Electrical and Electronic Engineering - Research Publications
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ItemSensitivity of temporal heart rate variability in Poincare plot to changes in parasympathetic nervous system activity(BMC, 2011-03-03)BACKGROUND: A novel descriptor (Complex Correlation Measure (CCM)) for measuring the variability in the temporal structure of Poincaré plot has been developed to characterize or distinguish between Poincaré plots with similar shapes. METHODS: This study was designed to assess the changes in temporal structure of the Poincaré plot using CCM during atropine infusion, 70° head-up tilt and scopolamine administration in healthy human subjects. CCM quantifies the point-to-point variation of the signal rather than gross description of the Poincaré plot. The physiological relevance of CCM was demonstrated by comparing the changes in CCM values with autonomic perturbation during all phases of the experiment. The sensitivities of short term variability (SD1), long term variability (SD2) and variability in temporal structure (CCM) were analyzed by changing the temporal structure by shuffling the sequences of points of the Poincaré plot. Surrogate analysis was used to show CCM as a measure of changes in temporal structure rather than random noise and sensitivity of CCM with changes in parasympathetic activity. RESULTS: CCM was found to be most sensitive to changes in temporal structure of the Poincaré plot as compared to SD1 and SD2. The values of all descriptors decreased with decrease in parasympathetic activity during atropine infusion and 70° head-up tilt phase. In contrast, values of all descriptors increased with increase in parasympathetic activity during scopolamine administration. CONCLUSIONS: The concordant reduction and enhancement in CCM values with parasympathetic activity indicates that the temporal variability of Poincaré plot is modulated by the parasympathetic activity which correlates with changes in CCM values. CCM is more sensitive than SD1 and SD2 to changes of parasympathetic activity.
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ItemIdentification of onset, maximum and termination of obstructive sleep apnoea events in single lead ECG recordings(IEEE, 2008)Measuring the Apnoea Hypopnoea Index (AHI) is important for determining the severity of any apnoea patient. This study presents a method of screening each apnoea event separately based on the single lead Electrocardiogram (EGG) signal. The whole ECG of a subject was divided into Normal, Onset, OSA-maximum and Termination epochs with length of 5 seconds. PSD analysis was used for determining the features directly from the ECG. ROC area was calculated to determine the discrimination capability of each feature (or power in each frequency bin) found by PSD analysis. The maximum ROC area found between Normal vs. OSA-maximum was 0.81 in the frequency range of 52-72 Hz. The ROC area and significant frequency band for Normal vs. Onset and Normal vs. Termination were 0.78, 0.78 and 57-65 Hz, 52-66 Hz respectively.
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ItemAnalysis of coherence between sleep EEG and ECG signals during and after obstructive sleep apnea events(IEEE, 2008)This study presents the first successful preliminary attempt to directly investigate the interactions of power spectra of sleep EEG and ECG signals of patients with obstructive sleep apnea syndrome (OSAS) by coherence analysis. ECG and EEG signals were collected from 8 OSAS patients and 3 healthy subjects. Coherence between two signals over different frequency bands(0-128 Hz) were calculated for normal breathing events, obstructive sleep apnea (OSA) events and events following OSA terminations (with/without arousals) in non-REM as well as REM sleep. Overall coherence of ECG and EEG in REM sleep is higher than that in non-REM sleep. A significant (p=0.0164) difference of coherence in the range of 10-5 Hz was found among normal, OSA and termination events in REM sleep. The results could be useful in detecting OSA events or OSA related arousals to characterize sleep fragmentation from ECG and EEG signals.
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ItemInvestigating scale invariant dynamics in minimum toe clearance variability of the young and elderly during treadmill walking(IEEE-INST ELECTRICAL ELECTRONICS ENGINEERS INC, 2008-08)Current research applying variability measures of gait parameters has demonstrated promise for helping to solve one of the "holy grails" of geriatric research by defining markers that can be used to prospectively identify persons at risk of falling . The minimum toe clearance (MTC) event occurs during the leg swing phase of the gait cycle and is a task highly sensitive to the spatial and balance control properties of the locomotor system. The aim of this study is to build upon the current state of research by investigating the magnitude and dynamic structure from the MTC time series fluctuations due to aging and locomotor disorder. Thirty healthy young (HY), 27 healthy elderly (HE), and 10 falls risk (FR) elderly individuals (who presented a prior history of trip-related falls) participated in treadmill walking for at least 10 min at their preferred speed. Continuous MTC data were collected and the first 512 data points were analyzed. The following variability indices were quantified: 1) MTC mean and standard deviation (SD), 2) PoincarE plot indices of MTC variability (SD1, SD2, SD1/SD2), 3) a wavelet based multiscale exponent beta to describe the dynamic structure of MTC fluctuations, and 4) detrended fluctuation analysis exponent alpha to investigate the presence of long-range correlations in MTC time series data. Results showed that stride-to-stride MTC time series has a nonlinear structure in all three groups when compared against randomly shuffled surrogate MTC data. Test on aging effects showed the MTC central tendency was significantly lower (p < 0.01) and the magnitude of the MTC variability significantly higher (p < 0.01). This trend changed when comparing FR subjects against age-matched HE as both the central tendency (p < 0.01) and magnitude of the variability (p < 0.01) increased significantly in FR. Although the magnitude of MTC variability increased with age, the nonlinear indices represented by alpha, beta, and SD1/SD2 demonstrated that the nonlinear structure of MTC does not change significantly due to aging (p > 0.05). There were, however, significant differences between HY and FR for beta (between scale 1 and 2; p < 0.01) and alpha (p < 0.05). Out of all the variability measures applied, beta(Wv2-4), SD1/SD2, SD2 of critical MTC parameter were found to be potential markers to be able to reliably identify FR from HE subjects. Further research is required to understand the mechanisms underlying the cause of MTC variability.