Voluntary control of breathing does not alter vagal modulation of heart rate. Patwardhan, Abhijit R., Joyce M. Evans, Eugene N. Bruce, Dwain L. Eckberg, and Charles F. Knapp. Center for Biomedical Engineering, University of Kentucky, Lexington, Kentucky 40506, Departments of Medicine and Physiology, Medical College of Virginia and Hunter Holmes McGuire Department of Veterans Affairs Medical Center, Richmond, Virginia 23249
APStracts 2:0096A, 1995.
Variations in respiratory pattern influence the heart rate spectrum. It has been suggested, hence, that metronomic respiration should be used to correctly assess vagal modulation of heart rate using spectral analysis. On the other hand, breathing to a metronome has been reported to increase heart rate spectral power in the high or respiratory frequency region; this finding has led to the suggestion that metronomic respiration enhances vagal tone or alters vagal modulation of heart rate. To investigate whether metronomic breathing complicates the interpretation of heart rate spectra by altering vagal modulation, we recorded the electrocardiogram and respiration from 8 volunteers during three breathing trials of 10 minutes each: 1) spontaneous breathing (mean rate of 14.4 breaths/min), 2) breathing to a metronome at the rate of 15, 18 and 21 breaths/min for 2, 6 and 2 minutes, and 3) breathing to a metronome at the rate of 18 breaths/min for 10 minutes. Data were also collected from 8 volunteers who breathed spontaneously for 20 minutes and breathed metronomically at each subject's mean spontaneous breathing frequency for 20 minutes. Results from the three, 10 minute breathing trials showed that heart rate power in the respiratory frequency region was smaller during metronomic breathing than during spontaneous breathing. This decrease could be explained fully by the higher breathing frequencies used during metronomic breathing trials 2 and 3. When the subjects breathed metronomically at each subjects mean breathing frequency, the heart rate powers during metronomic breathing were similar to those during spontaneous breathing. Our results suggest that vagal modulation of heart rate is not altered and vagal tone is not enhanced during metronomic breathing.

Received 10 January 1994; accepted in final form 27 January 1995.
APS Manuscript Number A35-4.
Article publication pending Journal of Applied Physiology.
ISSN 1080-4757 Copyright 1995 The American Physiological Society.
Published in APStracts on 21 March 1995.