State Space Correspondence and Cross-Entropy Methods in the Assessment of Bidirectional Cardiorespiratory Coupling in Heart Failure

The complex interplay between the cardiac and the respiratory systems, termed cardiorespiratory coupling (CRC), is a bidirectional phenomenon that can be affected by pathologies such as heart failure (HF). In the present work, the potential changes in strength of directional CRC were assessed in HF...

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Main Authors: Beatrice Cairo, Riccardo Pernice, Nikola N. Radovanović, Luca Faes, Alberto Porta, Mirjana M. Platiša
Format: Article
Language:English
Published: MDPI AG 2025-07-01
Series:Entropy
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Online Access:https://www.mdpi.com/1099-4300/27/7/770
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author Beatrice Cairo
Riccardo Pernice
Nikola N. Radovanović
Luca Faes
Alberto Porta
Mirjana M. Platiša
author_facet Beatrice Cairo
Riccardo Pernice
Nikola N. Radovanović
Luca Faes
Alberto Porta
Mirjana M. Platiša
author_sort Beatrice Cairo
collection DOAJ
description The complex interplay between the cardiac and the respiratory systems, termed cardiorespiratory coupling (CRC), is a bidirectional phenomenon that can be affected by pathologies such as heart failure (HF). In the present work, the potential changes in strength of directional CRC were assessed in HF patients classified according to their cardiac rhythm via two measures of coupling based on k-nearest neighbor (KNN) estimation approaches, cross-entropy (CrossEn) and state space correspondence (SSC), applied on the heart period (HP) and respiratory (RESP) variability series, while also accounting for the complexity of the cardiac and respiratory rhythms. We tested the measures on 25 HF patients with sinus rhythm (SR, age: 58.9 ± 9.7 years; 23 males) and 41 HF patients with ventricular arrhythmia (VA, age 62.2 ± 11.0 years; 30 males). A predominant directionality of interaction from the cardiac to the respiratory rhythm was observed in both cohorts and using both methodologies, with similar statistical power, while a lower complexity for the RESP series compared to HP series was observed in the SR cohort. We conclude that CrossEn and SSC can be considered strictly related to each other when using a KNN technique for the estimation of the cross-predictability markers.
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institution Kabale University
issn 1099-4300
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publisher MDPI AG
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series Entropy
spelling doaj-art-00bc998338f84d868e366c774934a9922025-08-20T03:58:26ZengMDPI AGEntropy1099-43002025-07-0127777010.3390/e27070770State Space Correspondence and Cross-Entropy Methods in the Assessment of Bidirectional Cardiorespiratory Coupling in Heart FailureBeatrice Cairo0Riccardo Pernice1Nikola N. Radovanović2Luca Faes3Alberto Porta4Mirjana M. Platiša5Department of Biomedical Sciences for Health, University of Milan, 20133 Milan, ItalyDepartment of Engineering, University of Palermo, Viale delle Scienze, 90128 Palermo, ItalyPacemaker Center, University Clinical Center of Serbia, Faculty of Medicine, University of Belgrade, 11000 Belgrade, SerbiaDepartment of Engineering, University of Palermo, Viale delle Scienze, 90128 Palermo, ItalyDepartment of Biomedical Sciences for Health, University of Milan, 20133 Milan, ItalyLaboratory for Biosignals, Institute of Biophysics, Faculty of Medicine, University of Belgrade, 11000 Belgrade, SerbiaThe complex interplay between the cardiac and the respiratory systems, termed cardiorespiratory coupling (CRC), is a bidirectional phenomenon that can be affected by pathologies such as heart failure (HF). In the present work, the potential changes in strength of directional CRC were assessed in HF patients classified according to their cardiac rhythm via two measures of coupling based on k-nearest neighbor (KNN) estimation approaches, cross-entropy (CrossEn) and state space correspondence (SSC), applied on the heart period (HP) and respiratory (RESP) variability series, while also accounting for the complexity of the cardiac and respiratory rhythms. We tested the measures on 25 HF patients with sinus rhythm (SR, age: 58.9 ± 9.7 years; 23 males) and 41 HF patients with ventricular arrhythmia (VA, age 62.2 ± 11.0 years; 30 males). A predominant directionality of interaction from the cardiac to the respiratory rhythm was observed in both cohorts and using both methodologies, with similar statistical power, while a lower complexity for the RESP series compared to HP series was observed in the SR cohort. We conclude that CrossEn and SSC can be considered strictly related to each other when using a KNN technique for the estimation of the cross-predictability markers.https://www.mdpi.com/1099-4300/27/7/770cardiorespiratory couplingheart failureinformation theorycross-entropycross-predictabilityk-nearest neighbors
spellingShingle Beatrice Cairo
Riccardo Pernice
Nikola N. Radovanović
Luca Faes
Alberto Porta
Mirjana M. Platiša
State Space Correspondence and Cross-Entropy Methods in the Assessment of Bidirectional Cardiorespiratory Coupling in Heart Failure
Entropy
cardiorespiratory coupling
heart failure
information theory
cross-entropy
cross-predictability
k-nearest neighbors
title State Space Correspondence and Cross-Entropy Methods in the Assessment of Bidirectional Cardiorespiratory Coupling in Heart Failure
title_full State Space Correspondence and Cross-Entropy Methods in the Assessment of Bidirectional Cardiorespiratory Coupling in Heart Failure
title_fullStr State Space Correspondence and Cross-Entropy Methods in the Assessment of Bidirectional Cardiorespiratory Coupling in Heart Failure
title_full_unstemmed State Space Correspondence and Cross-Entropy Methods in the Assessment of Bidirectional Cardiorespiratory Coupling in Heart Failure
title_short State Space Correspondence and Cross-Entropy Methods in the Assessment of Bidirectional Cardiorespiratory Coupling in Heart Failure
title_sort state space correspondence and cross entropy methods in the assessment of bidirectional cardiorespiratory coupling in heart failure
topic cardiorespiratory coupling
heart failure
information theory
cross-entropy
cross-predictability
k-nearest neighbors
url https://www.mdpi.com/1099-4300/27/7/770
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