Ultra‐short heart rate variability recording reliability: The effect of controlled paced breathing

Melo, Hiago Murilo; Martins, Thiago C.; Nascimento, Lucas Martins; Hoeller, Alexandre Ademar; Walz, Roger; Takase, Emílio

doi:10.1111/anec.12565

Cited by 42 publications

(35 citation statements)

References 35 publications

(56 reference statements)

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“…Features were extracted within 180 R-R windows with 60 R-R of overlap. Notably, it has been recently demonstrated that the analysis of ultra-short-term recordings provide a reliable source of cardiac autonomic nervous system assessment [ 31 , 32 ]. To reduce inter-individual variability, the whole RR was normalized with zero mean and a standard deviation of one before computing the features.…”

Section: Methodsmentioning

confidence: 99%

Patient-specific seizure prediction based on heart rate variability and recurrence quantification analysis

et al. 2018

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Epilepsy is often associated with modifications in autonomic nervous system, which usually precede the onset of seizures of several minutes. Thus, there is a great interest in identifying these modifications enough time in advance to prevent a dangerous effect and to intervene. In addition, these changes can be a risk factor for epileptic patients and can increase the possibility of death. Notably autonomic changes associated to seizures are highly depended of seizure type, localization and lateralization. The aim of this study was to develop a patient-specific approach to predict seizures using electrocardiogram (ECG) features. Specifically, from the RR series, both time and frequency variables and features obtained by the recurrence quantification analysis were used. The algorithm was applied in a dataset of 15 patients with 38 different types of seizures. A feature selection step, was used to identify those features that were more significant in discriminating preictal and interictal phases. A preictal interval of 15 minutes was selected. A support vector machine (SVM) classifier was then built to classify preictal and interictal phases. First, a classifier was set up to classify preictal and interictal segments of each patient and an average sensibility of 89.06% was obtained, with a number of false positive per hour (FP/h) of 0.41. Then, in those patients who had at least 3 seizures, a double-cross-validation approach was used to predict unseen seizures on the basis of a training on previous ones. The results were quite variable according to seizure type, achieving the best performance in patients with more stereotypical seizure. The results of the proposed approach show that it is feasible to predict seizure in advance, considering patient-specific, and possible seizure specific, characteristics.

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Section: Methodsmentioning

confidence: 99%

Patient-specific seizure prediction based on heart rate variability and recurrence quantification analysis

et al. 2018

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“…Ultra-short-term HRV refers to an extremely short time segment of RRI record from consecutive heart rate beats less than 1 min, while short-term time segment of RRI record refers to an HRV measure lasting 2-5 min duration. An ultra-short-term HRV record provides time efficiency of data collection in sports training [12,13], psychological measure [14,15], and clinical proposal [16]. Previous studies suggested that a 1 min ultra-short-term HRV record can be used as a surrogate to a traditional 5 min short-term HRV record [12,13,[17][18][19][20].…”

Section: Introductionmentioning

confidence: 99%

Ultra-Short-Term and Short-Term Heart Rate Variability Recording during Training Camps and an International Tournament in U-20 National Futsal Players

Chen

Clemente

Bezerra

et al. 2020

IJERPH

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The aim of this study was to examine ultra-short-term and short-term heart rate variability (HRV) in under-20 (U-20) national futsal players during pre-tournament training camps and an official tournament. Fourteen male U-20 national futsal players (age = 18.07 ± 0.73 yrs; height = 169.57 ± 8.40 cm; body weight = 64.51 ± 12.19 kg; body fat = 12.42% ± 3.18%) were recruited to participate in this study. Early morning 10 min resting HRV, Borg CR-10 scale session rating of perceived exertion (sRPE), and general wellness questionnaire were used to evaluate autonomic function, training load, and recovery status, respectively. Log-transformed root mean square of successive normal-to-normal interval differences (LnRMSSD) was used to compare the first 30 s, first 1 min, first 2 min, first 3 min, and first 4 min with standard 5 min LnRMSSD. Mean (LnRMSSDmean) and coefficient of variation (LnRMSSDcv) of LnRMSSD were used to compare the different time segments of HRV analysis. The result of LnRMSSDmean showed nearly perfect reliability and relatively small bias in all comparisons. In contrast, LnRMSSDcv showed nearly perfect reliability and relatively small bias from 2-4 min time segments in all study periods. In conclusion, for accuracy of HRV measures, 30 s or 1 min ultra-short-term record of LnRMSSDmean and short-term record of LnRMSSDcv of at least 2 min during the training camps are recommended in U-20 national futsal players.

