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njit-etd2003-081 - New Jersey Institute of Technology

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9<br />

5. To use the best choice <strong>of</strong> the time-frequency distribution and wavelet distribution<br />

performed on the heart rate variability signal to quantify the area under the low<br />

frequency and high frequency ranges during different breathing conditions (room air, 30<br />

% oxygen supplement) at rest and exercise as reflected in the heart rate variability signal<br />

<strong>of</strong> COPD subjects.<br />

6. To use coherence and partial coherence in learning the relationships between heart<br />

rate variability, blood pressure variability and respiration as well as the sympatho-vagal<br />

balance <strong>of</strong> the autonomic nervous system.<br />

7. To develop a general class <strong>of</strong> Exogenous Input AutoRegressive (ARX) models for<br />

the cardiovascular system from experimental data using system identification<br />

techniques. Once the model is obtained it can be used for COPD parameter testing<br />

(since the values <strong>of</strong> some <strong>of</strong> these parameters may not be attainable for COPD patients).<br />

This may provide COPD cardiovascular models for further study <strong>of</strong> the disease<br />

noninvasively.<br />

8. To use principal component analysis and cluster analysis as tools that allow<br />

diagnosing the COPD severity noninvasively and accurately. This may help physicians<br />

further in deciding who may be best suited for lung reduction surgery.<br />

This work clarifies some <strong>of</strong> the questions about heart rate variability on COPD<br />

subjects which are <strong>of</strong> fundamental importance in diagnosing the severity <strong>of</strong> the disease,<br />

in assessing the benefit <strong>of</strong> the rehabilitation procedure and ultimately in determining<br />

who may benefit the most from lung reduction surgery. The major contributions <strong>of</strong> this<br />

work can be summarized as follows:

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