Entropy in Investigation of Vasovagal Syndrome in Passive Head Up Tilt Test

This paper presents an application of Approximate Entropy (ApEn) and Sample Entropy (SampEn) in the analysis of heart rhythm, blood pressure and stroke volume for the diagnosis of vasovagal syndrome. The analyzed biosignals were recorded during positive passive tilt tests—HUTT(+). Signal changes and...

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Main Authors: Katarzyna Buszko, Agnieszka Piątkowska, Edward Koźluk, Grzegorz Opolski
Format: Article
Language:English
Published: MDPI AG 2017-05-01
Series:Entropy
Subjects:
Online Access:http://www.mdpi.com/1099-4300/19/5/236
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author Katarzyna Buszko
Agnieszka Piątkowska
Edward Koźluk
Grzegorz Opolski
author_facet Katarzyna Buszko
Agnieszka Piątkowska
Edward Koźluk
Grzegorz Opolski
author_sort Katarzyna Buszko
collection DOAJ
description This paper presents an application of Approximate Entropy (ApEn) and Sample Entropy (SampEn) in the analysis of heart rhythm, blood pressure and stroke volume for the diagnosis of vasovagal syndrome. The analyzed biosignals were recorded during positive passive tilt tests—HUTT(+). Signal changes and their entropy were compared in three main phases of the test: supine position, tilt, and pre-syncope, with special focus on the latter, which was analyzed in a sliding window of each signal. In some cases, ApEn and SampEn were equally useful for the assessment of signal complexity (p < 0.05 in corresponding calculations). The complexity of the signals was found to decrease in the pre-syncope phase (SampEn (RRI): 1.20–0.34, SampEn (sBP): 1.29–0.57, SampEn (dBP): 1.19–0.48, SampEn (SV): 1.62–0.91). The pattern of the SampEn (SV) decrease differs from the pattern of the SampEn (sBP), SampEn (dBP) and SampEn (RRI) decrease. For all signals, the lowest entropy values in the pre-syncope phase were observed at the moment when loss of consciousness occurred.
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spelling doaj.art-e5f7907fefad4fc1a32cf1b2debd630e2022-12-22T02:58:46ZengMDPI AGEntropy1099-43002017-05-0119523610.3390/e19050236e19050236Entropy in Investigation of Vasovagal Syndrome in Passive Head Up Tilt TestKatarzyna Buszko0Agnieszka Piątkowska1Edward Koźluk2Grzegorz Opolski3Department of Theoretical Foundations of Bio-Medical Science and Medical Informatics, Collegium Medicum, Nicolaus Copernicus University, 85-067 Bydgoszcz, Poland1st Chair Department of Cardiology, Medical University of Warsaw, Warsaw 02-091, Poland1st Department of Cardiology, Medical University of Warsaw, Warsaw 02-091, Poland1st Department of Cardiology, Medical University of Warsaw, Warsaw 02-091, PolandThis paper presents an application of Approximate Entropy (ApEn) and Sample Entropy (SampEn) in the analysis of heart rhythm, blood pressure and stroke volume for the diagnosis of vasovagal syndrome. The analyzed biosignals were recorded during positive passive tilt tests—HUTT(+). Signal changes and their entropy were compared in three main phases of the test: supine position, tilt, and pre-syncope, with special focus on the latter, which was analyzed in a sliding window of each signal. In some cases, ApEn and SampEn were equally useful for the assessment of signal complexity (p < 0.05 in corresponding calculations). The complexity of the signals was found to decrease in the pre-syncope phase (SampEn (RRI): 1.20–0.34, SampEn (sBP): 1.29–0.57, SampEn (dBP): 1.19–0.48, SampEn (SV): 1.62–0.91). The pattern of the SampEn (SV) decrease differs from the pattern of the SampEn (sBP), SampEn (dBP) and SampEn (RRI) decrease. For all signals, the lowest entropy values in the pre-syncope phase were observed at the moment when loss of consciousness occurred.http://www.mdpi.com/1099-4300/19/5/236approximate entropysample entropyvasovagal syndrome
spellingShingle Katarzyna Buszko
Agnieszka Piątkowska
Edward Koźluk
Grzegorz Opolski
Entropy in Investigation of Vasovagal Syndrome in Passive Head Up Tilt Test
Entropy
approximate entropy
sample entropy
vasovagal syndrome
title Entropy in Investigation of Vasovagal Syndrome in Passive Head Up Tilt Test
title_full Entropy in Investigation of Vasovagal Syndrome in Passive Head Up Tilt Test
title_fullStr Entropy in Investigation of Vasovagal Syndrome in Passive Head Up Tilt Test
title_full_unstemmed Entropy in Investigation of Vasovagal Syndrome in Passive Head Up Tilt Test
title_short Entropy in Investigation of Vasovagal Syndrome in Passive Head Up Tilt Test
title_sort entropy in investigation of vasovagal syndrome in passive head up tilt test
topic approximate entropy
sample entropy
vasovagal syndrome
url http://www.mdpi.com/1099-4300/19/5/236
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AT agnieszkapiatkowska entropyininvestigationofvasovagalsyndromeinpassiveheaduptilttest
AT edwardkozluk entropyininvestigationofvasovagalsyndromeinpassiveheaduptilttest
AT grzegorzopolski entropyininvestigationofvasovagalsyndromeinpassiveheaduptilttest