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njit-etd2003-081 - New Jersey Institute of Technology

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83<br />

Figure 3.10 Example <strong>of</strong> power spectral density <strong>of</strong> HRV. Blue: power <strong>of</strong> spectrum <strong>of</strong><br />

RR interval in VLF range, red: power in LF range and yellow: power in HF range.<br />

(From www.skyaid.org/S kyaid%20 Org/Medical/HRV_Courses htm, 12/2001.)<br />

To date, the best-known and best-defined peak in power spectral analysis <strong>of</strong><br />

heart rate variability is the high frequency peak. The high frequency peak reflects<br />

changes in the interbeat interval that cycles up and down at the same frequency as<br />

respiration. This influence <strong>of</strong> respiration on heart rate has been known for more than<br />

one century and is called respiratory sinus arrhythmia (RSA). Properly defined, RSA is<br />

a rhythmical fluctuation in heart periods at the respiratory frequency that is characterized<br />

by a shortening and lengthening <strong>of</strong> heart periods in a phase relationship with inspiration<br />

and expiration, respectively [15]. RSA is being used increasingly as a measure <strong>of</strong> vagal<br />

control <strong>of</strong> the heart. As a result, the high frequency peak, which <strong>of</strong>ten occurs at the<br />

same frequency as the respiration peak, corresponds approximately to the RSA and it is<br />

purely parasympathetic in origin [17]. From experience, one might contest that the<br />

frequency <strong>of</strong> respiration is not limited to within the narrow band <strong>of</strong> 0.15 Hz to 0.4 Hz.

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