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

A. Khandoker; Herbert Jelinek; M. Palaniswami

doi:10.1109/IEMBS.2008.4650261

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

A. Khandoker, Herbert Jelinek, M. Palaniswami

Research output: Book chapter/Published conference paper › Conference paper › peer-review

14 Citations (Scopus)

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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. Poincaré 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 language	English
Title of host publication	30th EMB Annual International Conference
Place of Publication	USA
Publisher	IEEE Press
Pages	4696-4699
Number of pages	4
DOIs	https://doi.org/10.1109/IEMBS.2008.4650261
Publication status	Published - 2008
Event	IEEE Engineering in Medicine and Biology Society (EMBS) Annual International Conference - Vancouver, Canada, Canada Duration: 20 Aug 2008 → 24 Aug 2008

Conference

Conference	IEEE Engineering in Medicine and Biology Society (EMBS) Annual International Conference
Country/Territory	Canada
Period	20/08/08 → 24/08/08

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This output contributes to the following UN Sustainable Development Goals (SDGs)

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10.1109/IEMBS.2008.4650261

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title = "Heart rate variability and complexity in people with diabetes associated cardiac autonomic neuropathy",

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. Poincar{\'e} 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 Poincar{\'e} 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.",

keywords = "Open access version available, Cardiac autonomic neuropathy, Diabetes, Heart rate variability, Sample entropy",

author = "A. Khandoker and Herbert Jelinek and M. Palaniswami",

note = "Imported on 03 May 2017 - DigiTool details were: publisher = USA: IEEE Press, 2008. Event dates (773o) = 20-24 August, 2008; Parent title (773t) = IEEE Engineering in Medicine and Biology Society (EMBS) Annual International Conference. ISSNs: 1557-170X; ; IEEE Engineering in Medicine and Biology Society (EMBS) Annual International Conference ; Conference date: 20-08-2008 Through 24-08-2008",

year = "2008",

doi = "10.1109/IEMBS.2008.4650261",

language = "English",

pages = "4696--4699",

booktitle = "30th EMB Annual International Conference",

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}

Khandoker, A, Jelinek, H & Palaniswami, M 2008, Heart rate variability and complexity in people with diabetes associated cardiac autonomic neuropathy. in 30th EMB Annual International Conference. IEEE Press, USA, pp. 4696-4699, IEEE Engineering in Medicine and Biology Society (EMBS) Annual International Conference, Canada, 20/08/08. https://doi.org/10.1109/IEMBS.2008.4650261

TY - GEN

T1 - Heart rate variability and complexity in people with diabetes associated cardiac autonomic neuropathy

AU - Khandoker, A.

AU - Jelinek, Herbert

AU - Palaniswami, M.

N1 - Imported on 03 May 2017 - DigiTool details were: publisher = USA: IEEE Press, 2008. Event dates (773o) = 20-24 August, 2008; Parent title (773t) = IEEE Engineering in Medicine and Biology Society (EMBS) Annual International Conference. ISSNs: 1557-170X;

PY - 2008

Y1 - 2008

N2 - 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. Poincaré 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.

AB - 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. Poincaré 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.

KW - Open access version available

KW - Cardiac autonomic neuropathy

KW - Diabetes

KW - Heart rate variability

KW - Sample entropy

U2 - 10.1109/IEMBS.2008.4650261

DO - 10.1109/IEMBS.2008.4650261

M3 - Conference paper

SP - 4696

EP - 4699

BT - 30th EMB Annual International Conference

PB - IEEE Press

CY - USA

T2 - IEEE Engineering in Medicine and Biology Society (EMBS) Annual International Conference

Y2 - 20 August 2008 through 24 August 2008

ER -

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

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UN SDGs

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