Abstract:Long-term regulation of beat-to-beat variability involves several different kinds of controls. A linear approach performed by parametric models enhances the short-term regulation of the autonomic nervous system. Some non-linear long-term regulation can be assessed by the chaotic deterministic approach applied to the beat-to-beat variability of the discrete RR-interval series, extracted from the ECG. For chaotic deterministic systems, trajectories of the state vector describe a strange attractor characterized by a fractal of dimension D. Signals are supposed to be generated by a deterministic and finite dimensional but non-linear dynamic system with trajectories in a multi-dimensional space-state. We estimated the fractal dimension through the Grassberger and Procaccia algorithm and Self-Similarity approaches of the 24-h heart-rate variability (HRV) signal in different physiological and pathological conditions such as severe heart failure, or after heart transplantation. State-space representations through Return Maps are also obtained. Differences between physiological and pathological cases have been assessed and generally a decrease in the system complexity is correlated to pathological conditions.
