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首页> 外文期刊>Biological Psychology >Hemodynamic and autonomic modifications during sleep stages in young hypotensive women
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Hemodynamic and autonomic modifications during sleep stages in young hypotensive women

机译:年轻的低血压妇女在睡眠阶段的血流动力学和自主神经调节

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摘要

This study examined cardiovascular activity and autonomic involvement during sleep in essential hypotension. We compared young female hypotensives and normotensives using ambulatory blood pressure monitoring, impedance cardiography, and frequency-domain analysis of heart rate variability during a night of polysomnographic recording. Hypotensives, as compared to normotensives, exhibited lower blood pressure, reduced myocardial contractility and reduced sympathovagal balance across the whole night. Both groups exhibited a reduction in cardiovascular involvement from wake to sleep with similar cardiovascular activity during wake and REM. No group difference was observed in sleep architecture suggesting similar sleeping quality in hypotensives and normotensives. The lower blood pressure and reduced myocardial contractility associated with a lower sympathovagal balance in hypotensives, as compared to normotensives, suggest a night-time hypoactivation of the cardiovascular system supporting the hypothesis of impairment in autonomic control in essential hypotension.
机译:这项研究检查了原发性低血压患者睡眠期间的心血管活动和自主神经活动。我们在多导睡眠图记录期间使用动态血压监测,阻抗心动图和心率变异性的频域分析比较了年轻女性的降压和降压。与正常血压相比,低血压在整个晚上表现出较低的血压,降低的心肌收缩力和交感神经平衡。两组均表现出从苏醒到睡眠的心血管受累减少,苏醒和REM期间的心血管活动相似。在睡眠结构方面未观察到群体差异,表明降压和降压患者的睡眠质量相似。与血压正常的血压相比,血压较低的血压和降低的心肌收缩力与较低的交感神经平衡有关,提示心血管系统夜间活动不足,支持了原发性低血压中自主神经控制功能受损的假说。

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