Title Correlation between symbolic dynamics analysis indexes and neurohormonal and functional parameters in heart failure patients.
Author Cesarelli, Mario; Romano, Maria; Maestri, Roberto; La Rovere, Maria Teresa; Bifulco, Paolo; D'Addio, Giovanni
Journal Stud Health Technol Inform Publication Year/Month 2014
PMID 25160238 PMCID -N/A-
Affiliation + expend 1.DIETI, University of Naples, "Federico II", Naples, Italy.

Heart failure (HF) is a cardiac disease associated with prominent alterations in the autonomic control of the cardiovascular system and high neurohormonal activation levels. Useful assessment tools may be heart rate variability (HRV) analysis and/or the study of norepinephrine (NPE) level. Nevertheless, traditional techniques of HRV analysis have proved not sufficient and the second is an invasive measurement. In this work the correlation between a parameter (kurtosis-K) computed by an emerging nonlinear technique, the symbolic dynamics analysis, and neurohormonal and functional parameters has been investigated. Results obtained show an interesting relationship between K and both ejection fraction and NPE. In particular, higher K values are associated to increasing NPE levels This finding could be useful for highlighting changes in HF patients otherwise detectable only with invasive examinations.

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