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Cited by 122Heart Rate Variability and Autonomic ControlVagus Nerve Stimulation ResearchNon-Invasive Vital Sign Monitoring

The DOI matches its Crossref record; 11 of the 11 references it cites were found in a registry or an index.

Implementation and Interpretation of Respiratory Sinus Arrhythmia Measures in Psychosomatic Medicine: Practice Against Better Evidence?

Ritz, Thomas, Dahme, Bernhard·2006·Psychosomatic Medicine
DOI 10.1097/01.psy.0000228010.96408.ed
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Abstract

Respiratory sinus arrhythmia (RSA) or high-frequency heart rate variability has been widely used as a noninvasive measure of cardiac vagal tone. However, their dependency on both respiration rate and tidal volume is largely ignored. Only a minority of studies published in Psychosomatic Medicine in recent years has implemented precautions for controlling respiration rate in RSA measures, and tidal volume effects were only rarely addressed. We discuss methodologic issues related to respiratory control methods and present data that demonstrate that both respiration rate and tidal volume contribute substantially to the within-individual RSA variance under conditions of variable breathing, with tidal volume contributing up to one third beyond respiration rate. Finally, we outline a respiratory control method for the time-domain index of RSA and review research pertaining to its reliability, validity, and experimental application.

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  • Increases in respiration rate can reduce RSA while increases in tidal volume can increase it, independent of changes in vagal outflow.

    “It has been known for some time that increases in respiration rate can reduce RSA while increases in tidal volume can increase it, independent of changes in vagal outflow (Hirsch & Bischop, 1981; Grossman, Karemaker & Wieling, 1991; Ritz & Dahme, 2006).”

    From The psychophysiology of blood-injection-injury phobia: Looking beyond the diphasic response paradigm (2010) · cites this paper as Ritz & Dahme, 2006

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Metadata

Authors
Ritz, T., & Dahme, B.
Affiliations
  • Southern Methodist University (US)
  • Universität Hamburg (DE)
Corresponding author
Ritz, Thomas
ORCID
Ritz, Thomas
Venue
Psychosomatic Medicine
Publisher
Ovid Technologies (Wolters Kluwer Health)
Published
2006-07
Volume
68
Issue
4
Pages
617-627
ISSN
0033-3174 (ISSN-L)
DOI
10.1097/01.psy.0000228010.96408.ed
OpenAlex
W1998790357
Cited by
122
References
11
Citations by year
2026: 3 · 2025: 7 · 2024: 5 · 2023: 6 · 2022: 2 · 2021: 2 · 2020: 7 · 2019: 3 · 2018: 3 · 2017: 5 · 2016: 2 · 2015: 5 · 2014: 14 · 2013: 9 · 2012: 9
FWCI
1.34
Type
journal article
Language
en
Open access
closed
Locations
  • Psychosomatic Medicine (publishedVersion)
  • PubMed (publishedVersion)
Topics
  • Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Heart Rate Variability and Autonomic Control
  • Life Sciences › Neuroscience › Neurology › Vagus Nerve Stimulation Research
  • Physical Sciences › Engineering › Biomedical Engineering › Non-Invasive Vital Sign Monitoring
Keywords
respiratory sinus arrhythmia, heart rate variability, cardiac vagal tone, tidal volume, respiration rate, respiratory control, reliability and validity
MeSH terms
Arrhythmia, Sinus, Heart, Heart Rate, Humans, Psychosomatic Medicine, Publishing, Regression Analysis, Research, Research Design, Respiratory Physiological Phenomena, Tidal Volume, Vagus Nerve, Reproducibility of Results

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