Table 4.
LBNP Stage |
P Values |
|||||||||
---|---|---|---|---|---|---|---|---|---|---|
0 | 15 | 30 | 45 | 60 | LBNP | Sex | Interaction | PS 3-Min | P Value | |
RRI HF, ms2 | ||||||||||
Male | 856 ± 165 | 567 ± 174 | 319 ± 48* | 267 ± 56* | 79 ± 20* | <0.0001 | 0.36 | 0.73 | 92 ± 33 | P = 0.47 |
Female | 1070 ± 224 | 830 ± 219 | 451 ± 104* | 187 ± 34* | 132 ± 24* | 135 ± 52 | ||||
MAP LF, mmHg2 | ||||||||||
Male | 5.9 ± 0.6 | 6.5 ± 0.9 | 11.3 ± 1.6* | 12.7 ± 1.6* | 14.6 ± 2.4* | <0.0001 | 0.58 | 0.05 | 15.1 ± 2.3 | P = 0.49 |
Female | 6.0 ± 1.2 | 5.7 ± 0.8 | 6.8 ± 1.1 | 11.1 ± 2.1* | 17.1 ± 4.7* | 12.9 ± 2.0 | ||||
Mean MCAv LF, (cm/s)2 | ||||||||||
Male | 3.7 ± 0.5 | 4.0 ± 0.8 | 5.5 ± 1.1 | 4.9 ± 0.9 | 5.5 ± 1.0 | 0.17 | 0.49 | 0.57 | 5.0 ± 0.8 | P = 0.67 |
Female | 4.6 ± 0.8 | 4.6 ± 1.7 | 4.3 ± 0.6 | 5.1 ± 0.8 | 4.9 ± 0.7 | 5.5 ± 0.8 | ||||
Mean PCAv LF, (cm/s)2 | ||||||||||
Male | 2.2 ± 0.4 | 1.7 ± 0.3 | 2.3 ± 0.5 | 2.6 ± 0.4 | 2.1 ± 0.4† | 0.10 | 0.05 | 0.13 | 2.2 ± 0.5 | P = 0.66 |
Female | 2.0 ± 0.3 | 2.2 ± 0.6 | 2.1 ± 0.4 | 2.6 ± 0.4 | 3.1 ± 0.5* | 2.5 ± 0.5 | ||||
MAP-mean MCAv LF Coherence | ||||||||||
Male | 0.65 ± 0.02 | 0.64 ± 0.03 | 0.69 ± 0.02 | 0.69 ± 0.02 | 0.69 ± 0.03 | 0.14 | 0.74 | 0.38 | 0.68 ± 0.03 | P = 0.63 |
Female | 0.65 ± 0.04 | 0.64 ± 0.03 | 0.67 ± 0.03 | 0.61 ± 0.04 | 0.71 ± 0.04 | 0.70 ± 0.03 | ||||
MAP-mean MCAv LF Gain, cm/s·mmHg−1 | ||||||||||
Male | 0.72 ± 0.04† | 0.67 ± 0.04† | 0.65 ± 0.05† | 0.59 ± 0.03*† | 0.56 ± 0.03 | <0.0001 | <0.0001 | 0.37 | 0.56 ± 0.03 | P = 0.09 |
Female | 0.84 ± 0.09 | 0.80 ± 0.08 | 0.82 ± 0.08 | 0.58 ± 0.04* | 0.59 ± 0.07* | 0.70 ± 0.08 | ||||
Normalized MAP-mean MCAv LF Gain, %·mmHg−1 | ||||||||||
Male | 1.19 ± 0.05 | 1.17 ± 0.06 | 1.14 ± 0.06 | 1.12 ± 0.06 | 1.15 ± 0.06 | 0.21 | 0.33 | 0.18 | 1.24 ± 0.05 | P = 0.99 |
Female | 1.21 ± 0.09 | 1.18 ± 0.08 | 1.28 ± 0.08 | 1.02 ± 0.07 | 1.05 ± 0.09 | 1.24 ± 0.08 | ||||
MAP-mean PCAv LF Coherence | ||||||||||
Male | 0.65 ± 0.03 | 0.64 ± 0.03 | 0.67 ± 0.02 | 0.65 ± 0.03 | 0.63 ± 0.04 | 0.85 | 0.84 | 0.81 | 0.65 ± 0.03 | P = 0.62 |
Female | 0.65 ± 0.04 | 0.63 ± 0.04 | 0.65 ± 0.03 | 0.62 ± 0.04 | 0.69 ± 0.04 | 0.67 ± 0.04 | ||||
MAP-mean PCAv LF Gain, cm/s·mmHg−1 | ||||||||||
Male | 0.54 ± 0.05† | 0.50 ± 0.04† | 0.46 ± 0.04† | 0.44 ± 0.04† | 0.42 ± 0.04† | 0.02 | <0.0001 | 0.97 | 0.42 ± 0.03 | P = 0.65 |
Female | 0.60 ± 0.08 | 0.58 ± 0.10 | 0.54 ± 0.06 | 0.45 ± 0.04 | 0.49 ± 0.05 | 0.44 ± 0.05 | ||||
Normalized MAP-mean PCAv LF Gain, %·mmHg−1 | ||||||||||
Male | 1.25 ± 0.10 | 1.17 ± 0.07 | 1.12 ± 0.08 | 1.07 ± 0.10 | 1.11 ± 0.08 | 0.49 | 0.07 | 0.94 | 1.23 ± 0.07 | P = 0.79 |
Female | 1.22 ± 0.09 | 1.24 ± 0.13 | 1.24 ± 0.08 | 1.12 ± 0.10 | 1.22 ± 0.10 | 1.20 ± 0.09 | ||||
SAP-RRI LF Coherence | ||||||||||
Male | 0.60 ± 0.03 | 0.59 ± 0.03 | 0.60 ± 0.03 | 0.68 ± 0.03 | 0.62 ± 0.04 | 0.10 | 0.23 | 0.82 | 0.58 ± 0.03 | P = 0.05 |
Female | 0.65 ± 0.03 | 0.61 ± 0.04 | 0.66 ± 0.04 | 0.67 ± 0.03 | 0.65 ± 0.05 | 0.66 ± 0.03 | ||||
SAP-RRI LF Gain, ms/mmHg | ||||||||||
Male | 14.45 ± 1.32 | 13.26 ± 1.03 | 8.83 ± 0.55* | 7.41 ± 0.64* | 5.38 ± 0.68* | <0.0001 | 0.18 | 0.91 | 3.28 ± 0.51 | P = 0.07 |
Female | 15.80 ± 2.09 | 13.43 ± 1.79 | 10.73 ± 1.07* | 7.47 ± 0.84* | 6.35 ± 1.00* | 5.60 ± 1.11 |
Data are presented as means ± SE. HF, high frequency; LBNP, lower body negative pressure; LF, low frequency; MAP, mean arterial pressure; MCAv, middle cerebral artery velocity; PCAv, posterior cerebral artery velocity; RRI, R-to-R interval; SAP, systolic arterial pressure. PS 3-min refers to the 3 min prior to presyncope. A two-factor linear mixed model analysis with repeated measures from baseline to −60 mmHg LBNP was performed, followed by Holm-corrected post hoc tests for multiple comparisons (run on the least squared means generated by the linear mixed model analysis).
*P ≤ 0.05 compared to baseline within a group. †P ≤ 0.09 between male and female groups. Sex differences at presyncope were assessed using unpaired t tests. Exact P values are reported for all comparisons.