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2022 12th Conference of the European Study Group on Cardiovascular Oscillations (ESGCO)最新文献

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Quantification of stress and depression level posed by COVID-19 in first-line healthcare workers COVID-19对一线医护人员压力和抑郁水平的量化
Pub Date : 2022-10-09 DOI: 10.1109/ESGCO55423.2022.9931359
Miguel Javierre, M. Miguel, J. Lázaro, Thaís Castro, E. García, E. Gil, C. de la Cámara, J. Aguiló, R. Bailón, S. Kontaxis
After pandemic, healthcare workers experienced a series of emotional and psychological disturbances that could impact their mental well-being. In this study, the feasibility of morphological characteristics of photoplethysmographic (PPG) waveform to quantify stress and depression level posed by COVID-19 in first-line healthcare workers is explored. Results show that higher stress and depression level are moderately correlated with large systolic amplitude and parameters that might indicate early wave reflection. These results suggest that an arterial stiffness, quantified with PPG morphological characteristics, could provide valuable information in assessing mental health.
大流行后,卫生保健工作者经历了一系列可能影响其精神健康的情绪和心理障碍。本研究探讨利用光容积脉搏波(PPG)波形形态特征量化一线医护人员新冠肺炎应激和抑郁水平的可行性。结果表明,较高的应力和抑郁水平与较大的收缩期振幅和可能预示早期波反射的参数有一定的相关性。这些结果表明,用PPG形态学特征量化的动脉硬度可以为评估心理健康提供有价值的信息。
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引用次数: 0
Short-term changes of arterial compliance in the context of its confounders 混杂因素下动脉顺应性的短期变化
Pub Date : 2022-10-09 DOI: 10.1109/ESGCO55423.2022.9931389
D. Švec, B. Czippelova, J. Krohova, Z. Turianikova, L. Matušková, N. Mažgútová, R. Wiszt, M. Javorka
Arterial compliance (AC) is an important index characterizing mechanical and functional properties of the arteries. In the clinical practice, changes of AC are considered to reflect long-term vascular changes, e.g. arterial stiffening associated with atherosclerosis. However, AC is often confounded by the changes (including short-term changes) in other cardiovascular characteristics, e.g. blood pressure, vasomotion and heart rate (HR). In this study, changes of AC were assessed in the context of potential confounders - systolic arterial pressure (SAP), total peripheral resistance (TPR) and HR perturbations during various physiological states (supine rest, orthostasis and cognitive load) in 56 young and healthy subjects. We observed that AC changes during orthostasis were associated with systemic vasoconstriction and increased HR while changes during cognitive load were associated with increased blood pressure and HR. These findings underline the importance of AC evaluation considering the changes in its confounders.
动脉顺应性(AC)是表征动脉力学和功能特性的重要指标。在临床实践中,AC的变化被认为反映了长期的血管变化,例如动脉硬化相关的动脉硬化。然而,AC常与其他心血管特征的变化(包括短期变化)相混淆,如血压、血管舒缩和心率(HR)。在这项研究中,我们评估了56名年轻健康受试者在不同生理状态(平卧休息、直立和认知负荷)下,在潜在混杂因素——收缩压(SAP)、总外周阻力(TPR)和HR扰动的背景下,AC的变化。我们观察到,直立时的AC变化与全身血管收缩和HR增加有关,而认知负荷时的变化与血压和HR增加有关。这些发现强调了考虑混杂因素变化的AC评价的重要性。
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引用次数: 0
Impact of Electrocardiogram Length on Diagnostic Properties of Heart Rate Variability Indices in Atrial Fibrillation Detection 心电图长度对房颤检测中心率变异性指标诊断特性的影响
