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PubMed1996

Power spectral analysis of spontaneous blood pressure and heart rate variability in elderly hypertensives.

To examine the influence of hypertension on cardiovascular variability in elderly subjects, we measured spontaneous beat-to-beat blood pressure (BPV) and heart rate variability (HRV) in elderly subjects with or without hypertension at rest and during tilting. The study group consisted of 23 community-dwelling, male elderly subjects (aged 62-75 years) and was divided into two groups, i.e., a hypertensive group (HT group; n = 11) and normotensive group (NT group; n = 12). According to the modeling and decomposing algorithm of an autoregressive process, we estimated the component power of low-frequency (LF; 0.03-0.15 Hz) and high-frequency components (HF; respiratory frequency) of BPV and HRV by power spectral analysis. We also measured plasma norepinephrine (PNE) levels in the two groups at rest and during tilting. In the HT group, we found that the amplitude of LF-BPV was greater (p < 0.05) and its relative change by postural tilting was smaller (p < 0.05) than those in the NT group. We found no significant difference in the amplitude of LF-HRV and HF-HRV between the two groups, and found no significant response of the amplitude of LF-HRV and HF-HRV to postural tilting. We also found no difference in PNE level between the two groups at rest or during tilting. These results suggest that the regulatory function of sympathetic vasomotor activity assessed by power spectral analysis of BPV is altered in hypertensive elderly subjects, although the influence of hypertension on the autonomic control of the heart is less dominant in the elderly.

Aged↗
PubMed1991

Noninvasive estimation of left atrial pressure in patients with congestive heart failure and mitral regurgitation by Doppler echocardiography.

A completely noninvasive method for estimating left atrial pressure in patients with congestive heart failure and mitral regurgitation has been devised with the use of continuous-wave Doppler echocardiography and brachial sphygmomanometry. Of 46 patients studied with mitral regurgitation, 35 (76%) had jets with distinct Doppler spectral envelopes recorded. The peak ventriculoatrial gradient was obtained by measuring peak mitral regurgitant velocity in systole and using the modified Bernoulli equation. This gradient was then subtracted from peak brachial systolic blood pressure, an estimate of left ventricular systolic pressure, to yield left atrial pressure (left atrial pressure = systolic blood pressure - mitral regurgitant pressure gradient). Noninvasive estimates of left atrial pressure from 35 patients were plotted against simultaneous recordings of mean pulmonary capillary wedge pressure resulting in the correlation y = 0.88x + 3.3, r = 0.88, standard error of estimate = +/- 4 mm Hg (p less than 0.001). Therefore, continuous-wave Doppler echocardiography and sphygmomanometry may be used in selected patients with congestive heart failure and mitral regurgitation for noninvasive estimation of left atrial pressure.

Atrial Function, Left↗
PubMed1987

Noninvasive determination of pulmonary arterial systolic pressure by continuous wave Doppler.

We evaluated the accuracy of continuous wave Doppler for estimating pulmonary arterial systolic pressure in patients with tricuspid regurgitation. Of 44 patients with a variety of cardiac disorders, 39 (89%) had Doppler-detected tricuspid regurgitation. Adequate spectral profiles of the flow signals were obtained in 34 of them (87%), representing 77% of the entire group. Continuous wave Doppler ultrasound was used to measure the maximum velocity of the regurgitant jet, and by applying the modified Bernoulli equation, the systolic pressure gradient between the right ventricle and the right atrium was calculated. Pulmonary arterial systolic pressure was estimated by adding the transtricuspid gradient to the mean right atrial pressure, and correlated well with catheterization values (r = 0.96). The correlation coefficient was not significantly modified if mean right atrial pressures were excluded in the calculations (r = 0.91). Continuous wave Doppler constitutes a sensitive method for the detection of tricuspid regurgitation. The method using the tricuspid gradient provides an accurate estimation of pulmonary arterial systolic pressure. Combined with other available methods (pulsed wave Doppler), this noninvasive technique can yield information comparable with that obtained at catheterization.

