njit-etd2003-081 - New Jersey Institute of Technology

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31 Figure 2.7 Effect of autonomic stimulation on the slope of the pacemaker potential. (From A.J. Vander, J.H. Sherman, and D.S. Luciano, Human Physiology, 1994.) 2.5.2 Heart Rate Variability as a Measure of Autonomic Function Changes in heart rate usually involve the reciprocal action of the two divisions of the autonomic nervous system. An increased heart rate is the result of reduced parasympathetic tone and a concomitant increase in sympathetic activity. A decrease in heart rate is usually the result of increased parasympathetic tone and a simultaneous decrease in sympathetic tone. Therefore, changes in heart rate reflect the action of the sympathetic and parasympathetic nervous systems on the heart. However, under certain conditions, it is possible for heart rate to change by activity of only one division of the autonomic nervous system, independent of the other division, rather than reciprocal changes in both [8]. Initially, the effect of the autonomic nervous system on the heart was estimated by utilizing the traditional technique of average heart rate [8]. As a reference, the
32 average heart rate was measured under normal resting conditions. Then the average heart rate was measured under the administration of drugs. The drugs used were atropine, which blocks the effects of the parasympathetic nervous system, and propranolol, which masks the effects of the sympathetic nervous system. A qualitative assessment can then be made of the autonomic nervous system by comparing the reference heart rate to the heart rate while under the administration of the drugs. This method looks at the average over time of heart rate. However, when the ECG is looked at on a beat-to-beat basis, rather than over a period of time, fluctuations in the heart rate are observed [8]. Recent research indicates that fluctuations in heart rate are a healthy sign. In fact, one hypothesis is that the larger variations in the heart rate correlate to a healthier autonomic nervous system. By contrast a number of physiologic and disease states produce alterations in autonomic function, which reduce the variability in heart rate [8]. 2.5.3 Baroreflex Response A decrease in blood pressure sensed by the baroreceptors produces an increase in sympathetic activity and a decrease in parasympathetic activity, resulting in an increase in heart rate and therefore an increase in blood pressure. An increase in blood pressure sensed by the baroreceptors produces an increase in parasympathetic activity and a decrease in sympathetic activity, resulting in a decrease in heart rate and therefore a decrease in blood pressure. The oscillations that result from this negative feedback loop have been shown to occur in the low frequency range (0.05-0.15Hz) [16].
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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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Page 11 and 12: ACKNOWLEDGMENT The author wishes to
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Page 21 and 22: LIST OF FIGURES Figure Page 2.1 The
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Page 27 and 28: ABBREVIATIONS A ABP Arterial Blood
Page 29 and 30: ABBREVIATIONS (Continued) P PID Pro
Page 31 and 32: 2 mortality and sudden death. [2] B
Page 33 and 34: 4 1) Patients with severe pulmonary
Page 35 and 36: 6 examined for determining the inte
Page 37 and 38: 8 identified using principal compon
Page 39 and 40: 1 0 1. Present the application of t
Page 41 and 42: 12 1.3 Outline of the Dissertation
Page 43 and 44: CHAPTER 2 PHYSIOLOGY BACKGROUND Bio
Page 45 and 46: 16 Figure 2.2 The systemic and pulm
Page 47 and 48: 18 illustrated in Figure 2.3. The i
Page 49 and 50: 20 2.2 Blood Pressure The force tha
Page 51 and 52: 22 2.4 The Nervous System Human beh
Page 53 and 54: 24 The sympathetic nerve fibers lea
Page 55 and 56: 26 Without these sympathetic and pa
Page 57 and 58: 28 center in the medulla, which con
Page 59: 30 Figure 2.6 Autonomic innervation
Page 63 and 64: 34 However, they do note that there
Page 65 and 66: Figure 2.9 The placement of the pos
Page 67 and 68: 38 female. While more men suffer fr
Page 69 and 70: 40 Stage II: Moderate COPD - Worsen
Page 71 and 72: CHAPTER 3 ENGINEERING BACKGROUND Th
Page 73 and 74: 44 Two common types of time-frequen
Page 75 and 76: 46 STFT: Short-Time Fourier Transfo
Page 77 and 78: 48 3.3 The Analytic Signal and Inst
Page 79 and 80: 50 The advantage of using equation
Page 81 and 82: 52 3.5 Covariance and Invariance Th
Page 83 and 84: where H(f), S(f) are Fourier transf
Page 85 and 86: 56 Another shortcoming of the spect
Page 87 and 88: 58 should take the kernel of the WD
Page 89 and 90: 60 called the cross Wigner distribu
Page 91 and 92: 62 3.6.3 The Choi-Williams (Exponen
Page 93 and 94: 64 Figure 3.3 Performance of the Ch
Page 95 and 96: 66 [-Ω,Ω ], then its STFT will be
Page 97 and 98: 68 This condition forces that the w
Page 99 and 100: 70 where c is a constant. Thus, the
Page 101 and 102: Figure 3.5 The time-frequency plane
Page 103 and 104: 74 The measure dadb used in the tra
Page 105 and 106: 76 and the wavelet transform repres
Page 107 and 108: 78 Figure 3.6 Figure depicting the
Page 109 and 110: 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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188 5.2.7 Time-Frequency Analysis (
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190 Figure 5.29 3D and contour plot
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192 Figure 5.33 3D and contour plot
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Figure 5.44 Plot of raw respiration
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Figure 5.46 The LF partial coherenc
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Figure 5.48 HF partial coherence pl
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Table 5.2 Cross-Spectral Analysis o
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Table 5.3 Cross-Spectral Analysis o
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Figure 5.50 HF coherence of COPD (1
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212 For better presentation of the
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Figure 5.53 Coherence and partial c
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216 2. Interpretation of the transf
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218 covariances of the parameters,
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220 deviations are interpreted as A
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222 Figure 5.58 Bode plot of the HR
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224 In this section a simple model
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226 The data for all 47 COPD subjec
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228 Figure 5.60 Normal and COPD cla
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230 Figure 5.61 Normal and COPD cla
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232 Figure 5.62 Normal classificati
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234 5.7 Cluster Analysis The purpos
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236 Figure 5.64 Severity classifica
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238 both the normal and COPD subjec
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240 In summary, COPD subjects had h
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APPENDIX A EXERCISE PHYSIOLOGY A.1
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244 A.3 Figure Out Your Target Hear
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APPENDIX B ANALYSIS PROGRAM LISTING
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248 4) Click on file, close to exit
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250 • TN 11
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252 B.1.2 Partial Coherence Between
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254
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256 Block Diagram !rime of record K
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258
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260 B.2.2 Time — Frequency Analys
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262 This program provides the STFT
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264 G(:j+1)=G(:,j+1)/(2*sum(G(:j+1)
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266 T=(length(Signa)/sample)/(Times
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268 subplot(3, 1,3), plot(T,E); xla
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270 4. The program creates five out
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272 B.2.3.4 Program to Generate Sym
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274 ylabel('frequency'); title('Ins
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276 The program will run and output
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278 axis([0 1 0 2]); grid on; xlabe
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280 vagal=sum(TFDs(HFC,1:k)); symto
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282 plot(J,symtopar); %plot(A,symto
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284 4. Remove the constant levels a
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286 Make sure the agreement is quit
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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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