New approach to the statistical analysis of cardiovascular data.
Fourier-based approaches to analysis of variability of R-R intervals or blood pressure typically compute power in a given frequency band (e.g., 0.01-0.07 Hz) by aggregating the power at each constituent frequency within that band. This paper describes a new approach to the analysis of these data. We propose to partition the blood pressure variability spectrum into more narrow components by computing power in 0.01-Hz-wide bands. Therefore, instead of a single measure of variability in a specific frequency interval, we obtain several measurements. The approach generates a more complex data structure that requires a careful account of the nested repeated measures. We briefly describe a statistical methodology based on generalized estimating equations that suitably handles this more complex data structure. To illustrate the methods, we consider systolic blood pressure data collected during psychological and orthostatic challenge. We compare the results with those obtained using the conventional methods to compute blood pressure variability, and we show that our approach yields more efficient results and more powerful statistical tests. We conclude that this approach may allow a more thorough analysis of cardiovascular parameters that are measured under different experimental conditions, such as blood pressure or heart rate variability.
Norton
Michele R
MR
Dept. of Biostatistics, Mailman School of Public Health, Columbia University, 722 West 168th Street, New York, NY 10032, USA.
Sloan
Richard P
RP
Bagiella
Emilia
E
D000465:Algorithms; D001794:Blood Pressure; D001795:Blood Pressure Determination / Q000379:methods*; D003627:Data Interpretation, Statistical; D003936:Diagnosis, Computer-Assisted / Q000379:methods*; D005260:Female; D005583:Fourier Analysis; D006331:Heart Diseases / Q000175:diagnosis / Q000503:physiopathology / Q000601:surgery; D006339:Heart Rate; D016027:Heart Transplantation; D006801:Humans; D007674:Kidney Diseases / Q000175:diagnosis / Q000503:physiopathology / Q000601:surgery; D016030:Kidney Transplantation; D008297:Male; D008955:Models, Cardiovascular; D015233:Models, Statistical; D015203:Reproducibility of Results; D012680:Sensitivity and Specificity