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Short-Term Effects of a Brief Respiratory Training on Baroreceptor Cardiac Reflex Function in Normotensive and Mild Hypertensive Subjects

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Baroreceptor cardiac reflex sensitivity is reduced in hypertension and is considered a powerful prognostic factor in cardiovascular health. This study analyzes the acute effects of a brief respiratory training on baroreceptor sensitivity and on two new proposed baroreflex parameters: baroreceptor power (i.e., the percentage of cardiac beats regulated by the baroreflex) and effectiveness (i.e., the frequency in which the baroreflex responds to transient alterations in blood pressure). Twenty-two participants, 10 primary mild hypertensives and 12 normotensives, learned and practiced a respiratory pattern characterized by breathing at 6 bpm, with time of expiration being twice time of inspiration, predominantly abdominal, and with pursed lips. Baroreceptor parameters are differentiated in terms of increases (“up” sequences) or decreases (“down” sequences) in blood pressure. Irrespective of the groups, the breathing manipulation increased baroreceptor sensitivity (only in the “up” sequences), power, and effectiveness (only in the “down” sequences). These results suggest that this type of respiratory training could be used as a promising intervention to increase baroreceptor cardiac function in primary hypertension.

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REFERENCES

  • Bernardi, L., Porta, C., Spicuzza, L., Bellwon, J., Spadacini, G., Frey, A. W., et al. (2002). Slow breathing increases arterial baroreflex sensitivity in patients with chronic heart failure. Circulation, 105, 143–145.

    Article  Google Scholar 

  • Berntson, G. G., Bigger, J. T., Eckberg, D. L., Grossman, P., Kaufmann, P. G., Malik, M., et al. (1997). Heart rate variability: Origins, methods, and interpretative caveats. Psychophysiology, 34, 623–648.

    Article  PubMed  Google Scholar 

  • Bertinieri, G., di Rienzo, M., Parati, B., Pomidossi, G., Pedotti, A., Zanchetti, A., et al. (1987). Baroreceptor-heart rate reflex studied in normotensive and essential hypertensives by beat-to-beat analysis of 24-hour blood pressure and heart rate. Journal of Hypertension, 5, 53335335.

    Article  Google Scholar 

  • Cea, J. I., Caso, R., Reyes del Paso, G. A., González-Pinto, A., Brazal, J., & Martínez, B. (2005). Blood pressure is reduced after a breathing intervention in mild hypertensive patients. Psychophysiology, 34, S62.

    Google Scholar 

  • Conde, M., & Menéndez, F. J. (2000). Últimas aportaciones sobre la influencia de la respiración al aprendizaje con biofeedback de la conductancia eléctrica de la piel. Revista Electrónica de Motivación y Emoción, 3(4), http://reme.uji.es/articulos/acondm6431205100/texto.html

  • Di Rienzo, M., Parati, G., Castiglioni, P., Tordi, R., Mancia, G., & Pedotti, A. (2001). Baroreflex effectiveness index: An additional measure of baroreflex control of heart rate in dialy life. American Journal of Physiology. Regulatory Integrative and Comparative Physiology, 280, R744–R751.

    Google Scholar 

  • Eckberg, D. L., Kifle, Y. T., & Roberts, V. L. (1980). Phase relationship between human respiration and baroreflex responsiveness. Journal of Physiology, 304, 489–502.

    PubMed  Google Scholar 

  • Eckberg, D. L., & Sleight, P. (1992). Human baroreflexes in health and disease. Oxford: Oxford University Press.

    Google Scholar 

  • La Rovere, M. T., Bigger, T. J., Marcus, F. I., Mortara, A., & Schwartz, P. J. for the ATRAMI (Autonomic Tone and Reflexes After Myocardial Infarction) investigators (1998). Baroreflex sensitivity and heart rate variability in prediction of total cardiac mortality after myocardial infarction. Lancet, 351, 478–484.

    Article  PubMed  Google Scholar 

  • Lehrer, P. M., Sasaki, Y., & Saito, Y. (1999). Zazen and cardiac variability. Psychosomatic Medicine, 61, 812–821.

    PubMed  Google Scholar 

  • Lehrer, P. M., Vaschillo, E., & Vaschillo, B. (2000). Resonant frequency training to heart cardiac variability: Rationale and manual for training. Applied Psychophysiology and Biofeedback, 25, 177–191.

    Article  PubMed  Google Scholar 

  • Lehrer, P. M., Vaschillo, E., Vaschillo, B., Lu, S., Eckberg, D. L., Edelberg, R., et al. (2003). Heart rate variability biofeedback increases baroreflex gain and peak expiratory flow. Psychosomatic Medicine, 65, 796–805.

    Article  PubMed  Google Scholar 

  • Meles, E., Giannattasio, C., Failla, M., Gentile, G., Capra, A., & Mancia, G. (2004). Nonpharmacological treatment of hypertension by respiratory exercise in the home setting. American Journal of Hypertension, 17, 370–374.

