Heart rate variability and complexity in people with diabetes associated cardiac autonomic neuropathy

Ahsan H. Khandoker, Herbert F. Jelinek, Marimuthu Palaniswami

Research output: Chapter in Book/Report/Conference proceedingConference contributionpeer-review

14 Scopus citations

Abstract

Cardiac autonomic neuropathy (CAN) in diabetes has been called a "silent killer", because so few patients realize that they suffer from it, and yet its effect can be lethal. Early sub clinical detection of CAN and intervention are of prime importance for risk stratification in preventing sudden death due to silent myocardial infarction. This study presents the usefulness of heart rate variability (HRV) and complexity analyses from short term ECG recordings as a screening tool for CAN. Poincare plot indexes and sample entropy (SampEn) measure of HRV were used for analyzing variability (short and long term) and complexity respectively. Analyses were performed on the different length of HRV records during supine rest. Reduced Poincaré plot patterns and higher SampEn were found in CAN+ group. Significant changes in HRV parameters of CAN+ group during the course of supine rest were found in contrast to control group (CAN-). Our results demonstrated the potential utility of nonlinear HRV parameters in identifying asymptomatic CAN.

Original languageBritish English
Title of host publicationProceedings of the 30th Annual International Conference of the IEEE Engineering in Medicine and Biology Society, EMBS'08
PublisherIEEE Computer Society
Pages4696-4699
Number of pages4
ISBN (Print)9781424418152
DOIs
StatePublished - 2008
Event30th Annual International Conference of the IEEE Engineering in Medicine and Biology Society, EMBS'08 - Vancouver, BC, Canada
Duration: 20 Aug 200825 Aug 2008

Publication series

NameProceedings of the 30th Annual International Conference of the IEEE Engineering in Medicine and Biology Society, EMBS'08 - "Personalized Healthcare through Technology"

Conference

Conference30th Annual International Conference of the IEEE Engineering in Medicine and Biology Society, EMBS'08
Country/TerritoryCanada
CityVancouver, BC
Period20/08/0825/08/08

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