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Heart Rate Variability: Measures and Models 指導教授:鄭仁亮 學生:曹雅婷 Outline Introduction Methods Conventional Point Process Fractal Point Process Measure Standard Measures Novel Measures Introduction ECG a recording of the cardiac-induced skin potentials at the body’s surface HRV called heart rate variability, the variability of the RR-interval sequence Methods The heartbeat sequence as a point process. The sequence of heartbeats can be studied by replacing the complex waveform of an individual heartbeat recorded in the ECG. The sequence of heartbeats is represented by h(t ) (t ti ) i ECG Analysis Conventional Point Process Simplest homogeneous Poisson point process Related point process nonparalyzable fixed-dead-time modified Poisson point process gamma-γ renewal process Homogeneous Poisson point process The interevent-interval probability density function p ( ) exp( ) where λ is the mean number of events per unit time. interevent-interval mean=1/λ interevent-interval variance=1/λ2 Dead-time modified Poisson point process The interevent-interval probability density function p ( ) 0 exp[ ( d )] d d Here τd is the dead time and λ is the rate of the process before dead time is imposed. Fractal Point Process Fractal stochastic processes exhibit scaling in their statistics. Suppose changing the scale by any factor a effectively scales the statistic by some other factor g(a), related to the factor but independent of the original scale: w(ax) = g(a)w(x). Fractal Point Process The only nontrivial solution of this scaling equation, for real functions and arguments, that is independent of a and x is w(x) = bg(x) with g(x) = xc The particular case of fixed a admits a more general solution g(x; a) = xc cos[2πln(x)/ ln(a)] Standard Frequency-Domain Measures A rate-based power spectral density Units of sec-1 An interval-based power spectral density Units of cycles/interval To convert the interval-based frequency to the time-based frequency using f time f int / E[ ] Estimate the spectral density 1. Divided data into K non-overlapping blocks of L samples 2. Hanning window 3. Discrete Fourier transform of each block 1 ˆ S ( f ) K K 2 ~ k ( f ) k 1 Measures in HRV VLF. The power in the very-low-frequency range: 0.003–0.04 cycles/interval. LF. The power in the low-frequency range: 0.04–0.15 cycles/interval. HF. The power in the high-frequency range: 0.15–0.4 cycles/interval. LF/HF. The ratio of the low-frequency- range power to that in the high-frequency range. Standard Time-Domain Measures pNN50. proportion of successive NN intervals SDANN. Standard Deviation of the Average NN interval SDNN. Standard Deviation of the NN interval Other Standard Measures The event-number histogram The Fano factor Novel Scale-Dependent Measures Allen Factor [A(T)] The Allan factor is the ratio of the eventnumber Allan variance to twice the mean: 2 E{[N i 1 (T) - N i (T)] } A(T) 2E{N i 1 (T)} Wavelet transform using Haar wavelet