# -*- coding: utf-8 -*-
import matplotlib.pyplot as plt
import numpy as np
import pandas as pd
import scipy.stats
from ..stats import mad, summary_plot
from .hrv_utils import _hrv_format_input
from .intervals_utils import _intervals_successive
[docs]
def hrv_time(peaks, sampling_rate=1000, show=False, **kwargs):
"""**Computes time-domain indices of Heart Rate Variability (HRV)**
Time-domain measures reflect the total variability of HR and are relatively indiscriminate when
it comes to precisely quantifying the respective contributions of different underlying
regulatory mechanisms. However, this "general" sensitivity can be seen as a positive feature
(e.g., in exploratory studies or when specific underlying neurophysiological mechanisms are not
the focus). Moreover, as they are easy to compute and interpret, time-domain measures are still
among the most commonly reported HRV indices.
The time-domain indices can be categorized into deviation-based and difference-based indices
where the formal are calculated directly from the normal beat-to-beat intervals (normal RR
intervals or NN intervals), and the later are derived from the difference between successive NN
intervals.
.. tip::
We strongly recommend checking our open-access paper `Pham et al. (2021)
<https://doi.org/10.3390/s21123998>`_ on HRV indices for more information.
Parameters
----------
peaks : dict
Samples at which cardiac extrema (i.e., R-peaks, systolic peaks) occur.
Can be a list of indices or the output(s) of other functions such as :func:`.ecg_peaks`,
:func:`.ppg_peaks`, :func:`.ecg_process` or :func:`.bio_process`.
Can also be a dict containing the keys `RRI` and `RRI_Time`
to directly pass the R-R intervals and their timestamps, respectively.
sampling_rate : int, optional
Sampling rate (Hz) of the continuous cardiac signal in which the peaks occur. Should be at
least twice as high as the highest frequency in vhf. By default 1000.
show : bool
If ``True``, will plot the distribution of R-R intervals.
Returns
-------
DataFrame
Contains time domain HRV metrics:
* **MeanNN**: The mean of the RR intervals.
* **SDNN**: The standard deviation of the RR intervals.
* **SDANN1**, **SDANN2**, **SDANN5**: The standard deviation of average RR intervals
extracted from n-minute segments of time series data (1, 2 and 5 by default). Note that
these indices require a minimal duration of signal to be computed (3, 6 and 15 minutes
respectively) and will be silently skipped if the data provided is too short.
* **SDNNI1**, **SDNNI2**, **SDNNI5**: The mean of the standard deviations of RR intervals
extracted from n-minute segments of time series data (1, 2 and 5 by default). Note that
these indices require a minimal duration of signal to be computed (3, 6 and 15 minutes
respectively) and will be silently skipped if the data provided is too short.
* **RMSSD**: The square root of the mean of the squared successive differences between
adjacent RR intervals. It is equivalent (although on another scale) to SD1, and
therefore it is redundant to report correlations with both (Ciccone, 2017).
* **SDSD**: The standard deviation of the successive differences between RR intervals.
* **CVNN**: The standard deviation of the RR intervals (**SDNN**) divided by the mean of
the RR intervals (**MeanNN**).
* **CVSD**: The root mean square of successive differences (**RMSSD**) divided by
the mean of the RR intervals (**MeanNN**).
* **MedianNN**: The median of the RR intervals.
* **MadNN**: The median absolute deviation of the RR intervals.
* **MCVNN**: The median absolute deviation of the RR intervals (**MadNN**) divided by the
median of the RR intervals (**MedianNN**).
* **IQRNN**: The interquartile range (**IQR**) of the RR intervals.
* **SDRMSSD**: SDNN / RMSSD, a time-domain equivalent for the low Frequency-to-High
Frequency (LF/HF) Ratio (Sollers et al., 2007).
* **Prc20NN**: The 20th percentile of the RR intervals (Han, 2017; Hovsepian, 2015).
* **Prc80NN**: The 80th percentile of the RR intervals (Han, 2017; Hovsepian, 2015).
* **pNN50**: The proportion of RR intervals greater than 50ms, out of the total number of
RR intervals.
* **pNN20**: The proportion of RR intervals greater than 20ms, out of the total number of
RR intervals.
* **MinNN**: The minimum of the RR intervals (Parent, 2019; Subramaniam, 2022).
* **MaxNN**: The maximum of the RR intervals (Parent, 2019; Subramaniam, 2022).
* **TINN**: A geometrical parameter of the HRV, or more specifically, the baseline width of
the RR intervals distribution obtained by triangular interpolation, where the error of
least squares determines the triangle. It is an approximation of the RR interval
distribution.
