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Méchenin M, Fortrat JO. Decision-Making in Patients with Vasovagal Syncope: A Preliminary Study. BIOLOGY 2023; 12:930. [PMID: 37508361 PMCID: PMC10376567 DOI: 10.3390/biology12070930] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 05/30/2023] [Revised: 06/19/2023] [Accepted: 06/28/2023] [Indexed: 07/30/2023]
Abstract
The aim of this study was to evaluate the differences in performance during a decisional conflict task between subjects with emotional/blood phobia and those with an orthostatic vasovagal syncope. A total of 332 young subjects were included, from which 99 were excluded because of their condition or treatment. The subjects were classified into four groups depending on their responses to a questionnaire: 98 in a control group, 10 in an emotional/blood phobia syncope group, 38 in an orthostatic syncope group, and 87 in an unclear status group. This former group was excluded. The subjects performed a decisional conflict task to quantify their conflict-management ability. The task was the computer version of the Simon Task. Emotional/blood phobia syncope subjects showed a delayed reaction time when faced with decisional conflict in comparison with the control and orthostatic syncope subjects (55.8 ± 17.7 ms, 20.5 ± 4.9 ms, and 13.4 ± 9.2 ms, respectively, p ≤ 0.05). Our result suggests that emotional/blood phobia and orthostatic syncope are two clinical entities. Decisions could be a target of management in patients with emotional/blood phobia syncope. The altered decision-making of subjects with emotion/blood phobia syncope emphasized the role of higher cerebral functions in blood pressure control.
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Affiliation(s)
- Muriel Méchenin
- Equipe CarMe, MITOVASC, SFR ICAT, CNRS, INSERM, Médecine Vasculaire, CHU Angers, Faculty of Medicine, Université d'Angers, 49933 Angers, France
| | - Jacques-Olivier Fortrat
- Equipe CarMe, MITOVASC, SFR ICAT, CNRS, INSERM, Médecine Vasculaire, CHU Angers, Faculty of Medicine, Université d'Angers, 49933 Angers, France
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2
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Niemczyk L, Buszko K, Schneditz D, Wojtecka A, Romejko K, Saracyn M, Niemczyk S. Cardiovascular Response to Intravenous Glucose Injection during Hemodialysis with Assessment of Entropy Alterations. Nutrients 2022; 14:5362. [PMID: 36558521 PMCID: PMC9787561 DOI: 10.3390/nu14245362] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/04/2022] [Revised: 12/05/2022] [Accepted: 12/13/2022] [Indexed: 12/23/2022] Open
Abstract
BACKGROUND The quality of autonomic blood pressure (BP) control can be assessed by the entropy of serial BP data. The aim of this study was to evaluate the effect of hemodialysis (HD) and glucose infusion (GI) on amplitude aware permutation entropy (AAPE) of hemodynamic variables during HD in chronic kidney disease patients with and without type-2 diabetes mellitus (DM). METHODS Twenty-one patients without DM (NDO) and ten with DM were studied. Thirty minutes after the start of HD, a 40% glucose solution was administered. Hemodynamic data were extracted from continuous recordings using the Portapres® system. RESULTS AAPE decreased during HD in all patients and all hemodynamic signals with the exception of AAPE of mean and diastolic BP in DM patients. GI led to an increase in AAPE for cardiac output in all patients, while AAPE for heart rate and ejection time increased only in DM studies, and AAPE for systolic, diastolic, and mean arterial pressure, as well as total peripheral resistance, increased only in NDO patients. CONCLUSIONS The reduction in entropy during HD indicates impaired autonomic control in response to external perturbations. This state is partially reversed by the infusion of glucose with differences in central and peripheral responsiveness in DM and NDO patients.