Adolescent↗
PubMed2006

Discontinuous doppler signals simulating respiratory misregistration: effect on autoregressive frequency spectra.

In this study, we have produced discontinuous Doppler signals of carotid artery and internal jugular vein, simulating respiratory misregistration. The aim of the study is to observe the effect of signal discontinuity and its duration on power spectral density vs. frequency graphs obtained by Autoregressive Modeling. The signals were recorded from ten male volunteers. Signal interruption was performed by moving the sampling volume in and out of the vessel bidirectionally. To estimate the effect of on-line recording time and signal discontinuity on frequency spectra, we have worked on a control data of 30s with continuous signal, and three sets of data with artificially interrupted signals of 30, 60 and 90s duration. Maximum power spectral density, area under the power spectral density, and frequency level corresponding to maximum power spectral density were calculated on frequency spectra. The frequency level corresponding to maximum power spectral density provides the most statistically stable finding in our preliminary data. The signal duration of the signal had no significant effect on the statistical stability of the frequency level.

Adult↗
PubMed2006

Patient and staff radiation doses from early radiological examinations (1899-1902).

A source of data on radiographic and fluoroscopic examinations, including radiographic technique factors, was used in conjunction with information about cold-cathode X-ray apparatus to estimate patient and staff radiation doses for the years 1899 to 1902 at the Forth Banks Infirmary, Newcastle-upon-Tyne. Physical evidence from representative apparatus of the period was used with a beam spectral simulation program to characterize the X-ray beam, and information about the electrical supply waveform was produced by experimental operation of a contemporary induction coil. Results are given in terms of skin entrance dose, and these are compared with modern values. An estimate of the annual dose received by the radiographer known to have carried out all of the examinations within this period is also given.

England↗
PubMed2000

Optical and thermal properties of nasal septal cartilage.

BACKGROUNDS AND OBJECTIVES: The aim of the study was to measure the spectral dependence of optical absorption and reduced scattering coefficients and thermal conductivity and diffusivity of porcine nasal septal cartilage. Values of optical and thermal properties determined in this study may aid in determining laser dosimetry and allow selection of an optical source wavelength for noninvasive diagnostics for laser-assisted reshaping of cartilage. MATERIALS AND METHODS: The diffuse reflectance and transmittance of ex vivo porcine nasal septal cartilage were measured in the 400- to 1,400-nm spectral range by using a spectrophotometer. The reflectance and transmittance data were analyzed by using an inverse adding-doubling algorithm to obtain the absorption (mu(a)) and reduced scattering (mu(a)') coefficients. A multichannel thermal probe controller system and infrared imaging radiometer methods were applied to measure the thermal properties of cartilage. The multichannel thermal probe controller system was used as an invasive technique to measure thermal conductivity and diffusivity of cartilage at three temperatures (27, 37, 50 degrees C). An infrared imaging radiometer was used as a noninvasive method to measure the thermal diffusivity of cartilage by using a CO(2) laser source (lambda = 10.6 microm) and an infrared focal plane array (IR-FPA) camera. RESULTS: The optical absorption peaks at 980 nm and 1,180 nm in cartilage were observed and corresponded to known absorption bands of water. The determined reduced scattering coefficient gradually decreased at longer wavelengths. The thermal conductivity values of cartilage measured by using an invasive probe at 27, 37, and 50 degrees C were 4.78, 5.18, and 5.76 mW/cm degrees C, respectively. The corresponding thermal diffusivity values were 1.28, 1.31, and 1.40x 10(-3) cm(2)/sec. Because no statistically significant difference in thermal diffusivity values with increasing temperature is found, the average thermal diffusivity is 1.32 x 10(-3) cm(2)/sec. The numerical estimate for thermal diffusivity obtained from infrared radiometry measurements was 1.38 x 10(-3) cm(2)/sec. CONCLUSION: Values of the spectral dependence of the optical absorption and reduced scattering coefficients, and thermal conductivity and diffusivity of cartilage were measured. The invasive and noninvasive diffusivity measurements were consistent and concluded that the infrared imaging radiometric technique has an advantage to determine thermal properties, because damage to the cartilage sample may be avoided. The measured values of absorption and reduced scattering coefficients can be used for predicting the optical fluence distribution in cartilage and determining optical source wavelengths for the laser-assisted cartilage reshaping studies. The thermal conductivity and diffusivity values can play role in understanding thermal-dependent phenomenon in cartilage during laser irradiation and determining laser dosimetry for the laser-assisted cartilage reshaping studies.

