Search

Objective: Numerous indices were devised for the statistical characterization of temporal dynamics of heart rate variability (HRV) with the aim to discriminate between healthy subjects and nonhealthy patients. Elaborating on the concepts of (multi)fractal and nonlinear analyses, the present contribution defines and studies formally novel non Gaussian multiscale representations. Methods: A methodological framework for non Gaussian multiscale representations constructed on wavelet p-leaders is developed, relying a priori neither on exact scale-free dynamics nor on predefined forms of departure from Gaussianity. Its versatility in quantifying the strength and nature of departure from Gaussian is analyzed theoretically and numerically. The ability of the representations to discriminate between healthy subjects and congestive heart failure (CHF) patients, and between survivors and nonsurvivor CHF patients, is assessed on a large cohort of 198 subjects. Results: The analysis leads to conclude that i) scale-free and multifractal dynamics are observed, both for healthy subjects and CHF patients, for time scales shorter than ${\text{170 s}}$ ; ii) a circadian evolution of multifractal and non Gaussian properties of HRV is evidenced for healthy subjects, but not for CHF patients; iii) non Gaussian multiscale indices possess high discriminative abilities between survivor and nonsurvivor CHF patients, at specific time scales ($\sim \!{\text{20 s}}$ and $\sim\! {\text{85 s}}$). Conclusions: The non Gaussian multiscale representations provide evidence for the existence of short-term cascade-type multifractal mechanisms underlying HRV for both healthy and CHF subjects. A circadian evolution of this mechanism is only evidenced for the healthy group, suggesting an alteration of the sympathetic-parasympathetic balance for CHF patients. Significance: Results obtained for a large cohort of subjects suggest that the novel non Gaussian indices might robustly quantify crucial information for clinical risk stratification in CHF patients. [ABSTRACT FROM AUTHOR]

Multifractal analysis, that quantifies the fluctuations of regularities in time series or textures, has become a standard signal/image processing tool. It has been successfully used in a large variety of applicative contexts. Yet, successes are confined to the analysis of one signal or image at a time (univariate analysis). This is because multivariate (or joint) multifractal analysis remains so far rarely used in practice and has barely been studied theoretically. In view of the myriad of modern real-world applications that rely on the joint (multivariate) analysis of collections of signals or images, univariate analysis constitutes a major limitation. The goal of the present work is to theoretically ground multivariate multifractal analysis by studying the properties and limitations of the most natural extension of the univariate formalism to a multivariate formulation. It is notably shown that while performing well for a class of model processes, this natural extension is not valid in general. Based on the theoretical study of the mechanisms leading to failure, we propose alternative formulations and examine their mathematical properties. [ABSTRACT FROM AUTHOR]