Chronic Heart Failure Abolishes Circadian Rhythms in Resting and Chemoreflex Breathing

  • Robert LewisEmail author
  • Bryan T. Hackfort
  • Harold D. Schultz
Conference paper
Part of the Advances in Experimental Medicine and Biology book series (AEMB, volume 1071)


Physiological systems often display 24 h rhythms that vary with the light/dark cycle. Disruption of circadian physiological rhythms have been linked to the progression of various cardiovascular diseases, and advances in the understanding of these rhythms have led to novel interventions and improved clinical outcomes. Although respiratory function has been known to vary between the light and dark periods, circadian rhythms in breathing have been understudied in clinical conditions. In the current study, we have begun to assess light/dark variations in respiration in chronic heart failure (CHF), a condition associated with abnormal resting and chemoreflex breathing as well as exercise intolerance. CHF was induced using coronary artery ligation and verified using echocardiography. Sham animals underwent a thoracotomy without coronary artery ligation. Tidal volume, respiratory frequency, and minute ventilation were all determined by whole body plethysmography under resting conditions and in response to chemoreflex challenges during the light and dark periods. Light/dark differences in voluntary exercise were assessed using a running wheel. The sham control group showed light/dark differences in resting and chemoreflex breathing, as well as arterial pressure, and these effects were eliminated in the CHF group. Both groups completed more rotations on the running wheel during the dark period compared to during the light period. The data suggest that CHF disrupts cardiovascular and respiratory circadian rhythms.


Circadian rhythm Chronic heart failure Chronobiology Plethysmography 



The authors would like to acknowledge Mary Ann Zink and Kaye Talbitzer for their technical assistance in completing this project.

This work was supported by NIH PO1-HL062222-17.


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Copyright information

© Springer International Publishing AG, part of Springer Nature 2018

Authors and Affiliations

  • Robert Lewis
    • 1
    Email author
  • Bryan T. Hackfort
    • 2
  • Harold D. Schultz
    • 2
  1. 1.A.T. Still University School of Osteopathic MedicineMesaUSA
  2. 2.Department of Cellular and Integrative Physiology at the University of Nebraska Medical CenterOmahaUSA

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