Key result
Elderly subjects and CHF patients show significantly lower HRV complexity than young adults.
Why the study?
The effectiveness of a multiscale Kolmogorov-Sinai entropy had not yet been evaluated for the characterization of heartbeat dynamics.
Observational
The proposed multiscale partition-based K-S entropy effectively differentiates complex cardiovascular dynamics across age groups and pathological states like heart failure and atrial fibrillation.
HRV complexity via multiscale K-S entropy remains investigational in aging and HF; leaves open clinical utility pending prospective validation.
BACKGROUND: Several methods have been proposed to estimate complexity in physiological time series observed at different time scales, with a particular focus on heart rate variability (HRV) series. In this frame, while several complexity quantifiers defined in the multiscale domain have already been investigated, the effectiveness of a multiscale Kolmogorov-Sinai (K-S) entropy has not been evaluated yet for the characterization of heartbeat dynamics. METHODS: The use of the algorithmic information content, which is estimated through an effective compression algorithm, is investigated to quantify multiscale partition-based K-S entropy on publicly available experimental HRV series gathered from young and elderly subjects undergoing a visual elicitation task (Fantasia). Moreover, publicly available HRV series gathered from healthy subjects, as well as patients with atrial fibrillation and congestive heart failure in unstructured conditions have been analyzed as well. RESULTS: Elderly people are associated with a lower HRV complexity and a more predictable cardiovascular dynamics, with significantly lower partition-based K-S entropy than the young adults. Major differences between these groups occur at partitions greater than six. In case of partition cardinality greater than 5, patients with congestive heart failure show a minimal predictability, while atrial fibrillation shows a higher variability, and hence complexity, which is actually reduced by the time coarse-graining procedure. CONCLUSIONS: The proposed multiscale partition-based K-S entropy is a viable tool to investigate complex cardiovascular dynamics in different physiopathological states.
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Scarciglia et al. (2022) conducted an observational in Heart rate variability in healthy subjects, atrial fibrillation, and congestive heart failure. Multiscale partition-based Kolmogorov-Sinai (K-S) entropy vs. Young vs elderly; healthy vs atrial fibrillation/congestive heart failure was evaluated on Heart rate variability complexity. Multiscale partition-based Kolmogorov-Sinai entropy revealed that elderly subjects have significantly lower HRV complexity than young adults, while patients with congestive heart failure show minimal predictability.
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