Non-linear analysis of heart rate variability for evaluating the acute effects of caffeinated beverages in young adults

2020 ◽  
Vol 30 (7) ◽  
pp. 1018-1023 ◽  
Author(s):  
Serife G. Caliskan ◽  
Mehmet D. Bilgin

AbstractCaffeinated beverages are the most consumed substances in the world. High rate of uptake of these beverages leads to various cardiovascular disorders ranging from palpitations to coronary failure. The objective of the study is to ascertain how the complexity parameters of heart rate variability are affected by acute consumption of caffeinated beverages in young adults.Electrocardiogram measurements were performed before consuming drinks. After consuming the drinks, measurements were done again at 30 minutes and 60 minutes. Heart rate variability signals were acquired from electrocardiogram signals. Also, the signals were reconstructed in the phase space and largest Lyapunov exponent, correlation dimension, approximate entropy, and detrended fluctuation analysis values were calculated.Heart rate increased for energy drink and cola groups but not in coffee group. Non-linear parameter values of energy drink, coffee, and cola group are increased within 60 minutes after drink consumption. This change is statistically significant just for energy drink group.Energy drink consumption increases the complexity of the cardiovascular system in young adults significantly. Coffee and cola consumption have no significant effect on the non-linear parameters of heart rate variability.

2018 ◽  
Vol 30 (06) ◽  
pp. 1850043
Author(s):  
Reema Shyamsunder Shukla ◽  
Yogender Aggarwal

Cancer causes chronic stress and is associated with impaired autonomic nervous system (ANS). Heart rate variability (HRV) has been suggested to be an important tool in the identification and prediction of performance status (PS) in cancer. Lead II surface electrocardiogram (ECG) was recorded from 24 pulmonary metastases (PM) subjects and 30 healthy controls for nonlinear HRV analysis. Artificial neural network (ANN) and support vector machine (SVM) were applied for the prediction analysis. Analysis of variance (ANOVA) along with post-hoc Tukey’s HSD test was conducted using statistical R, 64-bit, v.3.3.2, at [Formula: see text]. The obtained results suggested lower HRV that increases with cancer severity from the Eastern Cooperative Oncology Group (ECOG)1 PS to ECOG4 PS. ANOVA results stated that approximate entropy (ApEn) ([Formula: see text]-[Formula: see text], [Formula: see text]), detrended fluctuation analysis (DFA) [Formula: see text] ([Formula: see text]-[Formula: see text], [Formula: see text]) and correlation dimension (CD) ([Formula: see text]-[Formula: see text], [Formula: see text]) were significant. The 13 nonlinear features were fed to ANN and SVM to obtain 82.25% and 100% accuracies, respectively. Nonlinear HRV analysis has given promising results in the prediction of diagnosis of PS in PM patients. These inputs would be very useful for clinicians to diagnose PS in their cancer patients and improve their quality of living.


2015 ◽  
Vol 40 (8) ◽  
pp. 762-768 ◽  
Author(s):  
Matthias Weippert ◽  
Kristin Behrens ◽  
Annika Rieger ◽  
Mohit Kumar ◽  
Martin Behrens

Despite their use in cardiac risk stratification, the physiological meaning of nonlinear heart rate variability (HRV) measures is not well understood. The aim of this study was to elucidate effects of breathing frequency, tidal volume, and light exercise on nonlinear HRV and to determine associations with traditional HRV indices. R–R intervals, blood pressure, minute ventilation, breathing frequency, and respiratory gas concentrations were measured in 24 healthy male volunteers during 7 conditions: voluntary breathing at rest, and metronome guided breathing (0.1, 0.2 and 0.4 Hz) during rest, and cycling, respectively. The effect of physical load was significant for heart rate (HR; p < 0.001) and traditional HRV indices SDNN, RMSSD, lnLFP, and lnHFP (p < 0.01 for all). It approached significance for sample entropy (SampEn) and correlation dimension (D2) (p < 0.1 for both), while HRV detrended fluctuation analysis (DFA) measures DFAα1 and DFAα2 were not affected by load condition. Breathing did not affect HR but affected all traditional HRV measures. D2 was not affected by breathing; DFAα1 was moderately affected by breathing; and DFAα2, approximate entropy (ApEn), and SampEn were strongly affected by breathing. DFAα1 was strongly increased, whereas DFAα2, ApEn, and SampEn were decreased by slow breathing. No interaction effect of load and breathing pattern was evident. Correlations to traditional HRV indices were modest (r from –0.14 to –0.67, p < 0.05 to <0.01). In conclusion, while light exercise does not significantly affect short-time HRV nonlinear indices, respiratory activity has to be considered as a potential contributor at rest and during light dynamic exercise.


