Comparison of Wavelet Transform Modulus Maxima and Multifractal Detrended Fluctuation Analysis of Heart Rate in Patients with Systolic Dysfunction of Left Ventricle
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Background: In recent years the WTMM (wavelet transform modulus maxima) and MDFA (multifractal detrended fluctuation analysis) methods have become widely used techniques for the determination of nonlinear, multifractal heart rate (HR) dynamics. The purpose of our study was to compare multifractal parameters of heart rate calculated using both methods in a group of 90 patients with reduced left ventricular systolic function (rlvs group) and in a group of 39 healthy persons (nsr group). Methods: For each subject from the rlvs group (LVEF ≤40%) and the nsr group, a 24‐hour ECG Holter monitoring was performed. The width of the multifractal spectrum and global Hurst exponent were calculated by means of WTMM and MDFA methods for 5‐hour daytime and nighttime subsets. Results: The width of the multifractal spectrum was significantly lower and the Hurst exponent was significantly higher in rlvs group in comparison to nsr group both during diurnal activity and nocturnal rest according to MDFA and only during diurnal activity according to WTMM method. In both groups we observed significant differences of the multifractal spectrum width and the global Hurst exponent between the nighttime and daytime recordings. Conclusions: MDFA seems to be more sensitive as compared with WTMM method in differentiation between multifractal properties of the heart rate in healthy subjects and patients with left ventricular systolic dysfunction.
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The multifractal fluctuation analysis method is superior to the wavelet transform modulus maxima method for studying multifractal properties of the heart rate in healthy subjects and patients with left ventricular systolic dysfunction.
“the authors found that the multifractal fluctuation analysis method is superior to the wavelet transform modulus maxima method for studying multifractal properties of the heart rate both in healthy subjects and patients with left ventricular systolic dysfunction.”
From The Year of 2008 in Electrocardiology (2010) · cites this paper as [8]
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The Year of 2008 in Electrocardiology
Stern, S. (2010) · Annals of Noninvasive Electrocardiology · doi:10.1111/j.1542-474x.2009.00347.x · Cited by 1 · see citing works
- Authors
- Galaska, R., Makowiec, D., Dudkowska, A., Koprowski, A., Chlebus, K., Wdowczyk‐Szulc, J., & Rynkiewicz, A.
- Affiliations
- University of Gdańsk (PL)
- Gdańsk Medical University (PL)
- Venue
- Annals of Noninvasive Electrocardiology
- Publisher
- Wiley
- Published
- 2008-04
- Volume
- 13
- Issue
- 2
- Pages
- 155-164
- ISSN
- 1082-720X (ISSN-L)
- 1542-474X
- PMC
- PMC6932668
- OpenAlex
- W1965238956
- Cited by
- 49
- References
- 28
- Citations by year
- 2026: 1 · 2025: 5 · 2024: 1 · 2023: 2 · 2022: 2 · 2021: 1 · 2020: 4 · 2019: 1 · 2018: 4 · 2017: 1 · 2016: 2 · 2015: 4 · 2013: 1 · 2012: 2
- FWCI
- 4.14
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- Annals of Noninvasive Electrocardiology (publishedVersion)
- PubMed Central (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Heart Rate Variability and Autonomic Control
- Social Sciences › Economics, Econometrics and Finance › Economics and Econometrics › Complex Systems and Time Series Analysis
- Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › ECG Monitoring and Analysis
- Keywords
- wavelet transform modulus maxima, multifractal detrended fluctuation analysis, heart rate variability, left ventricular systolic dysfunction, reduced left ventricular ejection fraction, multifractal spectrum width, diurnal variation, Holter monitoring
- MeSH terms
- Aged, Circadian Rhythm, Electrocardiography, Female, Heart Rate, Humans, Male, Middle Aged, Probability, Reference Values, Sensitivity and Specificity, Signal Processing, Computer-Assisted, Electrocardiography, Ambulatory, Multivariate Analysis, Case-Control Studies, Ventricular Dysfunction, Left, Risk Assessment, Heart Failure, Systolic
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