Extensive efforts have been recently devoted to implement fast and reliable algorithms capable of assessing the physiological response of the organism to physiological stress. In this study, we propose the comparison between model-free and linear parametric methods as regards their ability to detect alterations in the dynamics and in the complexity of cardiovascular and respiratory variability evoked by postural and mental stress. Dynamic entropy (DE) and information storage (IS) measures were calculated on three physiological time-series, i.e. heart period, respiratory volume and systolic arterial pressure, on 61 healthy subjects monitored in resting conditions as well as during head-up tilt and while performing a mental arithmetic task. The results of the comparison suggest the feasibility of DE and IS measures computed from different physiological signals to discriminate among resting and stress states. If compared to the model-free algorithm, the faster linear method appears to be capable of detecting the same (or even more) statistically significant variations of DE or IS between resting and stress conditions, being thus in perspective more suitable for the integration within wearable devices. The computation of entropy indices extracted from multiple physiological signals acquired through wearables will allow a real-time stress assessment on people during daily-life situations.

In this work, we study ultra-short term (UST) complexity of Heart Rate Variability (HRV) and its agreement with analysis of standard short-term (ST) HRV recordings obtained at rest and during orthostatic stress. Conditional Entropy (CE) measures have been computed using both a linear Gaussian approximation and a more accurate model-free approach based on nearest neighbors. The agreement between UST and ST indices has been compared via statistical tests and correlation analysis, suggesting the feasibility of exploiting faster algorithms and shorter time series for detecting changes in cardiovascular control during various states.

Heart Rate Variability (HRV) and Blood Pressure Variability (BPV) are widely employed tools for characterizing the complex behavior of cardiovascular dynamics. Usually, HRV and BPV analyses are carried out through short-term (ST) measurements, which exploit ~five-minute-long recordings. Recent research efforts are focused on reducing the time series length, assessing whether and to what extent Ultra-Short-Term (UST) analysis is capable of extracting information about cardiovascular variability from very short recordings. In this work, we compare ST and UST measures computed on electrocardiographic R-R intervals and systolic arterial pressure time series obtained at rest and during both postural and mental stress. Standard time–domain indices are computed, together with entropy-based measures able to assess the regularity and complexity of cardiovascular dynamics, on time series lasting down to 60 samples, employing either a faster linear parametric estimator or a more reliable but time-consuming model-free method based on nearest neighbor estimates. Our results are evidence that shorter time series down to 120 samples still exhibit an acceptable agreement with the ST reference and can also be exploited to discriminate between stress and rest. Moreover, despite neglecting nonlinearities inherent to short-term cardiovascular dynamics, the faster linear estimator is still capable of detecting differences among the conditions, thus resulting in its suitability to be implemented on wearable devices.

In recent years, the attention to the health and comfort of the individual, together with the electronic miniaturization progress, have led to an increased interest in the development of biomedical devices that are able to acquire a multitude of biomedical signals. Such devices should be wearable and comfortable during daily use, to be thus suitable for continuously monitoring psychophysical health states. In this context, we have designed and realized a portable biomedical device capable of real-time acquisition of electrocardiographic (ECG), photoplethysmographic (PPG), breathing and galvanic skin response (GSR) signals, for a noninvasive monitoring of multiple physiological parameters. This work shows the architecture of our system, which integrates a Bluetooth module for wireless communication with the central computer and novel analog sensors capable of carrying out breathing and GSR measurements. Preliminary measurements carried out using our system during a controlled breathing protocol illustrated how the simultaneous measurement of ECG, PPG, GSR and respiration allows tracking changes not only in heart rate, but also in epidermal tissue sweating, thus confirming that the device can be successfully employed for monitoring health status and, in perspective, also for assessing the individual's stress level.

Heart Rate Variability (HRV) and Blood Pressure Variability (BPV) are widely employed tools for characterizing the complex behavior of cardiovascular dynamics. Usually, HRV and BPV analyses are carried out through short-term (ST) measurements, which exploit ~5 minute-long recordings. Recent research efforts are focused on reducing the time series length, assessing whether and to what extent Ultra-Short Term (UST) analysis is capable of extracting information about cardiovascular variability from very short recordings. In this work, we compare ST and UST measures computed on electrocardiographic R-R intervals and systolic arterial pressure time series obtained at rest and during both postural and mental stress. Standard time-domain indices are computed, together with entropy-based measures able to assess regularity and complexity of cardiovascular dynamics, on time series lasting up to 60 samples, employing either a faster linear parametric estimator or a more reliable but time-consuming model-free method based on nearest neighbor estimates. Our results evidence that shorter time series up to 120 samples still exhibit an acceptable agreement with the ST reference, and can be exploited to dis-criminate between stress and rest as well. Moreover, although neglecting nonlinearities inherent to short-term cardiovascular dynamics, the faster linear estimator is still capable of detecting differences among the conditions, thus resulting suitable to be implemented on wearable devices.