Am. Bianchi et al., TIME-VARIANT POWER SPECTRUM ANALYSIS FOR THE DETECTION OF TRANSIENT EPISODES IN HRV SIGNAL, IEEE transactions on biomedical engineering, 40(2), 1993, pp. 136-144
A time-variant algorithm of autoregressive (AR) identification is intr
oduced and applied to the heart rate variability (HRV) signal. The pow
er spectrum is calculated from the AR coefficients derived from each s
ingle RR interval considered. Time-variant AR coefficients are determi
ned through adaptive parametric identification with a forgetting facto
r which obtains weighed values on a running temporal window of 50 prec
eding measurements. Power spectrum density (PSD) is hence obtained at
each cardiac cycle, making it possible to follow the dynamics of the s
pectral parameters on a beat-by-beat basis. These parameters are mainl
y the LF (low frequency) and the HF (high frequency) powers, and their
ratio LF/HF. These together account for the balanced sympatho-vagal c
ontrol mechanism affecting the heart rate. This method is applied to s
ubjects suffering from transient ischemic attacks. The time variant sp
ectral parameters suggest an early activation of LF component in the '
'RV power spectrum. It precedes by approximately 1.5-2 min the tachyca
rdia and the ST displacement, generally indicative of the onset of an
ischemic episode. The results suggest an arousal of sympathetic system
before the acute attack.