VARSE: Android app for real-time acquisition and analysis of heart rate signals.

BACKGROUND AND OBJECTIVE: nowadays, numerous mobile applications capable of measuring the Heart Rate (HR) are continuously being launched. However, these tools do not allow to record and label the acquired HR signals while users are doing activities such as practising sports or viewing images. They do not allow to perform simultaneous HR acquisition and real-time HRV analysis, either. VARSE is an app for Android mobile devices capable of acquiring and labelling HR signals and of performing real-time HRV analysis. METHODS: VARSE was developed for Android devices. It includes functionalities to acquire HR signals from any Bluetooth device that implements the Heart Rate Profile specification (such as a chest strap), while labelling segments of the HR data in different situations. Not only can these signals be stored, but also time and frequency HRV analyses can be carried out over them. The application is distributed under the MIT license [1], and it is also available to be installed via Google Play [2]. Functionality, ease-of-use and friendliness of VARSE were evaluated employing an User Experience Questionnaire (UEQ). Its reliability was proven by comparative studies against other existing acquisition (gVARVI) or HRV analysis (RHRV) software. RESULTS: high values were obtained for all the dimensions evaluated in the UEQ, proving the quality of the application, as well as its ease-of-use and efficiency. Both HR signal acquisition and HRV analysis yielded results similar to the ones obtained using other applications. CONCLUSIONS: VARSE is a tool with complete functionality, that can be easily downloaded or installed on Android mobile devices. It can be used by anyone who wishes to record HR signals while performing different activities, and also by the medical scientific community to perform real-time HRV analyses easily. Future versions will improve its capabilities and allow its integration with other open source applications.

Nocturnal evolution of heart rate variability indices in sleep apnea.

Heart rate variability (HRV) is a valuable clinical tool in diagnosing multiple diseases. This paper presents the results of a spectral HRV analysis conducted with 46 patients. HRV indices for the whole night show differences among patients with severe and mild apnea, and healthy subjects. These differences also appear when performing the analysis over 5-min intervals, regarding apneas being present or not in the intervals. Differences were also observed when analyzing the HRV nocturnal evolution. Results are consistent with the hypothesis that cardiovascular risk remains constant for OSA patients while it increases towards the end of the night for healthy subjects.

Detecting sleep apnea by heart rate variability analysis: assessing the validity of databases and algorithms.

Obstructive sleep apnea (OSA) is a serious disorder caused by intermittent airway obstruction which may have dangerous impact on daily living activities. Heart rate variability (HRV) analysis could be used for diagnosing OSA, since this disease affects HRV during sleep. In order to validate different algorithms developed for detecting OSA employing HRV analysis, several public or proprietary data collections have been employed for different research groups. However, for validation purposes, it is obvious and evident the lack of a common standard database, worldwide recognized and accepted by the scientific community. In this paper, different algorithms employing HRV analysis were applied over diverse public and proprietary databases for detecting OSA, and the outcomes were validated in terms of a statistical analysis. Results indicate that the use of a specific database may strongly affect the performance of the algorithms, due to differences in methodologies of processing. Our results suggest that researchers must strongly take into consideration the database used when quoting their results, since selected cases are highly database dependent and would bias conclusions.