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Arrhythmia

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Abstract

Part V moves into cardiology. This chapter considers arrhythmia. It looks at atrial fibrillation as a possible model of arrhythmia and discusses the interpretation of ANS assessment results that include high-quality arrhythmia. While traditional HRV is contraindicated for arrhythmia, P&S monitoring, as shown in the atrial fibrillation trail is not. This is the result of the more specific measures of P and S activity. Where HRV alone uses spectral analysis windows for low and high frequencies that are of different widths, the window widths for P&S monitoring are significantly more well matched. For P&S monitoring, the matched windowing enables greater noise rejection, where the arrhythmia is treated as (relatively) broad-spectrum noise. With improved noise rejection, arrhythmic records may still be interpreted. For records with arrhythmia in only one or two phases, like with pacing activation, consider the arrhythmia as a symptom, given the stimulus being presented in that phase of the assessment.

Keywords

  • Atrial Fibrillation
  • Respiratory Sinus Arrhythmia
  • Continuous Wavelet Transform
  • Sympathetic Blockade
  • Postural Orthostatic Tachycardia Syndrome

These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

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Colombo, J., Arora, R., DePace, N.L., Vinik, A.I. (2015). Arrhythmia. In: Clinical Autonomic Dysfunction. Springer, Cham. https://doi.org/10.1007/978-3-319-07371-2_18

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  • DOI: https://doi.org/10.1007/978-3-319-07371-2_18

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