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Heart Period Variability

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Heart period variability (HPV) is a physiological process where the time interval between heart beats varies. It is measured by the variation in the beat-to-beat interval. Other terms used include: "cycle length variability", "RR variability" (where R is a point corresponding to the peak of the QRS complex of the ECG wave; and RR is the interval between successive peaks), and "heart rate variability". Methods used to detect beats include: ECG, blood pressure, and the pulse wave signal derived from a photoplethysmograph (PPG). ECG is considered superior because it provides a clear waveform, which makes it easier to exclude heartbeats not originating in the sino-atrial node. The term "NN" is used in place of RR to emphasize the fact that the processed beats are "normal" beats. …show more content…

This rhythmic variation in HR at the frequency of respiration is called respiratory sinus arrhythmia (widely referred as heart period variability or heart rate variability). The precise physiological mechanisms of HPV are inadequately understood. Since early days, however, neural mechanisms have dominated over non-neural determinants of HPV, because HPV can be eliminated by division of cervical vagus nerves (Daly, 1997). Moreover, no HPV is shown in the transplanted heart until the recurrence of parasympathetic innervations (Thames et al., 1969). Therefore, an alternative hypothesis that HPV results from direct compression of the heart by the expanding lungs has been rejected (Daly, 1997). Five main mechanisms of the origin of HPV have evolved: (i) a central mechanism; (ii) a pulmonary reflex; (iii) an arterial baroreceptor reflex; (vi) an arterial reflex; and (v) chemoreceptor

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