应用多尺度化的基本尺度熵分析心率变异性

本文采用多尺度化的基本尺度熵方法,针对心率变异性信号进行了分析,研究发现多尺度化的基本尺度熵可以区分不同生理病理信号,包括健康人、充血性心力衰竭患者和房颤心律失常患者的心率变异性信号,以及健康人白天黑夜的心率变异性信号.通过对健康人代理数据的分析,发现房颤心律失常患者与代理数据的熵值趋势相似,研究结果表明房颤心律失常患者的心率变异性信号更多的是反映生理信号的线性特征,而对环境变化不能很好的进行自我调节. 关键词： 多尺度化的基本尺度熵 心率变异性 充血性心力衰竭 房颤心律失常     

Dynamical complexity changes during two forms of meditation

Detection of dynamical complexity changes in natural and man-made systems has deep scientific and practical meaning. We use the base-scale entropy method to analyze dynamical complexity changes for heart rate variability (HRV) series during specific traditional forms of Chinese Chi and Kundalini Yoga meditation techniques in healthy young adults. The results show that dynamical complexity decreases in meditation states for two forms of meditation. Meanwhile, we detected changes in probability distribution of m-words during meditation and explained this changes using probability distribution of sine function. The base-scale entropy method may be used on a wider range of physiologic signals.     

Detecting dynamical complexity changes in time series using the base-scale entropy

Timely detection of dynamical complexity changes in natural and man-made systems has deep scientific and practical meanings. We introduce a complexity measure for time series： the base-scale entropy. The definition directly applies to arbitrary real-word data. We illustrate our method on a practical speech signal and in a theoretical chaotic system. The results show that the simple and easily calculated measure of base-scale entropy can be effectively used to detect qualitative and quantitative dynamical changes.     

颠倒睡眠状态调制心率变异性信号的功率谱和基本尺度熵分析

心率变异性(HRV)信号能够提供心脏活动状态的重要信息.通过建立颠倒睡眠模型,联合功率谱和基本尺度熵方法分析颠倒睡眠状态下24 h的HRV信号,研究颠倒睡眠对自主神经相互作用以及HRV信号混沌强度的调制.结果表明,颠倒睡眠导致自主神经在昼夜间的活动节律发生颠倒,基本尺度熵在昼夜的变化趋势也随之发生逆转,因此HRV信号的混沌强度与自主神经的相互作用密切相关,进一步研究两者之间的关系发现:HRV信号的混沌强度与交感神经的调制强度正相关,与迷走神经的调制强度负相关.     

心率变异性基本尺度熵的多尺度化研究

将基本尺度熵的方法在时间上做多尺度化的扩展,并将其应用到心跳间隔序列的分析研究中.研究发现,健康人的心率变异性是小时间尺度下的模式特定性与大时间尺度下的模式丰富性相结合的,而充盈性心衰患者则正好相反.这说明充盈性心衰患者在小时间尺度下心脏动力系统的控制不力,导致随机性增加,而在大时间尺度下对外界环境变化反应又不够丰富,从而导致生命更容易受威胁.据此提出了以小时间尺度下的基本尺度熵值相对于大时间尺度下平台区基本尺度熵值的变异参数δ作为区分健康人和充盈性心衰患者的诊断依据.通过对72例健康人和44例充盈性心衰患者的计算,发现两组样本差异显著,证明了参数δ的有效性. 关键词： 多尺度化的基本尺度熵 心跳间隔序列 心率变异性 充盈性心衰     

Multiscale entropy analysis of complex physiologic time series

There has been considerable interest in quantifying the complexity of physiologic time series, such as heart rate. However, traditional algorithms indicate higher complexity for certain pathologic processes associated with random outputs than for healthy dynamics exhibiting long-range correlations. This paradox may be due to the fact that conventional algorithms fail to account for the multiple time scales inherent in healthy physiologic dynamics. We introduce a method to calculate multiscale entropy (MSE) for complex time series. We find that MSE robustly separates healthy and pathologic groups and consistently yields higher values for simulated long-range correlated noise compared to uncorrelated noise.     

