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We analyzed the spectral components of RR interval variability under controlled respiration (15 location of diseased coronary arteries. In these studies, the vagal cardiac function has been assessed by heart rate responses to tilting, the Valsalva maneuver, facial water immersion, or deep breathing. These conventional methods inflict a temporary imbalance on the cardiovascular system,9 and the data can be considerably affected by many hemodynamic control factors other than the vagal cardiac function. The purpose of this study was to investigate the relation between the autonomic cardiac function and the clinical and angiographic features of CAD. We evaluated the autonomic cardiac function by power spectral analysis of heart rate variability.9-14 Heart rate power spectral density in humans contains two major components, reflecting respiratory sinus arrhythmia (RSA) and a 0.04-0.

To determine whether paced breathing (PB) and respiratory interval of PB modify the relationship between spectral components of heart rate variability (HRV) and cardiac vagal tone, we studied seven healthy young males under the condition of beta-adrenergic blockade by intravenous propranolol (0.2 mg/kg). Compared with spontaneous breathing, PB at the same respiratory interval as that of individual spontaneous breathing showed no significant effect on the amplitude of the high-frequency (HF) component or the mean R-R interval in either the supine or tilt position, whereas the PB decreased the amplitude of the low-frequency (LF; 0.04-0.15 Hz) component in both positions (P = 0.004 and 0.042, respectively). When the respiratory interval was increased from 3 to 6 s, the HF amplitude showed a progressive increase in both positions (P = 0.001 and 0.035, respectively), while the LF amplitude and mean R-R interval remained unchanged. These results indicate that the effects of PB and respiratory interval on the spectral components of HRV are not mediated by the changes in mean cardiac vagal tone and support the hypothesis that increased respiratory interval amplifies the respiratory-related vagal modulation of heart rate.