* **HTI**: The HRV triangular index, measuring the total number of RR intervals divided by
the height of the RR intervals histogram.
See Also
--------
ecg_peaks, ppg_peaks, hrv_frequency, hrv_summary, hrv_nonlinear
Examples
--------
.. ipython:: python
import neurokit2 as nk
# Download data
data = nk.data("bio_resting_5min_100hz")
# Find peaks
peaks, info = nk.ecg_peaks(data["ECG"], sampling_rate=100)
# Compute HRV indices
@savefig p_hrv_time.png scale=100%
hrv = nk.hrv_time(peaks, sampling_rate=100, show=True)
@suppress
plt.close()
References
----------
* Pham, T., Lau, Z. J., Chen, S. H. A., & Makowski, D. (2021). Heart Rate Variability in
Psychology: A Review of HRV Indices and an Analysis Tutorial. Sensors, 21(12), 3998.
https://doi.org/10.3390/s21123998
* Ciccone, A. B., Siedlik, J. A., Wecht, J. M., Deckert, J. A., Nguyen, N. D., & Weir, J. P.
(2017). Reminder: RMSSD and SD1 are identical heart rate variability metrics. Muscle & nerve,
56(4), 674-678.
* Han, L., Zhang, Q., Chen, X., Zhan, Q., Yang, T., & Zhao, Z. (2017). Detecting work-related
stress with a wearable device. Computers in Industry, 90, 42-49.
* Hovsepian, K., Al'Absi, M., Ertin, E., Kamarck, T., Nakajima, M., & Kumar, S. (2015). cStress:
towards a gold standard for continuous stress assessment in the mobile environment. In
Proceedings of the 2015 ACM international joint conference on pervasive and ubiquitous
computing (pp. 493-504).
* Parent, M., Tiwari, A., Albuquerque, I., Gagnon, J. F., Lafond, D., Tremblay, S., & Falk, T.
H. (2019). A multimodal approach to improve the robustness of physiological stress prediction
during physical activity. In 2019 IEEE International Conference on Systems, Man and
Cybernetics (SMC) (pp. 4131-4136). IEEE.
* Stein, P. K. (2002). Assessing heart rate variability from real-world Holter reports. Cardiac
electrophysiology review, 6(3), 239-244.
* Shaffer, F., & Ginsberg, J. P. (2017). An overview of heart rate variability metrics and
norms. Frontiers in public health, 5, 258.
* Subramaniam, S. D., & Dass, B. (2022). An Efficient Convolutional Neural Network for Acute
Pain Recognition Using HRV Features. In Proceedings of the International e-Conference on
Intelligent Systems and Signal Processing (pp. 119-132). Springer, Singapore.
* Sollers, J. J., Buchanan, T. W., Mowrer, S. M., Hill, L. K., & Thayer, J. F. (2007).
Comparison of the ratio of the standard deviation of the RR interval and the root mean
squared successive differences (SD/rMSSD) to the low frequency-to-high frequency (LF/HF)
ratio in a patient population and normal healthy controls. Biomed Sci Instrum, 43, 158-163.
"""
# Sanitize input
# If given peaks, compute R-R intervals (also referred to as NN) in milliseconds
rri, rri_time, rri_missing = _hrv_format_input(peaks, sampling_rate=sampling_rate)
diff_rri = np.diff(rri)
if rri_missing:
# Only include successive differences
diff_rri = diff_rri[_intervals_successive(rri, intervals_time=rri_time)]
out = {} # Initialize empty container for results
# Deviation-based
out["MeanNN"] = np.nanmean(rri)
out["SDNN"] = np.nanstd(rri, ddof=1)
for i in [1, 2, 5]:
out["SDANN" + str(i)] = _sdann(rri, window=i)
out["SDNNI" + str(i)] = _sdnni(rri, window=i)
# Difference-based
out["RMSSD"] = np.sqrt(np.nanmean(diff_rri**2))
out["SDSD"] = np.nanstd(diff_rri, ddof=1)
# Normalized
out["CVNN"] = out["SDNN"] / out["MeanNN"]
out["CVSD"] = out["RMSSD"] / out["MeanNN"]
# Robust
out["MedianNN"] = np.nanmedian(rri)
out["MadNN"] = mad(rri)
out["MCVNN"] = out["MadNN"] / out["MedianNN"] # Normalized
out["IQRNN"] = scipy.stats.iqr(rri)
out["SDRMSSD"] = out["SDNN"] / out["RMSSD"] # Sollers (2007)
