PMID- 37070962 OWN - NLM STAT- MEDLINE DCOM- 20230518 LR - 20230614 IS - 1748-1716 (Electronic) IS - 1748-1708 (Linking) VI - 238 IP - 2 DP - 2023 Jun TI - Complexity analysis from EEG data in congestive heart failure: A study via approximate entropy. PG - e13979 LID - 10.1111/apha.13979 [doi] AB - AIM: Congestive heart failure (CHF) is a very complex clinical syndrome that may lead to ischemic cerebral hypoxia condition. The aim of the present study is to analyze the effects of CHF on brain activity through electroencephalographic (EEG) complexity measures, like approximate entropy (ApEn). METHODS: Twenty patients with CHF and 18 healthy elderly people were recruited. ApEn values were evaluated in the total spectrum (0.2-47 Hz) and main EEG frequency bands: delta (2-4 Hz), theta (4-8 Hz), alpha 1 (8-11 Hz), alpha 2 (11-13 Hz), beta 1 (13-20 Hz), beta 2 (20-30 Hz), and gamma (30-45 Hz) to identify differences between CHF group and control. Moreover, a correlation analysis was performed between ApEn parameters and clinical data (i.e., B-type natriuretic peptides (BNP), New York Heart Association (NYHA), and systolic blood pressure (SBP)) within the CHF group. RESULTS: Statistical topographic maps showed statistically significant differences between the two groups in the total spectrum and theta frequency band. Within the CHF group, significant negative correlations were found between total ApEn and BNP in O2 channel and between theta ApEn and NYHA scores in Fp1, Fp2, and Fz channels; instead, a significant positive correlation was found between theta ApEn and SBP in C3 channel and a nearly significant positive correlation was obtained between theta ApEn and SBP in F4 channel. CONCLUSION: EEG abnormalities in CHF are very similar to those observed in cognitive-impaired patients, suggesting analogies between the effects of neurodegeneration and brain chronic hypovolaemia due to heart disorder and underlying high brain sensitivity to CHF. CI - (c) 2023 The Authors. Acta Physiologica published by John Wiley & Sons Ltd on behalf of Scandinavian Physiological Society. FAU - Cacciotti, Alessia AU - Cacciotti A AD - Brain Connectivity Laboratory, Department of Neuroscience and Neurorehabilitation, IRCCS San Raffaele Roma, Rome, Italy. AD - Department of Theoretical and Applied Sciences, eCampus University, Novedrate, Como, Italy. FAU - Pappalettera, Chiara AU - Pappalettera C AD - Brain Connectivity Laboratory, Department of Neuroscience and Neurorehabilitation, IRCCS San Raffaele Roma, Rome, Italy. AD - Department of Theoretical and Applied Sciences, eCampus University, Novedrate, Como, Italy. FAU - Miraglia, Francesca AU - Miraglia F AD - Brain Connectivity Laboratory, Department of Neuroscience and Neurorehabilitation, IRCCS San Raffaele Roma, Rome, Italy. AD - Department of Theoretical and Applied Sciences, eCampus University, Novedrate, Como, Italy. FAU - Valeriani, Lavinia AU - Valeriani L AD - Department of Theoretical and Applied Sciences, eCampus University, Novedrate, Como, Italy. AD - Fondazione Antea, Rome, Italy. FAU - Judica, Elda AU - Judica E AD - Department of Neurorehabilitation Sciences, Casa Cura Policlinico, Milan, Italy. FAU - Rossini, Paolo Maria AU - Rossini PM AD - Brain Connectivity Laboratory, Department of Neuroscience and Neurorehabilitation, IRCCS San Raffaele Roma, Rome, Italy. FAU - Vecchio, Fabrizio AU - Vecchio F AUID- ORCID: 0000-0002-6004-9522 AD - Brain Connectivity Laboratory, Department of Neuroscience and Neurorehabilitation, IRCCS San Raffaele Roma, Rome, Italy. AD - Department of Theoretical and Applied Sciences, eCampus University, Novedrate, Como, Italy. LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20230430 PL - England TA - Acta Physiol (Oxf) JT - Acta physiologica (Oxford, England) JID - 101262545 SB - IM MH - Humans MH - Aged MH - Entropy MH - *Electroencephalography MH - *Heart Failure MH - Brain MH - Systems Analysis OTO - NOTNLM OT - EEG OT - congestive heart failure OT - entropy EDAT- 2023/04/19 06:00 MHDA- 2023/05/18 06:42 CRDT- 2023/04/18 09:52 PHST- 2023/04/12 00:00 [revised] PHST- 2023/01/13 00:00 [received] PHST- 2023/04/14 00:00 [accepted] PHST- 2023/05/18 06:42 [medline] PHST- 2023/04/19 06:00 [pubmed] PHST- 2023/04/18 09:52 [entrez] AID - 10.1111/apha.13979 [doi] PST - ppublish SO - Acta Physiol (Oxf). 2023 Jun;238(2):e13979. doi: 10.1111/apha.13979. Epub 2023 Apr 30.