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Article Abstract

Traditional relaxation techniques such as meditation and slow breathing often rely on subjective self-assessment, making it difficult to objectively monitor physiological changes. Electrocardiograms (ECG), which are commonly used by clinicians, provide one-dimensional signals to interpret cardiovascular activity. In this study, we introduce a visual interpretation framework that transforms heart rate variability (HRV) time series into fuzzy recurrence plots (FRPs). Unlike ECGs' linear traces, FRPs are two-dimensional images that reveal distinctive textural patterns corresponding to autonomic changes. These visually rich patterns make it easier for even non-experts with minimal training to track changes in relaxation states. To enable automated detection, we propose a multi-domain feature fusion framework suitable for wearable systems. HRV data were collected from 60 participants during spontaneous and slow-paced breathing sessions. Features were extracted from five domains: time, frequency, non-linear, geometric, and image-based. Feature selection was performed using the Fisher discriminant ratio, correlation filtering, and greedy search. Among six evaluated classifiers, support vector machine (SVM) achieved the highest performance, with 96.6% accuracy and 100% specificity using only three selected features. Our approach offers both human-interpretable visual feedback through FRP and accurate automated detection, making it highly promising for objectively monitoring real-time stress and developing biofeedback systems in wearable devices.

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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC12252487PMC
http://dx.doi.org/10.3390/s25134210DOI Listing

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