Animals↗
PubMed2002

Ultrasound techniques for measurement of blood flow and tissue motion.

This article will review the ability of ultrasound techniques to provide 3D information on arterial geometry, blood flow and tissue motion.3D systems. 3D datasets can be obtained by sequential acquisition of 2D slices. Ideally a transducer is required in which there is full control of beam steering within a 3D volume. This requires a 2D array consisting of several thousand elements. Prototype 2D arrays have been built which provide several 3D datasets per second. Blood velocity measurement. Current Doppler systems estimate only the component of velocity in the direction of the Doppler beam. Lack of knowledge of the direction of blood motion and also other effects associated with 'spectral broadening' limit the accuracy of velocity measurement. Improved accuracy can be obtained using vector Doppler systems using 2 or 3 beam directions; this approach is referred to as 'vector Doppler'. Tissue motion. Doppler techniques can also be used to detect tissue motion (Tissue Doppler Imaging or TDI). Motion of the artery wall can be calculated from the TDI images. It is possible to estimate simultaneously motion for adjacent diameters within the longitudinal plane, and to visualise the relative motion at different parts of the wall.

Arteries↗
PubMedDate not supplied

Alteration in the low-frequency domain in power spectral analysis of fetal heart beat fluctuations.

OBJECTIVE: Spectral analysis was conducted on fetal heart rate fluctuations for the purpose of investigating the change in gestational age and examining the usefulness as a method of estimating fetal blood gas. STUDY DESIGN: Five hundred and twenty-nine pregnant women with a single normal fetus and 26 women with intrauterine growth restriction (IUGR) were studied during the 20th to 38th gestational weeks. In cases of IUGR, fetal blood gas levels were evaluated with percutaneous umbilical blood sampling. A time series of fetal heart rate fluctuation was obtained with a 1. 15-MHz ultrasonic transducer, and power spectral analysis of 200 consecutive stable beats was performed with an autoregression method. Integrated areas of 0.025-0.125 cycles/beat were defined as low-frequency areas (LFAs) and were examined in normal fetuses. In addition, the relation between LFA and fetal blood gas values was studied. RESULTS: As pregnancy progressed, LFA increased with a cubic regression equation (Y = 6.484 - 0.764X + 0.029X2 - 0.00034X3). The correlation coefficient was 0.625 (p < 0.05). In the cases of IUGR, DeltaLFA was highly correlated with DeltapO2 and DeltapH (correlation coefficient, 0.650 and 0.618, respectively). CONCLUSIONS: Measurement of LFA provides insight into the development of fetal autonomic function and also may serve as a quantitative index of fetal well-being in mid-pregnancy.

Adolescent↗
PubMed1998

Comparison of heart rate variability spectra using generic relationships of their input signals.

Spectral analysis of heart rate variability (HRV) is an accepted method for assessment of cardiac autonomic function and its relationship to numerous disorders and diseases. Various non-parametric methods for HRV estimation have been developed. The spectrum of counts, the instantaneous heart rate spectrum and the interval spectrum are mostly practised. Although extensive literature on their respective properties is available, there seems to be a need for a more complete comparison, eventually resulting in recommendations for applicability. The methods for HRV spectral analysis use their specific transforms of the primary R-R interval series into input signals for spectral computation. This is, in fact, the reason for obtaining different spectra. A basis for comparison is established, revealing the generic relationships of these HRV input signals. It allows for a more systematic evaluation and for further development of the considered methods. The results with simulated and real HRV data show better performance by the spectrum of counts and by a proposed instantaneous heart rate spectrum, obtained using a cubic spline interpolated input signal. The modulation depth of the primary signal can influence the accuracy of the HRV analysis methods.

