Key result
Spinal cord injury affected Distribution Entropy (DistEn) but not postural shifts, supporting DistEn as a measure of cardiovascular complexity unlike SampEn and FuzzyEn.
Why the study?
To compare DistEn, a proposed measure of cardiovascular complexity, with SampEn and FuzzyEn, measures of HRV randomness, during postural changes and in low-level spinal cord injury.
Do Distribution Entropy, Sample Entropy, and Fuzzy Entropy differentially measure cardiovascular complexity and HRV randomness in able-bodied and spinal cord injury participants during postural changes?
Observational
Do Distribution Entropy, Sample Entropy, and Fuzzy Entropy differentially measure cardiovascular complexity and HRV randomness in able-bodied and spinal cord injury participants during postural changes?
Distribution Entropy measures cardiovascular complexity, whereas Sample and Fuzzy Entropy measure HRV randomness, suggesting they provide complementary information.
Distribution Entropy (DistEn) has been introduced as an alternative to Sample Entropy (SampEn) to assess the heart rate variability (HRV) on much shorter series without the arbitrary definition of distance thresholds. However, DistEn, considered a measure of cardiovascular complexity, differs substantially from SampEn or Fuzzy Entropy (FuzzyEn), both measures of HRV randomness. This work aims to compare DistEn, SampEn, and FuzzyEn analyzing postural changes (expected to modify the HRV randomness through a sympatho/vagal shift without affecting the cardiovascular complexity) and low-level spinal cord injuries (SCI, whose impaired integrative regulation may alter the system complexity without affecting the HRV spectrum). We recorded RR intervals in able-bodied (AB) and SCI participants in supine and sitting postures, evaluating DistEn, SampEn, and FuzzyEn over 512 beats. The significance of "case" (AB vs. SCI) and "posture" (supine vs. sitting) was assessed by longitudinal analysis. Multiscale DistEn (mDE), SampEn (mSE), and FuzzyEn (mFE) compared postures and cases at each scale between 2 and 20 beats. Unlike SampEn and FuzzyEn, DistEn is affected by the spinal lesion but not by the postural sympatho/vagal shift. The multiscale approach shows differences between AB and SCI sitting participants at the largest mFE scales and between postures in AB participants at the shortest mSE scales. Thus, our results support the hypothesis that DistEn measures cardiovascular complexity while SampEn/FuzzyEn measure HRV randomness, highlighting that together these methods integrate the information each of them provides.
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Castiglioni et al. (2023) conducted an observational in Spinal cord injury. Spinal cord injury and postural changes vs. Able-bodied participants was evaluated on Heart rate variability complexity and randomness (DistEn, SampEn, FuzzyEn). Spinal cord injury affected Distribution Entropy (DistEn) but not postural shifts, supporting DistEn as a measure of cardiovascular complexity unlike SampEn and FuzzyEn.
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