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Cardiac autonomic balance versus cardiac regulatory capacity
Author(s) -
Berntson Gary G.,
Norman Greg J.,
Hawkley Louise C.,
Cacioppo John T.
Publication year - 2008
Publication title -
psychophysiology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.661
H-Index - 156
eISSN - 1469-8986
pISSN - 0048-5772
DOI - 10.1111/j.1469-8986.2008.00652.x
Subject(s) - heart rate , balance (ability) , cardiology , heart rate variability , psychology , autonomic nervous system , medicine , dominance (genetics) , index (typography) , flexibility (engineering) , blood pressure , statistics , neuroscience , mathematics , chemistry , biochemistry , world wide web , computer science , gene
The concept of autonomic balance views autonomic states along a bipolar continuum from sympathetic (S) to parasympathetic (P) dominance, whereas regulatory capacity models emphasize overall autonomic flexibility as a marker of the capacity for regulation. These two concepts were evaluated for their utility in characterizing patterns of autonomic control. Measures of P (high frequency heart rate variability, HF) and S (preejection period, PEP) cardiac control were obtained. A measure of cardiac autonomic balance (CAB) was derived as the difference in the normalized P index minus the S index, and a measure of cardiac autonomic regulation (CAR) was derived as the normalized P index plus the S index. Results reveal that CAR, but not CAB, was a significant predictor of the prior occurrence of a myocardial infarction, net of demographic and other variables, whereas CAB, but not CAR, was a significant predictor of concurrent diabetes.