Skip to main content

Short-Term Hemodynamic Variability in Supine and Tilted Position in Young Men

  • Conference paper
  • First Online:
XV Mediterranean Conference on Medical and Biological Engineering and Computing – MEDICON 2019 (MEDICON 2019)

Abstract

The aim of the study was to evaluate short-term changes in hemodynamic parameters observed in supine and tilted positions in six young men (age: 21–25). The cardiac inter-beat interval (RR), stroke volume (SV), ejection time (ET) and pre-ejection period (PEP) parameters were followed over two six-minute periods, in supine position and 10 min after a 60-degree head-up tilting maneuver, using continuously recorded impedance cardiography (ICG) and electrocardiography (ECG) signals. Hemodynamic variability was evaluated using coefficient of variation (CV), standard deviation (SD), and quartile deviation (QD). For the supine position, the mean (M), SD, CV and QD of the observed parameters were as follows. SV: 79 ml, 16 ml, 20%, 15 ml. RR: 905 ms, 106 ms, 12%, 163 ms. ET: 308 ms, 29 ms, 10%, 33 ms. PEP: 105 ms, 19 ms, 18%, 28 ms. In the tilted position, the following were observed. SV: 54 ml, 12 ml, 21%, 15 ml. RR: 706 ms, 68 ms, 10%, 68 ms. ET: 259 ms, 38 ms, 14%, 28 ms. PEP: 123 ms, 13 ms, 12%, 15 ms. The changes in hemodynamic variability caused by tilting were not unidirectional.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 169.00
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 219.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

References

  1. Cybulski, G.: Influence of age on the immediate cardiovascular response to the orthostatic maneouvre. Eur. J. Appl. Physiol. 73, 563–572 (1996)

    Article  Google Scholar 

  2. Koźluk, E., Cybulski, G., Piątkowska, A., Zastawna, I., Niewiadomski, W., Strasz, A., Gąsiorowska, A., Kempa, M., Kozłowski, D., Opolski, G.: Early hemodynamic response to the tilt test in patients with syncope. Arch. Med. Sci. 10(6), 1078–1085 (2014)

    Article  Google Scholar 

  3. Cybulski, G., Ziółkowska, E., Książkiewicz, A., Łukasik, W., Niewiadomski, W., Kodrzycka, A., Pałko, T.: Application of impedance cardiography ambulatory monitoring device for analysis of central hemodynamics variability in atrial fibrillation. Comput. Cardiol. 26, 563–566 (1999)

    Google Scholar 

  4. Siebert, J., Drabik, P., Lango, R., Szyndler, K.: Stroke volume variability and heart rate power spectrum in relation to posture changes in healthy subjects. Med. Sci. Monitor. 10(2), MT31-7 (2004)

    Google Scholar 

  5. Zubarev, M.A., Schekotov, V.V., Parandey, O.R., Dumler, A.A.: Beat – to - beat variability of stroke volume output velocity measured by an impedance cardiographic method. In: IFMBE Proceedings, vol. 17, pp. 579–581 (2007)

    Google Scholar 

  6. Toska, K., Eriksen, M.: Respiration-synchronous fluctuations in stroke volume, heart rate and arterial pressure in humans. J. Physiol. 472, 501–512 (1993)

    Article  Google Scholar 

  7. Niizeki, K., Saitoh, T.: Analysis of cardiorespiratory phase coupling and cardiovascular autonomic responses during food ingestion. Physiol. Behav. 159, 1–13 (2016)

    Article  Google Scholar 

  8. Marongiu, E., Olla, S., Magnani, S., Palazzolo, G., Sanna, I., Tocco, F., Marcelli, M., Loi, A., Corona, F., Mulliri, G., Concu, A., Crisafulli, A.: Metaboreflex activity in multiple sclerosis patients. Eur. J. Appl. Physiol. 115(12), 2481–2490 (2015)

    Article  Google Scholar 

  9. Ahmad, S., Batkin, I., Kelly, O., Dajani, H.R., Bolic, M., Groza, V.: Multiparameter physiological analysis in obstructive sleep Apnea simulated with Mueller Maneuver. IEEE Trans. Instrum. Measure. 62(10), 2751–2762 (2013)

