AUTHOR=Matić Zoran , Platiša Mirjana M. , Kalauzi Aleksandar , Bojić Tijana 

TITLE=Slow 0.1 Hz Breathing and Body Posture Induced Perturbations of RRI and Respiratory Signal Complexity and Cardiorespiratory Coupling

JOURNAL=Frontiers in Physiology

VOLUME=11

YEAR=2020

URL=https://www.frontiersin.org/journals/physiology/articles/10.3389/fphys.2020.00024

DOI=10.3389/fphys.2020.00024

ISSN=1664-042X

ABSTRACT=<p><bold>Objective:</bold> We explored the physiological background of the non-linear operating mode of cardiorespiratory oscillators as the fundamental question of cardiorespiratory homeodynamics and as a prerequisite for the understanding of neurocardiovascular diseases. We investigated 20 healthy human subjects for changes using electrocardiac RR interval (RRI) and respiratory signal (Resp) Detrended Fluctuation Analysis (DFA, α<sub>1RRI</sub>, α<sub>2RRI</sub>, α<sub>1Resp</sub>, α<sub>2Resp</sub>), Multiple Scaling Entropy (MSE<sub>RRI1−4</sub>, MSE<sub>RRI5−10</sub>, MSE<sub>Resp1−4</sub>, MSE<sub>Resp5−10</sub>), spectral coherence (Coh<sub>RRI−Resp</sub>), cross DFA (ρ<sub>1</sub> and ρ<sub>2</sub>) and cross MSE (X<sub>MSE1−4</sub> and X<sub>MSE5−10</sub>) indices in four physiological conditions: supine with spontaneous breathing, standing with spontaneous breathing, supine with 0.1 Hz breathing and standing with 0.1 Hz breathing.</p><p><bold>Main results:</bold> Standing is primarily characterized by the change of RRI parameters, insensitivity to change with respiratory parameters, decrease of Coh<sub>RRI−Resp</sub> and insensitivity to change of in ρ<sub>1</sub>, ρ<sub>2</sub>, X<sub>MSE1−4</sub>, and X<sub>MSE5−10</sub>. Slow breathing in supine position was characterized by the change of the linear and non-linear parameters of both signals, reflecting the dominant vagal RRI modulation and the impact of slow 0.1 Hz breathing on Resp parameters. Coh<sub>RRI−Resp</sub> did not change with respect to supine position, while ρ<sub>1</sub> increased. Slow breathing in standing reflected the qualitatively specific state of autonomic regulation with striking impact on both cardiac and respiratory parameters, with specific patterns of cardiorespiratory coupling.</p><p><bold>Significance:</bold> Our results show that cardiac and respiratory short term and long term complexity parameters have different, state dependent patterns. Sympathovagal non-linear interactions are dependent on the pattern of their activation, having different scaling properties when individually activated with respect to the state of their joint activation. All investigated states induced a change of α<sub>1</sub> vs. α<sub>2</sub> relationship, which can be accurately expressed by the proposed measure—inter-fractal angle θ. Short scale (α<sub>1</sub> vs. MSE<sub>1−4</sub>) and long scale (α<sub>2</sub> vs. MSE<sub>5−10</sub>) complexity measures had reciprocal interrelation in standing with 0.1 Hz breathing, with specific cardiorespiratory coupling pattern (ρ<sub>1</sub> vs. X<sub>MSE1−4</sub>). These results support the hypothesis of hierarchical organization of cardiorespiratory complexity mechanisms and their recruitment in ascendant manner with respect to the increase of behavioral challenge complexity. Specific and comprehensive cardiorespiratory regulation in standing with 0.1 Hz breathing suggests this state as the potentially most beneficial maneuver for cardiorespiratory conditioning.</p>