Key result
Spectral analysis of neonatal heart rate reveals a mirror effect artifact around the Nyquist limit, and respiratory coupling is only detectable under low noise conditions with a data-adaptive band.
Spectral analysis of neonatal heart rate requires data-adaptive respiratory bands and low noise conditions to accurately detect respiratory coupling, while avoiding artifacts around the Nyquist limit.
Requires data-adaptive bands and low-noise conditions for neonatal HR spectral analysis; leaves open standardization before clinical adoption.
Certain types of biomedical processes such as the heart rate generator can be considered as signals that are sampled by the occurring events, i.e. QRS complexes. This sampling property generates problems for the evaluation of spectral parameters of such signals. First, the irregular occurrence of heart beats creates an unevenly sampled data set which must either be pre-processed (e.g. by using trace binning or interpolation) prior to spectral analysis, or analyzed with specialized methods (e.g. Lomb's algorithm). Second, the average occurrence of events determines the Nyquist limit for the sampled time series. Here we evaluate different types of spectral analysis of recordings of neonatal heart rate. Coupling between respiration and heart rate and the detection of heart rate itself are emphasized. We examine both standard and data adaptive frequency bands of heart rate signals generated by models of coupled oscillators and recorded data sets from neonates. We find that an important spectral artifact occurs due to a mirror effect around the Nyquist limit of half the average heart rate. Further we conclude that the presence of respiratory coupling can only be detected under low noise conditions and if a data-adaptive respiratory band is used.
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Drongelen et al. (2008) studied Neonatal heart rate and respiratory coupling. Spectral analysis methods was evaluated on Detection of respiratory coupling and spectral artifacts. Spectral analysis of neonatal heart rate reveals a mirror effect artifact around the Nyquist limit, and respiratory coupling is only detectable under low noise conditions with a data-adaptive band.
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