On the accuracy of sequence methods for baroreflex sensitivity estimation.

Baroreflex sensitivity Sequence methods System identification

Journal

Physical and engineering sciences in medicine
ISSN: 2662-4737
Titre abrégé: Phys Eng Sci Med
Pays: Switzerland
ID NLM: 101760671

Informations de publication

Date de publication:
02 Apr 2024
Historique:
received: 27 03 2023
accepted: 22 12 2023
medline: 2 4 2024
pubmed: 2 4 2024
entrez: 2 4 2024
Statut: aheadofprint

Résumé

In the absence of a true gold standard for non-invasive baroreflex sensitivity estimation, it is difficult to quantify the accuracy of the variety of techniques used. A popular family of methods, usually entitled 'sequence methods' involves the extraction of (apparently) correlated sequences from blood pressure and RR-interval data and the subsequent fitting of a regression line to the data. This paper discusses the accuracy of sequence methods from a system identification perspective, using both data generated from a known mathematical model and spontaneous baroreflex data. It is shown that sequence methods can introduce significant bias in the baroreflex sensitivity estimate, even when great care is taken in sequence selection.

Identifiants

pubmed: 38564152
doi: 10.1007/s13246-023-01380-y
pii: 10.1007/s13246-023-01380-y
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Subventions

Organisme : National University of Ireland, Maynooth
ID : WISH Award

Informations de copyright

© 2024. The Author(s).