Age-related changes in the "complexity" of cardiovascular dynamics: A potential marker of vulnerability to disease

Healthy physiologic control of cardiovascular function is a result of complex interactions between multiple regulatory processes that operate over different time scales. These include the sympathetic and parasympathetic nervous systems which regulate beat-to-beat heart rate (HR) and blood pressure (BP), as well as extravascular volume, body temperature, and sleep which influence HR and BP over the longer term. Interactions between these control systems generate highly variable fluctuations in continuous HR and BP signals. Techniques derived from nonlinear dynamics and chaos theory are now being adapted to quantify the dynamic behavior of physiologic time series and study their changes with age or disease. We have shown significant age-related changes in the 1/f(x) relationship between the log amplitude and log frequency of the heart rate power spectrum, as well as declines in approximate dimension and approximate entropy of both heart rate and blood pressure time series. These changes in the "complexity" of cardiovascular dynamics reflect the breakdown and decoupling of integrated physiologic regulatory systems with aging, and may signal an impairment in cardiovascular ability to adapt to external and internal perturbations. Studies are currently underway to determine whether the complexity of HR or BP time series can distinguish patients with fainting spells due to benign vasovagal reactions from those due to life-threatening cardiac arrhythmias. Thus, measures of the complexity of physiologic variability may provide novel methods to monitor cardiovascular aging and test the efficacy of specific interventions to improve adaptive capacity in old age. (c) 1995 American Institute of Physics.     

两种熵测度在量化射击运动员短时心率变异性信号复杂度上的一致性

利用两种基于熵的非线性复杂度测度：近似熵和样本熵,研究了专业射击运动员两种不同状态下(休息和练习赛)心率变异性信号的复杂度.计算结果表明：射击运动员休息时其心率变异性信号的熵值大于射击比赛时信号的熵值,这意味着运动员一旦进行射击比赛时,其心率变异性信号复杂度降低了,心跳变得更为规则了.为了更好地应用这两种基于熵的方法,进一步分析了算法中的两个重要影响因素：矢量匹配容差r和序列长度N对算法性能的影响.分析结果表明：只要参数选择在合适的范围内,近似熵和样本熵都能够正确地区分出两种不 关键词： 近似熵 样本熵 复杂度 射击     

Statistical physics and physiology: monofractal and multifractal approaches.

Even under healthy, basal conditions, physiologic systems show erratic fluctuations resembling those found in dynamical systems driven away from a single equilibrium state. Do such "nonequilibrium" fluctuations simply reflect the fact that physiologic systems are being constantly perturbed by external and intrinsic noise? Or, do these fluctuations actually, contain useful, "hidden" information about the underlying nonequilibrium control mechanisms? We report some recent attempts to understand the dynamics of complex physiologic fluctuations by adapting and extending concepts and methods developed very recently in statistical physics. Specifically, we focus on interbeat interval variability as an important quantity to help elucidate possibly non-homeostatic physiologic variability because (i) the heart rate is under direct neuroautonomic control, (ii) interbeat interval variability is readily measured by noninvasive means, and (iii) analysis of these heart rate dynamics may provide important practical diagnostic and prognostic information not obtainable with current approaches. The analytic tools we discuss may be used on a wider range of physiologic signals. We first review recent progress using two analysis methods--detrended fluctuation analysis and wavelets--sufficient for quantifying monofractual structures. We then describe recent work that quantifies multifractal features of interbeat interval series, and the discovery that the multifractal structure of healthy subjects is different than that of diseased subjects.     

Linguistic analysis of the human heartbeat using frequency and rank order statistics

Complex physiologic signals may carry unique dynamical signatures that are related to their underlying mechanisms. We present a method based on rank order statistics of symbolic sequences to investigate the profile of different types of physiologic dynamics. We apply this method to heart rate fluctuations, the output of a central physiologic control system. The method robustly discriminates patterns generated from healthy and pathologic states, as well as aging. Furthermore, we observe increased randomness in the heartbeat time series with physiologic aging and pathologic states and also uncover nonrandom patterns in the ventricular response to atrial fibrillation.     

Analysis of heartbeat asymmetry based on multi-scale time irreversibility test

We investigate the asymmetry of heart rate control system and suggest a simple index to quantify this asymmetry by performing high-dimensional time irreversibility tests to heartbeat interval time series over multiple scales. The results provide strong evidence to the concept that the asymmetry is an intrinsic property of heart rate control system. As a simple and visual method, it is proved to be effective in classifying physiologic and synthetic subjects while the maximum scale is selected within a proper range, and also provides a new way to analyze the time irreversibility for other high-dimensional systems.     

