Influence of extreme factors on the ratio of cardiointervals in the structure of the cardiocycle

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BACKGROUND: The proportion of the golden section, discovered by Pythagoras, is of great importance in the organization of wildlife. Since the golden proportion is one of the criteria for self-organization in living nature, it is natural to assume that this criterion can also be manifested in the work of the heart. The organization of the cardiac cycle is the result of a long evolution of a living organism in the direction of optimizing the structure and functions, ensuring life with minimal energy consumption. However, in clinical medicine and physiological research, until recently, this approach has hardly been used, and there are only a few reports in the literature on the effectiveness of this method.

AIM: To study the sensitivity of indicators of the symmetry analysis of the cardiocycle in accordance with the methodology of the golden section to physical exertion, hypoxic and temperature effects for an integral assessment of the functional state of the heart. For the geometric analysis of the ECG, the ratios of the main parameters were used to assess their compliance with the criteria of the golden section.

MATERIALS AND METHODS: Geometric analysis of ECG interval intervals according to the principles of the golden section in healthy individuals exposed to debilitating physical activity, hypoxia, combined hyperthermia or low temperatures. In the course of the work, the results of a study of 252 male volunteers aged 20–35 years were analyzed, of which 46 people underwent an exhaustive exercise test, 113 a hypoxic test, 34 a combined hyperthermia tolerance test, and 69 a moderate cooling tolerance test.

RESULTS: the use of a geometric analysis of cardiocycles at rest, during exercise, as well as moderate exposure to typical adverse environmental factors (hypoxia, high or low temperatures) showed the fundamental possibility of assessing the dynamics of the functional state in young practically healthy individuals. The indicators characterizing the activity of the processes of regulation of myocardial work at the extracardiac and intracardiac levels were more dynamic. The indicator of symmetry analysis, which characterizes the level of myocardial homeostasis, energy processes and contractility, to a greater extent reflects unfavorable prognostic characteristics in terms of failure of myocardial adaptation. It has been established that for practically healthy individuals (in the normal state of activity, without external influences), the 1st class of the functional state occurs in 83% of cases, hemodynamic stress is noted in 16% of the subjects, hemodynamic inadequacy — in 1%.

CONCLUSIONS: The deviations from the ideal proportion of the golden section identified as a result of adverse external influences remained within acceptable fluctuations, which indicated a fairly perfect functioning of the heart and the cardiovascular system as a whole in the surveyed contingent of young, practically healthy individuals. Proposed by N.V. Dmitrieva (1989) the classification of functional states, based on the assessment of the degree of deviation of the calculated coefficients from the optimal value corresponding to the golden section, is not optimal for healthy young men, which include athletes without signs of “sports heart” and other myocardial pathology. It does not take into account the sign of the deviation, as a result, for the state of rest, with the predominance of bradycardia, typical for athletes, there is an overdiagnosis of tense hemodynamics. At the same time, the work of the heart during short-term intense physical exertion, which naturally causes pronounced sympathicotonia, can be unreasonably characterized as a premorbid or pathological condition.

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About the authors

Aleksey E. Kim

Kirov Military Medical Academy

Author for correspondence.
ORCID iD: 0000-0003-4591-2997

MD, PhD, Senior Researcher, Research Institute (Habitability) Research Center

Russian Federation, Saint Petersburg

Evgeny B. Shustov

Golikov Research Center of Toxicology

ORCID iD: 0000-0001-5895-688X

MD, PhD, Dr. Med. Sci., Professor, Chief Researcher

Russian Federation, Saint Petersburg

Vyacheslav P. Ganapolsky

Kirov Military Medical Academy

ORCID iD: 0000-0001-7685-5126

MD, PhD, Dr. Med. Sci., Colonel of the Medical Service, Head of the Research and Development Center (Habitability) of the Research Center