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Affiliation(s)
- Longin Niemczyk
- Department of Nephrology, Dialysis and Internal Diseases, Medical University of Warsaw, Ul. Banacha 1a, 02-097 Warsaw, Poland
| | - Katarzyna Buszko
- Department of Biostatistics and Biomedical Systems Theory, Ludwik Rydygier Collegium Medicum, Nicolaus Copernicus University in Toruń, Ul. Jagiellońska 15, 87-067 Bydgoszcz, Poland
| | - Daniel Schneditz
- Otto Loewi Research Center, Division of Physiology, Medical University of Graz, Neue Stiftingtalstrasse 6/V, 8010 Graz, Austria
| | - Anna Wojtecka
- Department of Internal Diseases, Nephrology and Dialysis, Military Institute of Medicine, Ul. Szaserów 128, 04-141 Warsaw, Poland
| | - Katarzyna Romejko
- Department of Internal Diseases, Nephrology and Dialysis, Military Institute of Medicine, Ul. Szaserów 128, 04-141 Warsaw, Poland
| | - Marek Saracyn
- Department of Endocrinology and Isotope Therapy, Military Institute of Medicine, Warsaw, Ul. Szaserów 128, 04-141 Warsaw, Poland
| | - Stanisław Niemczyk
- Department of Internal Diseases, Nephrology and Dialysis, Military Institute of Medicine, Ul. Szaserów 128, 04-141 Warsaw, Poland
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Kujawski S, Buszko K, Cudnoch-Jędrzejewska A, Słomko J, Jakovljevic DG, Newton JL, Zalewski P. The impact of total sleep deprivation upon supine and head up tilt hemodynamics using non-linear analysis in firefighters. Biomed Signal Process Control 2021. [DOI: 10.1016/j.bspc.2021.102989] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/20/2022]
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Graff G, Graff B, Pilarczyk P, Jabłoński G, Gąsecki D, Narkiewicz K. Persistent homology as a new method of the assessment of heart rate variability. PLoS One 2021; 16:e0253851. [PMID: 34292957 PMCID: PMC8297888 DOI: 10.1371/journal.pone.0253851] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/12/2020] [Accepted: 06/15/2021] [Indexed: 11/22/2022] Open
Abstract
Heart rate variability (hrv) is a physiological phenomenon of the variation in the length of the time interval between consecutive heartbeats. In many cases it could be an indicator of the development of pathological states. The classical approach to the analysis of hrv includes time domain methods and frequency domain methods. However, attempts are still being made to define new and more effective hrv assessment tools. Persistent homology is a novel data analysis tool developed in the recent decades that is rooted at algebraic topology. The Topological Data Analysis (TDA) approach focuses on examining the shape of the data in terms of connectedness and holes, and has recently proved to be very effective in various fields of research. In this paper we propose the use of persistent homology to the hrv analysis. We recall selected topological descriptors used in the literature and we introduce some new topological descriptors that reflect the specificity of hrv, and we discuss their relation to the standard hrv measures. In particular, we show that this novel approach provides a collection of indices that might be at least as useful as the classical parameters in differentiating between series of beat-to-beat intervals (RR-intervals) in healthy subjects and patients suffering from a stroke episode.
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Affiliation(s)
- Grzegorz Graff
- Faculty of Applied Physics and Mathematics & BioTechMed Center, Gdańsk University of Technology, Gdańsk, Poland
| | - Beata Graff
- Department of Hypertension and Diabetology, Medical University of Gdańsk, Gdańsk, Poland
| | - Paweł Pilarczyk
- Faculty of Applied Physics and Mathematics & Digital Technologies Center, Gdańsk University of Technology, Gdańsk, Poland
| | | | - Dariusz Gąsecki
- Department of Neurology for Adults, Medical University of Gdańsk, Gdańsk, Poland
| | - Krzysztof Narkiewicz
- Department of Hypertension and Diabetology, Medical University of Gdańsk, Gdańsk, Poland
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5
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Pham T, Lau ZJ, Chen SHA, Makowski D. Heart Rate Variability in Psychology: A Review of HRV Indices and an Analysis Tutorial. SENSORS (BASEL, SWITZERLAND) 2021; 21:3998. [PMID: 34207927 PMCID: PMC8230044 DOI: 10.3390/s21123998] [Citation(s) in RCA: 82] [Impact Index Per Article: 27.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 05/03/2021] [Revised: 06/04/2021] [Accepted: 06/04/2021] [Indexed: 12/16/2022]
Abstract
The use of heart rate variability (HRV) in research has been greatly popularized over the past decades due to the ease and affordability of HRV collection, coupled with its clinical relevance and significant relationships with psychophysiological constructs and psychopathological disorders. Despite the wide use of electrocardiograms (ECG) in research and advancements in sensor technology, the analytical approach and steps applied to obtain HRV measures can be seen as complex. Thus, this poses a challenge to users who may not have the adequate background knowledge to obtain the HRV indices reliably. To maximize the impact of HRV-related research and its reproducibility, parallel advances in users' understanding of the indices and the standardization of analysis pipelines in its utility will be crucial. This paper addresses this gap and aims to provide an overview of the most up-to-date and commonly used HRV indices, as well as common research areas in which these indices have proven to be very useful, particularly in psychology. In addition, we also provide a step-by-step guide on how to perform HRV analysis using an integrative neurophysiological toolkit, NeuroKit2.
