Title Brief Report: Can a Composite Heart Rate Variability Biomarker Shed New Insights About Autism Spectrum Disorder in School-Aged Children?
Author Frasch, Martin G; Shen, Chao; Wu, Hau-Tieng; Mueller, Alexander; Neuhaus, Emily; Bernier, Raphael A; Kamara, Dana; Beauchaine, Theodore P
Journal J Autism Dev Disord Publication Year/Month 2021-Jan
PMID 32449059 PMCID -N/A-
Affiliation + expend 1.Department of Obstetrics and Gynecology, University of Washington, Seattle, WA, USA.

Several studies show altered heart rate variability (HRV) in autism spectrum disorder (ASD), but findings are neither universal nor specific to ASD. We apply a set of linear and nonlinear HRV measures-including phase rectified signal averaging-to segments of resting ECG data collected from school-age children with ASD, age-matched typically developing controls, and children with other psychiatric conditions characterized by altered HRV (conduct disorder, depression). We use machine learning to identify time, frequency, and geometric signal-analytical domains that are specific to ASD (receiver operating curve area = 0.89). This is the first study to differentiate children with ASD from other disorders characterized by altered HRV. Despite a small cohort and lack of external validation, results warrant larger prospective studies.

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