njit-etd2003-081 - New Jersey Institute of Technology

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239 providing higher resolution in time and frequency while suppressing interferences between the signal components. The respiration analysis validated the physiological states the COPD subjects were in. With shortness of breath, the breathing rate has to increase to supply the body with more oxygen and remove more carbon dioxide, thus shifting the frequency of respiration into higher ranges that could reach as high as 0.55 Hz (33 bpm). The HRV analysis of normal subjects showed that with rest the average heart rate slows down while the variability in the heart rate increases. On the other hand, with exercise, the average heart rate speeds up while the variability in the heart rate decreases. Both the time-frequency and statistical analysis of the HRV signals showed that a stressful exercise level drastically changed the HRV signal and that there was a significant difference between the three states of rest, exercise, and recovery. In the second phase of this research, the cross spectral analyses (i.e. coherence, weighted coherence and partial coherence) were used to investigate the increase or decrease of the HRV, BPV or any of the combinations of HRV, BPV and respiration that changed the behavior in the autonomic nervous system. Examination of the results for the 47 COPD and 8 normal subjects presented some real challenge because the peaks of the ECG R-waves, blood pressure peaks and even respiration signals of COPD patients were difficult to detect and analyze. However, the interrelationships between heart rate and respiration, heart rate and blood pressure, and blood pressure and respiration could be quantified and helped in understanding the various coupling effects between various systems inside the body.
240 In summary, COPD subjects had higher respiratory rate, heart rate and blood pressure while HRV and BPV were always lower than those of normal subjects. From examining the transfer function and frequency response of the cardiovascular system ARX models from both normal and COPD subjects, COPD models showed a similar DC gain response (slightly less). However, there was a significant lag in phase (at —180 °) for COPD models as compare to those of normal subjects. In the last phase, a new methodology was proposed that used principal component analysis and cluster analysis to identify diseased subjects from a normal population. This method combines the techniques of principal component analysis (PCA) and cluster analysis (CA) and has been shown to separate the COPD from the normal population with 100% accuracy. It can also classify the COPD population into "at risk", "mild", "moderate" and "severe" stages with 100%, 90%, 88% and 100% accuracy respectively. As a result, cluster and principal component analysis can be used to separate COPD and normal subjects and can be used successfully in COPD severity classification. In conclusion, wavelets as time-frequency representation provide great visual benefit in analyzing HRV, BPV and other biological signals. Using cross-spectral techniques such as coherence, partial coherence, and modeling transfer function analysis also provided important insights to understanding the behavior of complex physiological systems. Statistical techniques such as PCA and CA could be used as accurate tools of severity classification and could be a great help in diagnosing different disease states noninvasively.
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Copyright Warning & Restrictions Th
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ABSTRACT TIME-FREQUENCY INVESTIGATI
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TIME-FREQUENCY INVESTIGATION OF HEA
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APPROVAL PAGE TIME-FREQUENCY INVEST
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BIOGRAPHICAL SKETCH (Continued) D.A
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ACKNOWLEDGMENT The author wishes to
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TABLE OF CONTENTS Chapter Page 1 IN
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TABLE OF CONTENTS (Continued) Chapt
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LIST OF FIGURES Figure Page 2.1 The
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LIST OF FIGURES (Continued) Figure
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LIST OF FIGURES (Continued) Figure
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ABBREVIATIONS A ABP Arterial Blood
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ABBREVIATIONS (Continued) P PID Pro
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2 mortality and sudden death. [2] B
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4 1) Patients with severe pulmonary
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6 examined for determining the inte
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8 identified using principal compon
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1 0 1. Present the application of t
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12 1.3 Outline of the Dissertation
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CHAPTER 2 PHYSIOLOGY BACKGROUND Bio
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16 Figure 2.2 The systemic and pulm
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18 illustrated in Figure 2.3. The i
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20 2.2 Blood Pressure The force tha
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22 2.4 The Nervous System Human beh
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24 The sympathetic nerve fibers lea
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26 Without these sympathetic and pa
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28 center in the medulla, which con
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30 Figure 2.6 Autonomic innervation
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32 average heart rate was measured
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34 However, they do note that there
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Figure 2.9 The placement of the pos
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38 female. While more men suffer fr
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40 Stage II: Moderate COPD - Worsen
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CHAPTER 3 ENGINEERING BACKGROUND Th
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44 Two common types of time-frequen
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46 STFT: Short-Time Fourier Transfo
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48 3.3 The Analytic Signal and Inst
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50 The advantage of using equation
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52 3.5 Covariance and Invariance Th
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where H(f), S(f) are Fourier transf
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56 Another shortcoming of the spect
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58 should take the kernel of the WD
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60 called the cross Wigner distribu
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62 3.6.3 The Choi-Williams (Exponen
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64 Figure 3.3 Performance of the Ch
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66 [-Ω,Ω ], then its STFT will be
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68 This condition forces that the w
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70 where c is a constant. Thus, the
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Figure 3.5 The time-frequency plane
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74 The measure dadb used in the tra
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76 and the wavelet transform repres
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78 Figure 3.6 Figure depicting the
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80 The final step to obtain the pow
