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Brain & Heart                                              Automatic cardiac autonomic modulation assessment



              where AMo is the mode amplitude (the percentage of   considered statistically significant. The Pearson correlation
            intervals corresponding to the mode value relative to the   was used to evaluate the relationships between selected
            sample size), Mo is the mode, and MxDMn represents the   quantitative variables, with a correlation considered strong
            degree of interval variability, calculated from the difference   if R > 0.7.
            between the maximum (Mx) and minimum (Mn) intervals.
            According to Baevsky, BSTRi values are considered normal   3. Results
            at rest when they range from 80 to 150 conventional units
            and are 1.5–2 times higher during physical or emotional   3.1. Population
            stress. High BSTRi values suggest reduced variability and   The demographics of the 105 healthy participants are
            increased sympathetic cardiac activation. 43,44  In Kubios,   summarized in Table 1.
            BSTRi values are expressed as the square root of the
            original Baevsky values. 40                        3.2. Linear and NL HRV parameters
              To  calculate  both PNSi  and  SNSi, each parameter  is   3.2.1. Variations in HRV parameters based on short-
            first compared to the normal population values reported   term interval duration
            by Nunan.  These values are then scaled using the SD   Compared to those calculated from 5-min intervals,
                     41
            of  the  normal  population  and  refined  with  undisclosed   the average values of most HRV parameters were not
            proprietary weighting factors to ensure robust and reliable   significantly different when calculated from 2-min intervals
            index values. This process considers the relationships   across all examined situations (daily activity, NREM
            between exercise intensity, heart rate, and HRV. 40  sleep,  and  acute  psychophysiological  stress).  Significant

            2.3. Statistical analysis                          differences (P < 0.05) for 5-min intervals were found only
                                                               for certain recurrence plot parameters (in all conditions),
            Data were input into SPSS (21.0 version, Chicago, Illinois)   approximated entropy (not under stress), the triangular
            for quantitative analysis. All data were examined for   index, TINN (during NREM sleep), and minimum heart
            expected ranges, outliers, and abnormal values. Continuous   rate under stress (Table 2).
            variables are presented as mean and SD. Differences
            between groups were assessed using either parametric   For clarity, only a selection of Kubios-calculated
            or non-parametric tests, as appropriate. A  P < 0.05 was   parameters will be presented in the following tables.

            Table 2. Difference in each HRV parameter calculated from short‑term time segments of 2 and 5 min, during regular daily
            activity (104 cases), NREM sleep (104 cases), and high‑stress tactical training (16 police officers)
                                  Daily activity                NREM sleep                  High stress
                         2 min interval  5 min  n  P  2 min interval  5 min interval  n  P  2 min interval 5 min interval n  P
                         Mean  SD   Mean  SD          Mean   SD   Mean   SD        Mean  SD   Mean   SD
            MeanRR ms    734.3  120.1  731.9  116.8  104    977.8  148.7  975.0  154.0  104    438.0  75.0  445.3  70.2  16
            SDNN ms      31.7  15.1  31.2  13.7  104    27.2  12.5  27.5  12.2  104    13.7  13.1  15.0  12.6  16
            MeanHR bpm   83.8  13.2  84.0  13.0  104    62.7  9.1  63.0  9.9  104    140.2  20.2  137.3  17.7  16
            MinHR bpm    74.7  11.5  72.7  10.9  104    59.6  8.6  59.1  9.2  104    122.9  20.9  106.6  16.8  16 #
            MaxHR bpm    93.7  14.5  97.0  14.9  104    65.7  9.7  67.4  11.6  104    155.6  18.6  160.1  17.7  16
            RMSSD ms     22.3  12.1  21.8  11.0  104    32.7  16.0  32.7  16.1  104    6.4  6.1  7.0  6.5  16
            pNN50        5.1  8.5   4.6  7.7   104    14.1  16.5  14.2  16.5  104    0.4  1.2  0.6  1.8  16
            HRVtriang index  7.6  2.6  8.3  3.0  104    7.1  2.4  7.8   2.8  104 #  3.6  2.3  3.5  2.5  16
            TINN ms      140.9  65.0  155.9  67.7  104    117.3  52.2  135.4  62.2  104 #  63.9  57.2  84.3  59.7  16
            DC ms        18.3  12.4  17.6  11.5  104    28.0  18.6  27.9  17.9  104    5.4  9.6  5.2  8.6  16
            DCmod ms     23.1  12.3  22.5  11.4  104    36.8  18.6  36.7  18.6  104    6.5  7.4  6.8  8.0  16
            AC ms        −18.1  12.7  −17.5  11.9  104    −28.9  18.3  −28.9  18.1  104    −4.2  6.0  −4.3  5.8  16
            ACmod ms     −23.7  14.0  −23.0  12.8  104    −38.7  19.9  −38.6  20.0  104    −5.8  5.6  −6.3  6.6  16
            VLFpow FFT ms 2  98.6  130.7  99.4  102.8  104    39.0  60.4  45.5  58.3  104    25.0  29.3  25.7  27.0  16
            LFpow FFT ms 2  880.4  1,051.9 844.5  921.3  104    250.1  364.3  286.3  397.6  104    276.6  504.1 317.2  596.6 16
                                                                                                       (Contd...)


            Volume 2 Issue 4 (2024)                         4                                doi: 10.36922/bh.3503
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