Artículos
Publicado 2013-05-04
Palabras clave
- Stroke,
- autonomous nervous system,
- cardiac frequency variability,
- spectrum,
- vagal-sympathetic balance
Cómo citar
Niño, C. A., Sierra, D. A., Duarte, C. A., Barrero, J. G., & Rueda, O. L. (2013). Desarrollo de una herramienta software para la estimación del desempeño del sistema nervioso autónomo usando variabilidad del ritmo cardiaco, variabilidad del segmento QT y dispersión QT. Revista UIS Ingenierías, 12(1), 71–79. Recuperado a partir de https://revistas.uis.edu.co/index.php/revistauisingenierias/article/view/3713
Resumen
La evaluación del estado del sistema nervioso autónomo (SNA) se puede realizar mediante la medición de la variabilidad de la frecuencia cardiaca, la variabilidad del segmento QT y la dispersión del segmento QT. En este trabajo se presenta la implementación de estas estimaciones mediante algoritmos basados en la transformadaWavelet y la estimación espectral de Yule-Walker. Registros electrocardiográfcos de 20 minutos de duración fueron evaluados, con 15 minutos tomados de forma continua. Parámetros de la fuctuación cardiaca fueron tomados de una población de 92 pacientes, quienes presentaron el primer accidente cerebrovascular y llevaron a cabo un protocolo de inclusión estricto para evaluar su variabilidad en la frecuencia cardiaca. Las pruebas estadísticas se realizaron para determinar la repetibilidad de las mediciones.
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Referencias
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K. Solem, P. Laguna and L. Sörnmo, "An Efficient Method for Handling Ectopic Beats.," IEEE transactions on biomedical engineering vol. 53, no. 1, 2006, pp. 13 - 20.
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J. L. Carvalho, A. Rocha, L. F. Junqueira, J. SouzaNeto, I. Santos and F. Nascimento, "A Tool for Time-Frequency Analysis of Heart Rate Variability," in Proceedings of the 25 annual international conference of the IEEE EMBS., Cancun, mexico: : s.n., September 17-21, 2003.
P. B. Mandeville, "El Coeficiente De Correlación Intraclase ICC," Ciencia UANL, 2005, pp. 414-416.
N. Montano, T. Gnecchi Ruscone, A. Porta, F. Lombardi, M. Pagani and A. Malliani, "Power Spectrum Analysis of Heart Rate Variability to Assess the Changes in Sympathovagal Balance During Graded Orthostatic Tilt," Circulation, 1994, pp. 1826-1831.
N. Montano, A. Porta, C. Cogliat, G. Costantino, E. Tobaldini, K. Rabello Casali and F. Iellamo, "Heart rate variability explored in the frequency domain: A tool to investigate the link between heart and behavior," Neuroscience and Biobehavioral Reviews, 2009, pp. 71-80.
J. P. Couderc, "Measurement and regulation of cardiac ventricular repolarization: from the QT interval to repolarization morphology," Philosophical Transactions , the Royal Society vol. 367 no. 1892, 2009, pp. 1283-1299.
M. Baumert, "QT variability versus sympathetic cardiac activity in patients with major depression and patients with panic disorder," IFMBE Proceedings, 2010, p. Volume 25/4.
S. Wong, F. Ng, D. Almeida, F. Mora, A. Hernandez and G. Passariello, "The AQT/AHR Index for Coronary Artery Disease evidence," Engineering in Medicine and Biology Society, 1997. Proceedings of the 19th Annual International Conference of the IEEE, 30 Oct-2 Nov 1997, pp. 58-61.
R. Almeida, S. Gouveia, A. Rocha, E. Pueyo, J. Martínez and P. Laguna, "QT Variability and HRV Interactions in ECG: Quantification and Reliabilit," IEEE Engineering in Medicine and Biology Society, 2006, pp. 1317-1329.
J. P. Martínez, R. Almeida, S. Olmos, A. P. Rocha and J. P. Laguna, "A Wavelet-Based ECG Delineator: Evaluation on Standard Databases.," s.l.: IEEE Transactions on Biomedical Engineering, Vol. 51, No. 4, 2004, pp. 570-581.
