Application of An Exponential Mathematical Law of Cardiac Dynamics In 16 Hours

Introduction and objectives: nonlinear dynamics and fractal geometry have allowed the advent of an exponential mathematical law applicable to diagnose cardiac dynamics in 21 hours, however, it would be beneficial to reduce the time required to diagnose cardiac dynamics with this method in critical scenarios, in order to detect earlier complications that may require medical attention. The objective of this research is to confirm the clinical applicability of the mathematical law in 16 hours, with a comparative study against the Gold Standard. Methods: There were taken 450 electrocardiographic records of healthy patients and with cardiac diseases. A physical-mathematical diagnosis was applied to study cardiac dynamics, which consists of generating cardiac chaotic attractors based on the sequence of heart rate values during 16 hours, which were then measured with two overlapping grids according to the Box-Counting method to quantify the spatial occupation and the fractal dimension of each cardiac dynamic, with its respective statistical validation. Results: The occupation spaces of normal dynamics calculated in 16 hours were compatible with previous parameters established, evidencing the precision of the methodology to differentiate normality from abnormality. Sensitivity and specificity values of 100% were found, as well as a Kappa coefficient of 1. Conclusions: it was possible to establish differences between cardiac dynamics for 16 hours, suggesting that this method could be clinically applicable to analyze and diagnose cardiac dynamics in real time.