Pub Date : 2022-10-09 DOI: 10.1109/ESGCO55423.2022.9931356
Szymon Buś, K. Jędrzejewski, P. Guzik
Heart rate variability (HRV) measures various prop-erties of RR intervals from electrocardiograms (ECGs) with sinus rhythm (SR). Recently, many HRV parameters have been employed to distinguish ECGs with SR from those with atrial fibrillation (AF). However, studies on the diagnostic properties of HRV for AF detection differ both in the tested parameters and in the length of studied ECGs. We aimed to systematically test the diagnostic properties of selected HRV indices for differentiation between AF and SR in ECGs of a wide range of lengths between 5 to 300 s. We demonstrate that the diagnostic performance of HRV for the AF detection strongly depends on the length of the ECG, usually improving with longer recordings. The best diagnostic properties of all HRV indices have been found for pRR50 with the area under curve from 0.881 for 5 s to 0.980 for 300 s, and diagnostic odds ratio from 44 (5 s) to 421 (300 s). We conclude that the length of ECG recording and the selection of HRV parameters are crucial for the proper differentiation of AF from SR. Clinical Relevance- This study demonstrates that the ECG length determines the diagnostic properties and the cutoff values of HRV parameters for AF detection. Additionally, if RR intervals time series analysis is applied to differentiate AF from SR, pRR50 outperforms other HRV parameters used, regardless of the ECG length between 5 and 300 seconds
心率变异性(HRV)从窦性心律(SR)的心电图(ecg)中测量RR间期的各种特性。最近,许多HRV参数被用于区分SR和房颤(AF)的心电图。然而,关于HRV用于房颤检测的诊断特性的研究在测试参数和研究心电图的长度上都存在差异。我们的目的是系统地测试在5到300秒的大范围心电图中选择的HRV指标对AF和SR的诊断特性。我们证明,HRV对房颤检测的诊断性能强烈依赖于ECG的长度,通常随着记录时间的延长而改善。最好的诊断特性HRV指标已经发现pRR50与5 s曲线下的面积从0.881到0.980的300年代,从44和诊断比值比(5 s)到421(300年代),我们得出这样的结论:心电图记录的长度和HRV的选择参数适当的分化的关键老房颤的临床意义,本研究表明,心电图的长度决定了诊断房颤属性和HRV的截止值参数检测。此外,如果应用RR间隔时间序列分析来区分AF和SR, pRR50优于使用的其他HRV参数,无论ECG长度在5到300秒之间
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引用次数: 2
Cardiorespiratory Coupling is Associated with Exercise Capacity in Athletes 心肺偶联与运动员的运动能力有关
Pub Date : 2022-10-09 DOI: 10.1109/ESGCO55423.2022.9931347
Raphael M. Abreu, A. Porta, P. Rehder-Santos, Claudio D Silva, Étore F Signini, J. Milan-Mattos, B. Cairo, C. Sakaguchi, A. Catai
The aim of this study was to evaluate the cardiorespiratory coupling (CRC) of athletes at rest and to verify its relationship with exercise capacity. We studied 50 men (25 athletes and 25 non-athletes) at rest in supine condition. The CRC was determined via squared coherence function K2 between heart period (HP) and respiratory (RESP) variabilities in high frequency (HF) band [K2(HF)], while the exercise capacity was assessed via the peak oxygen uptake (VO2 peak) measured during cardiopulmonary exercise testing. The results showed that K2(HF) index was significantly correlated with VO2 peak (r=0.4, $p=0.03$). This result suggests that CRC is associated with physical exercise capacity in athletes. This finding might open new possibilities on how to improve VO2 peak above and beyond the application of demanding sessions of heavy physical exercise.
