Applying fractal analysis to short sets of heart rate variability data

The aim of this study was to explore the interchangeability of fractal scaling exponents derived from short- and long-term recordings of real and synthetic data. We compared the α1 exponents as obtained by detrended fluctuation analysis from RR-interval series (9 am to 6 pm) of 54 adults in normal sinus rhythm, and the α1 estimated from shorted segments of these series involving only 50, 100, 200 and 300 RR intervals. Three series of synthetic data were also analysed. The principal finding of this study is the lack of individual agreement between α1 derived from long and short segments of HRV data as indicated by the existence of bias and low intraclass correlation coefficient (ri = 0.158). The extent of variation in the estimation of α1 from real data does not only appear related to segments’ length, but also to different dynamics among subjects or lack of uniform scaling behaviour. However, we did find statistical agreement between the means of α1 exponents from long and short segments, even for segments involving just 50 RR intervals. According to results of synthetic series, the 95% confidence interval found for the variation of α1 using segments with 300 samples is [−0.1783 + 0.1828]. Caution should be taken concerning the use of short segments to obtain representative exponents of fractal RR dynamics; a circumstance not fully considered in several studies.

[1]  Jeffrey M. Hausdorff,et al.  Physionet: Components of a New Research Resource for Complex Physiologic Signals". Circu-lation Vol , 2000 .

[2]  H. Stanley,et al.  Scale invariance in the nonstationarity of human heart rate. , 2000, Physical review letters.

[3]  H. Stanley,et al.  Quantification of scaling exponents and crossover phenomena in nonstationary heartbeat time series. , 1995, Chaos.

[4]  H V Huikuri,et al.  Determinants and interindividual variation of R-R interval dynamics in healthy middle-aged subjects. , 2001, American journal of physiology. Heart and circulatory physiology.

[5]  Thomas Penzel,et al.  Comparison of detrended fluctuation analysis and spectral analysis for heart rate variability in sleep and sleep apnea , 2003, IEEE Transactions on Biomedical Engineering.

[6]  D. Altman,et al.  STATISTICAL METHODS FOR ASSESSING AGREEMENT BETWEEN TWO METHODS OF CLINICAL MEASUREMENT , 1986, The Lancet.

[7]  M. R. Ortiz,et al.  Comparison of RR-interval scaling exponents derived from long and short segments at different wake periods , 2006, Physiological measurement.

[8]  J. Fleiss,et al.  RR variability in healthy, middle-aged persons compared with patients with chronic coronary heart disease or recent acute myocardial infarction. , 1995, Circulation.

[9]  Ivanov PCh,et al.  Sleep-wake differences in scaling behavior of the human heartbeat: analysis of terrestrial and long-term space flight data. , 1999, Europhysics letters.

[10]  T. Seppänen,et al.  Physiological Background of the Loss of Fractal Heart Rate Dynamics , 2005, Circulation.

[11]  Yi Gang,et al.  Fractal correlation properties of R‐R interval dynamics in asymptomatic relatives of patients with dilated cardiomyopathy ☆ , 2002, European journal of heart failure.

[12]  Keith Willson,et al.  Physiological basis of fractual complexity properties of heart failure rate variability in man. , 2002 .

[13]  A. Malliani,et al.  Heart rate variability. Standards of measurement, physiological interpretation, and clinical use , 1996 .

[14]  Harvard Medical School,et al.  Effect of nonstationarities on detrended fluctuation analysis. , 2001, Physical review. E, Statistical, nonlinear, and soft matter physics.

[15]  Derek Abbott,et al.  Scaling Characteristics of Heart Rate Time Series Before the Onset of Ventricular Tachycardia , 2007, Annals of Biomedical Engineering.

[16]  H. Stanley,et al.  Behavioral-independent features of complex heartbeat dynamics. , 2001, Physical review letters.

[17]  A. Goldberger Non-linear dynamics for clinicians: chaos theory, fractals, and complexity at the bedside , 1996, The Lancet.

[18]  H Eugene Stanley,et al.  Endogenous circadian rhythm in an index of cardiac vulnerability independent of changes in behavior , 2004, Proceedings of the National Academy of Sciences of the United States of America.

[19]  D. Percival,et al.  Physiological time series , 2000 .

[20]  J. Bassingthwaighte,et al.  Evaluation of the dispersional analysis method for fractal time series , 1995, Annals of Biomedical Engineering.

[21]  R. Hughson,et al.  On the fractal nature of heart rate variability in humans: effects of data length and beta-adrenergic blockade. , 1994, The American journal of physiology.

