Cardiorhythm in postural changes depending on the autonomic centers reactivity

Cover Page

Cite item


Postural changes are accompanied by the formation of an adaptive response of the cardiovascular system. This is manifested by a change in heart rate variability. The features of the reaction largely depend on the excitability (reactivity) of the vegetative centers. The aim of the study was to identify individual features of heart rate regulation in postural changes depending on the reactivity of sympathetic and parasympathetic autonomic centers in students. Material and Methods. In 50 men, temporal, frequency, geometric and calculated indicators of heart rate variability were determined in a horizontal position, with active orthostasis, passive orthostasis and passive antiorthostasis. The reactivity of the sympathetic system was assessed by the change of heart rate in active orthostasis. The reactivity of the parasympathetic system was determined by K30:15. Results and Discussion. With normal and high sympathetic reactivity, active orthostasis causes an increase in the low-frequency power of the spectrum, stress index, heart rate, a decrease in the high-frequency component and the duration of cardiac intervals. The changes are more pronounced with high sympathetic reactivity. In passive orthostasis, high sympathetic reactivity is manifested by a large increase in heart rate, shortening of cardiac intervals and a decrease in the proportion of the spectrogram high-frequency component. Passive antiorthostasis with normal sympathetic reactivity causes a decrease in the adequacy of the regulation processes and an expansion of the scatterogram. In subjects with high parasympathetic reactivity with active orthostasis, the increase in the stress index is less than with normal and low reactivity. With low parasympathetic reactivity, the indicator of the adequacy of the regulation processes is greater than with normal and high reactivity, and the increase in heart rate and shortening of the minimum cardiac interval is greater than with normal. In passive orthostasis, the proportion of the high-frequency component decreases, the proportion of the ultra-low-frequency component increases, the modal cardiointerval shortens, which is more pronounced with low parasympathetic reactivity than with normal. In passive antiorthostasis, the ultra-low frequency component decreases in individuals with normal reactivity. With high reactivity, the maximum value of the high-frequency component increases and the adequacy of the regulation processes decreases. Conclusion. Active and passive orthostasis is accompanied by activation of sympathetic centers. It is more pronounced with high reactivity of the sympathetic department and low reactivity of the parasympathetic. Passive antiorthostasis stimulates the activity of parasympathetic cardiac centers in subjects with normal, high parasympathetic reactivity and normal sympathetic reactivity.

About the authors

Dmitry A. Skorlupkin

Ivanovo State Medical Academy

Author for correspondence.
ORCID iD: 0009-0001-2586-6711
SPIN-code: 5232-5682
Ivanovo, Russian Federation