2013 ◽  
Vol 13 (04) ◽  
pp. 1350061 ◽  
Author(s):  
N. D. ASHA ◽  
K. PAUL JOSEPH

Heart rate variability (HRV) is the temporal variation between sequences of consecutive heartbeats. Chaos and fractal-based measurements have been widely used for quantifying the HRV for cardiac risk stratification purposes. In this paper, five different sets of HRVs, viz., normal sinus rhythm (NSR), congestive heart failure (CHF), cardiac arrhythmia suppression trial (CAST), supra ventricular tachyarrhythmia (SVTA) and atrial fibrillation (AF), have been analysed using nonlinear parameters to fix the ranges of each parameter. Data were downloaded from the PhysioNet database with 15 sets in each case. The parameters used for analysis were Poincare plot measures: SD1, SD2 and SD12, largest Lyapunov exponent (LLE), correlation dimension (CD); recurrence plot measures: recurrence rate (REC), determinism (DET), mean diagonal length (L mean ), maximal diagonal length (L max ) and entropy (ENTR); detrended fluctuation analysis measures: scaling exponent (α) and fractal dimension (FD); sample entropy (SampEn); and approximate entropy (ApEn). Analysis of variance (ANOVA) was done for confirming the differences in parameter values between various cases. All parameters except LLE showed a significant statistical difference for different cases.


Sensors ◽  
2021 ◽  
Vol 21 (3) ◽  
pp. 821
Author(s):  
Bruce Rogers ◽  
David Giles ◽  
Nick Draper ◽  
Laurent Mourot ◽  
Thomas Gronwald

Recent study points to the value of a non-linear heart rate variability (HRV) biomarker using detrended fluctuation analysis (DFA a1) for aerobic threshold determination (HRVT). Significance of recording artefact, correction methods and device bias on DFA a1 during exercise and HRVT is unclear. Gas exchange and HRV data were obtained from 17 participants during an incremental treadmill run using both ECG and Polar H7 as recording devices. First, artefacts were randomly placed in the ECG time series to equal 1, 3 and 6% missed beats with correction by Kubios software’s automatic and medium threshold method. Based on linear regression, Bland Altman analysis and Wilcoxon paired testing, there was bias present with increasing artefact quantity. Regardless of artefact correction method, 1 to 3% missed beat artefact introduced small but discernible bias in raw DFA a1 measurements. At 6% artefact using medium correction, proportional bias was found (maximum 19%). Despite this bias, the mean HRVT determination was within 1 bpm across all artefact levels and correction modalities. Second, the HRVT ascertained from synchronous ECG vs. Polar H7 recordings did show an average bias of minus 4 bpm. Polar H7 results suggest that device related bias is possible but in the reverse direction as artefact related bias.


Author(s):  
Rishikesan Kamaleswaran ◽  
Ofer Sadan ◽  
Prem Kandiah ◽  
Qiao Li ◽  
James M Blum ◽  
...  

Objective: To measure heart rate variability metrics in critically ill COVID-19 patients with comparison to all-cause critically ill sepsis patients. Design and patients: Retrospective analysis of COVID-19 patients admitted to an ICU for at least 24h at any of Emory Healthcare ICUs between March and April 2020. The comparison group was a cohort of all-cause sepsis patients prior to COVID-19 pandemic. Interventions: none. Measurements: Continuous waveforms were captured from the patient monitor. The EKG was then analyzed for each patient over a 300 second (s) observational window, that was shifted by 30s in each iteration from admission till discharge. A total of 23 HRV metrics were extracted in each iteration. We use the Kruskal-Wallis and Steel-Dwass tests (p < 0.05) for statistical analysis and interpretations of HRV multiple measures. Results: A total of 141 critically-ill COVID-19 patients met inclusion criteria, who were compared to 208 patients with all-cause sepsis. Demographic parameters were similar apart from a high proportion of African-Americans in the COVID-19 cohort. Three non-linear markers, including SD1:SD2, sample entropy, approximate entropy and four linear features mode of Beat-to-Beat interval (NN), Acceleration Capacity (AC), Deceleration Capacity (DC), and pNN50, were statistical significance between more than one binary combinations of the sub-groups (comparing survivors and non-survivors in both the COVID-19 and sepsis cohorts). The three nonlinear features and AC, DC, and NN (mode) were statistically significant across all four combinations. Temporal analysis of the main markers showed low variability across the 5 days of analysis, compared with sepsis patients. Conclusions: Heart rate variability is broadly implicated across patients infected with SARS-CoV-2, and admitted to the ICU for critical illness. Comparing these metrics to patients with all-cause sepsis suggests a unique set of expressions that differentiate this viral phenotype. This finding could be investigated further as a potential biomarker to predict poor outcome in this patient population, and could also be a starting point to measure potential autonomic dysfunction in COVID-19.


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