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Affiliation(s)
- Tam Pham
- School of Social Sciences, Nanyang Technological University, Singapore 639818, Singapore; (T.P.); (Z.J.L.); (D.M.)
| | - Zen Juen Lau
- School of Social Sciences, Nanyang Technological University, Singapore 639818, Singapore; (T.P.); (Z.J.L.); (D.M.)
| | - S. H. Annabel Chen
- School of Social Sciences, Nanyang Technological University, Singapore 639818, Singapore; (T.P.); (Z.J.L.); (D.M.)
- Centre for Research and Development in Learning, Nanyang Technological University, Singapore 637460, Singapore
- Lee Kong Chian School of Medicine, Nanyang Technological University, Singapore 636921, Singapore
- National Institute of Education, Nanyang Technological University, Singapore 637616, Singapore
| | - Dominique Makowski
- School of Social Sciences, Nanyang Technological University, Singapore 639818, Singapore; (T.P.); (Z.J.L.); (D.M.)
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Myrovali E, Fragakis N, Vassilikos V, Hadjileontiadis LJ. Efficient syncope prediction from resting state clinical data using wavelet bispectrum and multilayer perceptron neural network. Med Biol Eng Comput 2021; 59:1311-1324. [PMID: 33959855 DOI: 10.1007/s11517-021-02353-7] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/24/2020] [Accepted: 03/19/2021] [Indexed: 11/28/2022]
Abstract
Neurally mediated syncope (NMS) is the most common type of syncope, and head up tilt test (HUTT) is, so far, the most appropriate tool to identify NMS. In this work, an effort to predict the NMS before performing the HUTT is attempted. To achieve this, the heart rate variability (HRV) at rest and during the first minutes of tilting position during HUTT was analyzed using both time and frequency domains. Various features from HRV regularity and complexity, along with wavelet higher-order spectrum (WHOS) analysis in low-frequency (LF) and high-frequency (HF) bands were examined. The experimental results from 26 patients with history of NMS have shown that at rest, a time domain entropy measure and WHOS-based features in LF band exhibit significant differences between positive and negative HUTT as well as among 10 healthy subjects and NMS patients. The best performance of multilayer perceptron neural network (MPNN) was achieved by using an input vector consisted of WHOS-based HRV features in the LF zone and systolic blood pressure from the resting period, yielding an accuracy of 89.7%, assessed by 5-fold cross-validation. The promising results presented here pave the way for an early prediction of the HUTT outcome from resting state, contributing to the identification of patients at higher risk NMS. The HRV analysis along with systolic blood pressure at rest predict NMS using a multilayer perceptron neural network.
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Affiliation(s)
- Evangelia Myrovali
- Department of Electrical and Computer Engineering, Aristotle University of Thessaloniki, GR 54645, Thessaloniki, Greece.
