Spectral analysis of spontaneous heart rate fluctuations were assessed by use of autonomic blocking agents and changes in posture. Low-frequency fluctuations (below 0.12 Hz) in the supine position are mediated entirely by the parasympathetic nervous system. On standing, the low-frequency fluctuations increase and are jointly mediated by the sympathetic and parasympathetic nervous systems. High-frequency fluctuations, at the respiratory frequency, are decreased by standing and are mediated solely by the parasympathetic system. Heart rate spectral analysis is a powerful noninvasive tool for quantifying autonomic nervous system activity.

An automatic algorithm has been developed for high-speed detection of cavity boundaries in sequential 2-D echocardiograms using an optimization algorithm called simulated annealing (SA). The algorithm has three stages. (1) A predetermined window of size nxm is decimated to size n'xm' after low-pass filtering. (2) An iterative radial gradient algorithm is employed to determine the center of gravity (CG) of the cavity. (3) 64 radii which originate from the CG defined in stage 2 are bounded by the high-probability region. Each bounded radius is defined as a link in a 1-D, 64-member cyclic Markov random field. This algorithm is unique in that it compounds spatial and temporal information along with a physical model in its decision rule, whereas most other algorithms base their decisions on spatial data alone. This is the first implementation of a relaxation algorithm for edge detection in echocardiograms. Results attained using this algorithm on real data have been highly encouraging.

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Although there has recently been considerable interest in applying the theory of nonlinear dynamics to the analysis of complex systems, as yet applications of the theory to biological systems in vivo have been very limited. We report here evidence of nonlinear behaviour in the electrocardiogram and arterial blood pressure traces of the noradrenaline-treated dog. Noradrenaline produces variations in these traces that repeat themselves with regular periods of integral numbers of heart-beats (period multupling), an effect that resembles the 'period-doubling' and other 'bifurcative' behaviour observed when the driving frequency of a nonlinear oscillator is increased above a critical value. The simplest type of periodic variation that we report is the so-called 'electrical alternans', which has long been known as one response of cardiac electrical activity to certain stresses and disease states.