The cardiovascular system has been observed to respond to changes in human posture and the environment. On the same lines, frequent fallers have been observed to suffer from cardiovascular deficits. The present article aims to demonstrate the existence of interactions between the cardiovascular and postural control systems. The behavior of the two systems under orthostatic challenge was studied through novel adaptations of signal processing techniques. To this effect, the interactions between the two systems were assessed with two metrics, coherence and phase lock value, based on the wavelet transform. Measurements from the cardiovascular system (blood pressure), lower limb muscles (surface electromyography), and postural sway (center of pressure) were acquired from young healthy adults (n = 28, men = 12, age = 20-28 yr) during quiet stance. The continuous wavelet transform was applied to decompose the representative signals on a time-scale basis in a frequency region of 0.01 to 0.1 Hz. Their linear coupling was quantified through a coherence metric, and the synchrony was characterized via the phase information. The outcomes of this study present evidence that the cardiovascular and postural control systems work together to maintain homeostasis under orthostatic challenge. The inferences open a new direction of study for effects under abnormalities and extreme environmental conditions.

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Seismocardiography (SCG) is the measurement of vibrations in the sternum caused by the beating of the heart. Precise cardiac mechanical timings that are easily obtained from SCG are critically dependent on accurate identification of fiducial points. So far, SCG annotation has relied on concurrent ECG measurements. An algorithm capable of annotating SCG without the use any other concurrent measurement was designed. We subjected 18 participants to graded lower body negative pressure. We collected ECG and SCG, obtained R peaks from the former, and annotated the latter by hand, using these identified peaks. We also annotated the SCG automatically. We compared the isovolumic moment timings obtained by hand to those obtained using our algorithm. Mean  ±  confidence interval of the percentage of accurately annotated cardiac cycles were [Formula: see text], [Formula: see text], [Formula: see text], [Formula: see text], and [Formula: see text] for levels of negative pressure 0, -20, -30, -40, and  -50 mmHg. LF/HF ratios, the relative power of low-frequency variations to high-frequency variations in heart beat intervals, obtained from isovolumic moments were also compared to those obtained from R peaks. The mean differences  ±  confidence interval were [Formula: see text], [Formula: see text], [Formula: see text], [Formula: see text], and [Formula: see text] for increasing levels of negative pressure. The accuracy and consistency of the algorithm enables the use of SCG as a stand-alone heart monitoring tool in healthy individuals at rest, and could serve as a basis for an eventual application in pathological cases.

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The recent achievements in the accelerometer-based seismocardiography field indicate a strong potential for this technique to address a wide variety of clinical needs. Recordings from different locations on the chest can give a more comprehensive observation and interpretation of wave propagation phenomena than a single-point recording, can validate existing modeling assumptions (such as the representation of the sternum as a single solid body), and provide better identifiability for models using richer recordings. Ultimately, the goal is to advance our physiological understanding of the processes to provide useful data to promote cardiovascular health. Accelerometer-based multichannel system is a contact method and laborious for use in practice, and also even ultralight accelerometers can cause non-negligible loading effects. We propose a contactless ultrasound imaging method to measure thoracic and abdominal surface motions, demonstrating that it is adequate for typical seismocardiogram (SCG) use. The developed method extends non-contact surface-vibrometry to fast 2D mapping by originally combining multi-element airborne ultrasound arrays, a synthetic aperture implementation, and pulsed-waves. Experimental results show the ability of the developed method to obtain 2D seismocardiographic maps of the body surface 30 × 40 cm2 in dimension, with a temporal sampling rate of several hundred Hz, using ultrasound waves with the central frequency of 40 kHz. Our implementation was validated in-vivo on eight healthy human participants. The shape and position of the zone of maximal absolute acceleration and velocity during the cardiac cycle were also observed. This technology could potentially be used to obtain more complete cardio-vascular information than single-source SCG in and out of clinical environments, due to enhanced identifiability provided by the distributed measurements, and observation of propagation phenomena.

neuroleptic sensitivity with a higher risk for neuroleptic malignant syndrome and extrapyramidal adverse effects. 1 Furthermore, studies on antidepressant use in patient with DLB found that selective serotonin reuptake inhibitors are not efficacious in the treatment of depressive symptoms in patients with DLB and may have adverse effects including the worsening of REM sleep behavior disorder symptoms. 2 As such, there is a significant need for nonpharmacologic management of depressive symptoms in patients with DLB.However, despite reassuring results from case reports, there are no randomized trials evaluating nonpharmacologic methods like ECT in DLB. In one small, uncontrolled study, all 7 enrolled patients had improvement in depressive symptoms with variable resolution of motor complaints, delusions, and hallucinations. 4 The longevity of improvement was also varied, with some patients achieving several months of depressive symptom resolution and others reporting only 2 weeks of relief. 4 A second study demonstrated that in 8 patients with DLB and an average HAM-D score of 38, there was a significant reduction in depressive symptoms after ECT. 5 The average posttreatment HAM-D score was 15, with no additional follow-up data presented. 5 Similarly, Mr A did not experience complete resolution of depression ECT, citing continued difficulties across domains such as psychomotor retardation. However, there was improvement in mood, suicidality, and agitation, the symptoms that most contributed to the acute need for hospitalization. As such, it is possible that ECT alleviated symptoms associated with the affective component of an MDE, but could not target neurovegetative symptoms chronically present in patients with DLB.In conclusion, the experience presented in this case, when considered alongside the existing data on ECT for DLB, provides a compelling argument for this treatment modality.

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