An integrated approach based on uniform quantization for the evaluation of complexity of short-term heart period variability: Application to 24h Holter recordings in healthy and heart failure humans

2007 ◽  
Vol 17 (1) ◽  
pp. 015117 ◽  
Author(s):  
A. Porta ◽  
L. Faes ◽  
M. Masé ◽  
G. D’Addio ◽  
G. D. Pinna ◽  
...  
Keyword(s):  
Heart Failure ◽  
Integrated Approach ◽  
Heart Period ◽  
Short Term ◽  
Heart Period Variability ◽  
Period Variability ◽  
Uniform Quantization ◽  
Holter Recordings

Temporal asymmetries of short-term heart period variability are linked to autonomic regulation

2008 ◽  
Vol 295 (2) ◽  
pp. R550-R557 ◽  
Author(s):  
A. Porta ◽  
K. R. Casali ◽  
A. G. Casali ◽  
T. Gnecchi-Ruscone ◽  
E. Tobaldini ◽  
...  
Keyword(s):  
Autonomic Regulation ◽  
Heart Period ◽  
Short Term ◽  
Time Reversibility ◽  
Heart Period Variability ◽  
Period Variability ◽  
Healthy Humans ◽  
Inclination Angles ◽  
Head Up Tilt ◽  
Important Shift

We exploit time reversibility analysis, checking the invariance of statistical features of a series after time reversal, to detect temporal asymmetries of short-term heart period variability series. Reversibility indexes were extracted from 22 healthy fetuses between 16th to 40th wk of gestation and from 17 healthy humans (aged 21 to 54, median = 28) during graded head-up tilt with table inclination angles randomly selected inside the set {15, 30, 45, 60, 75, 90}. Irreversibility analysis showed that nonlinear dynamics observed in short-term heart period variability are mostly due to asymmetric patterns characterized by bradycardic runs shorter than tachycardic ones. These temporal asymmetries were 1) more likely over short temporal scales than over longer, dominant ones; 2) more frequent during the late period of pregnancy (from 25th to 40th week of gestation); 3) significantly present in healthy humans at rest in supine position; 4) more numerous during 75 and 90° head-up tilt. Results suggest that asymmetric patterns observable in short-term heart period variability might be the result of a fully developed autonomic regulation and that an important shift of the sympathovagal balance toward sympathetic predominance (and vagal withdrawal) can increase their presence.

scholarly journals Subnormal heart period variability in heart failure: Effect of cardiac transplantation

1989 ◽  
Vol 14 (1) ◽  
pp. 106-111 ◽  
Author(s):  
Michael L. Smith ◽  
Kenneth A. Ellenbogen ◽  
Dwain L. Eckberg ◽  
Szabolcs Szentpetery ◽  
Marc D. Thames
Keyword(s):  
Heart Failure ◽  
Cardiac Transplantation ◽  
Heart Period ◽  
Heart Period Variability ◽  
Period Variability

Short-term variability of blood pressure and heart rate in Guillain-Barreá syndrome without respiratory failure

1999 ◽  
Vol 96 (6) ◽  
pp. 613-621 ◽  
Author(s):  
Djillali ANNANE ◽  
Véronique BAUDRIE ◽  
Anne-Sophie BLANC ◽  
Dominique LAUDE ◽  
Jean-Claude RAPHAËL ◽  
...  
Keyword(s):  
Blood Pressure ◽  
Heart Rate ◽  
Respiratory Failure ◽  
Plasma Noradrenaline ◽  
Heart Period ◽  
Short Term ◽  
Heart Period Variability ◽  
Period Variability ◽  
Head Up Tilt ◽  
Short Term Variability

The effect of Guillain-Barré syndrome (GBS) on the short-term variability of blood pressure and heart rate was evaluated in six patients presenting with a moderate form of the syndrome, i.e. unable to stand up unaided and without respiratory failure, at the height of the disease and during recovery. The patients were compared with six age-matched healthy volunteers. During the acute phase of the syndrome, GBS patients exhibited a significant heart rate elevation (+26 beats/min compared with healthy subjects), but the acceleratory response to atropine, or to 60 ° head-up tilt, was maintained. Resting plasma noradrenaline levels were high in acute GBS, but the secretory response to tilt was preserved. Desensitization to noradrenaline was observed in acute GBS with a reduced pressor action of this α-adrenoceptor agonist. Blood pressure levels were normal and head-up tilt did not induce orthostatic hypotension in this moderate form of GBS. Power spectral analysis demonstrated marked alterations in cardiovascular variability. The overall heart period variability was markedly reduced with the reduction predominantly in the high-frequency (respiratory) range (-73%). The low-frequency component of heart period variability was also reduced (-54%). This cardiovascular profile of moderate GBS at the height of the disease could result from a demyelination of the reflex loop controlling respiratory oscillations in heart rate and from a desensitization of the arterial tree to an elevated plasma noradrenaline. Sympathetic nervous activation may contribute to the high resting heart rate in acute GBS.

Role of short-term cardiovascular regulation in heart period variability: a modeling study

2003 ◽  
Vol 284 (4) ◽  
pp. H1479-H1493 ◽  
Author(s):  
Mauro Ursino ◽  
Elisa Magosso
Keyword(s):  
Low Frequency ◽  
Cardiovascular Regulation ◽  
Mechanical Effect ◽  
Physiological Data ◽  
Model Parameters ◽  
Heart Period ◽  
Short Term ◽  
Heart Period Variability ◽  
Period Variability ◽  
Parameter Values

A mathematical model of short-term cardiovascular regulation is used to investigate how heart period variability reflects the action of the autonomic regulatory mechanisms (vagal and sympathetic). The model includes the pulsating heart, the systemic (splanchnic and extrasplanchnic) and pulmonary circulation, the mechanical effect of respiration on venous return, two groups of receptors (arterial baroreceptors and lung stretch receptors), the sympathetic and vagal efferent branches, and a very low-frequency (LF) vasomotor noise. All model parameters were given on the basis of physiological data from the literature. We used data from humans whenever possible, whereas parameters for the regulation loops are derived from dog experiments. The model, with basal parameter values, produces a heart period power spectrum with two distinct peaks [a high frequency (HF) peak at the respiratory rate and a LF peak at ∼0.1 Hz]. Sensitivity analysis on the mechanism gains suggests that the HF peak is mainly affected by the vagal mechanism, whereas the LF peak is increased by a high sympathetic gain and reduced by a high vagal gain. Moreover, the LF peak depends significantly on the reactivity of resistance vessels and is affected by noise, amplified by the sympathetic control loop at its resonance frequency. The model may represent a new tool to study alterations in the heart period spectrum on the basis of quantitative physiological hypotheses.

Refined Multiscale Entropy: Application to 24-h Holter Recordings of Heart Period Variability in Healthy and Aortic Stenosis Subjects

2009 ◽  
Vol 56 (9) ◽  
pp. 2202-2213 ◽  
Author(s):  
Jose Fernando Valencia ◽  
Alberto Porta ◽  
Montserrat Vallverdu ◽  
Francesc Claria ◽  
Rafal Baranowski ◽  
...  
Keyword(s):  
Aortic Stenosis ◽  
Multiscale Entropy ◽  
Heart Period ◽  
Heart Period Variability ◽  
Period Variability ◽  
Holter Recordings
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