Russian Federation, Saint Petersburg

Irina P. Zaitseva

P.G. Demidov Yaroslavl State University

ORCID iD: 0000-0001-8361-7409

Dr. Biol. Sci., Professor of the Department of Physical Education

Russian Federation, Yaroslavl


  1. Bocharov MI, Shilov AS. Bioelectric heart processes in healthy men at different levels of acute normobaric hypoxia. Human Ecology. 2020;27(12):28–36. (In Russ.) doi: 10.33396/1728-0869-2020-12-28-36
  2. Glazachev OS, Kofler W, Dudnik EN, et al. Effect of adaptation to passive hyperthermia on aerobic performance and cardio-respiratory endurance in amateur athletes. Human Physiology. 2020;46(1):78–86. (In Russ.) doi: 10.31857/S0131164619060031
  3. Gurvich EV. Klinicheskoe znachenie strukturnoi tochki kardiotsikla i strukturnoi tochki arterial’nogo davleniya s pozitsii proportsii “zolotogo secheniya”. Nizhny Novgorod: Privolzhsky Research Medical University, 2005. 215 p. (In Russ.)
  4. Dmitrieva NV, Badikov VI, Makarychev VA, et al. Doklinicheskie izmeneniya EHKG i ikh kriterial’naya otsenka na osnove simmetriinogo podkhoda. Kardiologiia. 1991;31(1):79–81. (In Russ.)
  5. Dmitrieva NV. Simmetriinyi podkhod k otsenke funktsionalnogo sostoyaniya organizma cheloveka. Biology Bulletin of the Academy of Sciences of the USSR. 1990;(1):52–66. (In Russ.)
  6. Dobrykh VA. Aritmii serdtsa: simmetriya, zolotoe sechenie. Khabarovsk: Antar, 2011. 150 p. (In Russ.)
  7. Malov YuS, Kulikov AN. Symmetry approach to research of heart and its pathology. Bulletin of the Russian Military Medical Academy. 2014;(2):51–57. (In Russ.)
  8. Novikov EM, Stebletsov SV, Ardashev VN, et al. Research of heart rate by ECG: heart rate variability and dispersion mapping. Kremlin Medicine Journal. 2019;(4):81–89. (In Russ.) doi: 10.26269/4t6g-mx35
  9. Orlov VN. Rukovodstvo po ehlektrokardiografii. 10-e izd. Moscow: Meditsinskoe informatsionnoe agentstvo, 2020. 560 p. (In Russ.)
  10. Panina NG. Vliyanie na organizm cheloveka fizicheskoi nagruzki vozrastayushchei intensivnosti pri razlichnykh sochetaniyakh mikroklimata. Voprosy. Gipotezy. Otvety: nauka XXI veka: Kollektivnaya monografiya. Krasnodar: IP Akelyan Narine Samadovna, 2014. P. 202–219. (In Russ.)
  11. Tsvetkov VD. Zolotaya garmoniya i serdtse. Pushchino: Foton-vek, 2008. 204 p. (In Russ.)
  12. Tsvetkov VD. Ob optimal’nykh otnosheniyakh aktivnostnykh i funktsional’nykh intervalov vo vremennoi strukture sistoly cheloveka i diagnosticheskom znachenii. Kardiologiia. 1985;25(12):110–111. (In Russ.)
  13. Tsvetkov VD. Serdtse, zolotoe sechenie i simmetriya. Pushchino: PNTS RAN, 1997. 170 p. (In Russ.)
  14. Buckberg GD. Basic science review: The helix and the heart. J Thorac Cardiovasc Surg. 2002;124(5):863–883. doi: 10.1067/mtc.2002.122439
  15. Chan JY, Chang GH. The Golden Ratio optimizes cardiomelic form and function. Iran J Med Hypotheses Ideas. 2009;3(1):1–5.
  16. Ciucurel C, Georgescu L, Iconaru EI. ECG response to submaximal exercise from the perspective of Golden Ratio harmonic rhythm. Biomed Signal Process Control. 2018;40:156–162. doi: 10.1016/j.bspc.2017.09.018
  17. Doshi HH, Giudici MC. The EKG in hypothermia and hyperthermia. J Electrocardiol. 2015;48(2):203–209. doi: 10.1016/j.jelectrocard.2014.12.001
  18. Foster J, Hodder SG, Lloyd AB, Havenith G. Individual Responses to Heat Stress: Implications for Hyperthermia and Physical Work Capacity. Front Physiol. 2020;11:541483. doi: 10.3389/fphys.2020.541483
  19. Henein MY, Zhao Y, Nicoll R, et al. The human heart: Application of the golden ratio and angle. Int J Cardiol. 2011;150(3):239–242. doi: 10.1016/j.ijcard.2011.05.094
  20. Kenny GP, Poirier MP, Metsios GS, et al. Hyperthermia and cardiovascular strain during an extreme heat exposure in young versus older adults. Temperature. 2017; 4(1): 79–88. doi: 10.1080/23328940.2016.1230171
  21. Malov YuS, Malova AM. Diagnostics of chronic heart failure by the duration of ventricular systole. Vestnik of Saint Petersburg University. Medicine. 2017;12(4):307–313. (In Russ.) doi: 10.21638/11701/spbu11.2017.401
  22. Nybo L, Rasmussen P, Sawka MN. Performance in the heat-physiological factors of importance for hyperthermia-induced fatigue. Compr Physiol. 2014;4(2): 657–689. doi: 10.1002/cphy.c130012
  23. Ozturk S, Yalta K, Yetkin E. Golden ratio: A subtle regulator in our body and cardiovascular system? Int J Cardiol. 2016;223:143–145. doi: 10.1016/j.ijcard.2016.08.147
  24. Rizzo L, Thompson MW. Cardiovascular adjustments to heat stress during Prolonged exercise. J Sports Med Phys Fitness. 2018;58(5):727–743. doi: 10.23736/S0022-4707.17.06831-1
  25. Seltenrich N. Between extremes: Health effects of heat and cold. Environ Health Perspect. 2015;123(11): 276–280. doi: 10.1289/ehp.123-A275

Copyright (c) 2022 Kim A.E., Shustov E.B., Ganapolsky V.P., Zaitseva I.P.

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