用PCA分析查加斯病患者心脏动力学

M. Vizcardo, D. Cornejo, E. Alvarez
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引用次数: 1

摘要

美洲锥虫病是由一种鞭毛寄生虫引起的:克氏锥虫,由一种Triatoma属昆虫传播,也通过输血传播。在拉丁美洲,受感染的人数约为600万,面临感染风险的人口有7 000万人。我们的兴趣是开发一种低成本、无创的方法,能够在24小时内描述心脏动力学,从而找到动力学描述符,从而可以早期检测由克氏锥虫引起的心脏异常。我们分析了心电图异常(CH2)、无心电图异常(CH1)、查加斯病血清学结果阳性和性别、年龄匹配的健康(对照)患者24小时RR记录的8项HRV指数的主成分PCA的第一主成分和第二主成分。采用HRV心率变异性指标和主成分分析方法,我们发现Control-CH1、Control-CH2和CH1-CH2组之间连续5小时的动态差异显著(p值<0.05),并且我们还发现Control-CH1组与平均动态距离较低(0.020267),其次是CH1组(0.027922),最后是CH2组(0.034812)。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Analysis of Cardiac Dynamics in Patients With Chagas Disease Using PCA
Chagas disease American trypanosomiasis is caused by a flagellated parasite: trypanosoma cruzi, transmitted by an insect of the genus Triatoma and also by blood transfusions. In Latin America the number of infected people is approximately 6 million, with a population exposed to the risk of infection of 70 million people. It is our interest to develop a low-cost, non-invasive methodology capable of describing cardiac dynamics within 24 hours and thus finding descriptors of dynamics that allow early detection of cardiac abnormality caused by T. cruzi. We analyzed the first and second principal components of the PCA of the 8 HRV indices of the 24-hour RR records in patients with ECG abnormalities (CH2), patients without ECG abnormalities (CH1) who had positive results Serological findings for Chagas disease and healthy (Control) matched for sex and age. We found significant differences (p-value<0.05) between the three groups Control-CH1, Control-CH2 and CH1-CH2 up to 5 continuous hours in dynamics between the, using the HRV heart rate variability indices and the PCA principal component analysis method, and we also found a lower distance from the mean dynamics in the Control group (0.020267), then the CH1 group (0.027922) and finally in group CH2 (0.034812).
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