Please use this identifier to cite or link to this item: http://hdl.handle.net/2440/33691
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Type: Journal article
Title: Short- and long-term joint symbolic dynamics of heart rate and blood pressure in dilated cardiomyopathy
Author: Baumert, M.
Citation: IEEE Transactions on Biomedical Engineering, 2005; 52(12):2112-2115
Publisher: IEEE-Inst Electrical Electronics Engineers Inc
Issue Date: 2005
ISSN: 0018-9294
1558-2531
Statement of
Responsibility: 
Baumert, M.; Baier, V.; Truebner, S.; Schirdewan, A.; Voss, A.
Abstract: Autonomic cardiovascular control involves complex interactions of heart rate and blood pressure. In patients with dilated cardiomyopathy (DCM), this control is impaired and parameters for its quantification might be of prognostic importance. In this paper, we introduce methods based on joint symbolic dynamics (JSD) for the enhanced analysis of heart rate and blood pressure interactions. To assess the coarse-grained dynamics beat-to-beat changes of heart rate and blood pressure are encoded in symbol strings. Subsequently, the distribution properties of short symbol sequences (words) as well as the scaling properties of the whole symbol string are assessed. The comparison of joint symbolic heart rate and blood pressure dynamics in DCM (n=75) with those in healthy controls (n=75) showed significant changes. Both, the distribution of words and the scaling properties indicate a loss in heart rate dynamics associated with blood pressure regulation in DCM. In conclusion, the analyses of short- and long-term JSDs provide insights into complex physiological heart rate and blood pressure interactions and furthermore reveal patho-physiological cardiovascular control in DCM.
Keywords: Blood pressure variability; dilated cardiomyopathy; heart rate variability; symbolic dynamics
Description: © 2005 IEEE.
RMID: 0020064279
DOI: 10.1109/TBME.2005.857636
Appears in Collections:Electrical and Electronic Engineering publications

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