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   <dc:title>Effectiveness of an R-based software to detect closed-loop cardiovascular interactions and baroreflex impairment in human subjects from the EUROBAVAR data set</dc:title>
   <dc:creator>Chao-Écija, Álvaro</dc:creator>
   <dc:creator>Carrasco-Gómez, Daniel</dc:creator>
   <dc:creator>Dawid-Milner, Marc Stefan</dc:creator>
   <dc:subject>Sistema cardiovascular</dc:subject>
   <dcterms:abstract>We recently developed an R-based software that could model closedloop&#xd;
cardiovascular interactions. In this study, we applied this tool&#xd;
on the EUROBAVAR data set to further test its applicability. The aim of this work is to test the effectiveness&#xd;
of our software to identify cardiovascular regulatory mechanisms and&#xd;
baroreflex impairment from these data. We first uploaded each recording into our software to model the&#xd;
interactions present between systolic blood pressure (SBP) and IBI&#xd;
by employing a wavelet detrending and multivariate autoregressive&#xd;
modeling algorithm. Then, our software estimated causal coherence&#xd;
and Gaussian-weighted baroreflex sensitivity (BRS) indexes from&#xd;
each model at the low frequency (LF, 0.04-0.15 Hz, sympathetic) and&#xd;
high frequency (HF, 0.15-0.4 Hz, parasympathetic) bands. Immediate&#xd;
variability transfer from SBP to IBI was also computed for each&#xd;
subject. Our results showed that, when standing, the estimates of&#xd;
only two subjects, B005 and B010, were below percentile P10 of the&#xd;
BRS distribution (0.719 ms/mmHg at HF, 1.678 ms/mmHg at LF) at&#xd;
both bands. A literature review indicated that these two subjects had&#xd;
a baroreflex impairment. In non-baroreflex-impaired subjects, causal&#xd;
coherence from IBI to SBP at LF was significantly predominant at rest&#xd;
when compared with the coupling from SBP to IBI (p &lt; 0.001). This&#xd;
predominance disappeared during standing due to changes in the couplings,&#xd;
suggesting a baroreflex interaction. Closed-loop BRS supineto-&#xd;
standing ratios in these subjects were 1.69 ± 0.93 (LF band) and&#xd;
3.1 ± 1.32 (HF band), showing a significantly decreased BRS during&#xd;
standing position (p &lt; 0.01, LF; p &lt; 0.001, HF). Immediate transfer&#xd;
also decreased during standing (p &lt; 0.001). In conclusion, our software&#xd;
managed to evaluate causal closed-loop interactions between cardiovascular&#xd;
variables from the data set, evidencing a baroreflex coupling, Thus, this allows it to&#xd;
be a useful tool for baroreceptor evaluations.</dcterms:abstract>
   <dcterms:dateAccepted>2022-10-14T11:49:53Z</dcterms:dateAccepted>
   <dcterms:available>2022-10-14T11:49:53Z</dcterms:available>
   <dcterms:created>2022-10-14T11:49:53Z</dcterms:created>
   <dcterms:issued>2022</dcterms:issued>
   <dc:type>conference output</dc:type>
   <dc:identifier>https://hdl.handle.net/10630/25217</dc:identifier>
   <dc:language>eng</dc:language>
   <dc:relation>XL Congress of the Spanish Society of Physiological Sciences (SECF)</dc:relation>
   <dc:relation>Badajoz</dc:relation>
   <dc:relation>19/09/2022</dc:relation>
   <dc:rights>open access</dc:rights>
</qdc:qualifieddc>
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