BACKGROUND:Offspring with a genetic predisposition to hypertension may have higher blood pressure (BP) at rest compared with those without a genetic predisposition to hypertension. They are also expected to have a higher sympathetic component in the heart rate variability (HRV) which could be computed with signal processing algorithms.

OBJECTIVE:The purpose of this study is to design a wavelet-based system to estimate the heart rate variability that can be used to detect early cardiovascular changes in offspring with a genetic predisposition to hypertension. Early detection will help in the treatment of those young people. In this work, the relation between the hypertension and the changes in HRV is investigated.

METHODS:The frequency domain and time domain analysis of heart rate variability (HRV) are studied to understand their relationship to the autonomic nervous system in offspring with and without a genetic predisposition to hypertension in Oman at resting state. The wavelet-based soft-decision algorithm is used as the spectral analysis tool to obtain different features from the HRV signal and to select the best performing features for detection of hypertension. The main task is to classify between three categories of subjects: 36 subjects with both normotensive parents (ONT), 22 subjects with single hypertensive parent (OHT1), and 11 subjects with both hypertensive parents (OHT2).

RESULTS:The summation of the power of bands B4 and B5 of the 32 bands HRV wavelet-based spectrum, which is equivalent to the frequency range (0.046875 Hz-0.078125 Hz), is used as a classification factor among OHT2, OHT1, and ONT groups. The efficiency of classification between ONT and OHT2 is 85.10%, and between OHT1 and OHT2 is 81.81%. The result of classifying between (ONT and OHT1 as one group) and OHT2 is 85.50%.

CONCLUSIONS:The work proves that the wavelet-based spectral analysis technique is a successful tool for classifying the three groups of subjects (ONT, OHT1, and OHT2) with different susceptibility for development of hypertension.

译文

背景:具有遗传易患高血压的后代在静止时的血压(BP)可能高于没有遗传易患高血压的后代。人们还期望它们在心率变异性(HRV)中具有较高的交感成分,可以通过信号处理算法进行计算。

目的:本研究的目的是设计一种基于小波的系统,用于估计心率变异性,可用于检测具有遗传易感性高血压的后代的早期心血管变化。早期发现将有助于治疗这些年轻人。在这项工作中,研究了高血压与HRV变化之间的关系。

方法:研究了心率变异性(HRV)的频域和时域分析,以了解它们与有或没有遗传易感性的阿曼高血压后代的自主神经系统的关系。基于小波的软决策算法用作频谱分析工具,可从HRV信号中获得不同的特征,并选择性能最佳的特征来检测高血压。主要任务是对三类受试者进行分类:36名具有正常血压父母(ONT)的受试者,22名具有单一高血压父母(OHT1)的受试者和11名同时具有高血压父母(OHT2)的受试者。 strong>结果:将32个波段的HRV小波频谱的波段B4和B5的功率总和,等效于频率范围(0.046875 Hz-0.078125 Hz),用作其中的分类因子OHT2,OHT1和ONT组。 ONT和OHT2之间的分类效率为85.10%,OHT1和OHT2之间的分类效率为81.81%。 (ONT和OHT1作为一组)和OHT2的分类结果为85.50%。

结论:这项工作证明基于小波的频谱分析技术是一种成功的分析工具将高血压易感性不同的三类受试者(ONT,OHT1和OHT2)分类。

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