out["Prc20NN"] = np.nanpercentile(rri, q=20)
out["Prc80NN"] = np.nanpercentile(rri, q=80)
# Extreme-based
nn50 = np.sum(np.abs(diff_rri) > 50)
nn20 = np.sum(np.abs(diff_rri) > 20)
out["pNN50"] = nn50 / (len(diff_rri) + 1) * 100
out["pNN20"] = nn20 / (len(diff_rri) + 1) * 100
out["MinNN"] = np.nanmin(rri)
out["MaxNN"] = np.nanmax(rri)
# Geometrical domain
binsize = kwargs.get("binsize", ((1 / 128) * 1000))
bins = np.arange(0, np.max(rri) + binsize, binsize)
bar_y, bar_x = np.histogram(rri, bins=bins)
# HRV Triangular Index
out["HTI"] = len(rri) / np.max(bar_y)
# Triangular Interpolation of the NN Interval Histogram
out["TINN"] = _hrv_TINN(rri, bar_x, bar_y, binsize)
if show:
_hrv_time_show(rri, **kwargs)
out = pd.DataFrame.from_dict(out, orient="index").T.add_prefix("HRV_")
return out
# =============================================================================
# Utilities
# =============================================================================
def _hrv_time_show(rri, **kwargs):
fig = summary_plot(rri, **kwargs)
plt.xlabel("R-R intervals (ms)")
fig.suptitle("Distribution of R-R intervals")
return fig
def _sdann(rri, rri_time=None, window=1):
window_size = window * 60 * 1000 # Convert window in min to ms
if rri_time is None:
# Compute the timestamps of the R-R intervals in seconds
rri_time = np.nancumsum(rri / 1000)
# Convert timestamps to milliseconds and ensure first timestamp is equal to first interval
rri_cumsum = (rri_time - rri_time[0]) * 1000 + rri[0]
n_windows = int(np.round(rri_cumsum[-1] / window_size))
if n_windows < 3:
return np.nan
avg_rri = []
for i in range(n_windows):
start = i * window_size
start_idx = np.where(rri_cumsum >= start)[0][0]
end_idx = np.where(rri_cumsum < start + window_size)[0][-1]
avg_rri.append(np.nanmean(rri[start_idx:end_idx]))
sdann = np.nanstd(avg_rri, ddof=1)
return sdann
def _sdnni(rri, rri_time=None, window=1):
window_size = window * 60 * 1000 # Convert window in min to ms
if rri_time is None:
# Compute the timestamps of the R-R intervals in seconds
rri_time = np.nancumsum(rri / 1000)
# Convert timestamps to milliseconds and ensure first timestamp is equal to first interval
rri_cumsum = (rri_time - rri_time[0]) * 1000 + rri[0]
n_windows = int(np.round(rri_cumsum[-1] / window_size))
if n_windows < 3:
return np.nan
sdnn_ = []
for i in range(n_windows):
start = i * window_size
start_idx = np.where(rri_cumsum >= start)[0][0]
end_idx = np.where(rri_cumsum < start + window_size)[0][-1]
sdnn_.append(np.nanstd(rri[start_idx:end_idx], ddof=1))
sdnni = np.nanmean(sdnn_)
return sdnni
def _hrv_TINN(rri, bar_x, bar_y, binsize):
# set pre-defined conditions
min_error = 2**14
X = bar_x[np.argmax(bar_y)] # bin where Y is max
Y = np.max(bar_y) # max value of Y
idx_where = np.where(bar_x - np.min(rri) > 0)[0]
if len(idx_where) == 0:
return np.nan
n = bar_x[idx_where[0]] # starting search of N
m = X + binsize # starting search value of M
N = 0
M = 0
# start to find best values of M and N where least square is minimized
while n < X:
while m < np.max(rri):
n_start = np.where(bar_x == n)[0][0]
n_end = np.where(bar_x == X)[0][0]
qn = np.polyval(
np.polyfit([n, X], [0, Y], deg=1), bar_x[n_start : n_end + 1]
)
m_start = np.where(bar_x == X)[0][0]
m_end = np.where(bar_x == m)[0][0]
qm = np.polyval(
np.polyfit([X, m], [Y, 0], deg=1), bar_x[m_start : m_end + 1]
)
q = np.zeros(len(bar_x))
q[n_start : n_end + 1] = qn
q[m_start : m_end + 1] = qm
# least squares error
error = np.sum((bar_y[n_start : m_end + 1] - q[n_start : m_end + 1]) ** 2)
if error < min_error:
N = n
M = m
min_error = error
m += binsize
n += binsize
return M - N
