Comparison between young adults with hypertensive parents and those with normotensive parents on the effects of slow breathing and mental stress on the cardiac component of the baroreflex and heart rate variability (HRV)

Future Physiology 2019 (Liverpool, UK) (2019) Proc Physiol Soc 45, PC89

Poster Communications: Comparison between young adults with hypertensive parents and those with normotensive parents on the effects of slow breathing and mental stress on the cardiac component of the baroreflex and heart rate variability (HRV)

F. H. Al Enazi1, A. Coney1, J. MARSHALL1

1. University of Birmingham, Birmingham, United Kingdom.

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Individuals with hypertensive parents (FH+) have greater risk of hypertension than those with normotensive parents (FH-). Whether autonomic control of arterial blood pressure (ABP) is impaired in young normotensive FH+ is unclear. Thus, in 9 FH- and 11 FH+ (18-25 years), we recorded ABP, ECG, respiration, baroreflex sensitivity (BRS) by the sequence method (changes in R-R interval evoked by spontaneous increases and decreases in systolic pressure (SP)), and as change in R-R interval evoked by the fall in SP that occurs on standing from a squat position, at rest, during slow breathing for 5 min at 6 breaths/min, and during mental stress for 3 min (Colour Stroop test). HRV was computed by time- and frequency domain analyses under each condition. Comparisons with and between FH+ and FH- were done by paired and unpaired t-tests respectively. FH- and FH+ had similar mean ABP (mABP: 85±0.8 vs 90±2.7 mmHg) and respiration (16.1±1.2 vs 15.9±0.6 breaths/min) at rest. Mental stress increased ABP, HR, and respiratory frequency in both FH+ and FH-, but the increase in ABP tended to be greater in FH+ (P=0.07). Vagal indices of HRV (RMSSD and pRR50) decreased during mental stress in FH+, but not FH- (RMSSD: 70.3±14.3 to 45.9±8.8*; 67.2±14.8 to 62.2±23.3 respectively, *: P<0.05 within group). Further, Further, BRS was decreased in response to up- and down-sequences in SP during mental stress in FH+, but during down sequences only in FH- (1.2±0.05 to 1.0±0.05* and 1.2±0.05to 0.9±0.05*; 1.2±0.08 to 1.0±0.06 and 1.2±0.08 to 0.9±0.08* respectively). Moreover, BRS during squat to stand, was lower under resting conditions in FH+ than FH- (0.48 vs 0.69†; †: P<0.05 FH+ vs FH-), but BRS during squat to stand following mental stress decreased in FH- only (to 0.37*). On the other hand, slow breathing increased BRS during up-sequences in FH+ (1.2±0.05 to 1.3±0.05*), but not FH- (1.18±0.08 to 1.34±0.08ms/mmHg), and increased RMSSD, in FH+ only (70.3±14.3 to 78.9±13.5*). These results suggest that young, normotensive FH+ tend to show a greater pressor response to mental stress than FH-, which is accompanied by greater depression of BRS and a substantial decrease in the vagal influence over HR. Thus, it seems BRS regulation of ABP via the vagus is disturbed more during mental stress in FH+ than FH-. On the other hand, as BRS during squat to stand is well-maintained following mental stress in FH+ but not FH-, it seems that young FH+ lack central neural depression of the sympathetic component of BRS that occurs during mental stress in FH-. Since slow breathing enhanced the BRS and increased vagal control over HR in FH+, it may be that regular slow breathing may restore vagal-sympathetic regulation of HR and BRS in FH+ and reduce their future risk of hypertension.



Where applicable, experiments conform with Society ethical requirements.

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