[22]  Daniel T. Schmitt,et al.  Fractal scale-invariant and nonlinear properties of cardiac dynamics remain stable with advanced age: a new mechanistic picture of cardiac control in healthy elderly. , 2007, American journal of physiology. Regulatory, integrative and comparative physiology.

[23]  Keith Willson,et al.  Relationship between detrended fluctuation analysis and spectral analysis of heart-rate variability. , 2002, Physiological measurement.

[24]  Mirjana M. Platiša,et al.  Reflection of heart rate regulation on linear and nonlinear heart rate variability measures , 2006, Physiological measurement.

[25]  Yi-Hui Lee,et al.  Using a short-term parameter of heart rate variability to distinguish awake from isoflurane anesthetic states , 2008, Medical & Biological Engineering & Computing.

[26]  John A. Crowe,et al.  Does fractality in heart rate variability indicate the development of fetal neural processes , 2004 .

[27]  D. Koh,et al.  Statistical evaluation of agreement between two methods for measuring a quantitative variable. , 1989, Computers in biology and medicine.

[28]  P. Castiglioni,et al.  Multi-and monofractal indices of short-term heart rate variability , 2003, Medical and Biological Engineering and Computing.

[29]  F. Togo,et al.  Decreased fractal component of human heart rate variability during non-REM sleep. , 2001, American journal of physiology. Heart and circulatory physiology.

[30]  D. Percival,et al.  Physiological time series: distinguishing fractal noises from motions , 2000, Pflügers Archiv.

[31]  Mirjana M. Platiša,et al.  Complexity of heartbeat interval series in young healthy trained and untrained men , 2008, Physiological measurement.

[32]  G. McDarby,et al.  Establishing the relation between detrended fluctuation analysis and power spectral density analysis for stochastic processes , 2000, Physical review. E, Statistical physics, plasmas, fluids, and related interdisciplinary topics.

[33]  Keith Willson,et al.  A direct analytical demonstration of the essential equivalence of detrended fluctuation analysis and spectral analysis of RR interval variability. , 2003, Physiological measurement.

[34]  M. R. Ortiz,et al.  Prenatal RR fluctuations dynamics: detecting fetal short‐range fractal correlations , 2006, Prenatal diagnosis.

[35]  Metin Akay,et al.  Improved estimators for fractional Brownian motion via the expectation-maximization algorithm. , 2002, Medical engineering & physics.

[36]  Tapio Seppänen,et al.  Short‐term correlation properties of R–R interval dynamics at different exercise intensity levels , 2003, Clinical physiology and functional imaging.

[37]  T Seppänen,et al.  Effects of exercise and passive head-up tilt on fractal and complexity properties of heart rate dynamics. , 2001, American journal of physiology. Heart and circulatory physiology.

[38]  A. Eke,et al.  Fractal characterization of complexity in temporal physiological signals , 2002, Physiological measurement.

[39]  A L Goldberger,et al.  Fractal correlation properties of R-R interval dynamics and mortality in patients with depressed left ventricular function after an acute myocardial infarction. , 2000, Circulation.

[40]  H. Stanley,et al.  Effect of trends on detrended fluctuation analysis. , 2001, Physical review. E, Statistical, nonlinear, and soft matter physics.

[41]  Luís A. Nunes Amaral,et al.  From 1/f noise to multifractal cascades in heartbeat dynamics. , 2001, Chaos.

[42]  J. Hayano,et al.  Diurnal variations in vagal and sympathetic cardiac control. , 1990, The American journal of physiology.

[43]  C. Peng,et al.  What is physiologic complexity and how does it change with aging and disease? , 2002, Neurobiology of Aging.

[44]  J M Bland,et al.  Statistical methods for assessing agreement between two methods of clinical measurement , 1986 .

[45]  Seppo M. Nissilä,et al.  Effects of Aerobic Training on Heart Rate Dynamics in Sedentary Subjects. , 2003, Journal of applied physiology.

[46]  J. Taylor,et al.  Counterpoint: cardiovascular variability is not an index of autonomic control of the circulation. , 2006, Journal of applied physiology.

[47]  Giuseppe Mancia,et al.  Point: Counterpoint: Cardiovascular variability is/is not an index of autonomic control of circulation , 2006 .

[48]  T. Buchman The community of the self , 2002, Nature.

[49]  A L Goldberger,et al.  The pNNx files: re-examining a widely used heart rate variability measure , 2002, Heart.

[50]  S. Havlin,et al.  Correlated and uncorrelated regions in heart-rate fluctuations during sleep. , 2000, Physical review letters.

[51]  L. Amaral,et al.  Multifractality in human heartbeat dynamics , 1998, Nature.