    Article  Google Scholar 

  10. Gratze, G., Mayer, H., Luft, F.C., Skrabal, F.: Determinants of fast marathon performance: low basal sympathetic drive, enhanced postcompetition vasodilatation and preserved cardiac performance after competition. Br. J. Sports Med. 42(11), 882–888 (2008)

    Article  Google Scholar 

  11. Cybulski, G., Koźluk, E., Piątkowska, A., Michalak, E., Strasz, A., Gąsiorowska, A., Niewiadomski, W.: Short-term hemodynamic variability in supine and tilted position in young women. Comput. Cardiol. 43, 513–516 (2016). https://doi.org/10.22489/CinC.2016.146-481

    Article  Google Scholar 

  12. Cybulski, G., Książkiewicz, A., Łukasik, W., Niewiadomski, W., Pałko, T.: Ambulatory monitoring device for central hemodynamics and ECG signals recording on PCMCIA flash memory cards. Comput. Cardiol. 22, 505–507 (1995)

    Google Scholar 

  13. Cybulski, G., Michalak, E., Koźluk, E., Piątkowska, A., Niewiadomski, W.: Stroke volume and systolic time intervals: beat-to-beat comparison between echocardiography and ambulatory impedance cardiography in supine and tilted positions. Med. Biol. Eng. Compu. 42, 707–711 (2004)

    Article  Google Scholar 

  14. Cybulski, G.: Ambulatory impedance cardiography. In: The Systems and Their Applications. Series: Lecture Notes in Electrical Engineering. Springer, Heidelberg (2011)

    Google Scholar 

  15. Kubicek, W.G., Karnegis, J.N., Patterson, R.P., Witsoe, D.A., Mattson, R.H.: Development and evaluation of an impedance cardiac output system. Aerosp. Med. 37, 1208–1212 (1966)

    Google Scholar 

  16. Ebert, T.J., Eckberg, D.L., Vetrvec, G.M., Cowley, M.J.: Impedance cardiograms reliably estimate beat-by-beat changes of left ventricular stroke volume in humans. Cardiovasc. Res. 18, 354–360 (1984)

    Article  Google Scholar 

  17. Scherhag, A., Kaden, J.J., Kentschke, E., Sueselbeck, T., Borggrefe, M.: Comparison of impedance cardiography and thermodilution-derived measurements of stroke volume and cardiac output at rest and during exercise testing. Cardiovasc. Drugs Ther. 19(2), 141–147 (2005)

    Article  Google Scholar 

  18. Cybulski, G., Strasz, A., Niewiadomski, W., Gąsiorowska, A.: Impedance cardiography: recent advancements. Cardiol. J. 19(5), 550–556 (2012)

    Article  Google Scholar 

  19. Fellahi, J.L., Fischer, M.O.: Electrical bioimpedance cardiography: an old technology with new hopes for the future. J. Cardiothorac. Vasc. Anesth. 28(3), 755–760 (2014)

    Article  Google Scholar 

  20. Lozano, D.L., Norman, G., Knox, D., Wood, B.L., Miller, B.D., Emery, C.F., Berntson, G.G.: Where to B in dZ/dt. Psychophysiology 44(1), 113–119 (2007)

    Article  Google Scholar 

Download references

Acknowledgements

The study was supported by the research programs of institutions the authors are affiliated with.

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Gerard Cybulski .

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2020 Springer Nature Switzerland AG

About this paper

Check for updates. Verify currency and authenticity via CrossMark

Cite this paper

Cybulski, G. et al. (2020). Short-Term Hemodynamic Variability in Supine and Tilted Position in Young Men. In: Henriques, J., Neves, N., de Carvalho, P. (eds) XV Mediterranean Conference on Medical and Biological Engineering and Computing – MEDICON 2019. MEDICON 2019. IFMBE Proceedings, vol 76. Springer, Cham. https://doi.org/10.1007/978-3-030-31635-8_94

Download citation

  • DOI: https://doi.org/10.1007/978-3-030-31635-8_94

  • Published:

  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-030-31634-1

  • Online ISBN: 978-3-030-31635-8

  • eBook Packages: EngineeringEngineering (R0)

Publish with us

Policies and ethics