Validity of a Smartphone Application and Chest Strap for Recording RR Intervals at Rest in Athletes

2020 ◽  
Vol 15 (6) ◽  
pp. 896-899
Author(s):  
Reabias de A. Pereira ◽  
José Luiz de B. Alves ◽  
João Henrique da C. Silva ◽  
Matheus da S. Costa ◽  
Alexandre S. Silva

Objective: To evaluate the accuracy of the smartphone application (app) HRV Expert (CardioMood) and a chest strap (H10 Polar) for recording R-R intervals compared with electrocardiogram (ECG). Methods: A total of 31 male recreational runners (age 36.1 [6.3] y) volunteered for this study. R-R intervals were recorded simultaneously by the smartphone app and ECG for 5 minutes to analyze heart-rate variability in both the supine and sitting positions. Time-domain indexes (heart rate, mean R-R, SD of RR intervals, count of successive normal R-R intervals differing by more than 50 ms, percentage of successive normal R-R intervals differing by more than 50 ms, and root mean square of successive differences between normal R-R intervals), frequency-domain indexes (low frequency, normalized low frequency, high frequency, normalized high frequency, low-frequency to high-frequency ratio, and very low frequency), and nonlinear indexes (SD of instantaneous beat-to-beat variability and long-term SD of continuous R-R intervals) were compared by unpaired t test, Pearson correlation, simple linear regression, and Bland–Altman plot to evaluate the agreement between the devices. Results: High similarity with P value varying between .97 and 1.0 in both positions was found. The correlation coefficient of the heart-rate-variability indexes was perfect (r = 1.0; P = .00) for all variables. The constant error, standard error of estimation, and limits of agreement between ECG and the smartphone app were considered small. Conclusion: The smartphone app and chest strap provide excellent ECG compliance for all variables in the time domain, frequency domain, and nonlinear indexes, regardless of the assessed position. Therefore, the smartphone app replaces ECG for any heart-rate-variability analysis in runners.

Author(s):  
Ankita Soni ◽  
Kirti Rawal

The sympathetic and parasympathetic function of the Autonomic Nervous System[Formula: see text]ANS[Formula: see text] is the primary cause of the variations in Heart Rate and Skin Conductance[Formula: see text]SC[Formula: see text] during different physical activities. This paper aims to analyze the effect of different physical activities i.e. (a) Supine (b) Standing and (c) Warm-up, on Heart Rate Variability (HRV) and SC. The standard dataset of 18 subjects has been used to analyze the effect of physical activities on the HRV and SC. In the used dataset, the subjects are in supine, standing, and warm-up positions. The linear methods (time domain & frequency domain) of HRV are implemented on the standard dataset for analyzing the effect of physical activities. It has been observed with the analysis of the HRV that the mean value of time domain methods i.e. the NN interval’s standard deviation (SDNN), the successive RR interval’s root mean square (RMSSD), RR intervals with more than 50 ms differences in between them (NN50), percentage of successive RR intervals that have the difference of more than 50 ms (pNN50) are decreased and the value of Heart rate (HR) increased when the activity has been changed from supine to standing and standing to the warm-up positions. The value of frequency domain methods, such as low frequency (LF) and the ratio of low and high frequency (LF/HF) increased, while the value of HF decreases as activity changes from supine to standing and from supine to warm-up position. Further, the increment is also observed in the value of SC when activity is switched from supine to standing and from standing to the warm-up position. It is concluded from the results that there is a significant decrement that is observed in the value of HRV, while the increment is observed in the value of SC and HR. Decrement of HRV reflects that the sympathetic activity is increased as activity changed from supine to standing and further from standing to warm-up positions.


F1000Research ◽  
2019 ◽  
Vol 8 ◽  
pp. 147 ◽  
Author(s):  
Ka Hou Christien Li ◽  
Rachel Wing Chuen Lai ◽  
Yimei Du ◽  
Vivian Ly ◽  
David Chun Yin Li ◽  
...  

