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Complex Demodulation of Cardiac Interbeat Intervals: Increased Cardiac Sympathovagal Interaction During Human Sexual Activity

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Abstract

In this study, we analyzed heart rate variability during sexual activity using complex demodulation, which is a useful technique to study continuous changes in different frequency bands over short periods of time. Complex demodulation has the advantage of having higher time resolution compared to spectral analysis. We quantified the low frequency (LF: 0.04–0.15 Hz) and high frequency (HF: 0.15–0.5 Hz) amplitudes, and the LF/HF ratio before, during, and after the occurrence of orgasm. LF power is dually mediated by cardiac sympathetic and parasympathetic systems while HF power is mainly influenced by cardiac vagal function. We found a significant increase of cardiac sympathovagal interaction (LF/HF ratios) during the phase of orgasm. These findings are discussed in light of normal sexual physiology and the effect of sex on cardiac autonomic function in patients with heart disease, such as myocardial infarction.

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REFERENCES

  • Akselrod, S., Gordon, D., Ubel, F. A., Shannon, D. C., Barger, A. C., & Cohen, R. J. (1981). Power spectrum analysis of heart rate fluctuation: A quantitative probe of beat-to-beat cardiovascular control. Science, 213 220–222.

    Google Scholar 

  • Berger, R. D., Akselrod, S., Gordon, D., & Cohen, R. J. (1986). An efficient algorithm for spectral analysis of heart rate variability. IEEE Transcripts in Biomedical Engineering, 33 900–904.

    Google Scholar 

  • Berger, R. D., Casper, E. K., Baughman, K. L., Marban, E., Calkins, H., & Tomaselli, G. F. (1997). Beat-to-beat QT interval variability: Novel evidence for repolarization lability in ischemic and nonischemic dilated cardiomyopathy. Circulation, 96 1557–1565.

    Google Scholar 

  • Bigger, J.T., Fleiss, J. L., Steinman, R., Rolnitzky, L. M., Kleiger, R. E., & Rottman, J. N. (1992). Frequency domain measures of heart period variability and mortality after myocardial infarction. Circulation, 85 164–171.

    Google Scholar 

  • Binah, O., & Rosen, M. (1992). Mechanisms of ventricular arrhythmias. Circulation, 85(Suppl. I), I25–I31.

    Google Scholar 

  • Bloomfield, P. (1976). Complex demodulation. In P. Bloomfield (Ed.), Fourier analysis of time series: An introduction (pp. 118–150). New York: Wiley.

    Google Scholar 

  • Bohlen, J. G., Held, J. P., Sanderson, M. O., & Patterson, R. P. (1984). Heart rate, rate-pressure product, and oxygen uptake during four sexual activities. Archives of Internal Medicine, 144 1745–1748.

    Google Scholar 

  • Cacioppo, J. T., Berntson, G. G., Ginkley, P. F., Quigley, K. S., Uchino, B. N., & Fieldstone, A. (1994). Autonomic cardiac control. II. Noninvasive indices and basal response as revealed by autonomic blockades. Psychophysiology, 31 586–598.

    Google Scholar 

  • Exton, M. S., Bindert, A., Kruger, T., Scheller, F., Hartmann, U., & Schedlowski, M. (1999). Psychosomatic Medicine, 61 290–291.

    Google Scholar 

  • Hayano, J., Taylor, J. A., Yamada, A., Mukai, S., Hori, R., Asakawa, T., et al. (1993). Continuous assessment of hemodynamic control by complex demodulation of cardiovascular variability. American Journal of Physiology, 33 H1229–H1238.

    Google Scholar 

  • Hellerman, H. K., & Friedman, E. H. (1970). Sexual activity and the post-coronary patient. Archives of Internal Medicine, 125 987–999.

    Google Scholar 

  • Kleiger, R. E., Miller, J. P., Bigger, J. T., & Moss, A. J. (1987). Decreased heart rate variability and its association with increased mortality after acute myocardial infarction. American Journal of Cardiology, 59 256–262.

    Google Scholar 

  • Kruger, T., Exton, M. S., Pawlak, C., von Zur Muhlen, A., Hartmann, U., & Schedlowski, M. (1998). Neuroendocrine and cardiovascular response to sexual arousal and orgasm in men. Psychoneuroendocrinology, 23 401–411.

    Google Scholar 

  • Malliani, A., Pagani, M., Lombardi, F., & Cerutti, S. (1991). Cardiovascular neural regulation explored in the frequency domain. Circulation, 84 482–492.