Elena K. Golubeva

Ivanovo State Medical Academy

ORCID iD: 0000-0002-0664-4742
SPIN-code: 1750-0121
Ivanovo, Russian Federation

Larisa L. Yarchenkova

Ivanovo State Medical Academy

SPIN-code: 3228-3480
Ivanovo, Russian Federation


  1. Ermakov MA, Kazartsev VV, Marchenko AYu, Gavrilova ES, Astakhov AA. Orthostasis and antiorthostasis as markers of hemodynamic regulation assessment in seriously ill patients. Modern problems of science and education. 2015;3. (In Russian).
  2. Kournikova AA., Potekhina YuP, Filatov AA, Kalinina EA, Pervushkin ES. The role of the musculoskeletal system in maintaining postural balance: literature review. Russian Osteopathic Journal. 2019;3–4(46–47):135–149. doi: 10.32885/2220-0975-2019-3-4-135 -149. (In Russian).
  3. Garg A, Xu D, Laurin A, Blaber AP. Physiological interdependence of the cardiovascular and postural control systems under orthostatic stress. American journal of physiology — Heart and circulatory physiology. 2014;307(2):259–264. doi: 10.1152/ajpheart.00171.2014.
  4. Tishutin NA, Kisel AD, Rubchenya IN. Interrelation of postural balance and autonomic regulation of athletes’ heart rate when performing motor-cognitive tests. Scientific notes of the Belarusian State University of Physical Culture. 2021;24:328–333. (In Russian).
  5. Fadel PJ, Raven PB. Human investigations into the arterial and cardiopulmonary baroreflexes during exercise. Experimental Physiology. 2012;97(1):39–50. doi: 10.1113/expphysiol.2011.057554.
  6. Irzhak LI, Dernovoy BF. Changes in human cardiohemodiamics during postural tests. Izvestiya Komi Scientific Center of the Ural Branch of the Russian Academy of Sciences. 2015;1(21):44–47. (In Russian).
  7. Fois M, Maule SV, Giudici M, Valente M, Ridolfi L, Scarsoglio S. Cardiovascular Response to Posture Changes: Multiscale Modeling and in vivo Validation During Head-Up Tilt. Frontiers in Physiology. 2022;13. doi: 10.3389/fphys.2022.826989.
  8. Whittle RS, Keller N, Hall EA, Vellore HS, Stapleton LM, Findlay KH, Dunbar BJ, Diaz-Artiles A. Gravitational Dose-Response Curves for Acute Cardiovascular Hemodynamics and Autonomic Responses in a Tilt Paradigm. Journal of the American Heart Association. 2022;11(14). doi: 10.1161/JAHA.121.024175.
  9. Pletnev AA, Bykov EV, Zinurova NG, Chipyshev AV. Assessment of transient processes of hemodynamics of athletes during orthoprobe based on the analysis of spectral characteristics. Modern problems of science and education. 2014;1. (In Russian).
  10. Anisimov AA, Belov AV, Novikova TV, Sergeev TV, Suvorov NB, Shabrov AV. A set of tools for recording indicators of the cardiovascular, nervous and respiratory systems under postural effects. Bulletin of New Medical Technologies. 2022;1:67–71. doi: 10. 24412/1609-2163-2022-1-67-71. (In Russian).
  11. Lesova EM, Samoilov VO, Filippova EB. Dependence of vascular reactions on the balance of regulatory influences on the heart rate when performing an orthostatic test. Bulletin of the Russian Military Medical Academy. 2017;1(57):101–104. (In Russian).
  12. Ilyutik AV, Komarova AA, Zubovsky DK, Astashova AYu. Heart rate variability in students depending on body mass index. The world of sports. 2018;1(70):77–82. (In Russian).
  13. Shrestha B, Dunn L. The Declaration of Helsinki on Medical Research involving Human Subjects: A Review of Seventh Revision. Journal of Nepal Health Research Council. 2020;17(4):548–552. doi: 10.33314/jnhrc.v17i4.1042.
  14. Skorlupkin DA, Golubeva EK, Yarchenkova LL. The influence of body position on heart rate variability depending on the characteristics of the tone of the centers of the autonomic nervous system. Modern issues of biomedicine. 2023;2. (In Russian). doi: 10.51871/2588-0500_2023_07_02_.
  15. Surina-Marysheva EF, Episheva AA, Ermolaeva EN. Individual typological approach in the analysis of heart rate variability of hockey players aged 7–16 years. Human. Sport. Medicine. 2022;3:70–79. (In Russian). doi: 10.14529/hsm220309.
  16. Karaulova LV. On the development of an algorithm for the selection of statistical criteria in biomedical research. Medical education today. 2019;1(5):61–71. (In Russian).
  17. Sannino G, Melillo P, Stranges S, De Pietro G, Pecchia L. Short term Heart Rate Variability to predict blood pressure drops due to standing: a pilot study. BMC Medical Informatics and Decision Making. 2015;15. doi: 10.1186/1472-6947-15-S3-S2.
  18. Mohammadyari P, Gadda G, Taibi A. Modelling physiology of haemodynamic adaptation in short-term microgravity exposure and orthostatic stress on Earth. Scientific reports. 2021;11(1). doi: 10.1038/s41598-021-84197-7.
  19. Turmanidze AV, Turmanidze VG, Kalinina IN. Cardiovascular tests in assessing the urgent adaptation of the cardiovascular system of badminton players. Modern problems of science and education. 2015;1. (In Russian).
  20. Kalsina VV, Kudrya ON, Reutskaya EA. Assessment of the functional state of highly qualified biathletes by indicators of heart rate variability. Scientific notes of the P.F. Lesgaft University. 2021;8(198):111–118. (In Russian).

Copyright (c) 2023 Skorlupkin D.A., Golubeva E.K., Yarchenkova L.L.

Creative Commons License
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.

This website uses cookies

You consent to our cookies if you continue to use our website.

About Cookies