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Drawbacks of Heart Rate Variability Analysis and Application of Parasympathetic and Sympathetic Monitoring

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Clinical Autonomic Dysfunction

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Abstract

In this chapter, the failure of heart rate variability and beat-to-beat blood pressure is delineated and the solution to their failings (P&S monitoring) is introduced and developed. The chapter compares graphically spectral analysis of HRV with the spectral analysis method associated with P&S monitoring. The method of spectral analysis, the Fourier transform, is developed and demonstrated and applied to both HRV and P&S monitoring. This is to demonstrate how spectral analysis quantifies the respective measurement, enabling the primary care physician to assess their patient’s ANS. The shortcomings of the Fourier transform when applied to biological, especially autonomic, signals are then elucidated and their solution in the form of wavelet transforms is introduced and developed. In conclusion, the two transform techniques are then compared graphically.

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Authors and Affiliations

  1. Autonomic Laboratory Department of Cardiology, Drexel University College of Medicine, Philadelphia, PA, USA

    Joseph Colombo PhD

  2. ANSAR Medical Technologies, Inc., Philadelphia, PA, USA

    Joseph Colombo PhD

  3. Department of Medicine, Captain James A. Lovell Federal Health Care Center, North Chicago, IL, USA

    Rohit Arora MD, FACC, FAHA, FACP, FSCAI

  4. Department of Cardiology, The Chicago Medical School, North Chicago, IL, USA

    Rohit Arora MD, FACC, FAHA, FACP, FSCAI

  5. Department of Cardiology, Hahnemann Hospital Drexel University College of Medicine, Philadelphia, PA, USA

    Nicholas L. DePace MD, FACC

  6. Department of Medicine, Eastern Virginia Medical School Strelitz Diabetes Research Center, Norfolk, VA, USA

    Aaron I. Vinik MD, PhD, FCP, MACP

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  1. Joseph Colombo PhD
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  2. Rohit Arora MD, FACC, FAHA, FACP, FSCAI
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  3. Nicholas L. DePace MD, FACC
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  4. Aaron I. Vinik MD, PhD, FCP, MACP
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Colombo, J., Arora, R., DePace, N.L., Vinik, A.I. (2015). Drawbacks of Heart Rate Variability Analysis and Application of Parasympathetic and Sympathetic Monitoring. In: Clinical Autonomic Dysfunction. Springer, Cham. https://doi.org/10.1007/978-3-319-07371-2_3

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  • DOI: https://doi.org/10.1007/978-3-319-07371-2_3

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