基于有限穿越水平可视图的短时睡眠心率变异性研究

心率数据是最易于获取的人体生理数据之一,基于心率变异性的睡眠分析是近年来各种用于日常健康管理的可穿戴设备功能的一个重要发展方向,需要不断探索可以应用于标准睡眠分期时间窗(约30 s)的各类短时特征参数.利用近期报道的有限穿越水平可视图,并进一步提出一种加权有限穿越水平可视图,将不同睡眠状态下的短时心率变异序列映射为网络,进而提取平均集聚系数、特征路径长度、集聚系数熵、路径分布熵、加权集聚系数熵和加权路径分布熵等网络特征参数进行统计分析.结果表明,各网络参数值在醒觉、浅睡期、深睡期和快速眼动期的幅度水平具有显著差异,体现了所述方法在基于短时心率变异数据的睡眠分期中的有效性.同时,进一步研究了健康年轻人和中老年人在不同睡眠状态下的网络参数值,发现两者虽然存在整体的水平差异,但是在不同睡眠状态间的变化仍具有相同的趋势,反映出相对于正常的年龄老化,睡眠调制对心脏动力学系统具有更显著的影响,也说明所述方法可作为基于心率变异性的睡眠研究的一种新的辅助工具.     

Alteration in scaling behavior of short-term heartbeat time series for professional shooting athletes from rest to exercise

Scaling analysis of heartbeat time series has emerged as a useful tool for assessing the autonomic cardiac control under various physiologic and pathologic conditions. We study the heartbeat activity and scaling behavior of heartbeat fluctuations regulated by autonomic nervous system for professional shooting athletes under two states: rest and exercise, by applying the detrended fluctuation analysis method. We focus on alteration in correlation properties of heartbeat intervals for the shooters from rest to exercise, which may have a potential value in monitoring the quality of training and evaluating the sports capacity of the athletes. The result shows that scaling exponents of short-term heart rate variability signals from the shooters get significantly larger during exercise compared with those obtained at rest. It demonstrates that during exercise stronger correlations appear in the heartbeat series of shooting athletes in order to satisfy the specific requirements for high concentration and better control on their heart beats.     

Multiscale Entropy Analysis of Short Signals: The Robustness of Fuzzy Entropy-Based Variants Compared to Full-Length Long Signals

Multiscale entropy (MSE) analysis is a fundamental approach to access the complexity of a time series by estimating its information creation over a range of temporal scales. However, MSE may not be accurate or valid for short time series. This is why previous studies applied different kinds of algorithm derivations to short-term time series. However, no study has systematically analyzed and compared their reliabilities. This study compares the MSE algorithm variations adapted to short time series on both human and rat heart rate variability (HRV) time series using long-term MSE as reference. The most used variations of MSE are studied: composite MSE (CMSE), refined composite MSE (RCMSE), modified MSE (MMSE), and their fuzzy versions. We also analyze the errors in MSE estimations for a range of incorporated fuzzy exponents. The results show that fuzzy MSE versions—as a function of time series length—present minimal errors compared to the non-fuzzy algorithms. The traditional multiscale entropy algorithm with fuzzy counting (MFE) has similar accuracy to alternative algorithms with better computing performance. For the best accuracy, the findings suggest different fuzzy exponents according to the time series length.     

Fractal variability: an emergent property of complex dissipative systems

The patterns of variation of physiologic parameters, such as heart and respiratory rate, and their alteration with age and illness have long been under investigation; however, the origin and significance of scale-invariant fractal temporal structures that characterize healthy biologic variability remain unknown. Quite independently, atmospheric and planetary scientists have led breakthroughs in the science of non-equilibrium thermodynamics. In this paper, we aim to provide two novel hypotheses regarding the origin and etiology of both the degree of variability and its fractal properties. In a complex dissipative system, we hypothesize that the degree of variability reflects the adaptability of the system and is proportional to maximum work output possible divided by resting work output. Reductions in maximal work output (and oxygen consumption) or elevation in resting work output (or oxygen consumption) will thus reduce overall degree of variability. Second, we hypothesize that the fractal nature of variability is a self-organizing emergent property of complex dissipative systems, precisely because it enables the system's ability to optimally dissipate energy gradients and maximize entropy production. In physiologic terms, fractal patterns in space (e.g., fractal vasculature) or time (e.g., cardiopulmonary variability) optimize the ability to deliver oxygen and clear carbon dioxide and waste. Examples of falsifiability are discussed, along with the need to further define necessary boundary conditions. Last, as our focus is bedside utility, potential clinical applications of this understanding are briefly discussed. The hypotheses are clinically relevant and have potential widespread scientific relevance.     

