Bratisl Lek Listy. 2023;124(6):454-465. doi: 10.4149/BLL_2023_070.
Recently, older people's cardiovascular systems have been affected by aging-related changes. An electrocardiogram (ECG) provides information about cardiac health. Analyzing ECG signals can help doctors and researchers diagnose many deaths. Besides direct ECG analysis, some measurements can be extracted from the ECG signals, and one of the most important measurements is heart rate variability (HRV). Research and clinical domains can benefit from HRV measurement and analysis as a potential noninvasive tool for assessing autonomic nervous system activity. The HRV describes the variation between an ECG signal's RR intervals over time and the change in that interval over time. An individual's heart rate (HR) is a non-stationary signal, and its variation can indicate a medical condition or impending cardiac disease. Many factors, such as stress, gender, disease, and age, influence HRV.
The data for this study is taken from a standard database, the Fantasia Database, which contains 40 subjects, including two groups of 20 young subjects (21‒34 years old) and 20 older subjects (68‒85 years old). We used two non-linear methods, Poincare and Recurrence Quantification Analysis (RQA), to determine how different age groups affect HRV using Matlab and Kubios software.
By analyzing some features extracted from this non-linear method based on a mathematical model and making a comparison, the results indicate that the SD1, SD2, SD1/SD2, and area of an ellipse (S) in Poincare will be lower in old people than in young people, but %REC, %DET, Lmean and Lmax will recur more often in older people than in younger ones. Poincare Plot and RQA show opposite correlations with aging. In addition, Poincaré's plot showed that young people have a greater range of changes than the elderly.
According to the result of this study, heart rate changes can be reduced by aging, and ignoring this issue could lead to cardiovascular disease in the future (Tab. 3, Fig. 7, Ref. 55).
最近,老年人的心血管系统受到与年龄相关的变化的影响。心电图(ECG)提供有关心脏健康的信息。分析心电图信号可以帮助医生和研究人员诊断许多死亡病例。除了直接进行心电图分析外,还可以从心电图信号中提取一些测量值,其中最重要的测量值之一是心率变异性(HRV)。HRV 可作为评估自主神经系统活动的潜在非侵入性工具,在研究和临床领域都有应用。HRV 描述了心电图信号的 RR 间隔随时间的变化以及该间隔随时间的变化。个体的心率(HR)是一个非平稳信号,其变化可以指示身体状况或即将发生的心脏病。许多因素,如压力、性别、疾病和年龄,都会影响 HRV。
本研究的数据来自一个标准数据库,即 Fantasia 数据库,该数据库包含 40 个受试者,包括两组 20 名年轻受试者(21-34 岁)和 20 名老年受试者(68-85 岁)。我们使用两种非线性方法,即 Poincaré 和递归量化分析(RQA),并使用 Matlab 和 Kubios 软件来确定不同年龄组如何通过数学模型影响 HRV。
通过分析基于数学模型的这种非线性方法提取的一些特征并进行比较,结果表明,Poincare 中的 SD1、SD2、SD1/SD2 和椭圆面积(S)在老年人中会比在年轻人中更低,但是%REC、%DET、Lmean 和 Lmax 在老年人中会比在年轻人中更频繁地出现。Poincare 图和 RQA 与衰老呈相反的相关性。此外,Poincare 图表明年轻人的变化范围比老年人更大。
根据这项研究的结果,心率的变化可能会随着年龄的增长而减少,忽略这个问题可能会导致未来的心血管疾病(表 3,图 7,参考文献 55)。