Comparison of Pulse Rate Variability and Heart Rate Variability for Hypoglycemia Syndrome

Okkesim, Sukru; Celik, Gamze; Yı́ldı́rı́m, Mustafa; İlhan, Muzaffer; Karaman, Ozcan; Taşan, Ertuğrul; Kara, Sadık

doi:10.3414/me15-01-0088

Cited by 8 publications

(2 citation statements)

References 35 publications

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“…Authors have also aimed to prove if PRV and HRV could be used indistinctly in unhealthy subjects. Hence, their relationship has been evaluated in subjects suffering diseases such as type-2 diabetes mellitus (Keet et al 2014), obesity (Vasconcellos et al 2015), hypoglycaemia syndrome (Okkesim et al 2016), sleep apnoea (Liu et al 2017), and chronic myofascial pain syndrome (Ye et al 2018). In these cases, PRV was found to be a valid surrogate of HRV.…”

Section: Prv As a Valid Surrogate Of Hrvmentioning

confidence: 99%

Pulse rate variability in cardiovascular health: a review on its applications and relationship with heart rate variability

et al. 2020

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Heart rate variability has been largely used for the assessment of cardiac autonomic activity, due to the direct relationship between cardiac rhythm and the activity of the sympathetic and parasympathetic nervous system. In recent years, another technique, pulse rate variability, has been used for assessing heart rate variability information from pulse wave signals, especially from photoplethysmography, a non-invasive, non-intrusive, optical technique that measures the blood volume in tissue. The relationship, however, between pulse rate variability and heart rate variability is not entirely understood, and the effects of cardiovascular changes in pulse rate variability have not been thoroughly elucidated. In this review, a comprehensive summary of the applications in which pulse rate variability has been used, with a special focus on cardiovascular health, and of the studies that have compared heart rate variability and pulse rate variability is presented. It was found that the relationship between heart rate variability and pulse rate variability is not entirely understood yet, and that pulse rate variability might be influenced not only due to technical aspects but also by physiological factors that might affect the measurements obtained from pulse-to-pulse time series extracted from pulse waves. Hence, pulse rate variability must not be considered as a valid surrogate of heart rate variability in all scenarios, and care must be taken when using pulse rate variability instead of heart rate variability. Specifically, the way pulse rate variability is affected by cardiovascular changes does not necessarily reflect the same information as heart rate variability, and might contain further valuable information. More research regarding the relationship between cardiovascular changes and pulse rate variability should be performed to evaluate if pulse rate variability might be useful for the assessment of not only cardiac autonomic activity but also for the analysis of mechanical and vascular autonomic responses to these changes.

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Section: Prv As a Valid Surrogate Of Hrvmentioning

confidence: 99%

Pulse rate variability in cardiovascular health: a review on its applications and relationship with heart rate variability

et al. 2020

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“…Several studies have used correlation analysis to assess the relationship between HRV and PRV, some of them finding results similar to those reported in this paper. When PRV and HRV correlation was assessed in subjects at rest, earlobe and finger PRV have a good correlation to HRV indices (Shi et al, 2008;Lu et al, 2009;Bulte et al, 2011;Okkesim et al, 2016); however, certain changes in cardiovascular conditions have been found to alter the correlation between HRV and PRV, including changes due to mental stress (Giardino et al, 2002), changes in the position of the subjects (Lu et al, 2008;Gil et al, 2010), and changes in cardiovascular dynamics (Charlot et al, 2009). Finally, from the Bland-Altman analysis, SD2, and pNN50, to a lower extent, showed the better agreement between HRV and PRV in all stages and from all body sites.…”

Section: Relationship Between Prv and Hrv During Whole-body Cold Exposurementioning

confidence: 99%

Heart Rate Variability (HRV) and Pulse Rate Variability (PRV) for the Assessment of Autonomic Responses

et al. 2020

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Introduction: Heart Rate Variability (HRV) and Pulse Rate Variability (PRV), are non-invasive techniques for monitoring changes in the cardiac cycle. Both techniques have been used for assessing the autonomic activity. Although highly correlated in healthy subjects, differences in HRV and PRV have been observed under various physiological conditions. The reasons for their disparities in assessing the degree of autonomic activity remains unknown. Methods: To investigate the differences between HRV and PRV, a whole-body cold exposure (CE) study was conducted on 20 healthy volunteers (11 male and 9 female, 30.3 ± 10.4 years old), where PRV indices were measured from red photoplethysmography signals acquired from central (ear canal, ear lobe) and peripheral sites (finger and toe), and HRV indices from the ECG signal. PRV and HRV indices were used to assess the effects of CE upon the autonomic control in peripheral and core vasculature, and on the relationship between HRV and PRV. The hypotheses underlying the experiment were that PRV from central vasculature is less affected by CE than PRV from the peripheries, and that PRV from peripheral and central vasculature differ with HRV to a different extent, especially during CE. Results: Most of the PRV time-domain and Poincaré plot indices increased during cold exposure. Frequency-domain parameters also showed differences except for relative-power frequency-domain parameters, which remained unchanged. HRV-derived parameters showed a similar behavior but were less affected than PRV. When PRV and HRV parameters were compared, time-domain, absolute-power frequency-domain, and non-linear indices showed differences among stages from most of the locations. Bland-Altman analysis showed that the relationship between HRV and PRV was affected by CE, and that it recovered faster in the core vasculature after CE. Conclusion: PRV responds to cold exposure differently to HRV, especially in peripheral sites such as the finger and the toe, and may have different information not available in HRV due to its non-localized nature. Hence, multi-site PRV shows promise for assessing the autonomic activity on different body locations and under different circumstances, which could allow for further understanding of the localized responses of the autonomic nervous system.

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Comparative accuracy of optical sensor-based wearable system for non-invasive measurement of blood glucose concentration

Rodin

Kirby

Sedogin

et al. 2019

Clinical Biochemistry

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Comparison of Pulse Rate Variability and Heart Rate Variability for Hypoglycemia Syndrome

Abstract: In conclusion, all the features computed from PRV and HRV have close agreement and correlation according to Bland-Altman analyses' results and features computed from PRV can be used in detection of hypoglycemia.

Cited by 8 publications

References 35 publications

Pulse rate variability in cardiovascular health: a review on its applications and relationship with heart rate variability

Pulse rate variability in cardiovascular health: a review on its applications and relationship with heart rate variability

Heart Rate Variability (HRV) and Pulse Rate Variability (PRV) for the Assessment of Autonomic Responses

Comparative accuracy of optical sensor-based wearable system for non-invasive measurement of blood glucose concentration

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