Biomedical subjects

Ana Paula Rocha

Publications and source records attributed to Ana Paula Rocha.

6 recordsLinked to original sources

PubMed2006

Linear and nonlinear fetal heart rate analysis of normal and acidemic fetuses in the minutes preceding delivery.

Linear and nonlinear fetal heart rate (FHR) indices, namely mean FHR, interval index (II), very low, low and high frequencies, approximate (ApEn) and sample entropy (SampEn), were computed, immediately before delivery, in the initial and final FHR tracing segments, from 48 normal, 10 mildly acidemic and 10 moderate-to-severely acidemic fetuses. Progression of labor was associated with a significant increase in linear frequency domain indices whereas nonlinear indices were significantly decreased. Moderate-to-severe fetal acidemia was associated with a significant decrease in nonlinear indices. The best discrimination between moderate-to-severe acidemic fetuses and the remaining cases was obtained combining II and ApEn(2,0.15), with a specificity of 71% and a sensitivity of 80%. These findings support the hypothesis of increased autonomic nervous system activity in the final minutes of labor and of decreased central nervous system activity, both in the final minutes of labor and in moderate-to-severe acidemic fetuses.

Acidosis↗

PubMed2006

Internal versus external intrapartum foetal heart rate monitoring: the effect on linear and nonlinear parameters.

The effect of foetal heart rate (FHR) acquisition mode on linear and nonlinear parameters is still largely unknown. In 33 normal labouring women, FHR signals were acquired simultaneously by an external ultrasound sensor applied to the maternal abdomen and an internal scalp electrode, in the minutes preceding delivery. For each case, the initial and final 5, 10 and 20 min segments were analysed, considering FHR signals at a frequency of 4 Hz (the frequency at which they are transmitted by the majority of commercialized foetal monitors). Several time and frequency domain linear and nonlinear FHR indices were computed in these segments, namely mean FHR, very low frequency (VLF), low frequency (LF), high frequency (HF), approximate entropy (ApEn) and sample entropy (SampEn). Parametric confidence intervals, statistical tests and correlation coefficients were calculated in order to evaluate the effect of internal versus external FHR monitoring modes on the considered indices. The whole evaluation was repeated using FHR signals at a frequency of 2 Hz. Most time domain linear indices were similar with external and internal monitoring in the initial and final segments of the tracings. However, linear frequency domain indices were poorly correlated in the final segments and had significantly different mean values in the initial segments. Nonlinear indices were significantly different in both initial and final segments. The correlation between 4 and 2 Hz sampled parameters was high for both linear and nonlinear indices (most correlation coefficient values ranging between 0.95 and 1) but nonlinear index values were significantly higher at 2 Hz. In conclusion, the mode used to acquire FHR signals and the sampling rate employed can significantly affect most FHR indices.

Algorithms↗

PubMed2006

QT variability and HRV interactions in ECG: quantification and reliability.

In this paper, a dynamic linear approach was used over QT and RR series measured by an automatic delineator, to explore the interactions between QT interval variability (QTV) and heart rate variability (HRV). A low-order linear autoregressive model allowed to separate and quantify the QTV fractions correlated and not correlated with HRV, estimating their power spectral density measures. Simulated series and artificial ECG signals were used to assess the performance of the methods, considering a respiratory-like electrical axis rotation effect and noise contamination with a signal-to-noise ratio (SNR) from 30 to 10 dB. The errors found in the estimation of the QTV fraction related to HRV showed a nonrelevant performance decrease from automatic delineation. The joint performance of delineation plus variability analysis achieved less than 20% error in over 75% of cases for records presenting SNRs higher than 15 dB and QT standard deviation higher than 10 ms. The methods were also applied to real ECG records from healthy subjects where it was found a relevant QTV fraction not correlated with HRV (over 40% in 19 out of 23 segments analyzed), indicating that an important part of QTV is not linearly driven by HRV and may contain complementary information.

Algorithms↗

PubMed2006

Modelling long-term heart rate variability: an ARFIMA approach.

Long-term heart rate variability (HRV) series can be described by time-variant autoregressive modelling. HRV recordings show dependence between distant observations that is not negligible, suggesting the existence of long-range correlations. In this work, selective adaptive segmentation combined with fractionally integrated autoregressive moving-average models is used to capture long memory in HRV recordings. This approach leads to an improved description of the low- and high-frequency components in HRV spectral analysis. Moreover, it is found that in the 24-h recording of a case report, the long-memory parameter presents a circadian variation, with different regimes for day and night periods.

Adaptation, Physiological↗

PubMed2004

A wavelet-based ECG delineator: evaluation on standard databases.

In this paper, we developed and evaluated a robust single-lead electrocardiogram (ECG) delineation system based on the wavelet transform (WT). In a first step, QRS complexes are detected. Then, each QRS is delineated by detecting and identifying the peaks of the individual waves, as well as the complex onset and end. Finally, the determination of P and T wave peaks, onsets and ends is performed. We evaluated the algorithm on several manually annotated databases, such as MIT-BIH Arrhythmia, QT, European ST-T and CSE databases, developed for validation purposes. The QRS detector obtained a sensitivity of Se = 99.66% and a positive predictivity of P+ = 99.56% over the first lead of the validation databases (more than 980,000 beats), while for the well-known MIT-BIH Arrhythmia Database, Se and P+ over 99.8% were attained. As for the delineation of the ECG waves, the mean and standard deviation of the differences between the automatic and manual annotations were computed. The mean error obtained with the WT approach was found not to exceed one sampling interval, while the standard deviations were around the accepted tolerances between expert physicians, outperforming the results of other well known algorithms, especially in determining the end of T wave.

Algorithms↗

PubMed2002

A study on the optimum order of autoregressive models for heart rate variability.

Heart rate variability (HRV) has been used as a non-invasive marker of the activity of the autonomic nervous system and its spectrum analysis gives a measure of the sympatho-vagal balance. If short segments are used in an attempt to improve temporal resolution, autoregressive spectral estimation, where the mode] order must be estimated, is preferred. In this paper we compare four criteria for the estimation of the 'optimum' model order for an autoregressive (AR) process applied to short segments of tachograms used for HRV analysis. The criteria used were Akaike's final prediction error, Akaike's information criterion, Parzen's criterion of autoregressive transfer function and Rissanen's minimum description length method, and they were first applied to tachograms to verify (i) the range and distribution of model orders obtained and (ii) if the different techniques suggest the same model order for the same frames. The four techniques were then tested using a true AR process of known order p = 6; this verified the ability of the criteria to estimate the correct order of a true AR process and the effect, on the spectrum, of choosing a wrong model order was also investigated. It was found that all the four criteria underestimate the true AR order; specifying a fixed model order was then looked at and it is recommended that an AR order not less than p = 16, should be used for spectral analysis of short segments of tachograms.

Adult↗