Application of a Speedy Modified Entropy Method in Assessing the Complexity of Baroreflex Sensitivity for Age-Controlled Healthy and Diabetic Subjects

The percussion entropy index (PEI<sub>orginal</sub>) was recently introduced to assess the complexity of baroreflex sensitivity. This study aimed to investigate the ability of a speedy modified PEI (i.e., PEI<sub>NEW</sub>) application to distinguish among age-controlled subj...

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Main Authors: Ming-Xia Xiao, Chang-Hua Lu, Na Ta, Wei-Wei Jiang, Xiao-Jing Tang, Hsien-Tsai Wu
Format: Article
Language:English
Published: MDPI AG 2019-09-01
Series:Entropy
Subjects:
Online Access:https://www.mdpi.com/1099-4300/21/9/894
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author Ming-Xia Xiao
Chang-Hua Lu
Na Ta
Wei-Wei Jiang
Xiao-Jing Tang
Hsien-Tsai Wu
author_facet Ming-Xia Xiao
Chang-Hua Lu
Na Ta
Wei-Wei Jiang
Xiao-Jing Tang
Hsien-Tsai Wu
author_sort Ming-Xia Xiao
collection DOAJ
description The percussion entropy index (PEI<sub>orginal</sub>) was recently introduced to assess the complexity of baroreflex sensitivity. This study aimed to investigate the ability of a speedy modified PEI (i.e., PEI<sub>NEW</sub>) application to distinguish among age-controlled subjects with or without diabetes. This was carried out using simultaneous photo-plethysmo-graphy (PPG) pulse amplitude series and the R wave-to-R wave interval (RRI) series acquired from healthy subjects (Group 1, number = 42), subjects diagnosed as having diabetes mellitus type 2 with satisfactory blood sugar control (Group 2, number = 38), and type 2 diabetic patients with poor blood sugar control (Group 3, number = 35). Results from PEI<sub>orginal</sub> and multiscale cross-approximate entropy (MCAE) were also addressed with the same datasets for comparison. The results show that optimal prolongation between the amplitude series and RRI series could be delayed by one to three heartbeat cycles for Group 2, and one to four heartbeat cycles for Group 3 patients. Group 1 subjects only had prolongation for one heartbeat cycle. This study not only demonstrates the sensitivity of PEI<sub>NEW</sub> and PEI<sub>orginal</sub> in differentiating between Groups 2 and 3 compared with MCAE, highlighting the feasibility of using percussion entropy applications in autonomic nervous function assessments, it also shows that PEI<sub>NEW</sub> can considerably reduce the computational time required for such processes.
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spelling doaj.art-1dd6d0a46de14810bed095e40c5817852022-12-22T04:10:30ZengMDPI AGEntropy1099-43002019-09-0121989410.3390/e21090894e21090894Application of a Speedy Modified Entropy Method in Assessing the Complexity of Baroreflex Sensitivity for Age-Controlled Healthy and Diabetic SubjectsMing-Xia Xiao0Chang-Hua Lu1Na Ta2Wei-Wei Jiang3Xiao-Jing Tang4Hsien-Tsai Wu5School of Computer Science and Information Engineering, Hefei University of Technology, No.193 Tunxi Road, Hefei, Anhui 230009, ChinaSchool of Computer Science and Information Engineering, Hefei University of Technology, No.193 Tunxi Road, Hefei, Anhui 230009, ChinaSchool of Electrical and Information Engineering, North Minzu University, No. 204 North Wenchang Street, Yinchuan, Ningxia 750021, ChinaSchool of Computer Science and Information Engineering, Hefei University of Technology, No.193 Tunxi Road, Hefei, Anhui 230009, ChinaSchool of Science, Ningxia Medical University, No. 1160 Shengli Street, Yinchuan, Ningxia 750004, ChinaDepartment of Electrical Engineering, Dong Hwa University, No. 1, Sec. 2, Da Hsueh Rd., Shoufeng, Hualien 97401, Taiwan, ChinaThe percussion entropy index (PEI<sub>orginal</sub>) was recently introduced to assess the complexity of baroreflex sensitivity. This study aimed to investigate the ability of a speedy modified PEI (i.e., PEI<sub>NEW</sub>) application to distinguish among age-controlled subjects with or without diabetes. This was carried out using simultaneous photo-plethysmo-graphy (PPG) pulse amplitude series and the R wave-to-R wave interval (RRI) series acquired from healthy subjects (Group 1, number = 42), subjects diagnosed as having diabetes mellitus type 2 with satisfactory blood sugar control (Group 2, number = 38), and type 2 diabetic patients with poor blood sugar control (Group 3, number = 35). Results from PEI<sub>orginal</sub> and multiscale cross-approximate entropy (MCAE) were also addressed with the same datasets for comparison. The results show that optimal prolongation between the amplitude series and RRI series could be delayed by one to three heartbeat cycles for Group 2, and one to four heartbeat cycles for Group 3 patients. Group 1 subjects only had prolongation for one heartbeat cycle. This study not only demonstrates the sensitivity of PEI<sub>NEW</sub> and PEI<sub>orginal</sub> in differentiating between Groups 2 and 3 compared with MCAE, highlighting the feasibility of using percussion entropy applications in autonomic nervous function assessments, it also shows that PEI<sub>NEW</sub> can considerably reduce the computational time required for such processes.https://www.mdpi.com/1099-4300/21/9/894autonomic nervous functionheart rate variability (HRV)baroreflex sensitivity (BRS)photo-plethysmo-graphy (PPG)digital volume pulse (DVP)percussion entropy index (PEI)
spellingShingle Ming-Xia Xiao
Chang-Hua Lu
Na Ta
Wei-Wei Jiang
Xiao-Jing Tang
Hsien-Tsai Wu
Application of a Speedy Modified Entropy Method in Assessing the Complexity of Baroreflex Sensitivity for Age-Controlled Healthy and Diabetic Subjects
Entropy
autonomic nervous function
heart rate variability (HRV)
baroreflex sensitivity (BRS)
photo-plethysmo-graphy (PPG)
digital volume pulse (DVP)
percussion entropy index (PEI)
title Application of a Speedy Modified Entropy Method in Assessing the Complexity of Baroreflex Sensitivity for Age-Controlled Healthy and Diabetic Subjects
title_full Application of a Speedy Modified Entropy Method in Assessing the Complexity of Baroreflex Sensitivity for Age-Controlled Healthy and Diabetic Subjects
title_fullStr Application of a Speedy Modified Entropy Method in Assessing the Complexity of Baroreflex Sensitivity for Age-Controlled Healthy and Diabetic Subjects
title_full_unstemmed Application of a Speedy Modified Entropy Method in Assessing the Complexity of Baroreflex Sensitivity for Age-Controlled Healthy and Diabetic Subjects
title_short Application of a Speedy Modified Entropy Method in Assessing the Complexity of Baroreflex Sensitivity for Age-Controlled Healthy and Diabetic Subjects
title_sort application of a speedy modified entropy method in assessing the complexity of baroreflex sensitivity for age controlled healthy and diabetic subjects
topic autonomic nervous function
heart rate variability (HRV)
baroreflex sensitivity (BRS)
photo-plethysmo-graphy (PPG)
digital volume pulse (DVP)
percussion entropy index (PEI)
url https://www.mdpi.com/1099-4300/21/9/894
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