Electrocardiography↗
PubMed2000

Heart rate variability and autonomic diabetic neuropathy.

Aim of this paper is to briefly summarize available evidence about potential usefulness of heart rate variability (HRV) analysis for the clinical evaluation of autonomic diabetic neuropathy. HRV contains hidden information that can be extracted from tachogram sections of several hundred beats with spectral analysis. Subsequent normalization and the use of a paradigm including standardized stimuli (such as tilt) are commonly employed to assess autonomic cardiac regulation. In the resulting spectra, two major components of similar amplitude are usually observed (at low--LF--and high frequency--HF), their relative power is best appreciated using normalized units that provide an estimate of the balance between sympathetic and vagal modulatory activity. In states of sympathetic predominance, such as during orthostatic positions, LF increases and HF decreases. In diabetics, consistent alterations in spectral properties are a frequent early finding: initially a reduction of HRV (ie spectral power) is followed by progressive functional denervation, which is associated to severe autonomic dysfunction. The spectral methodology provides some useful potential advantages in respect to the more traditional approach employing several simple bedside tests. In conclusion, spectral analysis of HRV appears a convenient method to assess various degrees of diabetic autonomic dysfunction: it appears easy to perform, while giving results similar to traditional methods, with greater sensibility.

Autonomic Nervous System Diseases↗
PubMed2006

Accurate Doppler angle estimation for vector flow measurements.

Traditional Doppler methods measure only the axial component of the velocity vector. The lack of information on the beam-flow angle creates an ambiguity that can lead to large errors in velocity magnitude estimates. Different triangulation techniques so far have been proposed, which basically perform multiple measurements of the Doppler frequency shift originating from the same region. In this work, an original approach is introduced, in which two ultrasound beams with known relative orientation are directed toward the same vessel, but only one of them is committed to perform a Doppler measurement; the second (reference) beam has the specific task of detecting the beam-flow angle. The latter goal is obtained by accurately identifying the achievement of the target 900 reference-beam-to-flow angle through the inspection of the backscattered Doppler signal spectrum. In transverse flow conditions, in fact, such spectrum is expected to be centered on the zero frequency, and even small deviations from the desired 900 orientation cause noticeable losses of spectral symmetry. Validation of the new method has been performed through experimental tests, which show that the beam-flow angle can be estimated with high accuracy (rms errors lower than 1 degree), and repeatable velocity magnitude measurements are possible. A procedure for automatically tracking the desired orientation by the reference beam is also introduced and shown suitable for implementation in steerable linear array transducers.

Animals↗
PubMed1999

Spectral analysis of heart rate variability and pulmonary responses to topical applications of 2% aminophylline-based thigh cream.

OBJECTIVE: Noninvasive assessment of the immediate and delayed cardiopulmonary response to a 2% aminophylline-based topical thigh reducing cream. DESIGN: Prospective, double-blind, randomized, counterbalanced study with application of: no cream (NC), placebo cream (PC) or 2% aminophylline cream (AC). SUBJECTS: Nine healthy women (aged: 23+/-3 y; weight: 58+/-3 kg; height: 165+/-7 cm; body fat: 19+/-6%; estimated maximal aerobic fitness VO2max): 40+/-4 ml/kg/min). MEASUREMENTS: Medical history, skin patch test, skinfolds, YMCA submaximal cycle ergometry test, psychological evaluations (POMS and Speilberger STAI-1). Pulmonary function and spectral analysis on heart rate variability, measured immediately post-and 4 h post-treatment, on three separate days within a three-week period. RESULTS: Pulmonary function did not change. The averaged R-R interval (ms) was significantly lower for the immediate post AC treatment, but returned to baseline in 4 h. CONCLUSION: Application of a 2% aminophylline-based thigh cream does not affect pulmonary function, however, it may cause a temporary, transient reduction in the averaged R-R interval.

