scholarly journals Neonatal heart rate variability: a contemporary scoping review of analysis methods and clinical applications

BMJ Open ◽  
2021 ◽  
Vol 11 (12) ◽  
pp. e055209
Author(s):  
Samantha Latremouille ◽  
Justin Lam ◽  
Wissam Shalish ◽  
Guilherme Sant'Anna
Keyword(s):  
Heart Rate ◽  
Heart Rate Variability ◽  
Frequency Domain ◽  
Frequency Band ◽  
Time Domain ◽  
Clinical Applications ◽  
Pathological Conditions ◽  
Neonatal Heart ◽  
Different Types ◽  
Study Characteristics

BackgroundNeonatal heart rate variability (HRV) is widely used as a research tool. However, HRV calculation methods are highly variable making it difficult for comparisons between studies.ObjectivesTo describe the different types of investigations where neonatal HRV was used, study characteristics, and types of analyses performed.Eligibility criteriaHuman neonates ≤1 month of corrected age.Sources of evidenceA protocol and search strategy of the literature was developed in collaboration with the McGill University Health Center’s librarians and articles were obtained from searches in the Biosis, Cochrane, Embase, Medline and Web of Science databases published between 1 January 2000 and 1 July 2020.Charting methodsA single reviewer screened for eligibility and data were extracted from the included articles. Information collected included the study characteristics and population, type of HRV analysis used (time domain, frequency domain, non-linear, heart rate characteristics (HRC) parameters) and clinical applications (physiological and pathological conditions, responses to various stimuli and outcome prediction).ResultsOf the 286 articles included, 171 (60%) were small single centre studies (sample size <50) performed on term infants (n=136). There were 138 different types of investigations reported: physiological investigations (n=162), responses to various stimuli (n=136), pathological conditions (n=109) and outcome predictor (n=30). Frequency domain analyses were used in 210 articles (73%), followed by time domain (n=139), non-linear methods (n=74) or HRC analyses (n=25). Additionally, over 60 different measures of HRV were reported; in the frequency domain analyses alone there were 29 different ranges used for the low frequency band and 46 for the high frequency band.ConclusionsNeonatal HRV has been used in diverse types of investigations with significant lack of consistency in analysis methods applied. Specific guidelines for HRV analyses in neonates are needed to allow for comparisons between studies.

scholarly journals Sex Differences in Time-Domain and Frequency-Domain Heart Rate Variability Measures of Fatigued Drivers

2020 ◽  
Vol 17 (22) ◽  
pp. 8499
Author(s):  
Chao Zeng ◽  
Wenjun Wang ◽  
Chaoyang Chen ◽  
Chaofei Zhang ◽  
Bo Cheng
Keyword(s):  
Heart Rate ◽  
Heart Rate Variability ◽  
Sex Differences ◽  
Frequency Domain ◽  
Time Domain ◽  
Mental States ◽  
Male And Female ◽  
Frequency Domain Methods ◽  
The Difference ◽  
Electrocardiogram Ecg

The effects of fatigue on a driver’s autonomic nervous system (ANS) were investigated through heart rate variability (HRV) measures considering the difference of sex. Electrocardiogram (ECG) data from 18 drivers were recorded during a simulator-based driving experiment. Thirteen short-term HRV measures were extracted through time-domain and frequency-domain methods. First, differences in HRV measures related to mental state (alert or fatigued) were analyzed in all subjects. Then, sex-specific changes between alert and fatigued states were investigated. Finally, sex differences between alert and fatigued states were compared. For all subjects, ten measures showed significant differences (Mann-Whitney U test, p < 0.01) between different mental states. In male and female drivers, eight and four measures, respectively, showed significant differences between different mental states. Six measures showed significant differences between males and females in an alert state, while ten measures showed significant sex differences in a fatigued state. In conclusion, fatigue impacts drivers’ ANS activity, and this impact differs by sex; more differences exist between male and female drivers’ ANS activity in a fatigued state than in an alert state.

scholarly journals Longitudinal Changes and Recovery in Heart Rate Variability of Young Healthy Subjects When Exposure to a Hypobaric Hypoxic Environment

2022 ◽  
Vol 12 ◽  
Author(s):  
Chenbin Ma ◽  
Haoran Xu ◽  
Muyang Yan ◽  
Jie Huang ◽  
Wei Yan ◽  
...  
Keyword(s):  
Heart Rate ◽  
Heart Rate Variability ◽  
Frequency Domain ◽  
Time Domain ◽  
Healthy Subjects ◽  
Multiscale Entropy ◽  
Healthy Population ◽  
Poincaré Plot ◽  
Longitudinal Changes ◽  
Hypoxic Environment