本研究的目的是评估运动员休息时的心肺偶联(CRC),并验证其与运动能力的关系。我们研究了50名男性(25名运动员和25名非运动员)在仰卧状态下休息。CRC通过高频(HF)波段[K2(HF)]心期(HP)和呼吸(RESP)变异性之间的平方相干函数K2确定,而运动能力通过心肺运动试验中测量的峰值摄氧量(VO2峰值)评估。结果表明,K2(HF)指数与VO2峰呈显著相关(r=0.4, p=0.03)。这一结果表明CRC与运动员的运动能力有关。这一发现可能会为如何在高强度体育锻炼之外提高VO2峰值提供新的可能性。
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引用次数: 1
Heart Rate Variability in Spontaneous and Controlled Breathing: a HF power vs. Parasympathetic Activity Index study 自主呼吸和控制呼吸的心率变异性:高频功率与副交感神经活动指数研究
Pub Date : 2022-10-09 DOI: 10.1109/ESGCO55423.2022.9931393
G. Valenza, J. Saul, R. Barbieri
Respiratory sinus arrhythmia (RSA) refers to the changes in heart rate (HR) that occur with respiratory activity. While HR oscillations in the high frequency (HF) band (0.14-0.4 Hz) primarily reflect variations in cardiac vagal activity, changes in respiratory rate (frequency) and amplitude within that HF band affect RSA and thus any vagal activity metric which relies on RSA, including HF spectral power of HR variability (HRV) series. In this study, HF power estimates were compared to the recently introduced Parasympathetic Activity Index (PAI) by analyzing HRV series gathered during spontaneous and controlled respiration. HF power showed significant changes at different respiratory rates, as previously found, while PAI quantified relatively stable vagal activity across different respiratory rates. Thus, HF power was affected by both vagal activity and respiratory rate, whereas PAI appears to be modulated primarily by cardiac vagal activity.
呼吸性窦性心律失常(RSA)是指随着呼吸活动而发生的心率(HR)变化。高频(HF)波段(0.14-0.4 Hz)的心率振荡主要反映心脏迷走神经活动的变化,而高频波段内呼吸频率(频率)和幅度的变化影响RSA,从而影响任何依赖于RSA的迷走神经活动指标,包括心率变异性(HRV)系列的高频频谱功率。在这项研究中,通过分析在自主呼吸和控制呼吸期间收集的HRV序列,将高频功率估计与最近引入的副交感神经活动指数(PAI)进行比较。如前所述,HF功率在不同呼吸速率下表现出显著变化,而PAI量化了不同呼吸速率下相对稳定的迷走神经活动。因此,HF功率受迷走神经活动和呼吸频率的影响,而PAI似乎主要受心脏迷走神经活动的调节。
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引用次数: 1
Assessment of Cardiorespiratory Interactions During Spontaneous and Controlled Breathing: Linear Parametric Analysis 评估自主呼吸和控制呼吸期间的心肺相互作用:线性参数分析
Pub Date : 2022-10-09 DOI: 10.1109/ESGCO55423.2022.9931368
R. Pernice, Laura Sparacino, Chiara Barà, Y. Antonacci, L. Faes
In this work, we perform a linear parametric analysis of cardiorespiratory interactions in bivariate time series of heart period (HP) and respiration (RESP) measured in 19 healthy subjects during spontaneous breathing and controlled breathing at varying breathing frequency. The analysis is carried out computing measures of the total and causal interaction between HP and RESP variability in both time and frequency domains (low- and high-frequency, LF and HF). Results highlight strong cardiorespiratory interactions in the time domain and within the HF band that are not affected by the paced breathing condition. Interactions in the LF band are weaker and prevalent along the direction from HP to RESP, but result more influenced by the shift from spontaneous to controlled respiration.
