scholarly journals Reliability and validity of time domain heart rate variability during daily routine activities – an alternative to the morning orthostatic test?

2017 ◽  
Vol 9 (1) ◽  
pp. 64-68 ◽  
Author(s):  
Ricardo Neves de Oliveira Mesquita ◽  
Heikki Kyröläinen ◽  
Daniela Schäfer Olstad

SummaryStudy aim: To determine the reliability and validity of a time domain heart rate variability (HRV) index during free-living physical activity (FLPA).Material and methods: Eight white-collar workers participated in this study. RR intervals (time between consecutive R-peaks of the PQRS complex) were recorded using the Polar V800 heart rate (HR) monitor upon awakening and at work on 16 different days. A total of 127 cycles of sitting periods followed by walking breaks were included for consecutive pairwise analysis for reliability. The HR values from the orthostatic test (OT) were compared with the corresponding values at work.Results: The HR values showed high levels of repeatability [the coefficient of variation (CV) during sitting and walking at work was 4.71 and 3.99%, respectively, with a typical error (TE) of 3.73 (3.34-4.25) and 3.65 (3.31-4.09)], but they did not correlate with the corresponding OT HR upon awakening (r = 0.28 for supine vs. sitting and r = 0.05 for standing vs. walking, p > 0.05). The root-mean-square difference of successive normal RR (RMSSD) was revealed not to be repeatable [CV values during sitting and walking were 19.99 and 29.05%, respectively, with a TE of 7.9 (7.15-8.85) and 9.43 (8.53-10.57)].Conclusions: Analyzing RMSSD from daily routine activities was not reliable, and therefore validity cannot be assumed. RMSSD should therefore be calculated from RR intervals recorded in standardized conditions, such as during the OT upon awakening.

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.


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.


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.


2017 ◽  
Vol 29 (2) ◽  
pp. 228-236 ◽  
Author(s):  
Carla Cristiane Silva ◽  
Maurizio Bertollo ◽  
Felipe Fossati Reichert ◽  
Daniel Alexandre Boullosa ◽  
Fábio Yuzo Nakamura

Purpose:To examine which body position and indices present better reliability of heart rate variability (HRV) measures in children and to compare the HRV analyzed in different body positions between sexes.Method:Twenty eutrophic prepubertal children of each sex participated in the study. The RR intervals were recorded using a portable heart rate monitor twice a day for 7 min in the supine, sitting, and standing positions. The reproducibility was analyzed using the intraclass correlation coefficient (ICC; two way mixed) and within-subject coefficient of variation (CV).Two-way ANOVA with repeated measures was used to compare the sexes.Results:High levels of reproducibility were indicated by higher ICC in the root-mean-square difference of successive normal RR intervals (RMSSD: 0.93 and 0.94) and Poincaré plot of the short-term RR interval variability (SD1: 0.92 and 0.94) parameters for boys and girls, respectively, in the supine position. The ICCs were lower in the sitting and standing positions for all HRV indices. In addition, the girls presented significantly higher values than the boys for SDNN and absolute high frequency (HF; p < .05) in the supine position.Conclusions:The supine position is the most reproducible for the HRV indices in both sexes, especially the vagal related indices.


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.


2013 ◽  
Vol 32 (3) ◽  
pp. 219-227 ◽  
Author(s):  
Marcus Vinicius Amaral da Silva Souza ◽  
Carla Cristiane Santos Soares ◽  
Juliana Rega de Oliveira ◽  
Cláudia Rosa de Oliveira ◽  
Paloma Hargreaves Fialho ◽  
...  

2021 ◽  
Vol 10 (Supplement_1) ◽  
Author(s):  
D Evdokimov ◽  
SA Boldueva ◽  
VS Feoktistova ◽  
TA Baeva

Abstract Funding Acknowledgements Type of funding sources: None. Main funding source(s): North-Western State Medical University named after I.I. Mechnikov Objective to study the features of autonomic regulation of sinus rhythm features of autonomic regulation of cardiac sinus rhythm in patients with Takotsubo syndrome (TTS) during inpatient stay in hospital. Materials and methods. The study included 25 female patients (the median age 57.5 ± 28.5 years) with TTS, diagnosis was based on the InterTAK criteria. On the 5-7th day after admission, the heart rate variability (HRV) was assessed both at rest and cardiac autonomic function tests: the deep breathing test (DBT) and active orthostatic test (AOT) with the usage of a computer diagnostic system «Valenta». RESULTS According to HRV data, initially at rest, the majority of the studied patients predominantly had a parasympathetic impact on the heart rate regulation: in 70% - increased parasympathetic influence, in 17% - increased sympathetic influence, in 13% - a balanced heart rate regulation. When performing a DBT, the predominance of the parasympathetic influence on the heart rate was noted both in spectral parameters and according to the data of time analysis (HF  during DBT  increased 1.8 times  up to  489.6 ± 114.2 ms2 (p &lt;0.05) ; LF  decreased 1.7 times  up to 254.1 ± 70.3 ms2 (p &lt;0.05); VLF  increased 2.8 times up to 402.3 ± 101.8 ms2 (p &lt;0, 05); TP  increased 1.4 times up to 1145.9 ± 251.3 ms2; CV increased 1.3 times up to 6.5 ± 0.7% (p &lt;0.05); SDNN increased 1.3 times up to - 58.7 ± 6.6 ms (p &lt;0.05). HRV measured during an AOT  showed a paradoxical  evaluation  in the parasympathetic impact on the heart rate (HF increased by 1.8 times and reached - 488.0 ± 104.7 ms2 (p &lt;0.05); LF decreased by 1.1 times up to  408 , 4 ± 103.6 ms2; VLF increased 1.2 times  up to  166.4 ± 52.2 ms2; TP increased 1.3 times  up to 1062.8 ± 181.1 ms2 (p &lt;0.05); CV increased 1.6 times  up to 8.0 ± 0.9% (p &lt;0.05); SDNN increased 1.4 times  up to 62.6 ± 7.5 ms (p &lt;0.05)). Conclusions During the index hospital inpatient stays the majority of patients with TTS have a vegetative imbalance due to increased parasympathetic influence on the heart rate, both at rest and  during a deep breathing test and an active orthostatic test. This fact is quite unexpected and requires further study.


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