Abstract: In order to provide accurate heart rate variability
indices of sympathetic and parasympathetic activity, the low
frequency and high frequency components of an RR heart rate signal
must be adequately separated. This is not always possible by just
applying spectral analysis, as power from the high and low frequency
components often leak into their adjacent bands. Furthermore,
without the respiratory spectra it is not obvious that the low
frequency component is not another respiratory component, which
can appear in the lower band. This paper describes an adaptive filter,
which aids the separation of the low frequency sympathetic and high
frequency parasympathetic components from an ECG R-R interval
signal, enabling the attainment of more accurate heart rate variability
measures. The algorithm is applied to simulated signals and heart rate
and respiratory signals acquired from an ambulatory monitor
incorporating single lead ECG and inductive plethysmography
sensors embedded in a garment. The results show an improvement
over standard heart rate variability spectral measurements.
Abstract: The clinical usefulness of heart rate variability is
limited to the range of Holter monitoring software available. These
software algorithms require a normal sinus rhythm to accurately
acquire heart rate variability (HRV) measures in the frequency
domain. Premature ventricular contractions (PVC) or more
commonly referred to as ectopic beats, frequent in heart failure,
hinder this analysis and introduce ambiguity. This investigation
demonstrates an algorithm to automatically detect ectopic beats by
analyzing discrete wavelet transform coefficients. Two techniques
for filtering and replacing the ectopic beats from the RR signal are
compared. One technique applies wavelet hard thresholding
techniques and another applies linear interpolation to replace ectopic
cycles. The results demonstrate through simulation, and signals
acquired from a 24hr ambulatory recorder, that these techniques can
accurately detect PVC-s and remove the noise and leakage effects
produced by ectopic cycles retaining smooth spectra with the
minimum of error.