Administration, Cutaneous↗
PubMed1978

On the validity of the spectrophotometric determination of oxygen saturation of hemoglobin. The wavelength dependence of observed oxygen equilibrium parameter values.

Spectral changes of oxyhemoglobin induced by such anions as 2,3-diphosphoglycerate, inositol hexaphosphate, and Cl- may affect the validity of the spectrophotometric determination of oxygen saturation of hemoglobin. Therefore, the anion-induced difference spectra were extensively measured under a variety of conditions and accurate oxygen equilibrium curves were determined under representative conditions with detection at different wavelengths selected from peaks, troughs, and zero difference points of the difference spectra in the visible and Soret regions. Oxygen equilibrium parameters including the four Adair constants (i.e., equilibrium constants for four steps of oxygenation) estimated from the equilibrium curves did not show any dependence on wavelength within the limits of experimental error. These results indicate that anion-induced spectral changes do not invalidate the spectrophotometric determination of oxygen saturation and confirm the validity of the previous conclusions drawn in our series of studies on the effects of anions, pH and temperature on oxygen equilibrium parameters.

Diphosphoglyceric Acids↗
PubMed2003

Cardiovascular fluctuations and transfer function analysis in stable preterm infants.

To examine the baroreceptor reflex function, a beat-to-beat analysis between systolic blood pressure (SBP) and R-R interval fluctuations was studied in 10 stable appropriate-for-gestational age preterm infants (range, 27.2-33.7 wk) in the first postnatal week during quiet sleep. Spectral power analysis, using fast Fourier transform, and transfer functions (gain and phase difference) between SBP and R-R fluctuations were estimated in a low-frequency band (LF, 0.03-0.2 Hz) and high-frequency band (HF defined as the frequency band between the 10th and 90th centiles of the individual respiratory frequency). The LF/HF ratio reflects the sympathovagal balance. The mean frequency (+/-SD) of LF peaks was centered at 0.07 +/- 0.02 Hz. The mean frequency (+/-SD) of the individual HF band was 0.82 +/- 0.21 Hz. The LF/HF ratio in the R-R interval series [median, 29; interquartile range (IQR), 16-40] was higher than in the SBP series (median, 8; IQR, 4-14). The gain between R-R interval and SBP fluctuations (median, 4.2 ms/mm Hg; IQR, 2.4-5.0) in the LF band was higher than in the HF band (median, 1.7 ms/mm Hg; IQR, 1.4-3.0). SBP fluctuations lead R-R interval fluctuations in the LF band with a median phase difference of +96 degrees (IQR, 67-132). At LF the fluctuations in SBP precede changes in R-R interval with a time delay of 3.8 s. These observations indicate a dominant role of the sympathetic system in stable preterm infants in comparison with published adult values. Cross-spectral analysis allows a test for tracking the development of the sympathetic system in neonates.

Cardiovascular Physiological Phenomena↗
PubMed2006

A coherence-based technique for separating phase-locked from non-phase-locked power spectrum estimates during intermittent stimulation.

In addition to evoked responses, which are phase-locked to the stimuli, the stimulation may also change the ongoing EEG in a time-locked manner. This change has been investigated in event-related synchronization/desynchronization (ERS/ERD) studies by comparing the spectra before and during stimulation or alternatively by using the intertrial variance method (IVM). In the present work, a technique based on the coherence estimate (kappa(y)(2)(f)) between the stimulation signal and the EEG is proposed for separating the ongoing EEG activity spectrum from that of the evoked responses. Furthermore, a statistical criterion is applied to reduce spurious spectral peaks. The performance of this procedure was assessed through simulation and illustrated with EEG during photic stimulation. For simulated data (signal-to-noise-ratio of 0.995 within 10-12.5 Hz) kappa(y)(2)(f) led to a non-phase-locked spectrum estimate with an average normalized error of 12.4%, which is reduced to only 0.2% after applying the statistical criterion. The methodology proposed is asymptotically equivalent to the IVM but it does not require previous filtering the EEG data. Kappa(y)(2)(f) together with the statistical correction criterion allows investigating the entrainment within a narrow-band range, particularly in frequencies close to that of the alpha peak. Hence it is useful in ERS/ERD studies. Moreover, it can be also used for characterizing frequencies within the gamma band.

