Predicting depressed patients with suicidal ideation from ECG recordings.

Globally suicidal behavior is the third most common cause of death among patients with major depressive disorder (MDD). This study presents multi-lag tone-entropy (T-E) analysis of heart rate variability (HRV) as a screening tool for identifying MDD patients with suicidal ideation. Sixty-one ECG rec...

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Publicado en:Medical & Biological Engineering & Computing Vol. 55; no. 5; pp. 793 - 806
Autores principales: Khandoker, A., Luthra, V., Abouallaban, Y., Saha, S., Ahmed, K., Mostafa, R., Chowdhury, N., Jelinek, H., Khandoker, A H, Ahmed, K I, Jelinek, H F
Formato: equations & formulas pictorial research tables/charts Journal Article
Publicado: Springer Nature May2017
Acceso en línea:Ver este registro en EBSCOhost
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          Khandoker, A.
          Luthra, V.
          Abouallaban, Y.
          Saha, S.
          Ahmed, K.
          Mostafa, R.
          Chowdhury, N.
          Jelinek, H.
          Khandoker, A H
          Ahmed, K I
          Jelinek, H F
        affil: American Center for Psychiatry and Neurology , Abu Dhabi UAE
      sug:
        subj:
          Depression Physiopathology
          Depression Psychosocial Factors
          Aged, 80 and Over
          Pilot Studies
          Electrocardiography Methods
          Female
          Case Control Studies
          Male
          Physics
          Aged
          Suicidal Ideation
          Adult
          Human
          Aged, 80 & over
          Aged: 65+ years
          Adult: 19-44 years
          Female
          Male
      ab: Globally suicidal behavior is the third most common cause of death among patients with major depressive disorder (MDD). This study presents multi-lag tone-entropy (T-E) analysis of heart rate variability (HRV) as a screening tool for identifying MDD patients with suicidal ideation. Sixty-one ECG recordings (10 min) were acquired and analyzed from control subjects (29 CONT), 16 MDD subjects with (MDDSI+) and 16 without suicidal ideation (MDDSI-). After ECG preprocessing, tone and entropy values were calculated for multiple lags (m: 1-10). The MDDSI+ group was found to have a higher mean tone value compared to that of the MDDSI- group for lags 1-8, whereas the mean entropy value was lower in MDDSI+ than that in CONT group at all lags (1-10). Leave-one-out cross-validation tests, using a classification and regression tree (CART), obtained 94.83 % accuracy in predicting MDDSI+ subjects by using a combination of tone and entropy values at all lags and including demographic factors (age, BMI and waist circumference) compared to results with time and frequency domain HRV analysis. The results of this pilot study demonstrate the usefulness of multi-lag T-E analysis in identifying MDD patients with suicidal ideation and highlight the change in autonomic nervous system modulation of the heart rate associated with depression and suicidal ideation.
      pubtype: Academic Journal
      doctype:
        equations & formulas
        pictorial
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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