Conference Proceedings
Identifying increased risk of post-infarct people with diabetes using multi-lag Tone-Entropy analysis
C Karmakar, H Jelinek, A Khandoker, M Tulppo, T Makikallio, A Kiviniemi, H Huikuri, M Palaniswami
Proceedings of the Annual International Conference of the IEEE Engineering in Medicine and Biology Society EMBS | Published : 2012
Abstract
Diabetes mellitus is associated with multi-organ system dysfunction. One of the key causative factors is the increased blood sugar level that leads to an increase in free radical activity and organ damage including the cardiovascular and nervous system. Heart rhythm is extrinsically modulated by the autonomic nervous system and cardiac autonomic neuropathy or dysautonomia has been shown to lead to sudden cardiac death in people with diabetes due to the decrease in heart rate variability (HRV). Current algorithms for determining HRV describe only beat-to-beat variation and therefore do not consider the ability of a heart beat to influence a train of succeeding beats. Therefore mortality risk ..
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Funding Acknowledgements
The authors wish to acknowledge Ian Spence for a critical review and comments on the manuscript. This study was partly funded by the Finnish Technology Development Centre (TEKES, Helsinki, Finland).