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Alexeenko V, Howlett PJ, Fraser JA, Abasolo D, Han TS, Fluck DS, Fry CH, Jabr RI. Prediction of Paroxysmal Atrial Fibrillation From Complexity Analysis of the Sinus Rhythm ECG: A Retrospective Case/Control Pilot Study. Front Physiol 2021; 12:570705. [PMID: 33679427 PMCID: PMC7933455 DOI: 10.3389/fphys.2021.570705] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/08/2020] [Accepted: 01/26/2021] [Indexed: 01/15/2023] Open
Abstract
Paroxysmal atrial fibrillation (PAF) is the most common cardiac arrhythmia, conveying a stroke risk comparable to persistent AF. It poses a significant diagnostic challenge given its intermittency and potential brevity, and absence of symptoms in most patients. This pilot study introduces a novel biomarker for early PAF detection, based upon analysis of sinus rhythm ECG waveform complexity. Sinus rhythm ECG recordings were made from 52 patients with (n = 28) or without (n = 24) a subsequent diagnosis of PAF. Subjects used a handheld ECG monitor to record 28-second periods, twice-daily for at least 3 weeks. Two independent ECG complexity indices were calculated using a Lempel-Ziv algorithm: R-wave interval variability (beat detection, BD) and complexity of the entire ECG waveform (threshold crossing, TC). TC, but not BD, complexity scores were significantly greater in PAF patients, but TC complexity alone did not identify satisfactorily individual PAF cases. However, a composite complexity score (h-score) based on within-patient BD and TC variability scores was devised. The h-score allowed correct identification of PAF patients with 85% sensitivity and 83% specificity. This powerful but simple approach to identify PAF sufferers from analysis of brief periods of sinus-rhythm ECGs using hand-held monitors should enable easy and low-cost screening for PAF with the potential to reduce stroke occurrence.
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Affiliation(s)
- Vadim Alexeenko
- Department of Biochemical Sciences, Faculty of Health and Medical Sciences, School of Biosciences and Medicine, University of Surrey, Surrey, United Kingdom
| | - Philippa J Howlett
- Department of Biochemical Sciences, Faculty of Health and Medical Sciences, School of Biosciences and Medicine, University of Surrey, Surrey, United Kingdom
| | - James A Fraser
- Department of Physiology, Faculty of Biology, Development and Neuroscience, University of Cambridge, Cambridge, United Kingdom
| | - Daniel Abasolo
- Centre for Biomedical Engineering, Faculty of Engineering and Physical Sciences, University of Surrey, Surrey, United Kingdom
| | - Thang S Han
- Department of Diabetes and Endocrinology, Ashford and St Peter's Hospitals NHS Foundation Trust, Ashford, United Kingdom
| | - David S Fluck
- Department of Cardiology, Ashford and St Peter's Hospitals NHS Foundation Trust, Ashford, United Kingdom
| | - Christopher H Fry
- School of Physiology, Pharmacology and Neuroscience, Faculty of Biomedical Sciences, University of Bristol, Bristol, United Kingdom
| | - Rita I Jabr
- Department of Biochemical Sciences, Faculty of Health and Medical Sciences, School of Biosciences and Medicine, University of Surrey, Surrey, United Kingdom
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Planton S, van Kerkoerle T, Abbih L, Maheu M, Meyniel F, Sigman M, Wang L, Figueira S, Romano S, Dehaene S. A theory of memory for binary sequences: Evidence for a mental compression algorithm in humans. PLoS Comput Biol 2021; 17:e1008598. [PMID: 33465081 PMCID: PMC7845997 DOI: 10.1371/journal.pcbi.1008598] [Citation(s) in RCA: 28] [Impact Index Per Article: 7.0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/09/2020] [Revised: 01/29/2021] [Accepted: 12/01/2020] [Indexed: 01/29/2023] Open
Abstract
Working memory capacity can be improved by recoding the memorized information in a condensed form. Here, we tested the theory that human adults encode binary sequences of stimuli in memory using an abstract internal language and a recursive compression algorithm. The theory predicts that the psychological complexity of a given sequence should be proportional to the length of its shortest description in the proposed language, which can capture any nested pattern of repetitions and alternations using a limited number of instructions. Five experiments examine the capacity of the theory to predict human adults' memory for a variety of auditory and visual sequences. We probed memory using a sequence violation paradigm in which participants attempted to detect occasional violations in an otherwise fixed sequence. Both subjective complexity ratings and objective violation detection performance were well predicted by our theoretical measure of complexity, which simply reflects a weighted sum of the number of elementary instructions and digits in the shortest formula that captures the sequence in our language. While a simpler transition probability model, when tested as a single predictor in the statistical analyses, accounted for significant variance in the data, the goodness-of-fit with the data significantly improved when the language-based complexity measure was included in the statistical model, while the variance explained by the transition probability model largely decreased. Model comparison also showed that shortest description length in a recursive language provides a better fit than six alternative previously proposed models of sequence encoding. The data support the hypothesis that, beyond the extraction of statistical knowledge, human sequence coding relies on an internal compression using language-like nested structures.