Background: Heart rate variability (HRV) is an intrinsic property that reflects autonomic balance and has been shown to be predictive of all-cause and cardiovascular mortality. It can be altered by physiological states such as exercise or pathological conditions. However, there are only a handful of studies on HRV in horses. The aim of this study is to compare HRV parameters before and during exercise in horses. Methods: Time-domain, frequency-domain and non-linear analyses were applied to quantify time series data on RR intervals before and during exercise in horses (n=7). Results: Exercise increased heart rate from 44±8 to 113±17 bpm (ANOVA, P<0.05) and decreased standard deviation (SD) from 7±2 to 4±2 bpm, coefficient of variation (CoV) from 16±4% to 3±2% and root mean square of successive RR interval differences (RMSSD) from 89.4±91.5 to 6.5±3.7 ms. Contrastingly, no difference in low-frequency (0.10±0.03 vs. 0.09±0.03 Hz) and high-frequency (0.19±0.03 vs. 0.18±0.03 Hz) peaks, nor in their percentage powers (2±1 vs. 4±5%; 59±9 vs. 64±20%; 39±10 vs. 32±19%) were observed but very low-frequency, low-frequency, and high-frequency powers (ms2) were reduced from 29±17 to 2±5, 1138±372 to 22±22 and 860±564 to 9±6, respectively, as was total power (in logarithms) (7.52±0.52 to 3.25±0.73). Poincaré plots of RRn+1 against RRn revealed similar ellipsoid shapes before and after exercise. The SD along the line-of-identity (SD2) and SD perpendicular to the line-of-identity (SD1) were decreased by exercise (62±17 vs. 9±5 and 63±65 vs. 5±3), corresponding to increased SD2/SD1 ratio from 1.33±0.45 to 2.19±0.72. No change in approximate and sample entropy was detected (0.97±0.23 vs. 0.82±0.22 and 1.14±0.43 vs. 1.37±0.49). Detrended fluctuation analysis revealed unaltered short-term fluctuation slopes (0.76±0.27 vs. 1.18±0.55) but increased long-term fluctuation slopes (0.16±0.11 vs. 0.50±0.16) after exercise. Conclusion: Exercise leads to a decrease in HRV but did not affect signal entropy in horses.


2019 ◽  
Vol 7 ◽  
pp. 870-874
Author(s):  
Galya Nikolova Georgieva-Tsaneva

The paper presents frequency methods for estimating the variability of intervals between individual heart beats in Electrocardiogram. This parameter is known in the scientific literature as the Heart Rate Variability and with this method it is possible to make predictions about human health. Three frequency ranges have been studied: Very Low Frequency, Low Frequency, and High Frequency. The study in this paper was based on real cardiological data obtained from 33 patients suffering from heart fibrillations and 29 healthy individuals. The investigated records are obtained through a Holter monitoring of studied individuals in real life conditions. The obtained results show significantly lower values ​​of the tested spectral parameters in the diseased individuals compared to the healthy controls. The accomplished study shows the effective applicability of the spectral methods of Heart Rate Variability analysis and the possibility of differentiation by the spectral parameters of the patients from healthy individuals.


Physiology ◽  
1999 ◽  
Vol 14 (3) ◽  
pp. 111-117 ◽  
Author(s):  
Alberto Malliani

In most physiological conditions, sympathetic and vagal activities modulating heart period undergo a reciprocal regulation, leading to the concept of sympathovagal balance. This pattern can be indirectly quantified by computing the spectral powers of the oscillatory components corresponding to respiratory acts (high frequency) and to vasomotor waves (low frequency) present in heart rate variability.