Adult↗
PubMed2004

Spectral entropy as an electroencephalographic measure of anesthetic drug effect: a comparison with bispectral index and processed midlatency auditory evoked response.

BACKGROUND: The authors compared the behavior of two calculations of electroencephalographic spectral entropy, state entropy (SE) and response entropy (RE), with the A-Line ARX Index (AAI) and the Bispectral Index (BIS) and as measures of anesthetic drug effect. They compared the measures for baseline variability, burst suppression, and prediction probability. They also developed pharmacodynamic models relating SE, RE, AAI, and BIS to the calculated propofol effect-site concentration (Ceprop). METHODS: With institutional review board approval, the authors studied 10 patients. All patients received 50 mg/min propofol until either burst suppression greater than 80% or mean arterial pressure less than 50 mmHg was observed. SE, RE, AAI, and BIS were continuously recorded. Ceprop was calculated from the propofol infusion profile. Baseline variability, prediction of burst suppression, prediction probability, and Spearman rank correlation were calculated for SE, RE, AAI, and BIS. The relations between Ceprop and the electroencephalographic measures of drug effect were estimated using nonlinear mixed effect modeling. RESULTS: Baseline variability was lowest when using SE and RE. Burst suppression was most accurately detected by spectral entropy. Prediction probability and individualized Spearman rank correlation were highest for BIS and lowest for SE. Nonlinear mixed effect modeling generated reasonable models relating all four measures to Ceprop. CONCLUSIONS: Compared with BIS and AAI, both SE and RE seem to be useful electroencephalographic measures of anesthetic drug effect, with low baseline variability and accurate burst suppression prediction. The ability of the measures to predict Ceprop was best for BIS.

Adolescent↗
PubMed2004

Modeling the optical properties of mineral particles suspended in seawater and their influence on ocean reflectance and chlorophyll estimation from remote sensing algorithms.

The optical properties of mineral particles suspended in seawater were calculated from the Mie scattering theory for different size distributions and complex refractive indices of the particles. The ratio of the spectral backscattering coefficient to the sum of the spectral absorption and backscattering coefficients of seawater, b(b)(lambda)/[a(lambda) + b(b)(lambda)], was analyzed as a proxy for ocean reflectance for varying properties and concentrations of mineral particles. Given the plausible range of variability in the particle size distribution and the refractive index, the general parameterizations of the absorption and scattering properties of mineral particles and their effects on ocean reflectance in terms of particle mass concentration alone are inadequate. The variations in the particle size distribution and the refractive index must be taken into account. The errors in chlorophyll estimation obtained from the remote sensing algorithms that are due to the presence of mineral particles can be very large. For example, when the mineral concentration is 1 g m(-3) and the chlorophyll a concentration is low (0.05 mg m(-3)), current global algorithms based on a blue-to-green reflectance ratio can produce a chlorophyll overestimation ranging from approximately 50% to as much as 20-fold.

Algorithms↗
PubMed2001

NMR spectral quantitation by principal component analysis.

The use of principal component analysis (PCA) for simultaneous spectral quantitation of a single resonant peak across a series of spectra has gained popularity among the NMR community. The approach is fast, requires no assumptions regarding the peak lineshape and provides quantitation even for peaks with very low signal-to-noise ratio. PCA produces estimates of all peak parameters: area, frequency, phase and linewidth. If desired, these estimates can be used to correct the original data so that the peak in all spectra has the same lineshape. This ability makes PCA useful not only for direct peak quantitation, but also for processing spectral data prior to application of pattern recognition/classification techniques. This article briefly reviews the theoretical basis of PCA for spectral quantitation, addresses issues of data processing prior to PCA, describes suitable and unsuitable datasets for PCA applications and summarizes the developments and the limitations of the method.

Magnetic Resonance Spectroscopy↗