Key result
Modified multiscale entropy with automatic threshold selection better represents HRV complexity than conventional methods.
Why the study?
Conventional tolerance threshold values for multiscale entropy analysis of heart rate variability are inappropriate for accurate assessment at higher scales and finding true maximum MSE is cumbersome.
A modified multiscale entropy method improves the efficiency and accuracy of calculating maximum multiscale entropy for heart rate variability analysis.
May refine HRV complexity assessment; leaves open prospective validation before clinical use.
The multiscale entropy (MSE), a technique, to analyse heart rate variability at different time-scales, requires priori determination of pattern length (m) to be compared and tolerance threshold value (r) to accept the similarity between the patterns. Conventionally recommended value of r, 0.1 to 0.2 times the standard deviation of original time series, found inappropriate for accurate MSE at higher scales. Finding true maximum MSE (MSEmax), by evaluating all values of r from 0 to 1 is a better index of coarse-grained time series complexity, but it is very cumbersome. Automatic selection method of r proposed by Lu et al, has been extended to find MSEmax of RR interval time series for ten healthy subjects with data length N = 900 and m = 2. The burden of finding MSEmax has been averted by the proposed modified multiscale entropy and lead to a more appropriate representation of the complexity than the conventional method.
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Singh et al. (2012) studied Healthy subjects (n=10). Modified multiscale entropy method vs. Conventional method was evaluated on Appropriate representation of complexity (MSEmax). A modified multiscale entropy method for automatic selection of threshold value r provided a more appropriate representation of HRV complexity than the conventional method.
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