Response to Vagal Stimulation by Heart-rate Features in Drug-resistant Epileptic Patients

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Abstract

Vagal Nerve Stimulation (VNS) is an option in the treatment of drug-resistant epilepsy. However, approximately a quarter of VNS subjects does not respond to the therapy. In this retrospective study, we introduce heart-rate features to distinguish VNS responders and non-responders. Standard pre-implantation measurements of 66 patients were segmented in relation to specific stimuli (open/close eyes, photic stimulation, hyperventilation, and rests between). Median interbeat intervals were found for each segment and normalized (NMRR). Five NMRRs were significant; the strongest feature achieved significance with p=0.013 and AUC=0.66. Low mutual correlation and independence on EEG signals mean that presented features could be considered as an addition for models predicting VNS response using EEG.

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Plesinger, F., Halamek, J., Chladek, J., Jurak, P., Dolezalova, I., Chrastina, J., & Brazdil, M. (2020). Response to Vagal Stimulation by Heart-rate Features in Drug-resistant Epileptic Patients. In Proceedings of the Annual International Conference of the IEEE Engineering in Medicine and Biology Society, EMBS (Vol. 2020-July, pp. 46–49). Institute of Electrical and Electronics Engineers Inc. https://doi.org/10.1109/EMBC44109.2020.9176326

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