1. Linear and non-linear dynamics of heart rate variability in brain dead organ donors
- Author
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Martin K. Walz, Till Neumann, Rainer Schulz, Heiner Post, Gerd Heusch, R. E. Ganz, and Andreas Skyschally
- Subjects
Adult ,Male ,Brain Death ,medicine.medical_specialty ,Hemodynamics ,Electrocardiography ,Heart Rate ,Internal medicine ,Heart rate ,medicine ,Cerebral function ,Humans ,Heart rate variability ,Organ donation ,Brain dead ,business.industry ,Middle Aged ,Tissue Donors ,Atropine ,Endocrinology ,Nonlinear Dynamics ,Data Interpretation, Statistical ,Circulatory system ,Linear Models ,Cardiology ,Female ,Cardiology and Cardiovascular Medicine ,business ,medicine.drug - Abstract
Recent studies outlined linear and non-linear dynamics in heart rate variability; however, their physiological origin is still unknown. The present study investigated the impact of cerebral function on linear and non-linear dynamics in heart rate variability. Electrocardiograms from seven brain dead organ donors and seven healthy volunteers were analyzed. Atropine was used in healthy volunteers to adjust their heart rate to that of the donors. As compared to healthy volunteers without atropine, the linear dynamics of heart rate variability, determined by time and frequency domain analyses, were significantly reduced in healthy volunteers with atropine and, to an even greater extent, in donors. Atropine tended to increase the complexity and non-linearity of heart rate variability in healthy volunteers, as determined by the correlation dimension D and the largest Lyapunov exponent L, respectively (D = 9.43 +/- 2.93 vs. 7.65 +/- 0.97 and L = 0.525 +/- 0.099 vs. 0.504 +/- 0.047 bits.beat-1; both NS), while these indices were significantly reduced in donors by 19.5 +/- 12.8% and 15.0 +/- 11.7%, respectively (D = 6.16 +/- 0.98 and L = 0.428 +/- 0.059 bits.beat-1; both p0.05 vs. volunteers). Thus, loss of cerebral function reduces both linear and non-linear components of heart rate variability.
- Published
- 2001
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