| | - Nikolaos Fragakis
- 3rd Cardiology Department, Aristotle University of Thessaloniki, Hippokration General Hospital, 49 Konstantinoupoleos str, 54642, Thessaloniki, Greece
| | - Vassilios Vassilikos
- 3rd Cardiology Department, Aristotle University of Thessaloniki, Hippokration General Hospital, 49 Konstantinoupoleos str, 54642, Thessaloniki, Greece
| | - Leontios J Hadjileontiadis
- Department of Electrical and Computer Engineering, Aristotle University of Thessaloniki, GR 54645, Thessaloniki, Greece.,Department of Electrical and Computer Engineering, Khalifa University of Science and Technology, PO BOX 127788, Abu Dhabi, UAE
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7
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Fortrat JO. Zipf's Law of Vasovagal Heart Rate Variability Sequences. ENTROPY (BASEL, SWITZERLAND) 2020; 22:e22040413. [PMID: 33286187 PMCID: PMC7516888 DOI: 10.3390/e22040413] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 03/25/2020] [Revised: 04/01/2020] [Accepted: 04/01/2020] [Indexed: 06/12/2023]
Abstract
Cardiovascular self-organized criticality (SOC) has recently been demonstrated by studying vasovagal sequences. These sequences combine bradycardia and a decrease in blood pressure. Observing enough of these sparse events is a barrier that prevents a better understanding of cardiovascular SOC. Our primary aim was to verify whether SOC could be studied by solely observing bradycardias and by showing their distribution according to Zipf's law. We studied patients with vasovagal syncope. Twenty-four of them had a positive outcome to the head-up tilt table test, while matched patients had a negative outcome. Bradycardias were distributed according to Zipf's law in all of the patients. The slope of the distribution of vasovagal sequences and bradycardia are slightly but significantly correlated, but only in cases of bradycardias shorter than five beats, highlighting the link between the two methods (r = 0.32; p < 0.05). These two slopes did not differ in patients with positive and negative outcomes, whereas the distribution slopes of bradycardias longer than five beats were different between these two groups (-0.187 ± 0.004 and -0.213 ± 0.006, respectively; p < 0.01). Bradycardias are distributed according to Zipf's law, providing clear insight into cardiovascular SOC. Bradycardia distribution could provide an interesting diagnosis tool for some cardiovascular diseases.
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Affiliation(s)
- Jacques-Olivier Fortrat
- UMR CNRS 6015 Inserm 1083, Centre Hospitalier Universitaire Angers, 4 Rue Larrey CEDEX 9, 49933 Angers, France
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8
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Entropy-Based Measures of Hypnopompic Heart Rate Variability Contribute to the Automatic Prediction of Cardiovascular Events. ENTROPY 2020; 22:e22020241. [PMID: 33286015 PMCID: PMC7516674 DOI: 10.3390/e22020241] [Citation(s) in RCA: 10] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 02/02/2020] [Revised: 02/17/2020] [Accepted: 02/19/2020] [Indexed: 12/22/2022]
Abstract
Surges in sympathetic activity should be a major contributor to the frequent occurrence of cardiovascular events towards the end of nocturnal sleep. We aimed to investigate whether the analysis of hypnopompic heart rate variability (HRV) could assist in the prediction of cardiovascular disease (CVD). 2217 baseline CVD-free subjects were identified and divided into CVD group and non-CVD group, according to the presence of CVD during a follow-up visit. HRV measures derived from time domain analysis, frequency domain analysis and nonlinear analysis were employed to characterize cardiac functioning. Machine learning models for both long-term and short-term CVD prediction were then constructed, based on hypnopompic HRV metrics and other typical CVD risk factors. CVD was associated with significant alterations in hypnopompic HRV. An accuracy of 81.4% was achieved in short-term prediction of CVD, demonstrating a 10.7% increase compared with long-term prediction. There was a decline of more than 6% in the predictive performance of short-term CVD outcomes without HRV metrics. The complexity of hypnopompic HRV, measured by entropy-based indices, contributed considerably to the prediction and achieved greater importance in the proposed models than conventional HRV measures. Our findings suggest that Hypnopompic HRV assists the prediction of CVD outcomes, especially the occurrence of CVD event within two years.
