A Unified Point Process Probabilistic Framework to Assess Heartbeat Dynamics and Autonomic Cardiovascular Control

In recent years, time-varying inhomogeneous point process models have been introduced for assessment of instantaneous heartbeat dynamics as well as specific cardiovascular control mechanisms and hemodynamics. Assessment of the model's statistics is established through the Wiener-Volterra theory...

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Main Authors: Zhe eChen, Patrick ePurdon, Emery N Brown, Riccardo eBarbieri
Format: Article
Language:English
Published: Frontiers Media S.A. 2012-02-01
Series:Frontiers in Physiology
Subjects:
Online Access:http://journal.frontiersin.org/Journal/10.3389/fphys.2012.00004/full
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author Zhe eChen
Patrick ePurdon
Emery N Brown
Riccardo eBarbieri
author_facet Zhe eChen
Patrick ePurdon
Emery N Brown
Riccardo eBarbieri
author_sort Zhe eChen
collection DOAJ
description In recent years, time-varying inhomogeneous point process models have been introduced for assessment of instantaneous heartbeat dynamics as well as specific cardiovascular control mechanisms and hemodynamics. Assessment of the model's statistics is established through the Wiener-Volterra theory and a multivariate autoregressive (AR) structure. A variety of instantaneous cardiovascular metrics, such as heart rate (HR), heart rate variability (HRV), respiratory sinus arrhythmia (RSA), and baroreceptor-cardiac reflex (baroreflex) sensitivity (BRS), are derived within a parametric framework and instantaneously updated with adaptive and local maximum likelihood estimation algorithms. Inclusion of second order nonlinearities, with subsequent bispectral quantification in the frequency domain, further allows for definition of instantaneous metrics of nonlinearity. We here organize a comprehensive review of the devised methods as applied to experimental recordings from healthy subjects during propofol anesthesia. Collective results reveal interesting dynamic trends across the different pharmacological interventions operated within each anesthesia session, confirming the ability of the algorithm to track important changes in cardiorespiratory elicited interactions, and pointing at our mathematical approach as a promising monitoring tool for an accurate, noninvasive assessment in clinical practice.
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spelling doaj.art-264c52a4d57e445195f7585fc7790e1b2022-12-22T02:15:34ZengFrontiers Media S.A.Frontiers in Physiology1664-042X2012-02-01310.3389/fphys.2012.0000415501A Unified Point Process Probabilistic Framework to Assess Heartbeat Dynamics and Autonomic Cardiovascular ControlZhe eChen0Patrick ePurdon1Emery N Brown2Riccardo eBarbieri3Massachusetts General HospitalMassachusetts General HospitalMassachusetts Institute of TechnologyMassachusetts General HospitalIn recent years, time-varying inhomogeneous point process models have been introduced for assessment of instantaneous heartbeat dynamics as well as specific cardiovascular control mechanisms and hemodynamics. Assessment of the model's statistics is established through the Wiener-Volterra theory and a multivariate autoregressive (AR) structure. A variety of instantaneous cardiovascular metrics, such as heart rate (HR), heart rate variability (HRV), respiratory sinus arrhythmia (RSA), and baroreceptor-cardiac reflex (baroreflex) sensitivity (BRS), are derived within a parametric framework and instantaneously updated with adaptive and local maximum likelihood estimation algorithms. Inclusion of second order nonlinearities, with subsequent bispectral quantification in the frequency domain, further allows for definition of instantaneous metrics of nonlinearity. We here organize a comprehensive review of the devised methods as applied to experimental recordings from healthy subjects during propofol anesthesia. Collective results reveal interesting dynamic trends across the different pharmacological interventions operated within each anesthesia session, confirming the ability of the algorithm to track important changes in cardiorespiratory elicited interactions, and pointing at our mathematical approach as a promising monitoring tool for an accurate, noninvasive assessment in clinical practice.http://journal.frontiersin.org/Journal/10.3389/fphys.2012.00004/fullHeart rate variabilitygeneral anesthesiaautonomic cardiovascular controlbaroreflex sensitivitypoint processrespiratory sinus arrhythmia
spellingShingle Zhe eChen
Patrick ePurdon
Emery N Brown
Riccardo eBarbieri
A Unified Point Process Probabilistic Framework to Assess Heartbeat Dynamics and Autonomic Cardiovascular Control
Frontiers in Physiology
Heart rate variability
general anesthesia
autonomic cardiovascular control
baroreflex sensitivity
point process
respiratory sinus arrhythmia
title A Unified Point Process Probabilistic Framework to Assess Heartbeat Dynamics and Autonomic Cardiovascular Control
title_full A Unified Point Process Probabilistic Framework to Assess Heartbeat Dynamics and Autonomic Cardiovascular Control
title_fullStr A Unified Point Process Probabilistic Framework to Assess Heartbeat Dynamics and Autonomic Cardiovascular Control
title_full_unstemmed A Unified Point Process Probabilistic Framework to Assess Heartbeat Dynamics and Autonomic Cardiovascular Control
title_short A Unified Point Process Probabilistic Framework to Assess Heartbeat Dynamics and Autonomic Cardiovascular Control
title_sort unified point process probabilistic framework to assess heartbeat dynamics and autonomic cardiovascular control
topic Heart rate variability
general anesthesia
autonomic cardiovascular control
baroreflex sensitivity
point process
respiratory sinus arrhythmia
url http://journal.frontiersin.org/Journal/10.3389/fphys.2012.00004/full
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