Dynamical interaction between heart rate and blood pressure of end-stage renal disease patients evaluated by cross recurrence plot diagonal analysis

G. Hortensia González, Oscar Infante, Paola Martínez-García, Héctor Pérez-Grovas, Nadia Saavedra, Amaya Caviedes, Brayans Becerra, Claudia Lerma
2019 Journal of applied physiology  
The assessment of spontaneous variability of blood pressure and heart rate is based on specific physiological hypotheses about dynamic features, for example, the baroreflex modulation of heart rate over time in daily life. Usually, arterial baroreflex control of heart rate is explored without delays between blood pressure and heart rate data points, within a narrow range of values excluding the analysis of saturation regions or low threshold changes. In this work, we examine the dynamic
more » ... ions between systolic blood pressure (SBP) and inter-beat interval (IBI), in 15-minutes length time series and for the first time using the analysis of diagonals derived from a cross recurrence plots in healthy persons and end-stage renal disease (ESRD) patients. We found that ESRD patients have stronger intermittent dynamical interactions between IBI and SBP, but they lose most of the dynamical interactions. While healthy subjects exhibit a continuously changing order of precedence between IBI and SBP at different lags, ESRD patients preserve this changing order of precedence only for lags > 0 beats.
doi:10.1152/japplphysiol.00364.2019 pmid:31804893 fatcat:mtiphigdqjhudbrkzgnxx3majm