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Published on: June 5, 2019
Assessment of heart rate variability by application of central tendency measure
Laurita dos Santos1, Joaquim J Barroso2, Elbert E N Macau2
1Universidade do Vale do Paraíba - UNIVAP, São José dos Campos, São Paulo, Brazil. lauritas9@gmail.com.
Insights
Heart rate variability (HRV) analysis using nonlinear methods like central tendency measure (CTM) can effectively classify cardiac RR intervals. This approach distinguishes between high and low variability in healthy adults and newborns.
Area of Science:
- Cardiology and Biomedical Engineering
- Nonlinear Dynamics in Physiology
Background:
- Heart rate variability (HRV) reflects autonomic nervous system function and homeostasis.
- Healthy HRV exhibits nonlinear dynamics, necessitating advanced analytical techniques.
- Traditional HRV analysis may not fully capture complex cardiac rhythm patterns.
Purpose of the Study:
- To apply nonlinear techniques, specifically central tendency measure (CTM) and second-order difference plots, to HRV analysis.
- To quantitatively characterize cardiac RR intervals using successive differences.
- To assess the ability of CTM to differentiate HRV patterns across distinct physiological states.
Main Methods:
- Analysis of 170 tachograms from Polar monitors.
- Application of nonlinear techniques: central tendency measure (CTM) and second-order difference plot.
- Classification of RR interval time series data into three groups: healthy young adults, adults with severe coronary disease, and premature newborns.
Main Results:
- The nonlinear approach successfully identified tachograms with high and low variability.
- CTM demonstrated the ability to classify and quantitatively characterize cardiac RR intervals.
- Distinct HRV patterns were observed across the studied subject groups.
Conclusions:
- Nonlinear analysis, particularly CTM, provides valuable insights into HRV dynamics.
- CTM is effective in classifying and quantitatively characterizing cardiac RR intervals.
- This method holds potential for assessing cardiovascular health and physiological status.
Abstract:
The heart rate variability (HRV) is an indicator of the subject homeostasis alterations. For a healthy individual, the HRV shows a nonlinear behavior, thus requiring a nonlinear approach to provide additional information about HRV dynamics. In this work, the nonlinear techniques, central tendency measure (CTM) and second-order difference plot, are applied to HRV analysis using the successive difference of RR intervals in a time series. In total are analyzed 170 tachograms collected by Polar monitor and then classified into three groups according to a cardiologist: healthy young adults, adults in preoperative evaluation for coronary artery bypass grafting for severe coronary disease and premature newborns. This approach identified the tachograms with high and low variability, which demonstrates the ability of CTM to classify and quantitatively characterize cardiac RR intervals.
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