Background: The autonomic nervous system (ANS) is crucial for acclimatization. Investigating the responses of acute exposure to a hypoxic environment may provide some knowledge of the cardiopulmonary system’s adjustment mechanism.Objective: The present study investigates the longitudinal changes and recovery in heart rate variability (HRV) in a young healthy population when exposed to a simulated plateau environment.Methods: The study followed a strict experimental paradigm in which physiological signals were collected from 33 healthy college students (26 ± 2 years, 171 cm ± 7 cm, 64 ± 11 kg) using a medical-grade wearable device. The subjects were asked to sit in normoxic (approximately 101 kPa) and hypoxic (4,000 m above sea level, about 62 kPa) environments. The whole experimental process was divided into four stable resting measurement segments in chronological order to analyze the longitudinal changes of physical stress and recovery phases. Seventy-six time-domain, frequency-domain, and non-linear indicators characterizing rhythm variability were analyzed in the four groups.Results: Compared to normobaric normoxia, participants in hypobaric hypoxia had significantly lower HRV time-domain metrics, such as RMSSD, MeanNN, and MedianNN (p &lt; 0.01), substantially higher frequency domain metrics such as LF/HF ratio (p &lt; 0.05), significantly lower Poincaré plot parameters such as SD1/SD2 ratio and other Poincaré plot parameters are reduced considerably (p &lt; 0.01), and Refined Composite Multi-Scale Entropy (RCMSE) curves are reduced significantly (p &lt; 0.01).Conclusion: The present study shows that elevated heart rates, sympathetic activation, and reduced overall complexity were observed in healthy subjects exposed to a hypobaric and hypoxic environment. Moreover, the results indicated that Multiscale Entropy (MSE) analysis of RR interval series could characterize the degree of minor physiological changes. This novel index of HRV can better explain changes in the human ANS.

Heart Rate Variability in Diabetes Patients

2006 ◽  
Vol 34 (3) ◽  
pp. 291-296 ◽  
Author(s):  
H Kudat ◽  
V Akkaya ◽  
AB Sozen ◽  
S Salman ◽  
S Demirel ◽  
...  
Keyword(s):  
Heart Rate ◽  
Heart Rate Variability ◽  
Standard Deviation ◽  
Frequency Domain ◽  
Autonomic Neuropathy ◽  
Time Domain ◽  
Cardiovascular Autonomic Neuropathy ◽  
Chronic Complications ◽  
Frequency Power ◽  
Diabetes Patients

Diabetes mellitus can cause cardiovascular autonomic neuropathy and is associated with increased cardiovascular deaths. We investigated cardiovascular autonomic neuropathy in diabetics and healthy controls by analysis of heart rate variability. Thirty-one diabetics and 30 age- and sex-matched controls were included. In the time domain we measured the mean R-R interval (NN), the standard deviation of the R-R interval index (SDNN), the standard deviation of the 5-min R - R interval mean (SDANN), the root mean square of successive R - R interval differences (RMSSD) and the percentage of beats with a consecutive R - R interval difference > 50 ms (pNN50). In the frequency domain we measured high-frequency power (HF), low-frequency power (LF) and the LF/HF ratio. Diabetes patients had lower values for time-domain and frequency-domain parameters than controls. Most heart rate variability parameters were lower in diabetes patients with chronic complications than in those without chronic complications.

EFFECT OF PHYSICAL ACTIVITIES ON HEART RATE VARIABILITY AND SKIN CONDUCTANCE

2021 ◽  
pp. 2150038
Author(s):  
Ankita Soni ◽  
Kirti Rawal
Keyword(s):  
Heart Rate ◽  
Heart Rate Variability ◽  
Frequency Domain ◽  
Skin Conductance ◽  
Time Domain ◽  
Low Frequency ◽  
Physical Activities ◽  
Rr Intervals ◽  
Warm Up ◽  
Frequency Domain Methods

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.

Investigation of heart rate variability of patients undergoing coronary artery bypass grafting using the statistical signal characterization method

2021 ◽  
pp. 1-12
Author(s):  
Abdulnasir Hossen
Keyword(s):  
Heart Rate ◽  
Heart Rate Variability ◽  
Coronary Artery ◽  
Frequency Domain ◽  
Time Domain ◽  
Artery Bypass ◽  
Bypass Grafting ◽  
The Status ◽  
Operation Group ◽  
Signal Characterization

