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心搏间期变异与心率的频率调制。

Interbeat interval variability versus frequency modulation of heart rate.

机构信息

Saratov Branch of Kotelnikov Institute of Radio Engineering and Electronics of Russian Academy of Sciences, Zelyonaya Street 38, Saratov 410019, Russia.

Saratov State University, Astrakhanskaya Street 83, Saratov 410012, Russia.

出版信息

Phys Rev E. 2021 Apr;103(4-1):042404. doi: 10.1103/PhysRevE.103.042404.

Abstract

The heart rate in humans is regulated by the autonomic nervous system, which modulates the frequency of heart contractions, resulting in heart rate variability (HRV). Therefore, to assess the activity of the autonomic nervous system, which contains important information for medical diagnostics, methods based on the analysis of interbeat interval variability are often used. This approach does not require the use of invasive methods for measuring the signals of the autonomic nervous system, but its accuracy is an open question. Using mathematical modeling, we investigate the possibility of extracting the signal of frequency modulation of the heartbeats from the electrocardiogram (ECG) signal and conduct a detailed comparison of the extracted signal with the real modulating signal. Since the quality of extraction of the signal of frequency modulation from the ECG depends on the method of demodulation, we compare two different approaches. One is based on the detection of the main oscillation rhythm and its bandpass filtering, and the other on the heterodyning technique. It is shown that low-frequency (LF) and high-frequency (HF) oscillations in HRV associated, respectively, with sympathetic and parasympathetic modulation by the autonomic nervous system, in the general case, significantly differ from the signals of frequency modulation of the heart rate in shape, but have close similarity with them in the frequency domain. We find that in model systems, the similarity of the LF component of HRV with sympathetic modulation of the heart rate is higher than the similarity of the HF component of HRV with parasympathetic modulation.

摘要

人类的心率受自主神经系统调节,自主神经系统调节心跳的频率,从而产生心率变异性(HRV)。因此,为了评估自主神经系统的活动,包含对医学诊断很重要的信息,通常使用基于分析心跳间隔可变性的方法。这种方法不需要使用侵入性方法来测量自主神经系统的信号,但其准确性是一个悬而未决的问题。我们使用数学建模来研究从心电图(ECG)信号中提取心率调频信号的可能性,并对提取的信号与真实调制信号进行详细比较。由于从 ECG 中提取调频信号的质量取决于解调方法,我们比较了两种不同的方法。一种基于主要振荡节律的检测及其带通滤波,另一种基于外差技术。结果表明,HRV 中的低频(LF)和高频(HF)振荡分别与自主神经系统的交感和副交感调制有关,在一般情况下,与心率的调频信号在形状上有很大的不同,但在频域上有密切的相似性。我们发现,在模型系统中,HRV 的 LF 分量与心率的交感调制的相似性高于 HRV 的 HF 分量与心率的副交感调制的相似性。

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