2020 ◽  
Vol 2 (1) ◽  
Author(s):  
Rajeev Gupta

Kapalbhati is well known for improving cardiovascular health. But there are some reports of heart attacks while practising kapalbhati. We hypothesize that ill-effect of kapalbhati could be because of autonomic dysfunction to heart. In the present study, we aim to understand the acute effect of kapalbhati yoga on heart rate dynamics using heart rate variability (HRV) analysis. Resting heart rate (HR) varies widely in different individuals and during various physiological stresses, particularly, exercise it can go up to three-fold. These changes in heart rate are known as heart rate variability (HRV). Variability in heart rate reflects the control of autonomic system on the heart and which can be determined during brief periods of electrocardiographic (ECG) monitoring. HRV measures the effect of any physical exercise on the heart rate using time- and frequency-domain methods. Frequency-domain method involves power spectral analyses of the beat-to-beat intervals (R-R intervals) variability data. When total power vs. frequency, fast fourier transform analysis of R-R intervals data is done, it shows three well-defined peaks/rhythms in every individual, which contain different physiological information. Thus, the total spectral power of R-R intervals data can be divided into three components or bands viz., the very low frequency (VLF) band, the low-frequency (LF) band and the high frequency (HF) band. VLF represent very long time-period physiological phenomenon like thermoregulation, circadian rhythms etc. and thus are not seen in short-term recordings like in this work. LF band power represents long period physiological rhythms in the frequency range of 0.05- 0.15 Hz and LF band power increases as a consequence of sympathetic activation. HF band represent physiological rhythms in the frequency range of 0.15-0.5 Hz and they are synchronous with the respiration rate, and arise due to the intrathoracic pressure changes and mechanical vibrations caused by the breathing activity. In this work, twenty healthy male volunteers were trained in kapalbhati yoga and their ECG waveforms (2 min.) were obtained while doing kapalbhati (breathing at 1 Hz frequency for 2 min.) and were compared with the baseline (just 2 min. before the start) and post-kapalbhati (immediately 2 min. after completing the practice) HRV data. Our results showed a significant decrease in the time-domain measures i.e., NN50, pNN50 and the mean heart rate interval during-kapalbhati when compared statistically to the respective before practice or “pre”-kapalbhati (p < 0.05, student’s paired t-test) values. Frequency-domain indices showed that during-kapalbhati there is a significant increase (~48%) in the LF band power which suggests sympathetic activation and a significant increase (~88%) in the low frequency to the high frequency power ratio (LF/HF ratio) which indicates sympathetic system predominance. A significant decrease (~63%) in the HF component was also noted during-kapalbhati as compared to the “pre-kapalbhati” values which shows decrease in parasympathetic tone. Thus, these results suggest that during-kapalbhati there is drastic increase of sympathetic tone whereas parasympathetic activity is reduced. We propose these changes in autonomic system control on heart are responsible for the myocardial ischemic attacks induced during kapalbhati in some individuals.


2022 ◽  
Vol 50 ◽  
Author(s):  
Luciene Maria Martinello Romão ◽  
Amanda Sarita Cruz Aleixo ◽  
Felipe Gazza Romão ◽  
Mayra De Castro Ferreira Lima ◽  
Miriam Tsunemi ◽  
...  

