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Multivariate and multidimensional analysis of cardiovascular oscillations in patients with heart failure

  • Andreas Voss , Rico Schroeder , Sandra Truebner , Mathias Baumert , Matthias Goernig , Andreas Hagenow and Hans-Reiner Figulla
Published/Copyright: October 25, 2006
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Biomedical Engineering / Biomedizinische Technik
From the journal Volume 51 Issue 4

Abstract

Within 5 years of first diagnosis, nearly 60% of patients with heart failure (HF) suffer from cardiac death. Early diagnosis of HF and reliable risk prediction are still required. Therefore, the objective of this study was to develop a parameter set for enhanced risk stratification in HF patients. In 43 patients suffering from HF (NYHA class ≥II, ejection fraction <45%) and 10 healthy subjects (REF), heart rate and blood pressure variability (HRV and BPV), interactions between heart rate and blood pressure (joint symbolic dynamics, JSD) and blood pressure morphology (BPM) were analysed. BPV, BPM and JSD measures revealed high significance (p<0.0001) in discriminating REF and HF. A set of three parameters from BPV, JSD and BPM was developed for risk stratification (sensitivity 76.5%, specificity 84.2%, area under the receiver operating characteristic curve 81.4%) in patients with HF.

Keywords: blood pressure variability; cardiovascular disease; heart rate variability
Corresponding author: Andreas Voss, Prof. Dr.-Ing., Department of Medical Engineering, University of Applied Sciences Jena, Carl-Zeiss-Promenade 2, 07745 Jena, Germany Phone: +49-3641-205601 Fax: +49-3641-205626

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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

  1. ESGCO 2006 Conference and Meeting of the European Study Group on Cardiovascular Oscillations, Jena, Germany, May 15–17, 2006
  2. Cardiovascular Oscillations: from methods and models to clinical applications
  3. Circadian and ultradian rhythms in heart rate variability
  4. Influence of age, body mass index, and blood pressure on the carotid intima-media thickness in normotensive and hypertensive patients
  5. Multivariate and multidimensional analysis of cardiovascular oscillations in patients with heart failure
  6. Multivariate and multiorgan analysis of cardiorespiratory variability signals: the CAP sleep case
  7. Role of the autonomic nervous system in generating non-linear dynamics in short-term heart period variability
  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
  10. Low HRV entropy is strongly associated with myocardial infarction
  11. Revisiting the potential of time-domain indexes in short-term HRV analysis
  12. Fractal dimension in health and heart failure
  13. Spatiotemporal correlation analyses: a new procedure for standardisation of DC magnetocardiograms
  14. Changes in heart rate variability of athletes during a training camp
  15. The missing link between cardiovascular rhythm control and myocardial cell modeling
  16. Model of the sino-atrial and atrio-ventricular nodes of the conduction system of the human heart
  17. Modelling long-term heart rate variability: an ARFIMA approach
  18. Clinical correlates of non-linear indices of heart rate variability in chronic heart failure patients
  19. Recurrence analysis of nocturnal heart rate in sleep apnea patients
  20. Normalized correlation dimension for heart rate variability analysis
  21. Complexity of heart rate fluctuations in near-term sheep and human fetuses during sleep
  22. Differences between heart rate and blood pressure variability in schizophrenia
  23. Influence of sympathetic vascular regulation on heart-rate scaling structure: spinal cord lesion as a model of progressively impaired autonomic control
  24. Increase in regularity of fetal heart rate variability with age
  25. Fetal heart rate variability in growth restricted fetuses
  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
  28. Assessment of spatial organization in the atria during paroxysmal atrial fibrillation and adrenergic stimulation
  29. Attenuated autonomic function in multiple organ dysfunction syndrome across three age groups
  30. Central vasopressin V1a and V1b receptors modulate the cardiovascular response to air-jet stress in conscious rats
  31. Heart rate asymmetry by Poincaré plots of RR intervals
  32. Analyses of cardiovascular oscillations for enhanced diagnosis and risk stratification in cardiac diseases and disorders
https://doi.org/10.1515/BMT.2006.028
Keywords for this article
blood pressure variability; cardiovascular disease; heart rate variability

Articles in the same Issue

  1. ESGCO 2006 Conference and Meeting of the European Study Group on Cardiovascular Oscillations, Jena, Germany, May 15–17, 2006
  2. Cardiovascular Oscillations: from methods and models to clinical applications
  3. Circadian and ultradian rhythms in heart rate variability
  4. Influence of age, body mass index, and blood pressure on the carotid intima-media thickness in normotensive and hypertensive patients
  5. Multivariate and multidimensional analysis of cardiovascular oscillations in patients with heart failure
  6. Multivariate and multiorgan analysis of cardiorespiratory variability signals: the CAP sleep case
  7. Role of the autonomic nervous system in generating non-linear dynamics in short-term heart period variability
  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
  10. Low HRV entropy is strongly associated with myocardial infarction
  11. Revisiting the potential of time-domain indexes in short-term HRV analysis
  12. Fractal dimension in health and heart failure
  13. Spatiotemporal correlation analyses: a new procedure for standardisation of DC magnetocardiograms
  14. Changes in heart rate variability of athletes during a training camp
  15. The missing link between cardiovascular rhythm control and myocardial cell modeling
  16. Model of the sino-atrial and atrio-ventricular nodes of the conduction system of the human heart
  17. Modelling long-term heart rate variability: an ARFIMA approach
  18. Clinical correlates of non-linear indices of heart rate variability in chronic heart failure patients
  19. Recurrence analysis of nocturnal heart rate in sleep apnea patients
  20. Normalized correlation dimension for heart rate variability analysis
  21. Complexity of heart rate fluctuations in near-term sheep and human fetuses during sleep
  22. Differences between heart rate and blood pressure variability in schizophrenia
  23. Influence of sympathetic vascular regulation on heart-rate scaling structure: spinal cord lesion as a model of progressively impaired autonomic control
  24. Increase in regularity of fetal heart rate variability with age
  25. Fetal heart rate variability in growth restricted fetuses
  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
  28. Assessment of spatial organization in the atria during paroxysmal atrial fibrillation and adrenergic stimulation
  29. Attenuated autonomic function in multiple organ dysfunction syndrome across three age groups
  30. Central vasopressin V1a and V1b receptors modulate the cardiovascular response to air-jet stress in conscious rats
  31. Heart rate asymmetry by Poincaré plots of RR intervals
  32. Analyses of cardiovascular oscillations for enhanced diagnosis and risk stratification in cardiac diseases and disorders
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