Daily Stress Monitoring Using Heart Rate Variability of Bathtub ECG Signals

Author(s):  
Tianhui Li ◽  
Ying Chen ◽  
Wenxi Chen
2021 ◽  
Vol 4 (1) ◽  
Author(s):  
Elisa Mejía-Mejía ◽  
James M. May ◽  
Mohamed Elgendi ◽  
Panayiotis A. Kyriacou

AbstractHeart rate variability (HRV) utilizes the electrocardiogram (ECG) and has been widely studied as a non-invasive indicator of cardiac autonomic activity. Pulse rate variability (PRV) utilizes photoplethysmography (PPG) and recently has been used as a surrogate for HRV. Several studies have found that PRV is not entirely valid as an estimation of HRV and that several physiological factors, including the pulse transit time (PTT) and blood pressure (BP) changes, may affect PRV differently than HRV. This study aimed to assess the relationship between PRV and HRV under different BP states: hypotension, normotension, and hypertension. Using the MIMIC III database, 5 min segments of PPG and ECG signals were used to extract PRV and HRV, respectively. Several time-domain, frequency-domain, and nonlinear indices were obtained from these signals. Bland–Altman analysis, correlation analysis, and Friedman rank sum tests were used to compare HRV and PRV in each state, and PRV and HRV indices were compared among BP states using Kruskal–Wallis tests. The findings indicated that there were differences between PRV and HRV, especially in short-term and nonlinear indices, and although PRV and HRV were altered in a similar manner when there was a change in BP, PRV seemed to be more sensitive to these changes.


2018 ◽  
Vol 10 (2-3) ◽  
Author(s):  
Alpo Värri ◽  
Antti Kallonen ◽  
Elina Helander ◽  
Andres Ledesma ◽  
Patrick Pladys

It is known from the literature that the careful analysis of the heart rate variability of a preterm infant can be used as a predictor of sepsis. The Digi-NewB project aims at collecting a database of at least 750 preterm infants including physiological signals, video and clinical observations. These data are used to design a decision support system for the early detection of sepsis and for the evaluation of the infant maturity. The preparation of the data for the exploratory analysis has turned out to be time-consuming. 190 infants have been recorded by March 2018 and of these, the R-R interval analysis of the ECG signals has been completed of 136 infants. The results of the project are still preliminary but seven heart rate variability parameters have been found to be different in preterm and full-term infants with a P value less than 0.01. The video analysis algorithm detecting the presence of personnel or relatives reached 96.8% of sensitivity and 95.1% of specificity.


2020 ◽  
Vol 2020 (4) ◽  
pp. 71-78
Author(s):  
Sherzod Nematov ◽  
◽  
Y Talatov

To automatically determine the state of the cardiovascular system based on the recorded ECG signals, an artificial neural network is trained to classify signals into various possible states. At the same time, the parameters of heart rate variability (HRV) were extracted from the ECG signals and used as input functions for the neural network. HRV is the fluctuation in the time intervals between adjacent heartbeats. For this, the architecture of a neural network based on a multilayer perceptron and a method for obtaining the necessary parameters in the learning process have been developed, and the classification efficiency has been checked and evaluated


Sensors ◽  
2018 ◽  
Vol 18 (8) ◽  
pp. 2619 ◽  
Author(s):  
David Hernando ◽  
Surya Roca ◽  
Jorge Sancho ◽  
Álvaro Alesanco ◽  
Raquel Bailón