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“…HRV is a physiological marker of cardiac autonomic responses that can be detected by recording heartbeat intervals over time. Assessment of daily HRV can provide useful information for understanding cardiac health with regards to labor force workload [ 7 ], mental conditions [ 8 , 9 ], and fitness status [ 10 , 11 ]. In general, the conventional methodology involves recording a 5-minute short-term HRV measurement, followed by a 5-minute stabilization [ 12 ].…”

Section: Introductionmentioning

confidence: 99%

A Novel Smartphone App for the Measurement of Ultra–Short-Term and Short-Term Heart Rate Variability: Validity and Reliability Study

Chen¹,

Lu²,

Pagaduan³

et al. 2020

JMIR Mhealth Uhealth

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Background Smartphone apps for heart rate variability (HRV) measurement have been extensively developed in the last decade. However, ultra–short-term HRV recordings taken by wearable devices have not been examined. Objective The aims of this study were the following: (1) to compare the validity and reliability of ultra–short-term and short-term HRV time-domain and frequency-domain variables in a novel smartphone app, Pulse Express Pro (PEP), and (2) to determine the agreement of HRV assessments between an electrocardiogram (ECG) and PEP. Methods In total, 60 healthy adults were recruited to participate in this study (mean age 22.3 years [SD 3.0 years], mean height 168.4 cm [SD 8.0 cm], mean body weight 64.2 kg [SD 11.5 kg]). A 5-minute resting HRV measurement was recorded via ECG and PEP in a sitting position. Standard deviation of normal R-R interval (SDNN), root mean square of successive R-R interval (RMSSD), proportion of NN50 divided by the total number of RR intervals (pNN50), normalized very-low–frequency power (nVLF), normalized low-frequency power (nLF), and normalized high-frequency power (nHF) were analyzed within 9 time segments of HRV recordings: 0-1 minute, 1-2 minutes, 2-3 minutes, 3-4 minutes, 4-5 minutes, 0-2 minutes, 0-3 minutes, 0-4 minutes, and 0-5 minutes (standard). Standardized differences (ES), intraclass correlation coefficients (ICC), and the Spearman product-moment correlation were used to compare the validity and reliability of each time segment to the standard measurement (0-5 minutes). Limits of agreement were assessed by using Bland-Altman plot analysis. Results Compared to standard measures in both ECG and PEP, pNN50, SDNN, and RMSSD variables showed trivial ES (<0.2) and very large to nearly perfect ICC and Spearman correlation coefficient values in all time segments (>0.8). The nVLF, nLF, and nHF demonstrated a variation of ES (from trivial to small effects, 0.01-0.40), ICC (from moderate to nearly perfect, 0.39-0.96), and Spearman correlation coefficient values (from moderate to nearly perfect, 0.40-0.96). Furthermore, the Bland-Altman plots showed relatively narrow values of mean difference between the ECG and PEP after consecutive 1-minute recordings for SDNN, RMSSD, and pNN50. Acceptable limits of agreement were found after consecutive 3-minute recordings for nLF and nHF. Conclusions Using the PEP app to facilitate a 1-minute ultra–short-term recording is suggested for time-domain HRV indices (SDNN, RMSSD, and pNN50) to interpret autonomic functions during stabilization. When using frequency-domain HRV indices (nLF and nHF) via the PEP app, a recording of at least 3 minutes is needed for accurate measurement.

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Ultra‐short heart rate variability recording reliability: The effect of controlled paced breathing

Abstract: Our results indicate that proper ultra-short-term recording method can provide a quick and reliable source of cardiac autonomic nervous system assessment.

Cited by 42 publications

References 35 publications

Patient-specific seizure prediction based on heart rate variability and recurrence quantification analysis

Patient-specific seizure prediction based on heart rate variability and recurrence quantification analysis

Ultra-Short-Term and Short-Term Heart Rate Variability Recording during Training Camps and an International Tournament in U-20 National Futsal Players

A Novel Smartphone App for the Measurement of Ultra–Short-Term and Short-Term Heart Rate Variability: Validity and Reliability Study

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