Background: The modulation of heart rate by autonomic nervous system may be evaluated by the heart rate variability (HRV), which illustrates the fluctuations between RR intervals. To evaluate this analysis, the intervals between 2 QRS complexes are measured. In general, high HRV values are expected in healthy individuals; otherwise, low values are indicative of organism dysfunction. Studies conducted in healthy humans show that HRV suffers reduction with ageing and that there is autonomic immaturity in neonates. The aim of this study was to describe the characteristic pattern of cardiac autonomic behavior in healthy dogs in different age groups through short-term HRV analysis.Materials, Methods & Results: A total of 87 healthy dogs were studied. HRV was analyzed in time and frequency domain, using Holter and heart rate monitor. It was observed that puppies (below one year old) presented a lower parasympathetic predominance and, consequently, lower HRV values on time domain (SDNN, PNN50% e RMSSD) compared to the other 2 groups and on frequency domain (LF, HF and LF/HF) compared to the adult animals group (between 1 and 7-year-old), which presented higher HRV values when compared to the other groups. Elderly dogs (over 8-year-old) exhibited a natural tendency to decrease cardiac parasympathetic HRV indexes.Discussion: The use of the HRV method as a prognostic index and as an arrhythmogenic marker for various canine heart diseases presents interesting perspectives. However, before it may be employed for these purposes, a better understanding should be established regarding the physiological behavior of autonomic cardiac modulation in different age groups to serve as a basis for future analyses. This study observed that puppies presented higher values for HR and, therefore, shorter RR intervals than the other groups (adult and elderly dogs), what was observed on Holter and heart rate monitor methods (HRM). There were significant differences between puppies and the other 2 groups (adults and elderly) for all time-domain variables using both methods (Holter and HRM methods). SDNN was significantly lower in puppies compared to adults and elderly dogs. In addition, both RMSSD and PNN50%, which were more reliable over shorter periods of time, also presented means and medians that were significantly lower in puppies. Regarding frequency-domain HRV parameters observed on Holter method, these indexes were decreased on the elderly group compared to adult dogs, which is a possible effect of aging. Also, puppies revealed lower frequency-domain HRV parameters on both methods when compared to adult dogs. The influence of age on HRV is possibly related to the stage of development of an individual, starting at conception up to the maturity in relation to the mechanisms that cause variations in HR. There are studies in humans that suggest a gradual increase in parasympathetic activity during childhood, followed by a steady decrease as aging occur. The present study observed the same pattern in dogs. The balance between sympathetic and parasympathetic systems is influenced by age in dogs, which alters HRV values in the short-term. The HRV method´s analysis is relatively simple and non-invasive for assessing cardiac autonomic function; also, it is widely used in human medicine as a risk measure for sudden cardiac death. The 24-hour HRV analysis is highly challenging, as it is time-consuming, expensive, delays diagnosis, and has a large number of artifacts; in this way, standards for its short-term analysis were developed. Keywords: cardiology, autonomic nervous system, heart rate monitor, Holter.


2018 ◽  
Vol 2018 ◽  
pp. 1-9 ◽  
Author(s):  
Jose A. Adams ◽  
Shivam Patel ◽  
Jose R. Lopez ◽  
Marvin A. Sackner

Background. Heart rate variability (HRV) reflects neural balance between sympathetic and parasympathetic autonomic nervous systems (ANS). Reduced HRV occurs in several chronic diseases and physical inactivity. External addition of pulses to the circulation restores HRV. A new method to add pulses to the circulation can be accomplished with a passive simulated jogging device (JD). We hypothesized that application of JD might increase HRV in seated and supine postures in a heterogeneous group of volunteer subjects. Methods. Twenty ambulatory persons (age range 31-88) were recruited. The physical activity intervention (JD) moved the feet in a repetitive and alternating manner; upward movement of the pedal is followed by a downward movement of the forefoot tapping against a semirigid bumper to simulate tapping of feet against the ground during jogging. Each subject underwent four, 30 min sessions in seated and supine postures with the active JD and same with Sham. HRV was assessed at baseline (BL), and Recovery (REC) from analysis of an electrocardiogram. Time domain variables were computed, namely, standard deviation of all normal RR intervals (SDNN) and square root of the mean of the sum of the squares of differences between adjacent RR intervals (RMSSD). Frequency domain measures were determined using a standard Fast Fourier spectral analysis, as well as parameters of Poincaré plots. Results. Thirty minutes of JD significantly increased time domain measures and Poincaré parameters of HRV in both seated and supine postures. Frequency domain parameters showed no change. The effects of JD on HRV measures were not affected by age, gender, or posture. Conclusion. The passive simulated jogging device increased HRV in both seated and supine postures. This intervention that provided effortless physical activity is a novel method to harness the beneficial effects of increasing HRV.