    Article  Google Scholar 

  • Parati, G., di Rienzo, M., & Mancia, G. (2000). How to measure baroreflex sensitivity: From the cardiovascular laboratory to daily life. Journal of Hypertension, 18, 7–19.

    Google Scholar 

  • Parati, G., Frattola, A., di Rienzo, M., Castiglioni, P., Pedotti, A., & Mancia, G. (1995). Effects of aging on 24 hour dynamic baroreceptor control of heart rate in ambulant subjects. American Journal of Physiology. Heart and Circulatory Physiology, 268, H1606–H1612.

    Google Scholar 

  • Parati, G., Izzo, J. L., & Gavish, B. (2003). Respiration and blood pressure. In J. L. Izzo & H. R. Black (Eds.), Hypertension primer (chap. A40, pp. 117–120). Baltimore: Lippincott, Williams, and Wilkins.

    Google Scholar 

  • Reyes del Paso, G. A. (1992). An on-line program to calculate respiratory sinus arrhythmia amplitude. Behavior Research Methods, Instruments, and Computers, 24, 464–466.

    Google Scholar 

  • Reyes del Paso, G. A. (1994). A program to assess baroreceptor cardiac reflex function. Behavior Research Methods, Instruments, and Computers, 26, 62–64.

    Google Scholar 

  • Reyes del Paso, G. A. (1999). A biofeedback system of baroreceptor cardiac reflex sensitivity. Applied Psychophysiology and Biofeedback, 24, 67–77.

    Article  PubMed  Google Scholar 

  • Reyes del Paso, G. A., Godoy, J., & Vila, J. (1992). Self-regulation of respiratory sinus arrhythmia. Biofeedback and Self-Regulation, 17, 261–275.

    Article  PubMed  Google Scholar 

  • Reyes del Paso, G. A., & González, M. I. (2004). Modification of baroreceptor cardiac reflex function by biofeedback. Applied Psychophysiology and Biofeedback, 29, 197–211.

    Article  Google Scholar 

  • Reyes del Paso, G. A., González, M. I., & Hernández, J. A. (2004). Baroreceptor sensitivity and effectiveness varies differentially as a function of cognitive attentional demands. Biological Psychology, 67, 385–395.

    Article  Google Scholar 

  • Reyes del Paso, G. A., Hernández, J. A., & González, M. I. (2004). Differential analysis in the time domain of the baroreceptor cardiac reflex sensitivity as a function of sequence length. Psychophysiology, 41, 483–488.

    Article  Google Scholar 

  • Reyes del Paso, G. A., Hernández, J. A., & González, M. I. (2006). Differential evaluation of the baroreceptor cardiac reflex effectiveness as a function of sequence length. International Journal of Psychophysiology, 59, 91–96.

    Google Scholar 

  • Reyes del Paso, G. A., Langewitz, W., Robles, H., & Pérez, N. (1996). A between-subjects comparison of respiratory sinus arrhythmia and baroreceptor cardiac reflex sensitivity as non-invasive measures of tonic parasympathetic cardiac control. International Journal of Psychophysiology, 22, 163–171.

    Article  Google Scholar 

  • Sleight, P. (1997). The importance of the autonomic nervous system in health and disease. Australian and New Zealand Journal of Medicine, 27, 467–473.

    PubMed  Google Scholar 

  • Steptoe, A., & Sawada, Y. (1989). Assessment of baroreceptor reflex function during mental stress and relaxation. Psychophysiology, 26, 140–147.

    Article  PubMed  Google Scholar 

  • Steptoe, A., & Vögele, C. (1990). Cardiac baroreflex function during postural change assessed using non-invasive spontaneous sequence analysis in young men. Cardiovascular Research, 24, 627–632.

    Article  PubMed  Google Scholar 

  • Viskoper, R., Shapira, I., Priluck, R., Mindlin, R., Chornia, L., Laszt, A., et al. (2003) Nonpharmacological treatment of resistant hypertensives by device-guided slow breathing exercises. Ameican Journal of Hypertension, 16, 484–487.

    Article  Google Scholar 

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ACKNOWLEDGMENTS

This research was supported by grants from the Spanish Commission of Science and Technology (CICYT: BSO2001-3422) and Junta de Andalucía (Research Group: HUM338).

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Correspondence to Gustavo A. Reyes del Paso.

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Reyes del Paso, G.A., Cea, J.I., González-Pinto, A. et al. Short-Term Effects of a Brief Respiratory Training on Baroreceptor Cardiac Reflex Function in Normotensive and Mild Hypertensive Subjects. Appl Psychophysiol Biofeedback 31, 37–49 (2006). https://doi.org/10.1007/s10484-006-9003-9

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