Quantification of scaling exponents and crossover phenomena in nonstationary heartbeat time series

The healthy heartbeat is traditionally thought to be regulated according to the classical principle of homeostasis whereby physiologic systems operate to reduce variability and achieve an equilibrium-like state [Physiol. Rev. 9, 399-431 (1929)]. However, recent studies [Phys. Rev. Lett. 70, 1343-1346 (1993); Fractals in Biology and Medicine (Birkhauser-Verlag, Basel, 1994), pp. 55-65] reveal that under normal conditions, beat-to-beat fluctuations in heart rate display the kind of long-range correlations typically exhibited by dynamical systems far from equilibrium [Phys. Rev. Lett. 59, 381-384 (1987)]. In contrast, heart rate time series from patients with severe congestive heart failure show a breakdown of this long-range correlation behavior. We describe a new method--detrended fluctuation analysis (DFA)--for quantifying this correlation property in non-stationary physiological time series. Application of this technique shows evidence for a crossover phenomenon associated with a change in short and long-range scaling exponents. This method may be of use in distinguishing healthy from pathologic data sets based on differences in these scaling properties.     

How random is your heart beat?

We measure the content of random uncorrelated noise in heart rate variability using a general method of noise level estimation using a coarse-grained entropy. We show that usually, except for atrial fibrillation, the level of such noise is within 5-15% of the variance of the data and that the variability due to the linearly correlated processes is dominant in all cases analyzed but atrial fibrillation. The nonlinear deterministic content of heart rate variability remains significant and may not be ignored.     

Theil Entropy as a Non-Lineal Analysis for Spectral Inequality of Physiological Oscillations

Theil entropy is a statistical measure used in economics to quantify income inequalities. However, it can be applied to any data distribution including biological signals. In this work, we applied different spectral methods on heart rate variability signals and cellular calcium oscillations previously to Theil entropy analysis. The behavior of Theil entropy and its decomposable property was investigated using exponents in the range of [−1, 2], on the spectrum of synthetic and physiological signals. Our results suggest that the best spectral decomposition method to analyze the spectral inequality of physiological oscillations is the Lomb–Scargle method, followed by Theil entropy analysis. Moreover, our results showed that the exponents that provide more information to describe the spectral inequality in the tested signals were zero, one, and two. It was also observed that the intra-band component is the one that contributes the most to total inequality for the studied oscillations. More in detail, we found that in the state of mental stress, the inequality determined by the Theil entropy analysis of heart rate increases with respect to the resting state. Likewise, the same analytical approach shows that cellular calcium oscillations present on developing interneurons display greater inequality distribution when inhibition of a neurotransmitter system is in place. In conclusion, we propose that Theil entropy is useful for analyzing spectral inequality and to explore its origin in physiological signals.     

Fractal fluctuations in cardiac time series

Human heart rate, controlled by complex feedback mechanisms, is a vital index of systematic circulation. However, it has been shown that beat-to-beat values of heart rate fluctuate continually over a wide range of time scales. Herein we use the relative dispersion, the ratio of the standard deviation to the mean, to show, by systematically aggregating the data, that the correlation in the beat-to-beat cardiac time series is a modulated inverse power law. This scaling property indicates the existence of long-time memory in the underlying cardiac control process and supports the conclusion that heart rate variability is a temporal fractal. We argue that the cardiac control system has allometric properties that enable it to respond to a dynamical environment through scaling.     

Scaling Behaviour and Memory in Heart Rate of Healthy Human

We investigate a set of complex heart rate time series from healthy human in different behaviour states with the detrended fluctuation analysis and diffusion entropy （DE） method. It is proposed that the scaling properties are influenced by behaviour states. The memory detected by DE exhibits an approximately same pattern after a detrending procedure. Both of them demonstrate the long-range strong correlations in heart rate. These findings may be helpful to understand the underlying dynamical evolution process in the heart rate control system, as well as to model the cardiac dynamic process.