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Quantification of cardiorespiratory interactions based on joint symbolic dynamics
Muammar M Kabir1, David A Saint, Eugene Nalivaiko
1Centre for Heart Rhythm Disorders, The University of Adelaide, Adelaide, SA 5005, Australia. muammar.kabir@adelaide.edu.au
Joint symbolic dynamics effectively analyzes cardiorespiratory interactions, showing significant changes in R-R intervals and respiratory phases with body posture. This method is sensitive to orthostatic challenges.
Area of Science:
- Cardiovascular Physiology
- Respiratory Physiology
- Nonlinear Dynamics
Background:
- Cardiac and respiratory rhythms are complex, nonlinear, and nonstationary.
- Traditional time-domain methods struggle to analyze these dynamics.
- Understanding cardiorespiratory interactions is crucial for physiological assessment.
Purpose of the Study:
- Introduce a novel technique, joint symbolic dynamics, to analyze cardiorespiratory interactions.
- Investigate the relationship between R-R intervals and respiratory phases.
- Evaluate the technique's sensitivity to postural changes.
Main Methods:
- Recorded electrocardiograms (ECG) and respiratory signals.
- Extracted R-R time series and respiratory phases.
- Transformed data into ternary symbol vectors and analyzed word correspondences.
- Quantified cardiorespiratory interaction using joint symbolic dynamics.
Main Results:
- Joint symbolic dynamics revealed significantly reduced symbol sequence similarity in the upright position compared to supine (26.4 ± 4.7% vs. 20.5 ± 5.4%, p < 0.01).
- Respiratory sinus arrhythmia (RSA) also decreased in the upright posture, though less significantly (0.11 ± 0.02 s vs. 0.08 ± 0.01 s, p < 0.05).
- The technique demonstrated high sensitivity to orthostatic challenges.
Conclusions:
- Joint symbolic dynamics offers an efficient new method for analyzing cardiorespiratory interactions.
- This technique is highly sensitive to the physiological effects of orthostatic challenges.
- The findings highlight the utility of joint symbolic dynamics in understanding cardiorespiratory coupling.
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