Static-charge-sensitive bed ballistocardiography in cardiovascular monitoring.
We evaluated the autonomic influence on balistocardiograms recorded by a static-charge-sensitive bed for cardiovascular monitoring in nine healthy males (20-44 years) and its clinical use in 11 patients who underwent coronary bypass surgery (51-59 years). The ballistocardiogram displayed a distorted low amplitude from the empty beating heart during bypass surgery, impaired by a reduced effective transmural filling pressure of the heart, and returned to its pre-bypass level when the preload to the heart and its pumping was restored. Submaximal dynamic exercise and isoprenaline caused the heart rate to rise to 90-114 beats min-1, and increased the ballistocardiographic amplitude threefold, while at the same time shortening the interval between the R-wave of the electrocardiogram and the peak of the ballistocardiographic waveform (P < 0.01). In contrast, atropine accelerated the heart rate to 96 beats min-1, but did not significantly change the amplitude or temporal pattern of the ballistocardiogram. Thus, the ballistocardiogram reflects sympathetic and parasympathetic influence on the contractility of the myocardium and the effect of cardiac filling (e.g. during bypass surgery).
Lindqvist
A
A
Cardiorespiratory Research Unit, University of Turku, Finland.
Pihlajamäki
K
K
Jalonen
J
J
Laaksonen
V
V
Alihanka
J
J
D000328:Adult; D001285:Atropine / Q000494:pharmacology; D001450:Ballistocardiography / Q000295:instrumentation*; D001513:Beds; D002319:Cardiovascular System / Q000503:physiopathology*; D006339:Heart Rate / Q000187:drug effects; D006801:Humans; D007545:Isoproterenol / Q000494:pharmacology; D008297:Male; D008875:Middle Aged; D016343:Monitoring, Intraoperative; D008991:Monitoring, Physiologic; D005082:Physical Exertion; D012016:Reference Values; D064030:S100 Calcium Binding Protein G
D064030:S100 Calcium Binding Protein G; D001285:Atropine; D007545:Isoproterenol