通过光电容积脉搏波描记法评估的短期心率变异性指标的可靠性

Reliability of Short-Term Heart Rate Variability Indexes Assessed through Photoplethysmography.

作者信息

Pernice Riccardo, Javorka Michal, Krohova Jana, Czippelova Barbora, Turianikova Zuzana, Busacca Alessandro, Faes Luca

出版信息

Annu Int Conf IEEE Eng Med Biol Soc. 2018 Jul;2018:5610-5513. doi: 10.1109/EMBC.2018.8513634.

Abstract

The gold standard method to monitor heart rate variability (HRV) comprises measuring the time series of interbeat interval durations from electrocardiographic (ECG) recordings. However, due to the widespread use, simplicity and usability of photoplethysmographic (PPG) techniques, monitoring pulse rate variability (PRV) from pulse wave recordings has become a viable alternative to standard HRV analysis. The present study investigates the accuracy of PRV, measured as a surrogate of HRV, for the quantification of descriptive indexes computed in the time domain (mean, variance), frequency domain (low-to-high frequency power ratio LF/HF, HF band central frequency) and information domain (entropy, conditional entropy). We analyze short time series (300 intervals) of HRV measured from the ECG and of PRV acquired from Finometer device in 76 subjects monitored in the resting supine position (SU) and in the upright position during head-up tilt (HUT). Time, frequency and information domain indexes are computed for each HRV and PRV series and, for each index, the comparison between the two approaches is performed through statistical comparison of the distributions across subjects, robust linear regression, and Bland-Altman plots. Results of the comparison indicate an overall good agreement between PRV-based and HRV-based indexes, with an accuracy that is slightly lower during HUT than during SU, and for the band-power ratio and conditional entropy. These results suggest the feasibility of PRV-based assessment of HRV descriptive indexes, and suggest to further investigate the agreement in conditions of physiological stress.

摘要

监测心率变异性(HRV)的金标准方法包括测量心电图(ECG)记录中的心跳间期持续时间的时间序列。然而,由于光电容积脉搏波描记法(PPG)技术的广泛应用、简单性和易用性,通过脉搏波记录监测脉搏率变异性(PRV)已成为标准HRV分析的可行替代方法。本研究调查了作为HRV替代指标测量的PRV在量化时域(均值、方差)、频域(低频与高频功率比LF/HF、HF频段中心频率)和信息域(熵、条件熵)中计算的描述性指标方面的准确性。我们分析了76名受试者在静息仰卧位(SU)和头高位倾斜(HUT)直立位时从ECG测量的HRV和从Finometer设备获取的PRV的短时间序列(300个间期)。为每个HRV和PRV序列计算时间、频率和信息域指标,并且对于每个指标,通过跨受试者分布的统计比较、稳健线性回归和Bland-Altman图来进行两种方法之间的比较。比较结果表明基于PRV和基于HRV的指标总体上具有良好的一致性,在HUT期间的准确性略低于SU期间,并且对于频段功率比和条件熵也是如此。这些结果表明基于PRV评估HRV描述性指标的可行性,并建议进一步研究在生理应激条件下的一致性。

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