Références

Van de Vooren H, Gademan M, Swenne C, Ten Voorde B, Schalij M, Van der Wall E (2007) Baroreflex sensitivity, blood pressure buffering, and resonance: what are the links? computer simulation of healthy subjects and heart failure patients. J Appl Physiol 102:1348–1356
doi: 10.1152/japplphysiol.00158.2006 pubmed: 17185500
La Rovere MT, Bigger JT Jr, Marcus FI, Mortara A, Schwartz PJ (1998) ATRAMI (Autonomic Tone and Reflexes After Myocardial Infarction) Investigators, et al., Baroreflex sensitivity and heart-rate variability in prediction of total cardiac mortality after myocardial infarction. The Lancet 351:478–484
doi: 10.1016/S0140-6736(97)11144-8
Smyth HS, Sleight P, Pickering GW (1969) Reflex regulation of arterial pressure during sleep in man: a quantitative method of assessing baroreflex sensitivity. Circ Res 24:109–121
doi: 10.1161/01.RES.24.1.109 pubmed: 4303309
Laude D, Elghozi J-L, Girard A, Bellard E, Bouhaddi M, Castiglioni P, Cerutti C, Cividjian A, Di Rienzo M, Fortrat J-O et al (2004) Comparison of various techniques used to estimate spontaneous baroreflex sensitivity (the EuroBaVar study), American Journal of Physiology-Regulatory, Integrative and Comparative. Physiology 286:R226–R231
Robbe H, Mulder L, Ruddel H, Langewitz W, Veldman J, Mulder G (1987) Assessment of baroreflex reflex sensitivity by means of spectral analysis. Hypertension 10:538–543
doi: 10.1161/01.HYP.10.5.538 pubmed: 3666866
Ducher M, Fauvel J, Gustin M, Cerutti C, Najem R, Cuisinaud G, Laville M, Pozet N, Paultre C (1995) A new non-invasive statistical method to assess the spontaneous cardiac baroreflex in humans. Clin Sci (Colch) 88:651–655
doi: 10.1042/cs0880651 pubmed: 7634748
Wu T, Chen C, Kao T (2008) Baroreflex sensitivity evaluation by volterra wiener model and the laguerre expansion technique. Comuters Cardiol 35:741–744
Baselli G, Cerutti S, Civardi S, Malliani A, Pagani M (1988) Cardiovascular variability signals: towards the identification of a closed-loop model of the neural control mechanisms. IEEE Trans Biomed Eng 35(12):1033–1046
doi: 10.1109/10.8688 pubmed: 3220497
Singh A, Saini BS, Singh D (2016) A new baroreflex sensitivity index based on improved Hilbert-Huang transform for assessment of baroreflex in supine and standing postures, Biocybernetics and Biomedical. Engineering 36:355–365
Filogonio R, Orsolini KF, Castro SA, Oda GM, Rocha GC, Tavares D, Abe AS, Leite CA (2019) Evaluation of the sequence method as a tool to assess spontaneous baroreflex in reptiles, Journal of Experimental Zoology Part A: Ecological and Integrative. Physiology 331:374–381
Armelin VA, Braga VHDS, Teixeira MT, Guagnoni IN, Wang T, Florindo LH (2021) The nonpharmacological sequence method provides a reliable evaluation of baroreflex sensitivity in fish. J Exp Zool Part A: Ecol Integr Physiol 335:348–358
doi: 10.1002/jez.2448
Kazimierska A, Placek MM, Uryga A, Wachel P, Burzyńska M, Kasprowicz M (2019) Assessment of baroreflex sensitivity using time-frequency analysis during postural change and hypercapnia. Comput Math Methods Med. https://doi.org/10.1155/2019/4875231
doi: 10.1155/2019/4875231 pubmed: 30863454 pmcid: 6377966
Chen P-W, Lin C-K, Liu W-M, Chen Y-C, Tsai S-T, Liu A-B (2020) A novel assessment of baroreflex activity through the similarity of ternary codes of oscillations between arterial blood pressure and r-r intervals. J Med Biol Eng 40:727–734
doi: 10.1007/s40846-020-00557-0
Papaioannou TG, Fasoulis R, Toumpaniaris P, Tsioufis C, Dilaveris P, Soulis D, Koutsouris D, Tousoulis D (2019) Assessment of arterial baroreflex sensitivity by different computational analyses of pressure wave signals alone. Comput Methods Prog Biomed 172:25–34
doi: 10.1016/j.cmpb.2019.02.002
Silva LEV, Dias DPM, Da Silva CAA, Salgado HC, Fazan R Jr (2019) Revisiting the sequence method for baroreflex analysis. Front Neurosci 13:17
doi: 10.3389/fnins.2019.00017 pubmed: 30728765 pmcid: 6352748
Wessel N, Gapelyuk A, Kraemer J, Berg K, Kurths J (2020) Spontaneous baroreflex sensitivity: sequence method at rest does not quantify causal interactions but rather determines the heart rate to blood pressure variability ratio. Physiol Meas 41:03LT01
doi: 10.1088/1361-6579/ab7edc pubmed: 32160607
Coleridge HM, Coleridge JC, Schultz HD (1987) Characteristics of C fibre baroreceptors in the carotid sinus of dogs. J Physiol 394:291–313. https://doi.org/10.1113/jphysiol.1987.sp016871
doi: 10.1113/jphysiol.1987.sp016871 pubmed: 3443968 pmcid: 1191962
Andresen MC, Doyle MW, Bailey TW, Jin YH (2004) Differentiation of autonomic reflex control begins with cellular mechanisms at the first synapse within the nucleus tractus solitarius. Braz J Med Biol Res 37(4):549–558
doi: 10.1590/S0100-879X2004000400012 pubmed: 15064818
McDougall SJ, Andresen MC (2013) Independent transmission of convergent visceral primary afferents in the solitary tract nucleus. J Neurophysiol 109(2):507–517.