在这项工作中,我们对19名健康受试者在自主呼吸和不同呼吸频率下的控制呼吸时的心脏周期(HP)和呼吸(RESP)的双变量时间序列进行了线性参数分析。通过计算HP和RESP在时域和频域(低频和高频,低频和高频)变异性之间的总相互作用和因果相互作用,进行了分析。结果强调了在时域和高频波段内强烈的心肺相互作用,这些相互作用不受有节奏呼吸条件的影响。在从HP到RESP的方向上,LF波段的相互作用较弱且普遍,但受从自发呼吸到控制呼吸的转变的影响更大。
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引用次数: 0
Sleep apnea severity stratification by an FFT-based PPG-derived index 基于fft的ppg衍生指数的睡眠呼吸暂停严重程度分层
Pub Date : 2022-10-09 DOI: 10.1109/ESGCO55423.2022.9931363
Diego Cajal, E. Gil, P. Laguna, C. Varon, D. Testelmans, B. Buyse, Chris Jensen, Rohan Hoare, R. Bailón, J. Lázaro
A new index for sleep apnea stratification is proposed. This index is based on the detection of the frequencies at which cyclic variations of the heart rate (CVHR) occur in segments with abnormal breathing. A CVHR detector is also proposed. When this detector is used, the proposed index has a correlation of r = 0.68 with the apnea-hypopnea index. The absence of correlation when the CVHR detector is not used suggests that CVHR detection is necessary for a correct evaluation. Clinical Relevance-The index is obtained from a photoplethysmography-derived signal. This is a further step in the detection and stratification of sleep disorders with minimally invasive sensors and wearables
提出了一种新的睡眠呼吸暂停分层指标。该指标是基于检测心率循环变化(CVHR)发生在呼吸异常段的频率。提出了一种CVHR检测器。当使用该检测器时,建议的指数与呼吸暂停低通气指数的相关性为r = 0.68。当不使用CVHR检测器时,相关性的缺失表明CVHR检测对于正确的评估是必要的。临床相关性-该指数是由光容积描记图衍生的信号获得的。这是用微创传感器和可穿戴设备检测和分层睡眠障碍的又一步
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引用次数: 0
Characterization of Changes in HRV Metrics During Sleep Apnea Episodes in Pediatric Patients 儿科患者睡眠呼吸暂停发作期间HRV指标变化的特征
Pub Date : 2022-10-09 DOI: 10.1109/ESGCO55423.2022.9931362
Pablo Armañac-Julián, Adrián Martín-Montero, J. Lázaro, S. Kontaxis, D. Álvarez, D. Gozal, R. Hornero, P. Laguna, G. Gutiérrez-Tobal, R. Bailón, E. Gil
Previous studies, through heart rate variability (HRV) analysis, revealed an increased sympathetic dominance during sleep in patients suffering from obstructive sleep apnea (OSA). However, a separate analysis comparing episodes of apnea and normal breathing during sleep has not been per-formed, to characterize whether the increased sympathetic dominance is just due to the instantaneous autonomic response to each apnea or there is a sustained sympathetic activation. The HRV metrics evaluated are the temporal and frequency HRV indices, along with new spectral bands, recently identified as specific for pediatric patients diagnosed with OSA. Nonpar-ametric paired statistical test exhibits clear significant differ-ences in HRV, comparing for each patient values in apnea events and normal breathing during sleep and such findings are applicable for all HRV metrics except RMSSD and HF band power, whose significance during apnea events is questionable. While all previous studies analyzed HRV either for the over-night recordings or after removing the apnea events, results obtained in this work highlight the need to perform the analysis separately, both in apnea events and in normal breathing.
先前的研究,通过心率变异性(HRV)分析,揭示了阻塞性睡眠呼吸暂停(OSA)患者在睡眠期间交感神经支配增加。然而,一项单独的比较睡眠期间呼吸暂停发作和正常呼吸发作的分析尚未形成,以表征交感优势的增加是否仅仅是由于每次呼吸暂停的瞬时自主反应,还是存在持续的交感神经激活。评估的HRV指标是时间和频率HRV指数,以及最近确定的用于诊断为OSA的儿科患者的新频谱带。非参数配对统计检验显示HRV有明显的显著性差异,比较每个患者在呼吸暂停事件和睡眠期间正常呼吸的值,这些结果适用于除RMSSD和HF波段功率外的所有HRV指标,其在呼吸暂停事件中的意义值得怀疑。虽然之前的所有研究都分析了夜间记录或去除呼吸暂停事件后的HRV,但本工作获得的结果强调了在呼吸暂停事件和正常呼吸中分别进行分析的必要性。
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引用次数: 1
Frequency Domain Information Decomposition: Application to Plateau Waves of Intracranial Pressure 频域信息分解:在颅内压平台波中的应用
Pub Date : 2022-10-09 DOI: 10.1109/ESGCO55423.2022.9931364
Hélder Pinto, C. Dias, Y. Antonacci, L. Faes, A. P. Rocha
The sustainment and/or resurgence of Plateau Waves (PWs) reveals a borderline cerebral situation of the pressure-volume relationship and is related to increased mortality. The intense systemic stress caused by PW s can be evidenced by the study of Heart Rate Variability (HRV), which is an indicator of the activity of the autonomic nervous system, namely the sympathetic and parasympathetic imbalance. In this work, heart and brain crosstalk interactions will be analyzed using a spectral decomposition of multivariate information mea-sures, which provides frequency-specific quantification of the information shared between a target and two source time series. The spectral measures of information herein analyzed, inte-grated within specific frequency bands of physiological interest reflect the mechanisms of the cardiovascular/cerebrovascular regulation on this episodes of pathological stress.
