Document Detail


Circadian variations of short-term heart period irreversibility in healthy and chronic heart failure patients.
MedLine Citation:
PMID:  19163114     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
We exploited time irreversibility analysis to characterize short heart period sequences (256 samples) derived from 24h Holter recordings in normal healthy (NO) subjects and chronic heart failure (CHF) patients. We found a significant presence of irreversible dynamics over short time scales, whereas over dominant, longer time scales irreversibility was marginal. Over short time scales in NO subjects the percentage of irreversible dynamics was larger during daytime than during nighttime, thus indicating a larger presence of non linear dynamics during daytime. Same circadian variation was detected in CHF patients but the percentage of irreversible series was higher. In NO subjects during daytime the non linear behavior was mostly the result of bradycardic runs shorter than tachycardic ones. In CHF population this pattern was as present as the reverse pattern (i.e. tachycardic runs shorter than bradycardic ones). Time irreversibility analysis provides useful and reliable indexes even in uncontrolled experimental conditions and during daily activities.
Authors:
Alberto Porta; Gianni D'Addio; Graziamaria Corbi; Roberto Maestri; Gian D Pinna
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Conference proceedings : ... Annual International Conference of the IEEE Engineering in Medicine and Biology Society. IEEE Engineering in Medicine and Biology Society. Conference     Volume:  2008     ISSN:  1557-170X     ISO Abbreviation:  Conf Proc IEEE Eng Med Biol Soc     Publication Date:  2008  
Date Detail:
Created Date:  2009-02-16     Completed Date:  2009-04-22     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101243413     Medline TA:  Conf Proc IEEE Eng Med Biol Soc     Country:  United States    
Other Details:
Languages:  eng     Pagination:  2116-9     Citation Subset:  IM    
Affiliation:
Department of Technologies for Health, Galeazzi Orthopaedic Institute, University of Milan, via R. Galeazzi 4, 20161, Italy. alberto.porta@unimi.it
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MeSH Terms
Descriptor/Qualifier:
Adult
Bradycardia / physiopathology
Chronic Disease
Circadian Rhythm*
Electrocardiography, Ambulatory / methods
Heart Failure / physiopathology*
Heart Rate
Humans
Middle Aged
Models, Cardiovascular*
Nonlinear Dynamics
Time Factors

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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