Evidence map›Paper›PMID 40350041›Full record

ArticleJournal of neuroscience methods2025

Spike detection of human sympathetic nerve activity using wavelet transformation and Valsalva maneuver denoising.

Surat Kulapatana, Stefano Rigo, Vasile Urechie, Robert J Brychta, Raffaello Furlan, Italo Biaggioni, André Diedrich

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Article in Journal of neuroscience methods, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

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2 · The registry

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3 · Its place in the literature

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0 citing papers in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

7 authors.

Surat KulapatanaDepartment of Biomedical Engineering, Vanderbilt University, Nashville, TN, USA; Autonomic Dysfunction Center, Department of Medicine, Division of Clinical Pharmacology, Vanderbilt University Medical Center, Nashville, TN, USA; Department of Physiology, Faculty of Medicine Siriraj Hospital, Mahidol University, Bangkok, Thailand.
Stefano RigoAutonomic Dysfunction Center, Department of Medicine, Division of Clinical Pharmacology, Vanderbilt University Medical Center, Nashville, TN, USA; Humanitas Clinical and Research Center, IRCCS, Via Alessandro Manzoni, 56, Rozzano, Italy; Humanitas University, Department of Biomedical Sciences, Pieve Emanuele, Italy.
Vasile UrechieAutonomic Dysfunction Center, Department of Medicine, Division of Clinical Pharmacology, Vanderbilt University Medical Center, Nashville, TN, USA; Clinical Research Unit, myDoctorAngel Sagl, Bioggio, Switzerland.
Robert J BrychtaNational Institute of Diabetes and Digestive and Kidney Diseases, National Institutes of Health, Bethesda, MD, USA.
Raffaello FurlanHumanitas Clinical and Research Center, IRCCS, Via Alessandro Manzoni, 56, Rozzano, Italy; Humanitas University, Department of Biomedical Sciences, Pieve Emanuele, Italy.
Italo BiaggioniAutonomic Dysfunction Center, Department of Medicine, Division of Clinical Pharmacology, Vanderbilt University Medical Center, Nashville, TN, USA.
André DiedrichDepartment of Biomedical Engineering, Vanderbilt University, Nashville, TN, USA; Autonomic Dysfunction Center, Department of Medicine, Division of Clinical Pharmacology, Vanderbilt University Medical Center, Nashville, TN, USA. Electronic address: andre.diedrich@vumc.org.

Funding

Vanderbilt Institute for Clinical and Translational Research (VICTR) -Identifying correlates of functional immunity in SARS-CoV-2 convalescent plasmaUL1TR002243 · NCATS · VANDERBILT UNIVERSITY MEDICAL CENTER · PI Paul A. Harris, Wesley H Self · 2017 to 2026
$130.7M
Autonomic Determinants of Postural Tachycardia SyndromeR01HL142583 · NHLBI · VANDERBILT UNIVERSITY MEDICAL CENTER · PI DIEDRICH, ANDRE · 2019 to 2022
$1.7M
NCATS NIH HHS UL1 TR002243NHLBI NIH HHS R01 HL142583
6 · The paper itself

Abstract

backgroundSympathetic function is directly assessed by microneurography measuring muscle sympathetic nerve activity (MSNA). The recordings are typically corrupted with noise and require denoising. We aim to estimate microneurographic noise individually from physiologically suppressed MSNA during Valsalva phase 4 (VM4). NEW

methodWe developed MSNA adaptive processing (MAP). MSNA recordings during Valsalva were transformed by stationary wavelet transformation. Level-specific noise thresholds were computed from 4 SD of detail coefficients from VM4 and were implemented for denoising. The denoised signals were inverse transformed, then the MSNA spikes were detected. We compared detection performance of the MAP with the current two-stage kurtosis method in simulated MSNA signals, and recordings from 17 healthy and 19 postural orthostatic tachycardia syndrome (POTS) female subjects performing Valsalva.

resultsThe MAP had higher correct detections of MSNA spikes than the kurtosis method in simulated signals wit high burst rate (50 burst/min) and low signal-to-noise ratio (SNR =2) (MAP vs kurtosis; 23.81 ± 15.49 % vs 16.98 ± 12.75 %, p < 0.001). The improvement was confirmed by shorter error distance of the precision-recall plot (0.535 ± 0.175 vs 0.542 ± 0.177, p = 0.011). The MAP detected higher spike rate during VM phase 2 in healthy (24.11 ± 9.85 vs 19.57 ± 8.60 spike/s, p = 0.049), but non-significant in POTS (24.19 ± 13.70 vs 20.30 ± 11.85 spike/s, p = 0.101). COMPARISON WITH EXISTING

methodsThe detection performance of the MAP is superior to the current two-stage kurtosis method.

conclusionsThe proposed MAP method individually estimating noise from VM4 could improve MSNA spike detection, compared with the kurtosis method. The advantages are most prominent in high burst rate and low SNR MSNA recordings.

Indexed as

Action PotentialsSympathetic Nervous SystemValsalva ManeuverWavelet AnalysisAdultFemaleHumansMuscle, SkeletalPostural Orthostatic Tachycardia SyndromeSignal Processing, Computer-AssistedSignal-To-Noise RatioYoung AdultAutonomic nervous systemDenoisingMicroneurographyMuscle sympathetic nerve activityValsalvaWavelet

Identifiers

PMID40350041
PMCPMC12978673

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.