Computers in Cardiology
DOI: 10.1109/cic.2002.1166799
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Multifractal analysis of the day and night characteristics of heart rate variability

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Cited by 6 publications
(7 citation statements)
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“…However, employing multifractal technique in healthy individuals, inconsistent findings regarding the changes in circadian rhythm were reported. While Ivanov et al and Makowiec et al have shown that nighttime possesses stronger multifractal organization and stronger anti-correlation as compared to daytime, Ramchurn suggested, that nighttime is less anti-correlated but that it has the same complexity as daytime [7,18,22]. Over recent years several authors have reported on diminished circadian pattern in different cardiac pathologies [1,4,19].…”
Section: Discussionmentioning
confidence: 95%
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“…However, employing multifractal technique in healthy individuals, inconsistent findings regarding the changes in circadian rhythm were reported. While Ivanov et al and Makowiec et al have shown that nighttime possesses stronger multifractal organization and stronger anti-correlation as compared to daytime, Ramchurn suggested, that nighttime is less anti-correlated but that it has the same complexity as daytime [7,18,22]. Over recent years several authors have reported on diminished circadian pattern in different cardiac pathologies [1,4,19].…”
Section: Discussionmentioning
confidence: 95%
“…Using multifractal HRV analysis, the majority of authors have implied, that in healthy individuals a higher degree of complexity and stronger anti-correlation with vagal predominance exist during the night (nighttime period), whereas a lesser degree of complexity and a weaker anti-correlation behavior with sympathetic domination occurs during the day (daytime period) [6,16,17,20]. Whether invasive medical or surgical procedures can affect the circadian patterns as assessed my multifractal approach and thus subjecting patients to additional risk by enhancing neurohumoral instability with additionally pronounced transitions between more and less anti-correlated states, remains unveiled [18,21,22].…”
Section: Introductionmentioning
confidence: 97%
“…Multifractal studies have been undertaken in other domains such as DNA sequences [18], turbulence [5], day and night heart rate characteristics [17], alterations with disease and aging [7]. In this study, we have confined our scope to extract only the multifractality present in the pulse waveforms.…”
Section: Discussion and Final Remarksmentioning
confidence: 99%
“…Heart rate analysis has been used in many clinical studies, including for diabetes [1], heart transplant [2,3], Alzheimer's disease and vascular dementia [4], and sleep [5], as well as for studies of multifractal characteristics [6], variation over 24 hours [7], during sleep [8,9] and Zen meditation [10][11][12].…”
Section: Introductionmentioning
confidence: 99%