Spectral oscillations of RR intervals in sleep apnoea/hypopnoea syndrome patients

European Respiratory Journal

Volumn 22, Issue 6, 2003, Pages 943-950

  Dingli, K ^a   Assimakopoulos, T ^b   Wraith, P K ^a   Fietze, I ^c   Witt, C ^c   Douglas, N J ^a,d  

^a UNIVERSITY OF EDINBURGH   (United Kingdom)

^b Dynesys Ltd   (United Kingdom)

^c HUMBOLDT UNIVERSITY   (Germany)

^d ROYAL INFIRMARY OF EDINBURGH   (United Kingdom)

Author keywords

Cardiovascular disease; Heart rate variability; Sleep apnoea

Indexed keywords

ADULT; ARTICLE; BREATHING RATE; CLINICAL ARTICLE; CONTROLLED STUDY; ELECTROCARDIOGRAPHY; ELECTROENCEPHALOGRAPHY; ELECTROMYOGRAPHY; ELECTROOCULOGRAPHY; HEART RATE VARIABILITY; HUMAN; OSCILLATION; POLYSOMNOGRAPHY; PRIORITY JOURNAL; REM SLEEP; RR INTERVAL; SCORING SYSTEM; SIGNAL PROCESSING; SLEEP APNEA SYNDROME; SLEEP PATTERN; STATISTICAL SIGNIFICANCE; SYMPATHETIC TONE;

EID: 0347146028     PISSN: 09031936     EISSN: None     Source Type: Journal    
DOI: 10.1183/09031936.03.00098002     Document Type: Article

References (28)

1. Task Force of the European Society of Cardiology and the North American Society of Pacing and Electrophysiology. Heart rate variability: standards of measurement, physiological interpretation and clinical use. Circulation 1996; 93: 1043-1065.
2. Malliani A, Pagani M, Lombardi F, Cerutti S. Cardiovascular neural regulation explored in the frequency domain. Circulation 1991; 84: 482-492.
3. Pagani M, Montano N, Porta A, et al. Relationship between spectral components of cardiovascular variabilities and direct measures of muscle sympathetic nerve activity in humans. Circulation 1997; 95: 1441-1448.
4. Guzzetti S, Cogliati C, Broggi C, et al. Influences of neural mechanisms on heart period and arterial pressure variabilities in tetraplegic patients. Am J Physiol 1994; 266: 1112-1120.
5. van de Borne P, Montano N, Narkiewicz K, et al. Importance of ventilation in modulating interaction between sympathetic drive and cardiovascular variability. Am J Physiol Heart Circ Physiol 2001; 280: H722-H729.
6. Singh JP, Larson MG, Tsuji H, Evans JC, O'Donnell CJ, Levy D. Reduced heart rate variability and new-onset hypertension: insights into pathogenesis of hypertension: the Framingham Study. Hypertension 1998; 32: 293-297.
7. Valoni E, Adamson P, Piann GD. A comparison of healthy subjects with patients after myocardial infarction. Circulation 1995; 91: 1918-1922.
8. Young T, Pepperd P, Palta M, et al. Population-based study of sleep-disordered breathing as a risk factor for hypertension. Arch Intern Med 1997; 157: 1746-1752.
9. Hung J, Whitford EG, Parsons RE, Hillman DR. Association of sleep apnoea with myocardial infarction in men. Lancet 1990; 336: 261-264.
10. Narkiewicz K, Montano N, Cogliati C, van de Borne PJ, Dyken ME, Somers VK. Altered cardiovascular variability in obstructive sleep apnea. Circulation 1998; 98: 1071-1077.
11. Rechtschaffen A, Kales A. A Manual of Standardised Terminology: Techniques and Scoring Systems for Sleep Stages of Human Subjects. Publication No. 204. Washington, National Institutes for Health, 1968.
12. American Academy of Sleep Medicine Task Force Report. Sleep-related breathing disorders in adults: recommendations for syndrome definition and measurement techniques in clinical research. Sleep 1999; 22: 667-689.
13. American Sleep Disorders Association Task Force Report. EEG arousals: scoring rules and examples. Sleep 1992; 15: 173-184.
14. Brown TE, Beightol LA, Koh J, Eckberg DL. Important influence of respiration on human R-R interval power spectra is largely ignored. J Appl Physiol 1993; 75: 2310-2317.
15. Berger RD, Akselrod S, Gordon D, Cohen RJ. An efficient algorithm for spectral analysis of heart rate variability. IEEE Trans Biomed Eng 1986; 33: 900-904.
16. Welch PD. The use of fast Fourier transformation for the estimation of power spectra: a method based on time averaging over short modified periodograms. IEEE Trans Audio Electroacoust 1967; 15: 70-73.
17. Zweig MH, Campbell G. ROC plots: a fundamental evaluation tool in clinical medicine. Clin Chem 1993; 39: 561-577.
18. Hanley JA, McNeil BJ. The meaning and use of the area under a receiver-operating characteristic (ROC) curve. Radiology 1982; 143: 29-36.
19. Katragadda S, Xie A, Puleo D, Skatrud JB, Morgan BJ. Neural mechanism of the pressor response to obstructive and nonobstructive apnea. J Appl Physiol 1997; 83: 2048-2054.
20. Schneider H, Schaub CD, Andreoni KA, et al. Systemic and pulmonary hemodynamic responses to normal and obstructed breathing during sleep. J Appl Physiol 1997; 83: 1671-1680.
21. Lorenzi-Filho G, Dajani HR, Leung RS, Floras JS, Bradley TD. Entrainment of blood pressure and heart rate oscillations by periodic breathing. Am J Respir Crit Care Med 1999; 159: 1147-1154.
22. Morgan B, Denahan T, Ebert TJ. Neurocirculatory consequences of negative intrathoracic pressure vs. asphyxia during voluntary apnea. J Appl Physiol 1993; 74: 2969-2975.
23. Watanabe T, Mano T, Iwase S, et al. Enhanced muscle sympathetic nerve activity during sleep apnea in the elderly. J Auton Nerv Syst 1992; 37: 223-226.
24. Keyl C, Lemberger P, Pfeifer M, Hochinuth K, Geisler P. Heart rate variability in patients with daytime sleepiness suspected of having sleep apnea syndrome: a receiver-operating characteristic analysis. Clin Sci 1997; 92: 335-343.
25. Somers VK, Dyken ME, Clary MP, Abboud FM. Sympathetic neural mechanisms in obstructive sleep apnea. J Clin Invest 1995; 96: 1897-1904.
26. Grote L, Kraiczi H, Hedner J. Reduced alpha- and beta(2)-adrenergic vascular response in patients with obstructive sleep apnea. Am J Respir Crit Care Med 2000; 162: 1480-1487.
27. Zinkovska S, Kirby DA. Intracerebroventricular propranolol prevented vascular resistance increases on arousal from sleep apnea. J Appl Physiol 1997; 82: 1637-1643.
28. Guilleminault C, Briskin JG, Greenfield MS, Silvestri R. The impact of autonomic nervous system dysfunction on breathing during sleep. Sleep 1981; 4: 263-278.