C. Sainte Beuve, F. Badilini, P. Maison Blanche, A. Kedra and P. Coumel, "QT Dispersion: Comparison of Orthogonal, Quasi-orthogonal, and 12-Lead Configurations," Annals of Noninvasive Electrocardiology, 1999, pp. 167–175.
H. Achim, N. Kikillus and A. Bolz, "Detection of ectopic beats in single channel electrocardiograms," 4TH EUROPEAN CONFERENCE OF THE INTERNATIONAL FEDERATION FOR MEDICAL AND BIOLOGICAL ENGINEERING IFMBE Proceedings, 2009, pp. 344-347.
C. A. Niño, Sistema De Procesamiento y Análisis De La Señal Cardiaca Como Indicador Del Balance Del Sistema Nerviosos Autónomo y Su Correlacion Con Datos Tomograficos En Pacientes Con Accidente Cerebrovascular., Bucaramanaga: Tesis de Maestría Universidad Industrial de Santander, 2011.
S. C. Malpas, "Neural influences on cardiovascular variability: possibilities and pitfalls," American journal of physiology, 2002, pp. 282:6-20.
O. Olarte, D. Sierra and O. Rueda, "Sistema De Sistema de reconocimiento y diagnostico de arritmias cardiacas aplicado a la identificacion de taquicardias de complejos anchos a partir del ECG," University of Antioquia Engineering Magazine, ISSN 0120-6230, 2009, pp. No. 48. pp. 153-164.
Niño C. Andrés, Olarte Oscar, Fundamentacion Teorica de las Wavelets e implementacion de una toolbox básica en un procesador digital de señal., Bucaramanga: Tesis de grado Universidad Industrial de Santander, 2004.
N. Paez and J. E. Salgar, Deteccion De Singularidades Y Puntos Caracteristicos De La Senal Electrocardiografica Neonatal Por Medio De La Transformada Wavelet, Bucaramanga: Tesis Universidad Industrial de Santander, 2006.
V. Batchvarov and A. J. Camm, "QT dispersion: Clinical applications.," UpToDate® www.uptodate.com, 1994.
V. Batchvarov, "QT dispersion: Measurement and interpretation," UpToDate® www.uptodate.com, 1994.
G. Berntson and J. T. Bigger, "Heart rate variabilidy: origins, methods and interpretative caveats.," Psychopsysiology, 1997, pp. 623-648.
R. D. Berger, "QT Variability," Journal of Electrocardiology Vol. 36 Supplement, 2003, pp. 83-87.
C. S. Beuve, F. Badilini, P. M. Blanche, A. Kedra and P. Coume, "QT Dispersion: Comparison of Orthogonal, Quasi-orthogonal, and 12-Lead Configurations," Annals of Noninvasive Electrocardiology, 2006, pp. 4: 167–175.
L. Mainardi and G. Basselli, "Pole-Tracking Algorithms for the Extraction of Time –variant Heart rate Variability Spectral Parameters.," IEEE TRANSACTIONS ON Biomedical Engineering,vol 42 No 3., 1995, pp. 250-259.
G. Berntson and J. T. Bigger, "Heart rate variability: origins, methods, and interpretive caveats.," Psychopsysiology., 1997, pp. 623-648.
K. Solem, P. Laguna and L. Sörnmo, "An Efficient Method for Handling Ectopic Beats.," IEEE transactions on biomedical engineering vol. 53, no. 1, 2006, pp. 13 - 20.
J. Gallo, J. Farbiarz and D. L. Avarez, "Análisis espectral de la variabilidad de la frecuencia cardíaca.," IATREIA, 1999, pp. Vol. 12 94-104.
S. K. M. a. L. B. Lippman N., "Comparison of methods for removal of ectopy in measurements of heart rate variability.," Physiol., vol. 267, 1994, pp. H411–H418.
J. L. Carvalho, A. Rocha, L. F. Junqueira, J. SouzaNeto, I. Santos and F. Nascimento, "A Tool for Time-Frequency Analysis of Heart Rate Variability," in Proceedings of the 25 annual international conference of the IEEE EMBS., Cancun, mexico: : s.n., September 17-21, 2003.
P. B. Mandeville, "El Coeficiente De Correlación Intraclase ICC," Ciencia UANL, 2005, pp. 414-416.