Discriminating noise from chaos in heart rate variability : application to prognosis in heart failure

This thesis examines two challenging problems in chaos analysis: distinguishing deterministic chaos and stochastic (noise-induced) chaos, and applying chaotic heart rate variability (HRV) analysis to the prognosis of mortality in congestive heart failure (CHF). Distinguishing noise from chaos poses a major challenge in nonlinear dynamics theory since the addition of dynamic noise can make a non-chaotic nonlinear system exhibit stochastic chaos, a concept which is not well-defined and is the center of heated debate in chaos theory. A novel method for detecting dynamic noise in chaotic series is proposed in Part I of this thesis. In Part II, we show that linear and nonlinear analyses of HRV yield independent predictors of mortality. Specifically, sudden death is best predicted by frequency analysis whereas nonlinear and chaos indices are more selective for progressive pump failure death. These findings suggest a novel noninvasive probe for the clinical management of CHF patients.

Department dc:contributor.department

Massachusetts Institute of Technology. Dept. of Electrical Engineering and Computer Science.

Grantor dc:publisher

Massachusetts Institute of Technology

Year dc:date.issued

2007

Author dc:creator

• Arzeno, Natalia M. (Natalia María Arzeno Soltero)

Advisor dc:contributor.advisor

• Chi-Sang Poon.

• Electrical Engineering and Computer Science.

Statement dc:rights

• M.I.T. theses are protected by copyright. They may be viewed from this source for any purpose, but reproduction or distribution in any format is prohibited without written permission. See provided URL for inquiries about permission.

Licence dc:rights.uri

• http://dspace.mit.edu/handle/1721.1/7582

Language dc:language.iso

eng

Handle dc:identifier.uri

http://hdl.handle.net/1721.1/41252

OAI identifier oai:identifier

oai:dspace.mit.edu:1721.1/41252