Professional Documents
Culture Documents
RR Interval
RR Interval Basic Steps
760
Protocols
761
Sierra Wave Help Manual
Type in the text for the event or select a preprogrammed event from the
drop-down list and then click the OK button. A dashed vertical line will
appear in the RR Datapoint Graph to indicate the event.
7. Stop Data Acquisition
The program will automatically stop data acquisition when the Duration
setting specified for the run has been reached. You can also manually stop
data acquisition at any time by pressing the Run/Stop key. As soon as data
acquisition is stopped the program will calculate and display the results for
the run in the RR Interval Table.
The Live ECG trace will continue to be displayed even though data
collection has stopped.
Completed RR Interval Table and corresponding Datapoint Graph for Run #4.
762
Protocols
763
Sierra Wave Help Manual
• Enter Event - right click on the data point corresponding to where you
would like to enter an event, then select Enter Event from the pop-up
menu. Type in the text for the event, or select a preprogrammed
event from the list, then click OK. A dashed vertical line will be
displayed in the graph.
764
Protocols
Knobs
Study Item - turn this knob to highlight and load a different Test
Protocol in the Study window.
Trigger Lvl - turn this knob to change the vertical position of the ECG
trigger level indicator.
Gain / Sweep - turn the knob to change the gain of the ECG trace.
Press the knob, then turn to change the sweep speed of the ECG trace.
Function Keys
765
Sierra Wave Help Manual
Event - opens the Add Event window which allows you enter an event
during a recording.
TabData - opens the TabData Summary window.
RR Datapoint Graph
• Change Y-Axis - simply click on the upper or lower limit of the Y-axis
and then enter the desired value. The graph will automatically be re-
drawn.
• Calculate Ratio - the program automatically calculates the Min/Max
Ratio for the lowest and highest values recorded within the run. You
can also manually calculate a ratio between any two selected data
points. The manually calculated ratio is displayed in the upper right
corner of the datapoint graph and in the User Ratio column of the run
table.
To calculate a manual ratio:
a. Right click within the datapoint graph.
b. Select Calculate Ratio from the pop-up menu.
c. Click on the first data point, the data point will be
displayed in green.
d. Click on the second data point, the data point will be
displayed in green.
e. The ratio is calculated and displayed in the upper right
corner.
766
Protocols
• Clear Ratio - select this option in the pop-up menu to clear a manual
ratio.
• Enter Event - right click on the data point corresponding to where you
would like to enter an event, then select Enter Event from the pop-up
menu. Type in the text for the event, or select a preprogrammed
event from the list, then click OK. A dashed vertical line will be
displayed in the graph.
Reviewing a Run
To review the Datapoint Graph for a Run, perform one of the following:
• Click on Run # in Study window.
• Click on the Run's corresponding row in the RR Interval Table
In both cases, the Datapoint Graph for the selected run will be displayed.
If no data was acquired for the selected run, the Datapoint Graph will be
empty.
Deleting/Clearing a Run
To Delete or Clear the data for a Run, perform one of the following:
• Right click on the Run # in the Study window, select Delete from the
pop-up menu.
• Right click over the Run's corresponding row in the RR Interval Table,
select Clear Row from the pop-up menu.
767
Sierra Wave Help Manual
In both cases, the tabulated results for the run will be erased and the
Datapoint Graph will be cleared.
Normative Data
Deep Breathing:
6 breaths per minute for 1 or 2 minutes (5 seconds inhale, 5 seconds
exhale).
16-20 >1.23
21-25 >1.20
26-30 >1.18
31-35 >1.16
36-40 >1.14
41-45 >1.12
46-50 >1.11
51-55 >1.09
56-60 >1.08
61-65 >1.07
66-70 >1.06
71-75 >1.06
75-80 >1.05
768
Protocols
Valsalva Maneuver:
Patient inhales deeply and then forcibly exhales into a leaky mouthpiece and
maintains a constant pressure for 15-20 seconds before releasing and
completely exhaling.
Ratio is calculated using the Max RR after cessation of forced exhale divided
by the Min RR during the 15-20 seconds of forced exhale.
10-40 >1.5
41-50 >1.45
51-60 >1.45
61-70 >1.35
769
Sierra Wave Help Manual
Sitting To Standing:
Patient goes from sitting position to standing up. The 30:15 ratio is typically
calculated, this is the RR interval at beat 30 after standing divided by the RR
Interval at beat 15 after standing.
10-29 >1.17
30-49 >1.09
50-65 >1.03
Reference:
AAEM Minimonograph #48
Autonomic Nervous System Testing
John M. Ravits, MD
Muscle & Nerve, August 1997
770