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Orthostatic Test

A proper evaluation requires measurements of a patient under at least two different conditions. The method used here is to examine a patient both at rest and during physical activity. This can be accomplished by having a patient engage in some activity where the general response of a healthy person is known.

Based on the patient's reaction, a more accurate assessment of ANS is possible. Intellewave uses a very popular method of ANS provocation - the Orthostatic Test, which is simply a transition from a supine to a standing position. Any physical or mental dysfunction will be exhibited as an inadequate ANS response during this test.

There are 3 result pages for Orthotest:

  1. Cluster Analysis
  2. Spectrum
  3. 3D Spectrum

Cluster Analysis Chart

The chart displays clusterization of High Frequency and Low Frequency components. The horizontal or X axis shows the level of intensity of the High Frequency component. The vertical or Y axis shows the intensity of the Low Frequency Component. The goal of cluster analysis is to translate the results of the Power Spectrum analysis into the format of clusterization chart. A point on the chart reflects distribution of intensities of High Frequency and Low Frequency components of HRV: its x-coordinate value reflects the intensity of the High Frequency Component, and its y-coordinate value reflects the intensity of the Low Frequency component.


Each Cluster Analysis Chart has a light-blue and a green point. The light-blue point indicates the frequency distribution during the first main stage of the test, the green point reflects the frequency distribution during the second main stage of the test. For Orthotest, the blue point refers to the Supine Stage of the test, and the green point refers to the Upright Stage of the test. There is also a red point in the chart for Orthotest. The red point, or Point of Average, shows average for the two main stages. Coordinates of the Point of Average are displayed below the graph. The diagram displayed in the left part of the panel describes the transition stage of a test. Transition stage is the part of the test during which HRV activity changes noticeably, while patient performs a transition between the activity of the first main stage to the activity of the second main stage. In Orthotest, the transition stage is the Transition Period (the patient changes position from Supine to Upright). The transition period description contains a part of the rhythmographic strip during transition, minimum and maximum HR during this period and calculated 30/15 Ratio.


Spectrum

The Spectrum page for Orthostatic test includes the description of 2 stages of the test:

1. Description of the Supine stage of the test is displayed on the left side of the panel

2. Description of the Upright stage of the test is displayed on the right side of the panel.


To generate a spectrum, Intellewave uses Fast Fourier Transform (FFT). Spectral function shown on the Spectrum Chart consists of 96 harmonics. Spectral analysis of the wave "portrait", which appears in the rhythmographic strip panel allows Intellewave to identify two main components:


- Low frequency: 0.033 - 0.15 Hz.
- High frequency: 0.15 - 0.5 Hz.

On the horizontal or X-axis the frequency in Hertz is shown. On the vertical or Y-axis the amplitude of spectral harmonics is shown (S, msec2). The low and high frequency bands can be easily identified on the chart. The vertical lines between different frequency bands show the harmonic for this frequency and an order of the harmonic is written above. The maximums of the spectral function are shown by green triangles for each range if present. 

3D SPECTRUM
This page displays a moveable 3D chart of the Spectral function. Frequency (in Hz) is shown on the horizontal, or X-axis, and the amplitude of spectral harmonics (S, msec2) is shown on the vertical or Y-axis. Different frequency ranges are displayed in different colors. Two different stages of a test are displayed next to each other when the chart is viewed from the top.

 

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