Clinical administration of LPS endotoxin show changes in heart rate variability are detected prior to changes in temperature

Sherley Demetrius, Benjamin Griffel, Badar U. Jan, Susette M. Coyle, Marie A. Macor, Michael Reddell, Steve E. Calvano, John L. Semmlow, Siobhan Corbett, Stephen F. Lowry

Research output: Chapter in Book/Report/Conference proceedingConference contribution

Abstract

Sepsis is a significant cause of hospital deaths, but early detection could save lives. Heart rate variability (HRV) is a measurement of the change in heart rate and may be useful as a marker for early detection of sepsis. In this study, E. coli endotoxin was administered to healthy human subjects and changes in temperature and HRV were monitored at 6 hours post administration. HRV features measured were pNN50 and multi-scale entropy (MSE). We modeled changes in baseline using a sigmoidal model with 3 variables to help quantify dynamics of HRV and temperature time series. Curves of HRV and temperature versus time demonstrated that changes in HRV features preceded changes in temperature. Our model fits indicate HRV changes both begin earlier and occur faster than temperature or heart rate. Our findings are consistent with other group findings that demonstrate changes in interbeat intervals can be detected earlier than other signs of systemic inflammation.

Original languageEnglish (US)
Title of host publicationProceedings - 2014 40th Annual Northeast Bioengineering Conference, NEBEC 2014
PublisherInstitute of Electrical and Electronics Engineers Inc.
ISBN (Electronic)9781479937288
DOIs
StatePublished - Dec 2 2014
Event2014 40th Annual Northeast Bioengineering Conference, NEBEC 2014 - Boston, United States
Duration: Apr 25 2014Apr 27 2014

Publication series

NameProceedings of the IEEE Annual Northeast Bioengineering Conference, NEBEC
Volume2014-December
ISSN (Print)1071-121X
ISSN (Electronic)2160-7001

Other

Other2014 40th Annual Northeast Bioengineering Conference, NEBEC 2014
Country/TerritoryUnited States
CityBoston
Period4/25/144/27/14

All Science Journal Classification (ASJC) codes

  • Bioengineering

Keywords

  • Heart rate variability
  • Multi-scale entropy
  • Nonlinear signal analysis
  • Sepsis

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