A wavelet-based heart rate variability analysis for the study of nonsustained ventricular tachycardia

It has been reported that the sympathovagal balance (SB) can be quantified by heart rate (HR) via the low-frequency (LF) to high-frequency (HF) spectral power ratio LF/HF. In this paper, an investigation of the relationship between the autonomic nervous system (ANS) and nonsustained ventricular tachycardia (NSVT) is presented. A wavelet transform (WT)-based approach for short-time heart rate variability (HRV) assessments is proposed for this aspect of analysis. The study was conducted on an RR-interval database consisting of 87 NSVT, 61 ischemic and five normal episodes. First, instantaneous SB estimates were generated by the proposed method. Then, waveforms of the WT-based SB evolutions were quantitatively examined. Numerical results showed that while a majority of SB waveforms (about 71%) derived from the non-NSVT population (i.e., ischemic and normal) appeared to come near oscillating with certain fixed levels, approximate 75% of SB evolutions underwent significantly rapid increases prior to the onset of NSVT, suggesting that an abrupt sympathovagal imbalance might partly account for the occurrence of NSVT.