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Record W4413297806 · doi:10.1101/2025.08.13.670042

Beyond Traditional Poincaré Analysis: Second-Order Plots Reveal Respiratory Effects in Heart Rate Variability

2025· preprint· en· W4413297806 on OpenAlexaff
Mikhail Lebedev, Alexandra Medvedeva, K. Solovieva, Anna Makarova, Daria Kleeva

Bibliographic record

VenuebioRxiv (Cold Spring Harbor Laboratory) · 2025
Typepreprint
Languageen
FieldMedicine
TopicHeart Rate Variability and Autonomic Control
Canadian institutionsArtificial Intelligence in Medicine (Canada)
Fundersnot available
KeywordsHeart rate variabilityRespiratory systemOrder (exchange)Heart rateInternal medicineCardiologyRespiratory rateMathematicsMedicineEconomicsBlood pressure

Abstract

fetched live from OpenAlex

Abstract Heart rate variability (HRV) is a non-invasive biomarker of autonomic nervous system activity, commonly analyzed using a Poincaré plot. This plot visualizes correlations between successive heartbeats (RR i vs. RR i+1 ) and quantifies autonomic regulation through SD1 and SD2 parameters. We introduce a second-order Poincaré plot, a natural extension that clarifies serial dependencies by plotting successive differences in RR intervals (ΔRR i vs. ΔRR i+1 ). Applied to a PhysioNet dataset of 20 healthy individuals, this technique filtered out the slow HRV baseline of traditional elliptical plots to reveal distinct higher-order dynamics. These included ring-shaped structures indicating cardiorespiratory synchronization. A coupled-oscillator model, developed to simulate respiratory modulation, confirmed that these patterns are dictated by the respiratory frequency to heart rate ratio: slower breathing produces positive serial correlations in ΔRR, while faster breathing induces negative ones. By visualizing serial dependencies that conventional HRV metrics miss, the second-order Poincaré plot extends the classical analysis framework. This tool provides a refined method for uncovering subtle dynamical features in HRV across diverse physiological and clinical states. Highlights Second-order Poincaré plots, plotting successive differences of RR intervals (ΔRR i vs. ΔRR i+1 ), extend traditional Poincaré analysis to reveal rapid HRV dynamics. In a dataset of 20 healthy individuals, second-order plots filtered out slow HRV components, highlighting respiratory modulation. Ring-shaped patterns in some participants indicated strong cardiorespiratory coupling, while others showed positive or negative serial correlations linked to breathing rate. A coupled-oscillator model confirmed that the ratio of respiratory to heart rate frequency determines serial correlation patterns. This method offers a novel tool for analyzing HRV dynamics, with potential applications in physiological and clinical research.

Fetched live from OpenAlex and de-inverted. Abstracts are not stored in this database: the inverted indexes are 8.6 GB of the frame’s 9.3 GB of text, and the host has 13 GB free.

How this classification was reachedexpand

Full frame machine prediction

Teacher imitation

Not calibrated prevalence, not ground truth. Human validation pending. The Gemma side is a direct model label for every work in the frame, read from the title-only record. The Codex side is a classifier learned from the 10,348 direct Codex labels and calibrated to design-weighted sample rates; fields without enough sample support carry no Codex call. Candidate is the union of the two sides; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels.

metaresearch head score (Codex)0.001
metaresearch head score (Gemma)0.006
Version: metacan-v3-hybrid-931329e0061cValidation status: machine_predicted_unvalidated
Candidate categoriesnone
Consensus categoriesnone
DomainCandidate signal: none · Consensus signal: none
Study designCandidate signal: Observational · Consensus signal: none
GenreCandidate signal: Empirical · Consensus signal: none
Teacher disagreement score0.003
Threshold uncertainty score0.012

Distilled classifier scores by category (both heads)

CategoryCodexGemma
Metaresearch0.0010.006
Meta-epidemiology (narrow)0.0010.000
Meta-epidemiology (broad)0.0000.000
Bibliometrics0.0020.001
Science and technology studies0.0000.000
Scholarly communication0.0010.001
Open science0.0000.001
Research integrity0.0000.001
Insufficient payload (model declined to judge)0.0030.001

Machine scores (provisional)

The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.

Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.

Opus teacher head0.015
GPT teacher head0.240
Teacher spread0.224 · how far apart the two teachers sit on this one work
Validation statusscore_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from it

Classification

machine, unvalidated

Machine predicted; a candidate call from one source (direct Gemma or distilled Codex), not a consensus.

The models applied no category: nothing in the taxonomy fit this work.
Study designObservational
Domainnot available
GenreEmpirical

How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".

Quick stats

Citations0
Published2025
Admission routes1
Has abstractyes

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