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Çotuk HB, Duru AD, Aktaş Ş. Monitoring Autonomic and Central Nervous System Activity by Permutation Entropy during Short Sojourn in Antarctica. ENTROPY 2019. [PMCID: PMC7515415 DOI: 10.3390/e21090893] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Indexed: 02/07/2023]
Abstract
The aim of this study was to monitor acute response patterns of autonomic and central nervous system activity during an encounter with Antarctica by synchronously recording heart rate variability (HRV) and electroencephalography (EEG). On three different time-points during the two-week sea journey, the EEG and HRV were recorded from nine male scientists who participated in “The First Turkish Antarctic Research Expedition”. The recordings were performed in a relaxed state with the eyes open, eyes closed, and during a space quantity perception test. For the EEG recordings, the wireless 14 channel EPOC-Emotiv device was used, and for the HRV recordings, a Polar heart rate monitor S810i was used. The HRV data were analyzed by time/frequency domain parameters and ordinal pattern statistics. For the EEG data, spectral band power in the conventional frequency bands, as well as permutation entropy values were calculated. Regarding HRV, neither conventional nor permutation entropy calculations produced significant differences for the different journey time-points, but only permutation entropy was able to differentiate between the testing conditions. During the cognitive test, permutation entropy values increased significantly, whereas the conventional HRV parameters did not show any significant differences. In the EEG analysis, the ordinal pattern statistics revealed significant transitions in the course of the sea voyage as permutation entropy values decreased, whereas spectral band power analysis could not detect any significant difference. Permutation entropy analysis was further able to differentiate between the three testing conditions as well between the brain regions. In the conventional spectral band power analysis, alpha band power could separate the three testing conditions and brain regions, and beta band power could only do so for the brain regions. This superiority of permutation entropy in discerning subtle differences in the autonomic and central nervous system’s responses to an overwhelming subjective experience renders it suitable as an analysis tool for biomonitoring in extreme environments.
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Affiliation(s)
- H. Birol Çotuk
- Department of Sport Health Sciences, Marmara University, 34810 İstanbul, Turkey;
- Correspondence:
| | - Adil Deniz Duru
- Department of Sport Health Sciences, Marmara University, 34810 İstanbul, Turkey;
| | - Şamil Aktaş
- Department of Underwater and Hyperbaric Medicine, İstanbul University, 34093 İstanbul, Turkey;
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Buszko K, Piątkowska A, Koźluk E, Fabiszak T, Opolski G. Entropy Measures in Analysis of Head up Tilt Test Outcome for Diagnosing Vasovagal Syncope. ENTROPY 2018; 20:e20120976. [PMID: 33266699 PMCID: PMC7512576 DOI: 10.3390/e20120976] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 11/21/2018] [Revised: 12/11/2018] [Accepted: 12/12/2018] [Indexed: 11/21/2022]
Abstract
The paper presents possible applications of entropy measures in analysis of biosignals recorded during head up tilt testing (HUTT) in patients with suspected vasovagal syndrome. The study group comprised 80 patients who developed syncope during HUTT (57 in the passive phase of the test (HUTT(+) group) and 23 who had negative result of passive phase and developed syncope after provocation with nitroglycerine (HUTT(−) group)). The paper focuses on assessment of monitored signals’ complexity (heart rate expressed as R-R intervals (RRI), blood pressure (sBP, dBP) and stroke volume (SV)) using various types of entropy measures (Sample Entropy (SE), Fuzzy Entropy (FE), Shannon Entropy (Sh), Conditional Entropy (CE), Permutation Entropy (PE)). Assessment of the complexity of signals in supine position indicated presence of significant differences between HUTT(+) versus HUTT(−) patients only for Conditional Entropy (CE(RRI)). Values of CE(RRI) higher than 0.7 indicate likelihood of a positive result of HUTT already at the passive phase. During tilting, in the pre-syncope phase, significant differences were found for: (SE(sBP), SE(dBP), FE(RRI), FE(sBP), FE(dBP), FE(SV), Sh(sBP), Sh(SV), CE(sBP), CE(dBP)). HUTT(+) patients demonstrated significant changes in signals’ complexity more frequently than HUTT(−) patients. When comparing entropy measurements done in the supine position with those during tilting, SV assessed in HUTT(+) patients was the only parameter for which all tested measures of entropy (SE(SV), FE(SV), Sh(SV), CE(SV), PE(SV)) showed significant differences.