    Google Scholar 

  • Meston, C. M. (2000). Sympathetic nervous system activity and female sexual arousal. American Journal of Cardiology, 86 30F–34F.

    Google Scholar 

  • Muller, J. E., Mittleman, A., Maclure, M., Sherwood, J. B., & Tofler, G. H. (1996). Triggering myocardial infarction by sexual activity: Low absolute risk and prevention by regular physical exertion. JAMA, 275 1405–1409.

    Google Scholar 

  • Nemec, E. D., Mansfield, L., & Kennedy, J. W. (1976). Heart rate and blood pressure responses during sexual activity in normal males. American Heart Journal, 92 274–277.

    Google Scholar 

  • Pagani, M., Lombardi, F., Guzzetti, S., Rimoldi, O., Furlan, R., Pizzinelli, P., et al. (1986). Power spectral analysis of heart rate and arterial pressure variabilities as a marker of sympathovagal interaction in man and conscious dog. Circulation Research, 59 178–193.

    Google Scholar 

  • Pomeranz, B., Macaulay, R. J. B., Caudill, M. A., Kutz, I., Adam, D., Gordon, D., et al. (1985). Assessment of autonomic function in humans by heart rate spectral analysis. American Journal of Physiology, 248 H151–H153.

    Google Scholar 

  • Rozanski, A., Bairey, C. N., Krantz, D. S., Friedman, J., Resse, K. J., Morrell, M., et al. (1988). Mental stress and the induction of silent myocardial ischemia in patients with coronary artery disease. New England Journal of Medicine, 318 1005–1012.

    Google Scholar 

  • Safi, A. M., Rachko, M., Yeshou, D., & Stein, R. A. (2002). Sexual activity as a trigger for ventricular tachycardia in a patient with implantable cardioverter defibrillator. Archives of Sexual Behavior, 31 295–299.

    Google Scholar 

  • Shin, S., Tapp, W. N., Reisman, S. S., & Natelson, B. H. (1989). Assessment of autonomic regulation of heart rate variability by the method of complex demodulation. IEEE Transactions on Biomedical Engineering, 36 274–283.

    Google Scholar 

  • Yeragani, V. K., Nadella, R., Hinze, B., Yeragani, S., & Jampala, V. C. (2000). Nonlinear measures of heart period variability: Decreased measures of symbolic dynamics in patients with panic disorder. Depression and Anxiety, 12 67–77.

    Google Scholar 

  • Yeragani, V. K., Pohl, R., Berger, R., Balon, R., Ramesh, C., Glitz, D., et al. (1993). Decreased heart rate variability in panic disorder patients. A study of power spectral analysis of heart rate. Psychiatry Research, 46 89–103.

    Google Scholar 

  • Yeragani, V. K., Radhakrishna Rao, K. A., Smitha, M. R., Pohl, R., Balon, R., & Srinivasan, K. (2002). Diminished chaos of heart rate time series in patients with major depression. Biological Psychiatry, 51 733–744.

    Google Scholar 

  • Yeragani, V. K., Sobolewski, E., Igel, G., Johnson, C., Jampala, V. C., Kay, J., et al. (1998). Decreased heart period variability in patients with panic disorder: A study of Holter ECG records. Psychiatry Research, 78 89–99.

    Google Scholar 

  • Yeragani, V. K., Sobolewski, E., Jampala, V. C., Kay, J., Yeragani, S., & Igel, G. (1998). Fractal dimension and approximate entropy of heart period and heart rate: Awake versus sleep differences and methodological issues. Clinical Science, 95 295–301.

    Google Scholar 

  • Yeragani, V. K., Sobolewski, E., Kay, J., Jampala, V. C., & Igel, G. (1997). Effect of age on long-term heart rate variability. Cardiovascular Research, 35 35–42.

    Google Scholar 

  • Yeragani, V. K., Srinivasan, K., Vempati, S., Pohl, R., & Balon, R. (1993). Fractal dimension of heart rate time series: An effective measure of autonomic function. Journal of Applied Physiology, 75 2429–2438.

    Google Scholar 

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Yeragani, V.K., Pohl, R. & Balon, R. Complex Demodulation of Cardiac Interbeat Intervals: Increased Cardiac Sympathovagal Interaction During Human Sexual Activity. Arch Sex Behav 33, 65–69 (2004). https://doi.org/10.1023/B:ASEB.0000007463.15820.18

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  • DOI: https://doi.org/10.1023/B:ASEB.0000007463.15820.18

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