Entropy Analysis of RR and QT Interval Variability during Orthostatic and Mental Stress in Healthy Subjects

被引:19
作者
Baumert, Mathias [1 ]
Czippelova, Barbora [2 ]
Ganesan, Anand [3 ]
Schmidt, Martin [4 ]
Zaunseder, Sebastian [4 ]
Javorka, Michal [2 ]
机构
[1] Univ Adelaide, Sch Elect & Elect Engn, Adelaide, SA 5005, Australia
[2] Comenius Univ, Jessenius Fac Med, Dept Physiol, Martin 03601, Slovakia
[3] Univ Adelaide, Sch Med, Adelaide, SA 5005, Australia
[4] Tech Univ Dresden, Inst Biomed Engn, D-01069 Dresden, Germany
基金
澳大利亚研究理事会;
关键词
QT variability; heart rate variability; stress; sympathetic; complexity; HEART-RATE-VARIABILITY; SAMPLE ENTROPY;
D O I
10.3390/e16126384
中图分类号
O4 [物理学];
学科分类号
0702 ;
摘要
Autonomic activity affects beat-to-beat variability of heart rate and QT interval. The aim of this study was to explore whether entropy measures are suitable to detect changes in neural outflow to the heart elicited by two different stress paradigms. We recorded short-term ECG in 11 normal subjects during an experimental protocol that involved head-up tilt and mental arithmetic stress and computed sample entropy, cross-sample entropy and causal interactions based on conditional entropy from RR and QT interval time series. Head-up tilt resulted in a significant reduction in sample entropy of RR intervals and cross-sample entropy, while mental arithmetic stress resulted in a significant reduction in coupling directed from RR to QT. In conclusion, measures of entropy are suitable to detect changes in neural outflow to the heart and decoupling of repolarisation variability from heart rate variability elicited by orthostatic or mental arithmetic stress.
引用
收藏
页码:6384 / 6393
页数:10
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