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Affiliation(s)
- Katarzyna Buszko
- Department of Theoretical Foundations of Bio-Medical Science and Medical Informatics, Collegium Medicum, Nicolaus Copernicus University, 85-067 Bydgoszcz, Poland
- Correspondence: ; Tel.: +48-52-585-3428
| | - Agnieszka Piątkowska
- Department of Emergency Medicine, Wroclaw Medical University, 02-091 Wroclaw, Poland
- 1st Department of Cardiology, Medical University of Warsaw, 02-091 Warsaw, Poland
| | - Edward Koźluk
- 1st Department of Cardiology, Medical University of Warsaw, 02-091 Warsaw, Poland
| | - Tomasz Fabiszak
- Department of Cardiology and Internal Diseases, Collegium Medicum, Nicolaus Copernicus University, 85-067 Bydgoszcz, Poland
| | - Grzegorz Opolski
- 1st Department of Cardiology, Medical University of Warsaw, 02-091 Warsaw, Poland
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Buszko K, Piątkowska A, Koźluk E, Fabiszak T, Opolski G. The complexity of hemodynamic response to the tilt test with and without nitroglycerine provocation in patients with vasovagal syncope. Sci Rep 2018; 8:14554. [PMID: 30266992 PMCID: PMC6162241 DOI: 10.1038/s41598-018-32718-2] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/24/2018] [Accepted: 09/10/2018] [Indexed: 11/09/2022] Open
Abstract
The paper presents a comparison of vasovagal syndrome occurrence in a head up tilt table test between patients with a positive result of passive tilt test and those with a positive result after pharmacological provocation. The study group consisted of 80 patients: 57 patients who experienced syncope in the passive phase of the test (43 women (aged: 35.6 ± 16.2) and 14 men (aged: 41.7 ± 15.6) and 23 patients who experienced syncope after pharmacological provocation (17 women (age: 32.3 ± 12) and 6 men (age: 43 ± 15). The main investigation was based on the assessment of monitored signals complexity: heart rate, blood pressure and stroke volume. The analysis of complexity in chosen measurement phases was performed with Sample Entropy. The investigation showed that the reactions of autonomic nervous system during tilt test and before syncope are similar for positive result of passive tilt test and positive result of tilt test with provocation. The differences in supine position occurred only in analysis based on impedance measurement (SV: p = 0.01). Significant differences were denoted for all signals just before the syncope (RRI, sBP, dBP: p = 0,00001 and SV: p = 0.01). In analysis of signals complexity the significant differences occurred just before the syncope for Sample Entropy of blood pressure (SampEn (sBP): p = 0.0008, SampEn (dBP): p = 0,0001).
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Affiliation(s)
- Katarzyna Buszko
- Department of Theoretical Foundations of Bio-Medical Science and Medical Informatics, Collegium Medicum, Nicolaus Copernicus University, 85-067, Bydgoszcz, Poland.
| | - Agnieszka Piątkowska
- Department and Clinic of Emergency Medicine, Wroclaw Medical University, Wroclaw, 50-556, Poland
- 1st Chair and Department of Cardiology, Medical University of Warsaw, Warsaw, 02-091, Poland
| | - Edward Koźluk
- 1st Chair and Department of Cardiology, Medical University of Warsaw, Warsaw, 02-091, Poland
| | - Tomasz Fabiszak
- Department of Cardiology and Internal Diseases, Collegium Medicum, Nicolaus Copernicus University, 85-067, Bydgoszcz, Poland
| | - Grzegorz Opolski
- 1st Chair and Department of Cardiology, Medical University of Warsaw, Warsaw, 02-091, Poland
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Xia Y, Yang L, Zunino L, Shi H, Zhuang Y, Liu C. Application of Permutation Entropy and Permutation Min-Entropy in Multiple Emotional States Analysis of RRI Time Series. ENTROPY 2018; 20:e20030148. [PMID: 33265239 PMCID: PMC7512665 DOI: 10.3390/e20030148] [Citation(s) in RCA: 18] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 01/14/2018] [Revised: 02/14/2018] [Accepted: 02/15/2018] [Indexed: 11/18/2022]
Abstract
This study’s aim was to apply permutation entropy (PE) and permutation min-entropy (PME) over an RR interval time series to quantify the changes in cardiac activity among multiple emotional states. Electrocardiogram (ECG) signals were recorded under six emotional states (neutral, happiness, sadness, anger, fear, and disgust) in 60 healthy subjects at a rate of 1000 Hz. For each emotional state, ECGs were recorded for 5 min and the RR interval time series was extracted from these ECGs. The obtained results confirm that PE and PME increase significantly during the emotional states of happiness, sadness, anger, and disgust. Both symbolic quantifiers also increase but not in a significant way for the emotional state of fear. Moreover, it is found that PME is more sensitive than PE for discriminating non-neutral from neutral emotional states.