doi: 10.1152/jn.00726.2012 pubmed: 23114206
Sleight P, La Rovere MT, Mortara A, Pinna G, Maestri R, Leuzzi S, Bianchini B, Tavazzi L, Bernardi L (1995) Physiology and pathophysiology of heart rate and blood pressure variability in humans: is power spectral analysis largely an index of baroreflex gain? Clin Sci 88:103–109
doi: 10.1042/cs0880103
Montgomery DC, Peck EA, Vining GG (2021) Introduction to linear regression analysis. Wiley, Hoboken
Filogonio R, Leite CA (2023) A comparison of four common mathematical models to assess baroreflex sensitivity, Journal of Experimental Zoology Part A: Ecological and Integrative. Physiology 339:633–643
Wessel N, Gapelyuk A, Weiß J, Schmidt M, Kraemer JF, Berg K, Malberg H, Stepan H, Kurths J (2020) Instantaneous cardiac baroreflex sensitivity: xBRS method quantifies heart rate blood pressure variability ratio at rest and during slow breathing. Front Neurosci 14:547433
doi: 10.3389/fnins.2020.547433 pubmed: 33071732 pmcid: 7543095
Choi Y, Ko S, Sun Y(2006) Effect of postural changes on baroreflex sensitivity: A study on the EuroBaVar data set, in: Proc. 2006 IEEE Canadian Conference on Electrical and Computer Engineering - CCEC/CCGEI’06, Ottawa, pp. 110–114
Davies L, Francis D, Jurak P, Kara T, Piepoli M, Coats A (1999) Reproducibility of methods for assessing baroreflex sensitivity in normal controls and in patients with chronic heart failure. Clin Sci 97:515–522
doi: 10.1042/cs0970515
Kardos A, Watterich G, de Mendeez R, Csanady M, Casadei B, Rudas L (2001) Determinants of spontaneous baroreflex sensitivity in a healthy working population. Hypertension 37:911–916
doi: 10.1161/01.HYP.37.3.911 pubmed: 11244017
Gouveia S, Rocha A, Van de Borne P, Lago P (2005) Assessing baroreflex sensitivity in the sequence technique: local versus global approach. Comput Cardiol 32:279–282
doi: 10.1109/CIC.2005.1588091
Taylor CE, Witter T, El Sayed K, Hissen SL, Johnson AW, Macefield VG (2015) Relationship between spontaneous sympathetic baroreflex sensitivity and cardiac baroreflex sensitivity in healthy young individuals. Physiol Rep 3:e12536
doi: 10.14814/phy2.12536 pubmed: 26564059 pmcid: 4673619
Di Rienzo M, Bertinieri G, Mancia G, Pedotti A (1985) A new method for evaluating the baroreflex role by a joint pattern analysis of pulse interval and systolic blood pressure series. Med Biol Eng Comput 23(Supp I):313–314
Gouveia S, Rocha A, Laguna P, Van de Borne P, Lago P (2006) Improved brs assessment using te global approach in the sequences technique. Comput Cardiol 33:641–644
Gouveia S, Rocha A, Laguna P, Lago P (2009) Time domain baroreflex sensitivity assessment by joint analysis of spontaneous sbp and rr series. Biomed Sig Proc Control 4(3):254–261
doi: 10.1016/j.bspc.2009.03.003
Bertinieri G, Di Rienzo M, Cavallazzi A, Ferrari AU, Pedotti A, Mancia G (1988) Evaluation of baroreceptor reflex by blood pressure monitoring in unanesthetized cats, American Journal of Physiology-Heart and Circulatory. Physiology 254:H377–H383
Laude D, Baudrie V, Elghozi J-L (2009) Tuning of the sequence technique. IEEE Eng Med Biol Mag 28:30
doi: 10.1109/MEMB.2009.934630 pubmed: 19914885 pmcid: 2810066
Ljung L (1999) System identification: theory for the user, 2nd edn. Prentice-Hall, Hoboken
Di Rienzo M, Castiglioni P, Mancia G, Pedootti A, Parati G (2001) Advancements in estimating baroreflex function. IEEE Eng Med Biol 20(2):25–32
doi: 10.1109/51.917721
McLoone V,(2014) Modelling of Long and Short Term Blood Pressure Control Systems, Ph.D. thesis, Maynooth University
La Rovere MT, Pinna GD, Raczak G (2008) Baroreflex sensitivity: measurement and clinical implications. Ann Noninvasive electrocardiol 13:191–207
doi: 10.1111/j.1542-474X.2008.00219.x pubmed: 18426445 pmcid: 6931942
Goldstein DS, Cheshire WP (2017) Beat-to-beat blood pressure and heart rate responses to the valsalva maneuver. Clin Auton Res 27:361–367
doi: 10.1007/s10286-017-0474-y pubmed: 29052077 pmcid: 8897824
Horsman HM, Tzeng Y, Galletly DC, Peebles KC (2014) The repeated sit-to-stand maneuver is a superior method for cardiac baroreflex assessment: a comparison with the modified oxford method and valsalva maneuver, American Journal of Physiology-Regulatory, Integrative and Comparative. Physiology 307:R1345–R1352
Ernsting J, Parry D (1957) Some observations on the effects of stimulating the stretch receptors in the carotid artery of man. Journal of Physiology-London, vol 137. Cambridge Univ Press, New York, pp P45–P46

Auteurs

Hasana Bagnall-Hare (H)

Department of Electronic Engineering, Maynooth University, Maynooth, Co. Kildare, Ireland. hasana.bagnallhare.2016@mumail.ie.

Violeta I McLoone (VI)

Department of Aero, Mechanical and Electronic Engineering, South East Technological University, Waterford, Co. Carlow, Ireland.

John V Ringwood (JV)

Department of Electronic Engineering, Maynooth University, Maynooth, Co. Kildare, Ireland.

Classifications MeSH