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Affiliation(s)
- Samuel Planton
- Cognitive Neuroimaging Unit, CEA, INSERM, Université Paris-Sud, Université Paris-Saclay, NeuroSpin center, Gif/Yvette, France
| | - Timo van Kerkoerle
- Cognitive Neuroimaging Unit, CEA, INSERM, Université Paris-Sud, Université Paris-Saclay, NeuroSpin center, Gif/Yvette, France
| | - Leïla Abbih
- Cognitive Neuroimaging Unit, CEA, INSERM, Université Paris-Sud, Université Paris-Saclay, NeuroSpin center, Gif/Yvette, France
| | - Maxime Maheu
- Cognitive Neuroimaging Unit, CEA, INSERM, Université Paris-Sud, Université Paris-Saclay, NeuroSpin center, Gif/Yvette, France
- Université de Paris, Paris, France
| | - Florent Meyniel
- Cognitive Neuroimaging Unit, CEA, INSERM, Université Paris-Sud, Université Paris-Saclay, NeuroSpin center, Gif/Yvette, France
| | - Mariano Sigman
- Laboratorio de Neurociencia, Universidad Torcuato Di Tella, Buenos Aires, Argentina
- CONICET (Consejo Nacional de Investigaciones Científicas y Tecnicas), Buenos Aires, Argentina
- Facultad de Lenguas y Educacion, Universidad Nebrija, Madrid, Spain
| | - Liping Wang
- Institute of Neuroscience, Key Laboratory of Primate Neurobiology, CAS Center for Excellence in Brain Science and Intelligence Technology, Chinese Academy of Sciences, Shanghai, China
| | - Santiago Figueira
- CONICET (Consejo Nacional de Investigaciones Científicas y Tecnicas), Buenos Aires, Argentina
- Universidad de Buenos Aires. Facultad de Ciencias Exactas y Naturales, Departamento de Computacion, Buenos Aires, Argentina
| | - Sergio Romano
- CONICET (Consejo Nacional de Investigaciones Científicas y Tecnicas), Buenos Aires, Argentina
- Universidad de Buenos Aires. Facultad de Ciencias Exactas y Naturales, Departamento de Computacion, Buenos Aires, Argentina
| | - Stanislas Dehaene
- Cognitive Neuroimaging Unit, CEA, INSERM, Université Paris-Sud, Université Paris-Saclay, NeuroSpin center, Gif/Yvette, France
- Collège de France, Paris, France
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Sensorimotor contingency modulates breakthrough of virtual 3D objects during a breaking continuous flash suppression paradigm. Cognition 2019; 187:95-107. [PMID: 30852262 DOI: 10.1016/j.cognition.2019.03.003] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/10/2018] [Revised: 03/03/2019] [Accepted: 03/04/2019] [Indexed: 11/21/2022]
Abstract
To investigate how embodied sensorimotor interactions shape subjective visual experience, we developed a novel combination of Virtual Reality (VR) and Augmented Reality (AR) within an adapted breaking continuous flash suppression (bCFS) paradigm. In a first experiment, participants manipulated novel virtual 3D objects, viewed through a head-mounted display, using three interlocking cogs. This setup allowed us to manipulate the sensorimotor contingencies governing interactions with virtual objects, while characterising the effects on subjective visual experience by measuring breakthrough times from bCFS. We contrasted the effects of the congruency (veridical versus reversed sensorimotor coupling) and contingency (live versus replayed interactions) using a motion discrimination task. The results showed that the contingency but not congruency of sensorimotor coupling affected breakthrough times, with live interactions displaying faster breakthrough times. In a second experiment, we investigated how the contingency of sensorimotor interactions affected object category discrimination within a more naturalistic setting, using a motion tracker that allowed object interactions with increased degrees of freedom. We again found that breakthrough times were faster for live compared to replayed interactions (contingency effect). Together, these data demonstrate that bCFS breakthrough times for unfamiliar 3D virtual objects are modulated by the contingency of the dynamic causal coupling between actions and their visual consequences, in line with theories of perception that emphasise the influence of sensorimotor contingencies on visual experience. The combination of VR/AR and motion tracking technologies with bCFS provides a novel methodology extending the use of binocular suppression paradigms into more dynamic and realistic sensorimotor environments.
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Peng Z, Braun DA. Entropic Movement Complexity Reflects Subjective Creativity Rankings of Visualized Hand Motion Trajectories. Front Psychol 2016; 6:1879. [PMID: 26733896 PMCID: PMC4681813 DOI: 10.3389/fpsyg.2015.01879] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/08/2015] [Accepted: 11/20/2015] [Indexed: 11/24/2022] Open
Abstract
In a previous study we have shown that human motion trajectories can be characterized by translating continuous trajectories into symbol sequences with well-defined complexity measures. Here we test the hypothesis that the motion complexity individuals generate in their movements might be correlated to the degree of creativity assigned by a human observer to the visualized motion trajectories. We asked participants to generate 55 novel hand movement patterns in virtual reality, where each pattern had to be repeated 10 times in a row to ensure reproducibility. This allowed us to estimate a probability distribution over trajectories for each pattern. We assessed motion complexity not only by the previously proposed complexity measures on symbolic sequences, but we also propose two novel complexity measures that can be directly applied to the distributions over trajectories based on the frameworks of Gaussian Processes and Probabilistic Movement Primitives. In contrast to previous studies, these new methods allow computing complexities of individual motion patterns from very few sample trajectories. We compared the different complexity measures to how a group of independent jurors rank ordered the recorded motion trajectories according to their personal creativity judgment. We found three entropic complexity measures that correlate significantly with human creativity judgment and discuss differences between the measures. We also test whether these complexity measures correlate with individual creativity in divergent thinking tasks, but do not find any consistent correlation. Our results suggest that entropic complexity measures of hand motion may reveal domain-specific individual differences in kinesthetic creativity.
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Affiliation(s)
- Zhen Peng
- Max Planck Institute for Biological CyberneticsTübingen, Germany; Max Planck Institute for Intelligent SystemsTübingen, Germany; International Max Planck Research School for Cognitive and Systems NeuroscienceTübingen, Germany
| | - Daniel A Braun
- Max Planck Institute for Biological CyberneticsTübingen, Germany; Max Planck Institute for Intelligent SystemsTübingen, Germany
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