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Affiliation(s)
- Yirong Xia
- School of Control Science and Engineering, Shandong University, Jinan, 250061, China
| | - Licai Yang
- School of Control Science and Engineering, Shandong University, Jinan, 250061, China
- Correspondence: (L.Y.); (C.L.); Tel.: +86-135-83111153 (L.Y.); +86-159-52039150 (C.L.); Fax: +86-531-88392024 (L.Y.); +86-25-83793993 (C.L.)
| | - Luciano Zunino
- Centro de Investigaciones Ópticas (CONICET La Plata—CIC), C.C. 3, 1897 Gonnet, Argentina
- Departamento de Ciencias Básicas, Facultad de Ingeniería, Universidad Nacional de La Plata (UNLP), 1900 La Plata, Argentina
| | - Hongyu Shi
- School of Control Science and Engineering, Shandong University, Jinan, 250061, China
| | - Yuan Zhuang
- School of Control Science and Engineering, Shandong University, Jinan, 250061, China
| | - Chengyu Liu
- School of Instrument Science and Engineering, Southeast University, Nanjing 210018, China
- Correspondence: (L.Y.); (C.L.); Tel.: +86-135-83111153 (L.Y.); +86-159-52039150 (C.L.); Fax: +86-531-88392024 (L.Y.); +86-25-83793993 (C.L.)
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13
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Reulecke S, Charleston-Villalobos S, Voss A, Gonzalez-Camarena R, Gonzalez-Hermosillo JA, Gaitan-Gonzalez MJ, Hernandez-Pacheco G, Schroeder R, Aljama-Corrales T, Reulecke S, Charleston-Villalobos S, Voss A, Gonzalez-Camarena R, Gonzalez-Hermosillo JA, Gaitan-Gonzalez MJ, Hernandez-Pacheco G, Schroeder R, Aljama-Corrales T. Temporal Analysis of Cardiovascular and Respiratory Complexity by Multiscale Entropy Based on Symbolic Dynamics. IEEE J Biomed Health Inform 2017; 22:1046-1058. [PMID: 28991754 DOI: 10.1109/jbhi.2017.2761354] [Citation(s) in RCA: 12] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/05/2022]
Abstract
The effect of an orthostatic stress on cardiovascular and respiratory complexity was investigated to detect impaired autonomic regulation in patients with vasovagal syncope (VVS). A total of 16 female patients and 12 age-matched healthy female subjects were enrolled in a passive 70° head-up tilt test. Also, 12 age-matched healthy male subjects were enrolled to study gender differences. Analysis was performed dynamically using various short-term (5 min) windows shifted by 1 min as well as by 20 min of orthostatic phase (OP) to evaluate local and global complexity. Complexity was determined over multiple time scales by the established method of refined composite multiscale entropy (RCMSE) and by a new proposed method of multiscale entropy based on symbolic dynamics (MSE-SD). Concerning heart rate variability (HRV) during OP, both methods revealed the highest complexity for female controls followed by lower complexity in male controls (p < 0.01) and by the lowest complexity in female patients (p < 0.01). For blood pressure variability (BPV), no gender differences in controls were shown by any method. However, MSE-SD demonstrated highly significantly increased BPV complexity in patients during OP (p < 0.01 on 4 time-scales after 7 min, p < 0.001 on 5 time-scales after 11 min) while RCMSE did not reveal considerable differences (p < 0.05 on 2 time scales after 7 min). Respiratory complexity was further increased in patients primary shown by MSE-SD. Findings indicated impaired autonomic regulation in VVS patients characterized by predominantly increased BPV complexity accompanied with decreased HRV complexity. In addition, results suggested extending the concept of complexity loss with disease.