2019 ◽  
Vol 39 (4) ◽  
pp. 286-291
Author(s):  
Dario A.C. Quevedo ◽  
Maria Lucia G. Lourenço ◽  
Carmen D. Bolaños ◽  
Angélica Alfonso ◽  
Carla M.V. Ulian ◽  
...  

ABSTRACT: The aim of this study was to describe the normal values for maternal, fetal and neonatal heart rate (HR) and heart rate variability (HRV) indexes in the time domain (standard deviation of beat-to-beat interval - SDNN; root mean square of successive beat-to-beat differences - RMSSD) and the frequency domain (low frequency - LF; high frequency - HF; relationship between low and high frequency - LF/HF) in 23 Holstein cows, 23 fetuses and 18 neonates during the perinatal period. HR and HRV were calculated by fetomaternal electrocardiography (ECG). Fetomaternal measurements were taken six times prepartum (between days 234 and 279 of pregnancy) and measurements were taken in neonates six times after calving (after birth and five times weekly). HR, time and frequency domain were analyzed. No significant changes in maternal, fetal beat-to-beat interval (RR interval) or HR were found. In maternal variables, SDNN decreased significantly from 38.08±2.6ms (day 14 before calving) to 23.7±2.5ms (day 1 after calving) (p<0.05), but the RMSSD did not change significantly. HR and RR interval of calf differed statistically from the day before delivery (163±7.5bpm; 381±24.2ms) to the day after calving (131±5bpm; 472±16.2ms). Time variables (SDNN and RMSSD) and the frequency-domain variables (LF and HF) were significantly different (p<0.05) between fetal and neonatal stages. Reductions in the values of SDNN and RMSSD can reflect a sympathetic dominance. After calving, the increase in HF and decrease in LF variables can indicate activation of the vagal nerve followed by heart and respiratory modulation.


2021 ◽  
Vol 12 ◽  
Author(s):  
Pierre Lafère ◽  
Kate Lambrechts ◽  
Peter Germonpré ◽  
Ambre Balestra ◽  
Faye Lisa Germonpré ◽  
...  

Introduction: Heart rate variability (HRV) during underwater diving has been infrequently investigated because of environment limitations and technical challenges. This study aims to analyze HRV changes while diving at variable hyperoxia when using open circuit (OC) air diving apparatus or at constant hyperoxia using a closed-circuit rebreather (CCR). We used HRV analysis in time and frequency domain adding nonlinear analysis which is more adapted to short-time analysis and less dependent on respiratory rate (Sinus respiratory arrhythmia).Materials and Methods: 18 males, 12 using OC (30 mfw for 20 min) and 6 using CCR (30 mfw for 40 min.). HRV was recorded using a polar recorder. Four samples of R-R intervals representing the dive were saved for HRV analysis. Standard deviation of normal-to-normal intervals (SDNN), square root of the mean squared differences between successive RR intervals (rMSSD), and average RR intervals (RR) in time-domain; low frequency (LF) and high frequency (HF) in frequency domain were investigated. Nonlinear analysis included fractal dimension (FrD).Results: SDNN and rMSSD were significantly increased during descent and at depth with OC, not with CCR. Mean RR interval was longer at depth with OC, but only during ascent and after the dive with CCR. HF power was higher than baseline during the descent both with OC and CCR and remained elevated at depth for OC. The LF/HF ratio was significantly lower than baseline for descent and at depth with both OC and CCR. After 30 min of recovery, the LF/HF ratio was higher than baseline with both OC and CCR. Nonlinear analysis detected differences at depth for OC and CCR.Discussion: Increased parasympathetic tone was present during diving. RR duration, SDNN; rMSSD, HF spectral power all increased during the dive above pre-dive levels. Conversely, HF power decreased (and the LF/HF increased) 30 min after the dive. Using FrD, a difference was detected between OC and CCR, which may be related to differences in partial pressure of oxygen breathed during the dive.


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