ArticleAnnals of noninvasive electrocardiology : the official journal of the International Society for Holter and Noninvasive Electrocardiology, Inc2018
The sensitivity of 38 heart rate variability measures to the addition of artifact in human and artificial 24-hr cardiac recordings.
Article in Annals of noninvasive electrocardiology : the official journal of the International Society for Holter and Noninvasive Electrocardiology, Inc, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers.
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Who cites it
21 citing papers in PubMed.
- Raga Bhairavi in virtual reality reduces stress-related psychophysiological markers.Scientific reports · 2024Trial
- Does psychological treatment of major depression reduce cardiac risk biomarkers? An exploratory randomized controlled trial.Psychological medicine · 2023Trial
- Threshold-based artefact correction methods influence heart rate variability measurements in individuals with type 2 diabetes mellitus.Scientific reports · 2026Observational
- Utility of short-term heart rate variability metrics in heart failure with reduced ejection fraction.Heart rhythm O2 · 2025Article
- Classification of Individuals With COVID-19 and Post-COVID-19 Condition and Healthy Controls Using Heart Rate Variability: Machine Learning Study With a Near-Real-Time Monitoring Component.Journal of medical Internet research · 2025Article
- A comprehensive evaluation of linear and non-linear HRV parameters between paced breathing and stressful mental state.Heliyon · 2024Article
- Impact of QRS misclassifications on heart-rate-variability parameters (results from the CARLA cohort study).PloS one · 2024Article
- A two-step pre-processing tool to remove Gaussian and ectopic noise for heart rate variability analysis.Scientific reports · 2022Article
- Estimation of Respiratory Frequency in Women and Men by Kubios HRV Software Using the Polar H10 or Movesense Medical ECG Sensor during an Exercise Ramp.Sensors (Basel, Switzerland) · 2022Article
- RMSSD Is More Sensitive to Artifacts Than Frequency-Domain Parameters: Implication in Athletes' Monitoring.Journal of sports science & medicine · 2022Article
- Fractal Correlation Properties of Heart Rate Variability as a Biomarker for Intensity Distribution and Training Prescription in Endurance Exercise: An Update.Frontiers in physiology · 2022Review
- Influence of Artefact Correction and Recording Device Type on the Practical Application of a Non-Linear Heart Rate Variability Biomarker for Aerobic Threshold Determination.Sensors (Basel, Switzerland) · 2021Article
- Ethnic Differences on Cardiac Rhythms and Autonomic Nervous System Responses During a High-Altitude Trek: A Pilot Study Comparing Italian Trekkers to Nepalese Porters.Frontiers in physiology · 2021Article
- Autonomic, endocrine, and psychological stress responses to different forms of blood draw.PloS one · 2021Article
- Impact of Using Different Levels of Threshold-Based Artefact Correction on the Quantification of Heart Rate Variability in Three Independent Human Cohorts.Journal of clinical medicine · 2020Article
- Heart Rate Variability in the Perinatal Period: A Critical and Conceptual Review.Frontiers in neuroscience · 2020Review
- A New Detection Method Defining the Aerobic Threshold for Endurance Exercise and Training Prescription Based on Fractal Correlation Properties of Heart Rate Variability.Frontiers in physiology · 2020Article
- Article
- Heart Rate Variability as Indicator of Clinical State in Depression.Frontiers in psychiatry · 2018Article
- The sensitivity of 38 heart rate variability measures to the addition of artifact in human and artificial 24-hr cardiac recordings.Annals of noninvasive electrocardiology : the official journal of the International Society for Holter and Noninvasive Electrocardiology, Inc · 2018Article
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5 authors.
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Abstract
backgroundArtifact is common in cardiac RR interval data derived from 24-hr recordings and has a significant impact on heart rate variability (HRV) measures. However, the relative impact of progressively added artifact on a large group of commonly used HRV measures has not been assessed. This study compared the relative sensitivity of 38 commonly used HRV measures to artifact to determine which measures show the most change with increasing increments of artifact. A secondary aim was to ascertain whether short-term and long-term HRV measures, as groups, share similarities in their sensitivity to artifact.
methodsUp to 10% of artifact was added to 20 artificial RR (ARR) files and 20 human cardiac recordings, which had been assessed for artifact by a cardiac technician. The added artifact simulated deletion of RR intervals and insertion of individual short RR intervals. Thirty-eight HRV measures were calculated for each file. Regression analysis was used to rank the HRV measures according to their sensitivity to artifact as determined by the magnitude of slope.
resultsRMSSD, SDANN, SDNN, RR triangular index and TINN, normalized power and relative power linear measures, and most nonlinear methods examined are most robust to artifact.
conclusionShort-term time domain HRV measures are more sensitive to added artifact than long-term measures. Absolute power frequency domain measures across all frequency bands are more sensitive than normalized and relative frequency domain measures. Most nonlinear HRV measures assessed were relatively robust to added artifact, with Poincare plot SD1 being most sensitive.
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