Heart rate variability (HRV) analysis is a noninvasive tool widely used to assess autonomic nervous system state. The market for wearable devices that measure the heart rate has grown exponentially, as well as their potential use for healthcare and wellbeing applications. Still, there is a lack of validation of these devices. In particular, this work aims to validate the Apple Watch in terms of HRV derived from the RR interval series provided by the device, both in temporal (HRM (mean heart rate), SDNN, RMSSD and pNN50) and frequency (low and high frequency powers, LF and HF) domain. For this purpose, a database of 20 healthy volunteers subjected to relax and a mild cognitive stress was used. First, RR interval series provided by Apple Watch were validated using as reference the RR interval series provided by a Polar H7 using Bland-Altman plots and reliability and agreement coefficients. Then, HRV parameters derived from both RR interval series were compared and their ability to identify autonomic nervous system (ANS) response to mild cognitive stress was studied. Apple Watch measurements presented very good reliability and agreement (>0.9). RR interval series provided by Apple Watch contain gaps due to missing RR interval values (on average, 5 gaps per recording, lasting 6.5 s per gap). Temporal HRV indices were not significantly affected by the gaps. However, they produced a significant decrease in the LF and HF power. Despite these differences, HRV indices derived from the Apple Watch RR interval series were able to reflect changes induced by a mild mental stress, showing a significant decrease of HF power as well as RMSSD in stress with respect to relax, suggesting the potential use of HRV measurements derived from Apple Watch for stress monitoring.


Entropy ◽  
2019 ◽  
Vol 21 (10) ◽  
pp. 927
Author(s):  
Lulu Zhang ◽  
Mingyu Fu ◽  
Fengguo Xu ◽  
Fengzhen Hou ◽  
Yan Ma

Background: Obstructive sleep apnea (OSA), a highly prevalent sleep disorder, is closely related to cardiovascular disease (CVD). Our previous work demonstrated that Shannon entropy of the degree distribution (EDD), obtained from the network domain of heart rate variability (HRV), might be a potential indicator for CVD. Method: To investigate the potential association between OSA and EDD, OSA patients and healthy controls (HCs) were identified from a sleep study database. Then EDD was calculated from electrocardiogram (ECG) signals during sleep, followed by cross-sectional comparisons between OSA patients and HCs, and longitudinal comparisons from baseline to follow-up visits. Furthermore, for OSA patients, the association between EDD and OSA severity, measured by apnea-hypopnea index (AHI), was also analyzed. Results: Compared with HCs, OSA patients had significantly increased EDD during sleep. A positive correlation between EDD and the severity of OSA was also observed. Although the value of EDD became larger with aging, it was not OSA-specified. Conclusion: Increased EDD derived from ECG signals during sleep might be a potential dynamic biomarker to identify OSA patients from HCs, which may be used in screening OSA with high risk before polysomnography is considered.


2006 ◽  
Vol 18 (02) ◽  
pp. 67-72 ◽  
Author(s):  
RONG-GUAN YEH ◽  
JIANN-SHING SHIEH ◽  
YIN-YI HAN ◽  
YU-JUNG WANG ◽  
SHIH-CHUN TSENG

We examine the dynamics of complex physiologic fluctuations using methods developed very recently in statistical physics. The method based on detrended fluctuation analysis (DFA) has been used to investigate the profile of different types of physiologic states under long term (i.e., 24 hr) analysis of heart rate variability (HRV). In this paper, this method to investigate the output of central physiologic control system under short term (i.e., 1 hr) of HRV in surgical intensive care units (SICU). Electrocardiograph (ECG) signals lasting around 1 hr were collected from ten college student volunteers as group A. Ten computes-generates white noise signals as group B also provided ECG signals lasting around 1 hr. Finally, seventeen patients representing 37 cases undergoing different types of neurosurgery were studied as group C. From this group, 25 cases were selected from 15 patients with brain injury and 12 cases were selected from 2 patients with septicemia. Group A and B were used as high and low limits of baseline for comparison with pathologic states in the SICU. The a values of DFA of groups A, B, and C were 0.958 ± 0.034, 0.521 ± 0.010, and 0.815 ± 0.183, respectively. It was found that the α value of patients in the SICU was significantly lower (P < 0.05) than that of healthy volunteers and significantly higher (P < 0.05) than white noise signals. Hence, it can be concluded that α values based on the DFA statistical concept can clearly distinguish pathologic states in SICU patients from the healthy group and from white noise signals.


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