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Carricarte Naranjo C, Sanchez-Rodriguez LM, Brown Martínez M, Estévez Báez M, Machado García A. Permutation entropy analysis of heart rate variability for the assessment of cardiovascular autonomic neuropathy in type 1 diabetes mellitus. Comput Biol Med 2017; 86:90-97. [DOI: 10.1016/j.compbiomed.2017.05.003] [Citation(s) in RCA: 14] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/08/2016] [Revised: 05/05/2017] [Accepted: 05/06/2017] [Indexed: 01/29/2023]
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Wejer D, Graff B, Makowiec D, Budrejko S, Struzik ZR. Complexity of cardiovascular rhythms during head-up tilt test by entropy of patterns. Physiol Meas 2017; 38:819-832. [PMID: 28263183 DOI: 10.1088/1361-6579/aa64a8] [Citation(s) in RCA: 12] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/12/2022]
Abstract
OBJECTIVE The head-up tilt (HUT) test, which provokes transient dynamical alterations in the regulation of cardiovascular system, provides insights into complex organization of this system. Based on signals with heart period intervals (RR-intervals) and/or systolic blood pressure (SBP), differences in the cardiovascular regulation between vasovagal patients (VVS) and the healthy people group (CG) are investigated. APPROACH Short-term relations among signal data represented symbolically by three-beat patterns allow to qualify and quantify the complexity of the cardiovascular regulation by Shannon entropy. Four types of patterns: permutation, ordinal, deterministic and dynamical, are used, and different resolutions of signal values in the the symbolization are applied in order to verify how entropy of patterns depends on a way in which values of signals are preprocessed. MAIN RESULTS At rest, in the physiologically important signal resolution ranges, independently of the type of patterns used in estimates, the complexity of SBP signals in VVS is different from the complexity found in CG. Entropy of VVS is higher than CG what could be interpreted as substantial presence of noisy ingredients in SBP of VVS. After tilting this relation switches. Entropy of CG occurs significantly higher than VVS for SBP signals. In the case of RR-intervals and large resolutions, the complexity after the tilt becomes reduced when compared to the complexity of RR-intervals at rest for both groups. However, in the case of VVS patients this reduction is significantly stronger than in CG. SIGNIFICANCE Our observations about opposite switches in entropy between CG and VVS might support a hypothesis that baroreflex in VVS affects stronger the heart rate because of the inefficient regulation (possibly impaired local vascular tone alternations) of the blood pressure.
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Affiliation(s)
- Dorota Wejer
- University of Gdańsk, Institute of Experimental Physics, 80-308 Gdańsk, ul Wita Stwosza 57, Poland
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Amigó JM, Monetti R, Graff B, Graff G. Computing algebraic transfer entropy and coupling directions via transcripts. CHAOS (WOODBURY, N.Y.) 2016; 26:113115. [PMID: 27908002 DOI: 10.1063/1.4967803] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/06/2023]
Abstract
Most random processes studied in nonlinear time series analysis take values on sets endowed with a group structure, e.g., the real and rational numbers, and the integers. This fact allows to associate with each pair of group elements a third element, called their transcript, which is defined as the product of the second element in the pair times the first one. The transfer entropy of two such processes is called algebraic transfer entropy. It measures the information transferred between two coupled processes whose values belong to a group. In this paper, we show that, subject to one constraint, the algebraic transfer entropy matches the (in general, conditional) mutual information of certain transcripts with one variable less. This property has interesting practical applications, especially to the analysis of short time series. We also derive weak conditions for the 3-dimensional algebraic transfer entropy to yield the same coupling direction as the corresponding mutual information of transcripts. A related issue concerns the use of mutual information of transcripts to determine coupling directions in cases where the conditions just mentioned are not fulfilled. We checked the latter possibility in the lowest dimensional case with numerical simulations and cardiovascular data, and obtained positive results.
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Affiliation(s)
- José M Amigó
- Centro de Investigación Operativa, Universidad Miguel Hernández, 03202 Elche, Spain
| | | | - Beata Graff
- Department of Hypertension and Diabetology, Medical University of Gdansk, 80-952 Gdansk, Poland
| | - Grzegorz Graff
- Faculty of Applied Physics and Mathematics, Gdansk University of Technology, 80-233 Gdansk, Poland
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