and Application to Cerebrovascular Variability
(2024) IEEE Transactions on Biomedical Engineering
View details of all 16 citations
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