平台波(PWs)的持续和/或重新出现表明大脑处于压力-容量关系的边缘状态,并与死亡率增加有关。心率变异性(HRV)是自主神经系统活动的指标,即交感和副交感神经失衡,可以证明PW引起的强烈全身应激。在这项工作中,心脏和大脑串扰相互作用将使用多元信息测量的频谱分解进行分析,该方法提供了目标和两个源时间序列之间共享信息的频率特定量化。本文分析的信息的频谱测量,整合在生理兴趣的特定频段内,反映了心/脑血管对这种病理性应激发作的调节机制。
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引用次数: 1
Complementing binary symbolic indices of heart period dynamics by acceleration and deceleration runs 通过加速和减速运行补充心脏周期动态的二进制符号指数
Pub Date : 2022-10-09 DOI: 10.1109/ESGCO55423.2022.9931381
D. Cysarz, F. Edelhäuser
Relevant properties of heart period dynamics can be analyzed by methods derived from symbolic dynamics. However, a lot of information is lost especially if the RR tachogram is transformed to a binary representation. Here, we aim to complement measures of binary symbolic dynamics by properties closely related to the binary representation, i.e. runs of accelerations and decelerations of heart period as basic characteristics underlying heart rate variability. This approach is applied to 1079 RR tachograms from healthy subjects covering the entire adulthood (age range: 18 to 84 years). Each parameter was analyzed per age decade. The average RR interval increased at old age compared to the youngest age group (median RR interval 839 ms vs. 970 ms). SDNN was constant up to 39 years and declined for older subjects (56 ms vs. 36 ms). Binary symbolic indices were derived from acceleration and deceleration of heart period. P1V, i.e. binary patterns of length 3 with one variation, decreased for elderly (>70 years, 53,4%) compared to young ages (<29 years, 66,3%). At the same time P2V, i.e. binary patterns with two variations, increased (14,7% vs. 22,7%). The cumulative accelerations and decelerations were largest for youngest subjects and decreased subsequently and was low in the age group 40 to 49 years (accelerations: −73 ms vs. −37 ms, decelerations. 64 ms vs. 34 ms). The analysis of runs of accelerations and decelerations provides information complementing results from binary symbolic dynamics.
心脏周期动力学的相关性质可以用符号动力学的方法来分析。但是,如果将RR行车图转换为二进制表示,则会丢失大量信息。在这里,我们的目标是通过与二进制表示密切相关的特性来补充二进制符号动力学的测量,即心跳周期的加速和减速作为心率变异性的基本特征。该方法应用于1079个健康受试者的RR行车图,涵盖整个成年期(年龄范围:18至84岁)。每个参数按年龄10年进行分析。与最年轻的年龄组相比,老年组的平均RR间隔增加(中位RR间隔839 ms对970 ms)。SDNN持续到39岁,在老年受试者中下降(56 ms vs 36 ms)。由心跳周期的加速和减速推导出二进制符号指标。P1V,即长度为3且有一个变异的二元模式,老年人(>70岁)比年轻人(<29岁,66.3%)降低了53,4%。与此同时,P2V,即具有两种变化的二进制模式,增加了(14.7%对22.7%)。累积加速和减速在最年轻的受试者中最大,随后下降,在40至49岁的年龄组中较低(加速:−73 ms vs.−37 ms,减速)。64毫秒vs. 34毫秒)。对加速和减速运行的分析提供了二进制符号动力学结果的信息补充。
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引用次数: 0
期刊
2022 12th Conference of the European Study Group on Cardiovascular Oscillations (ESGCO)
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