BACKGROUND: Autonomic function can be estimated non-invasively using heart rate variability (HRV). HRV of patients undergoing coronary artery bypass grafting (CABG) is investigated in time-domain and frequency-domain before and after CABG to study the effect of operation on the status of patients. OBJECTIVE: The main purpose of this work is to evaluate the effect of CABG surgery on patients with ischemic heart disease (IHD) before operation, and to monitor the status of patients on day 6 and day 30 after the CABG operation. METHODS: The statistical signal characterization (SSC) technique is used in this work in order to derive different morphology-based parameters to indirectly describe time-domain and frequency-domain HRV parameters in 24 patients undergoing CABG operation, before the operation (Group 1: G1), 6 days after operation (Group 2: G2) and 30 days after operation (Group 3: G3). The data is obtained from the Sultan Qaboos University Hospital in Oman. RESULTS: The SSC parameters Mean(mt) and Mean(dt) are reduced in all 24 patients and in 23 out of 24 patients in G2 compared to G1 (6-days after operation compared with before operation), respectively. Comparing G3 to G1 the reduction in Mean(mt) and Mean(dt) is noted in 18 of the 24 patients. CONCLUSIONS: The parameters Mean(mt) and Mean(dt) are successful parameters to follow the HRV for patients undergoing CABG surgery. A relation between those SSC parameters and the HRV time-domain and frequency-domain parameters is investigated in this paper to understand the physiological behavior of the patients.

scholarly journals Time domain and frequency domain analysis of heart rate variability in elite Nepalese football players

2015 ◽  
Vol 6 (9) ◽  
pp. 641 ◽  
Author(s):  
Deepak Sharma ◽  
Bishnu Hari Paudel ◽  
Rita Khadka ◽  
Dilip Thakur ◽  
Niraj Khatri Sapkota ◽  
...  
Keyword(s):  
Heart Rate ◽  
Heart Rate Variability ◽  
Frequency Domain ◽  
Time Domain ◽  
Domain Analysis ◽  
Frequency Domain Analysis ◽  
Football Players

scholarly journals Short-term Heart Rate Variability Analysis in Healthy Dogs of Different Ages

2022 ◽  
Vol 50 ◽  
Author(s):  
Luciene Maria Martinello Romão ◽  
Amanda Sarita Cruz Aleixo ◽  
Felipe Gazza Romão ◽  
Mayra De Castro Ferreira Lima ◽  
Miriam Tsunemi ◽  
...  
Keyword(s):  
Heart Rate ◽  
Heart Rate Variability ◽  
Frequency Domain ◽  
Time Domain ◽  
Age Groups ◽  
The Other ◽  
Short Term ◽  
Heart Rate Monitor ◽  
Rr Intervals ◽  
Healthy Dogs

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.

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
Keyword(s):  
Heart Rate ◽  
Heart Rate Variability ◽  
Frequency Domain ◽  
Time Domain ◽  
High Frequency ◽  
Low Frequency ◽  
Smartphone Application ◽  
Smartphone App ◽  
Heart Rate Variability Analysis ◽  
Rr Intervals

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.

scholarly journals How to Use Heart Rate Variability: Quantification of Vagal Activity in Toddlers and Adults in Long-Term ECG

Sensors ◽  
2020 ◽  
Vol 20 (20) ◽  
pp. 5959
Author(s):  
Helmut Karl Lackner ◽  
Marina Tanja Waltraud Eglmaier ◽  
Sigrid Hackl-Wimmer ◽  
Manuela Paechter ◽  
Christian Rominger ◽  
...  
Keyword(s):  
Heart Rate ◽  
Heart Rate Variability ◽  
Frequency Domain ◽  
Time Domain ◽  
Wearable Sensors ◽  
Vagal Activity ◽  
Activity Levels ◽  
Frequency Bands ◽  
Recording Conditions

Recent developments in noninvasive electrocardiogram (ECG) monitoring with small, wearable sensors open the opportunity to record high-quality ECG over many hours in an easy and non-burdening way. However, while their recording has been tremendously simplified, the interpretation of heart rate variability (HRV) data is a more delicate matter. The aim of this paper is to supply detailed methodological discussion and new data material in order to provide a helpful notice of HRV monitoring issues depending on recording conditions and study populations. Special consideration is given to the monitoring over long periods, across periods with different levels of activity, and in adults versus children. Specifically, the paper aims at making users aware of neglected methodological limitations and at providing substantiated recommendations for the selection of appropriate HRV variables and their interpretation. To this end, 30-h HRV data of 48 healthy adults (18–40 years) and 47 healthy toddlers (16–37 months) were analyzed in detail. Time-domain, frequency-domain, and nonlinear HRV variables were calculated after strict signal preprocessing, using six different high-frequency band definitions including frequency bands dynamically adjusted for the individual respiration rate. The major conclusion of the in-depth analyses is that for most applications that implicate long-term monitoring across varying circumstances and activity levels in healthy individuals, the time-domain variables are adequate to gain an impression of an individual’s HRV and, thus, the dynamic adaptation of an organism’s behavior in response to the ever-changing demands of daily life. The sound selection and interpretation of frequency-domain variables requires considerably more consideration of physiological and mathematical principles. For those who prefer using frequency-domain variables, the paper provides detailed guidance and recommendations for the definition of appropriate frequency bands in compliance with their specific recording conditions and study populations.

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