Heart rate regularity analysis obtained from pulse oximetric recordings in the diagnosis of obstructive sleep apnea

Sleep and Breathing

Volumn 10, Issue 2, 2006, Pages 83-89

  Zamarrón, Carlos ^a   Hornero, R ^b   del Campo, F ^c   Abasolo D ^b   Alvarez, D ^b  

^a Instituto de Salud Carlos III   (Spain)

^b UNIVERSITY OF VALLADOLID   (Spain)

^c HOSPITAL CLÍNICO UNIVERSITARIO DE VALLADOLID   (Spain)

Author keywords

Approximate entropy; Heart rate; Obstructive sleep apnea; Oximetry

Indexed keywords

ADULT; AGED; ARTICLE; BODY MASS; CHRONIC OBSTRUCTIVE LUNG DISEASE; CONFIDENCE INTERVAL; CONTROLLED STUDY; CORRELATION ANALYSIS; CORRELATION COEFFICIENT; DIAGNOSTIC ACCURACY; DIAGNOSTIC VALUE; DISEASE ASSOCIATION; ENTROPY; FALSE NEGATIVE RESULT; FALSE POSITIVE RESULT; FEMALE; HEART RATE VARIABILITY; HUMAN; MAJOR CLINICAL STUDY; MALE; POLYSOMNOGRAPHY; PREDICTION; PRIORITY JOURNAL; PROSPECTIVE STUDY; PULSE OXIMETER; PULSE OXIMETRY; ROC CURVE; SENSITIVITY AND SPECIFICITY; SLEEP APNEA SYNDROME; SPIROMETRY; VALIDITY;

ARRHYTHMIA; ARRHYTHMIAS, CARDIAC; ENTROPY; FEMALE; HUMANS; MALE; MIDDLE AGED; OXIMETRY; POLYSOMNOGRAPHY; PROSPECTIVE STUDIES; PULMONARY DISEASE, CHRONIC OBSTRUCTIVE; SEVERITY OF ILLNESS INDEX; SLEEP APNEA, OBSTRUCTIVE; SLEEP, REM; SPIROMETRY;

EID: 33746889443     PISSN: 15209512     EISSN: 15221709     Source Type: Journal    
DOI: 10.1007/s11325-005-0049-3     Document Type: Article

References (44)

1. Young T, Platt M, Dempsey J, Skatrud J, Weber S, Badr S (1993) The occurrence of sleep-disordered breathing among middle-aged adults. N Engl J Med 328:1230-1235
2. Zamarrón C, Gude F, Otero Y, Alvarez JM, Golpe A, Rodríguez JR (1999) Prevalence of sleep disordered breathing and sleep apnea in 50 to 70 year old individuals. A survey. Respiration 66:317-322
3. Leung RS, Bradley TD (2001) Sleep apnea and cardiovascular disease. Am J Respir Crit Care Med 164:2147-2165
4. McArdle N, Douglas NJ (2001) Effect of continuous positive airway pressure on sleep architecture in the sleep apnea-hypopnea syndrome: A randomized controlled trial. Am J Respir Crit Care Med 164:1459-1463
5. Pichel F, Zamarron C, Magan F, del Campo F, Alvarez-Sala R, Suarez JR (2004) Health-related quality of life in patients with obstructive sleep apnea: Effects of long-term positive airway pressure treatment. Respir Med 98:968-976
6. Keyl C, Lemberger P, Pfeifer M, Hochmuth K, Geisler P (1997) Heart rate variability in patients with daytime sleepiness suspected of having sleep apnea syndrome: A receiver-operating characteristics analysis. Clin Sci (Lond) 92:335-343
7. Hilton MF, Bates RA, Godfrey KR, