Evidence of low- and high-frequency oscillations in human AV interval variability: evaluation with spectral analysis.
The spontaneous beat-to-beat variation of atrioventricular (AV) interval was analyzed in time and frequency domains and compared with atrial cycle length (A-A) variability. The analysis was applied in humans at rest and tilt position during sinus rhythm and atrial pacing. The AV intervals showed spontaneous oscillations of small amplitude with a relative standard deviation of 1.8%. Spectral analysis of AV interval series showed the existence of two main oscillatory components at low frequency (LF; 0.04-0.13 Hz) and at high frequency (HF; 0.17-0.4 Hz), synchronous with those of A-A interval series. The same LF and HF fluctuations were found in AV interval variability during atrial pacing. Tilt maneuver inducing a sympathetic stimulation and vagal withdrawal increased LF power and decreased HF power of A-A interval spectra (P < 0.05). On the contrary, tilt decreased the LF (46%, P < 0.05) and HF power (29%, P = NS) of AV conduction spectra. In parallel, tilt decreased (P < 0.0001) the mean A-A interval, leaving the mean AV interval unchanged. When heart rate was held constant by atrial pacing, tilt reduced the mean AV interval, the LF power (65%, P < 0.05), and HF power (10%, P = NS). These results indicate a direct influence of the autonomic nervous system on the LF and HF oscillations of AV conduction. The decrease of AV interval oscillations during tilt demonstrates a marked reduction of autonomic modulation of AV conduction mainly attributable to parasympathetic withdrawal.
Nollo
G
G
Medical Biophysics, Centro Materiali e Biofisica Medica, University of Trento, Povo-Trento, Italy.
Del Greco
M
M
Ravelli
F
F
Disertori
M
M
D000293:Adolescent; D000328:Adult; D001283:Atrioventricular Node / Q000502:physiology* / Q000503:physiopathology; D004562:Electrocardiography; D005260:Female; D006339:Heart Rate; D006801:Humans; D008297:Male; D008875:Middle Aged; D009991:Oscillometry; D011187:Posture; D012016:Reference Values; D012119:Respiration