Simultaneous Transients of Intracranial Pressure and Heart Rate in Traumatic Brain Injury: Methods of Analysis
| Autor: | Peter J. Hutchinson, Xiuyun Liu, Shruti Agrawal, Peter Smielewski, Pietro Liò, Marek Czosnyka, Christina Haubrich, Joseph Donnelly, Giovanna Maria Dimitri, Adam Young |
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| Přispěvatelé: | Dimitri, Giovanna maria [0000-0002-2728-4272], Donnelly, Joseph [0000-0002-6502-8069], Liu, Xiuyun [0000-0001-9540-4865], Smielewski, Peter [0000-0001-5096-3938], Hutchinson, Peter [0000-0002-2796-1835], Czosnyka, Marek [0000-0003-2446-8006], Lio, Pietro [0000-0002-0540-5053], Apollo - University of Cambridge Repository |
| Rok vydání: | 2019 |
| Předmět: |
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medicine.medical_specialty Intracranial Pressure Traumatic brain injury 0206 medical engineering Heart rate Wavelet Analysis Cross-talk Intracranial pressure Peaks detection Recurrence plots Wavelet analysis 02 engineering and technology 03 medical and health sciences 0302 clinical medicine Internal medicine Brain Injuries Traumatic medicine Humans Arterial Pressure Child Monitoring Physiologic integumentary system business.industry musculoskeletal neural and ocular physiology medicine.disease 020601 biomedical engineering humanities nervous system diseases Blood pressure Cardiology Female Intracranial Hypertension business 030217 neurology & neurosurgery Algorithms |
| Zdroj: | Acta Neurochirurgica Supplement ISBN: 9783319657974 |
| DOI: | 10.17863/cam.42306 |
| Popis: | OBJECTIVES: The detection of increasing intracranial pressure (ICP) is important in preventing secondary brain injuries. Before mean ICP increases critically, transient ICP elevations may be observed. We have observed ICP transients of less than 10 min duration ,which occurred simultaneously with transient increases in heart rate (HR). These simultaneous events in HR and ICP suggest a direct interaction or communication between the heart and the brain. METHODS: This chapter describes four mathematical methods and their applicability in detecting the above heart-brain cross-talk events during long-term monitoring of ICP. RESULTS: Recurrence plots, cross-correlation function and wavelet analysis confirmed the relationship between ICP and HR time series. Using the peaks detection algorithm with a sliding window approach we found an average of 37 cross-talk events (± SD 39). The number of events detected varied among patients, from 1 to more than 150 events. CONCLUSION: Our analysis suggested that the peaks detection algorithm based on a sliding window approach is feasible for detecting simultaneous peaks, e.g. cross-talk events in the ICP and HR signals. |
| Databáze: | OpenAIRE |
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