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Analiza wpływu wybranych czynników na entropię wieloskalową rytmu pracy serca w populacji badanych pochodzącej z laboratorium snu

Radliński J., Baran Z., Tomalak W.

Pomiary Automatyka Kontrola

2012

R. 58, nr 4

365-368

Celem pracy jest wstępna analiza wpływu czynników: fizjologicznego - wieku oraz chorobowych - zaburzeń oddychania, na entropię wieloskalową (Multiscale Entropy) rytmu pracy serca. W pracy dokonano analizy wpływu wieku na dwóch szerokich grupach badanych: osobach zdrowych (wiek od 1,5 do 63 lat) oraz grupie w wąskim przedziale wiekowym (40-50 lat) o różnym zakresie występowania zaburzeń oddychania w czasie snu (wskaźnik liczby zaburzeń oddychania RDI - Respiratory Disturbance Index 0,5 - 111 1/h). Wykazano wpływ wieku na wartość entropii (zmniejszanie), szczególnie w grupie osób dorosłych, oraz wpływ zaburzeń oddychania i zjawisk im towarzyszących (wybudzenia).

High costs and complication of standard polysomnography (PSG) lead to attempts to develop cheaper and less complicated methods. The analysis of heart rate complexity using non-linear dynamics methods seems to be promising, however the dynamics of heart rate is biased by several physiological factors. The aim of that study was to check the influence of a physiological factor - age and of respiratory disorders during sleep on heart rate variability analysed by multiscale entropy (MSE). The two groups were selected from archived measurements from the Sleep Laboratory of Institute for TBC and Lung Diseases Rabka Branch: a healthy group and a group of semi-constant age but without limitations to those disorders (Table 1). In both groups the full night diagnostics PSG according to the American Academy of Sleep Medicine (AASM) rules was performed. The R-R intervals were detected in the recorded ECG signal (250Hz), and the multiscale entropy (Goldberg's MSE) was calculated. We found high correlation between the entropy and age (Figs. 1, 2, 3) in adults, however in the children group (age<15) there was no such relation. Similar results were found in analysis of the influence of respiratory disorders on the RR time series entropy (Figs. 4, 5, 6, 7). The results lead to a conclusion that heart rate complexity described with use of the MSE analysis is strongly biased by age. MSE could also detect changes in RR time series associated with respiratory disorders during sleep. The further investigations should be performed to