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Non-linear dynamic analysis of the cardiac rhythm during transient myocardial ischemia

  • Pedro Gomis , Pere Caminal , Montserrat Vallverdú , Stafford Warren and Galen Wagner
Published/Copyright: October 25, 2006
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Biomedical Engineering / Biomedizinische Technik
From the journal Volume 51 Issue 4

Abstract

Coronary artery occlusions related to myocardial ischemia drive cardiac control system reactions that may lead to heart failure. The purpose of this study was to assess the autonomic nervous system (ANS) response during prolonged percutaneous transluminal coronary angioplasty (PTCA). Continuous ECG data were acquired from 50 patients before and during PTCA, with occlusions in the left anterior descending, left circumflex or right coronary artery. Heart rate variability (HRV) was analyzed for 3-min segments of the R-R interval signal obtained from ECG data. The ANS behavior was evaluated by HRV analysis using fractal-like indices. The fractal scalar exponent α1 and power-law slope β decreased considerably during PTCA. This indicates that significant reactions of autonomic control of the heart rate occurred during coronary artery occlusions, with a reduction in complexity of the ANS.


Corresponding author: Pedro Gomis, PhD, Technical University of Catalonia, Pau Gargallo, 5, Edif U, 08028 Barcelona, Spain Phone: +34-93-4010763 Fax: +34-93-4017045

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Published Online: 2006-10-25
Published in Print: 2006-10-01

©2006 by Walter de Gruyter Berlin New York

Articles in the same Issue

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  8. Non-linear dynamic analysis of the cardiac rhythm during transient myocardial ischemia
  9. Complex autonomic dysfunction in cardiovascular, intensive care, and schizophrenic patients assessed by autonomic information flow
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  11. Revisiting the potential of time-domain indexes in short-term HRV analysis
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  26. Frequency modulation between low- and high-frequency components of the heart rate variability spectrum
  27. Mixed predictability and cross-validation to assess non-linear Granger causality in short cardiovascular variability series
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