Cardioventilatory coupling: effects of IPPV

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Cardioventilatory coupling: effects of IPPV.

Cardioventilatory coupling (CVC) is the temporal coherence of respiratory and cardiac rhythms. We have suggested that this coherence is the result of triggering of inspiratory onset by a preceding cardiovascular afferent. One implication of this triggering hypothesis is that coupling should only exist under conditions of spontaneous ventilation and not under conditions where the ventilatory per...

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Cardioventilatory coupling during anaesthesia.

In 20 spontaneously breathing patients undergoing minor surgical procedures under general anaesthesia, we examined the timing relationship of heart best and ventilation. Patients received propofol 2-2.5 mg kg-1 and fentanyl 1 microgram kg-1 and breathed a mixture of 1-1.5% isoflurane and 66% nitrous oxide in oxygen. We recorded ECG R wave times and the start of each inspiration. We observed tha...

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Cardioventilatory coupling in atrial fibrillation.

Cardioventilatory coupling is an entrainment phenomena, distinct from respiratory sinus arrhythmia, whereby heart and breathing rhythms show temporal coherence. Coupling is commonly observed during rest, sleep and anaesthesia. Five graphical methods, each with different underlying mechanistic assumptions, have been suggested for studying this entrainment relationship: (a) time relationship betw...

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Inspiratory timing during anaesthesia: a model of cardioventilatory coupling.

We describe a simple model of cardioventilatory coupling in which a hypothetical inspiratory pacemaker is stimulated by a signal related to cardiac action. At suitable values for the control variables (cardiac signal magnitude, heart rate, inspiratory pacemaker rate and inspiratory rate variability), the model was found to: (1) replicate all clinically described patterns of coupling; (2) predic...

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Cardioventilatory coupling (CVC), a transient temporal alignment between the heartbeat and inspiratory activity, has been studied in animals and humans mainly during anesthesia. The origin of the coupling remains uncertain, whether or not ventilation is a main determinant in the CVC process and whether the coupling exhibits chaotic behavior. In this frame, we studied sedative-free, mechanically...

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ژورنال

عنوان ژورنال: British Journal of Anaesthesia

سال: 1999

ISSN: 0007-0912

DOI: 10.1093/bja/82.4.546