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82 It should be noted that if the w
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84 The normal respiration rate can
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Figure 3.12 Power spectrum of BP II
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RR similar manner to give: When com
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90 when there is significant correl
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92 3.12 Partial Coherence Analysis
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94 after removal of the effects of
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96 The bulk of the theory and appli
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98 technique is measurement time. T
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100 usually attainable. The key poi
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102 variability exists in the propa
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104 eXogenous input (ARX) was used
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106 The baroreflex, an autonomic re
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108 the principal components are no
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110 The mathematical solution for t
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112 3.15 Cluster Analysis The term
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114 formed) one can read off the cr
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116 3.15.5 Squared Euclidian Distan
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118 Alternatively, one may use the
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120 Sneath and Sokal used the abbre
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122 may seem a bit confusing at fir
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CHAPTER 4 METHODS The purpose of th
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126 4.1.2.1 Autonomic Testing. HR V
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128 of heart rate, blood pressure,
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130 The patients who underwent LVRS
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132 panel of the Correct.vi. It was
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134 4.2.3 Power Spectrum Analysis o
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136 weighted-average value of the c
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138 For each given scale a within t
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140 frequency F to the wavelet func
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142 4.2.8 System Identification Ana
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144 In this study a simpler approac
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146 Table 4.2 Parameters That Make
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148 4.2.11 Cluster Analysis The sam
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150 viewing the time series of sequ
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Figure 5.2 BPV analysis of a COPD s
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Figure 5.3 HRV analysis of a normal
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Figure 5.4.1 Comparison of the HRV
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158 5.2 Time Frequency Analysis One
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Figure 5.5 Test signal with 3 sine
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162 Figure 5.6 (c) CWD of a signal
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164 Figure 5.7 (c) WT (dB4 wavelet)
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166 HRV more information about HRV
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168 Figure 5.9 (c) CWD plots of a n
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Figure 5.10 CWT (Morlet) HRV plot o
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172 The following figures show the
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174 Figure 5.15 CWT (Mexican Hat) H
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176 5.2.5 Best Wavelet Selection fo
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178 Table 5.1 Correlation Indices o
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180 5.2.6 Vagal Tone and Sympathova
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182 These figures basically show th
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184 Figure 5.20 Sympathetic and par
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186 Figure 5.24 Sympathetic and par
Page 217 and 218: 188 5.2.7 Time-Frequency Analysis (
Page 219 and 220: 190 Figure 5.29 3D and contour plot
Page 221 and 222: 192 Figure 5.33 3D and contour plot
Page 223 and 224: 194 Figure 5.34 Sympathetic and par
Page 229 and 230: Figure 5.44 Plot of raw respiration
Page 231 and 232: Figure 5.46 The LF partial coherenc
Page 233 and 234: Figure 5.48 HF partial coherence pl
Page 235 and 236: Table 5.2 Cross-Spectral Analysis o
Page 237 and 238: Table 5.3 Cross-Spectral Analysis o
Page 239 and 240: Figure 5.50 HF coherence of COPD (1
Page 241 and 242: 212 For better presentation of the
Page 243 and 244: Figure 5.53 Coherence and partial c
Page 245 and 246: 216 2. Interpretation of the transf
Page 247 and 248: 218 covariances of the parameters,
Page 249 and 250: 220 deviations are interpreted as A
Page 251 and 252: 222 Figure 5.58 Bode plot of the HR
Page 253 and 254: 224 In this section a simple model
Page 255 and 256: 226 The data for all 47 COPD subjec
Page 257 and 258: 228 Figure 5.60 Normal and COPD cla
Page 259 and 260: 230 Figure 5.61 Normal and COPD cla
Page 261 and 262: 232 Figure 5.62 Normal classificati
Page 263 and 264: 234 5.7 Cluster Analysis The purpos
Page 265 and 266: 236 Figure 5.64 Severity classifica
Page 267: 238 both the normal and COPD subjec
Page 271 and 272: APPENDIX A EXERCISE PHYSIOLOGY A.1
Page 273 and 274: 244 A.3 Figure Out Your Target Hear
Page 275 and 276: APPENDIX B ANALYSIS PROGRAM LISTING
Page 277 and 278: 248 4) Click on file, close to exit
Page 279 and 280: 250 • TN 11
Page 281 and 282: 252 B.1.2 Partial Coherence Between
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Page 285 and 286: 256 Block Diagram !rime of record K
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Page 289 and 290: 260 B.2.2 Time — Frequency Analys
Page 291 and 292: 262 This program provides the STFT
Page 293 and 294: 264 G(:j+1)=G(:,j+1)/(2*sum(G(:j+1)
Page 295 and 296: 266 T=(length(Signa)/sample)/(Times
Page 297 and 298: 268 subplot(3, 1,3), plot(T,E); xla
Page 299 and 300: 270 4. The program creates five out
Page 301 and 302: 272 B.2.3.4 Program to Generate Sym
Page 303 and 304: 274 ylabel('frequency'); title('Ins
Page 305 and 306: 276 The program will run and output
Page 307 and 308: 278 axis([0 1 0 2]); grid on; xlabe
Page 309 and 310: 280 vagal=sum(TFDs(HFC,1:k)); symto
Page 311 and 312: 282 plot(J,symtopar); %plot(A,symto
Page 313 and 314: 284 4. Remove the constant levels a
Page 315 and 316: 286 Make sure the agreement is quit
Page 317 and 318: 288 B.2.6 Principal Components Anal
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290 Columns 12 through 15 'LF_pcoh_
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292 I= 1.0000 -0.0000 -0.0000 -0.00
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294 variances = 3.4083 1.2140 1.141
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296 B.2.7 Cluster Analysis Program
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298 end [R,C]=size(Data); if length
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300 B.2.8 Cross-correlation Program
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302 C.3 Partial coherence of HR and
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304 [13] Madwed, J., and R. Cohen.
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306 [41] Mallat, S. G., "A Theory f
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[70] Tazebay, M.V., R.T. Saliba and
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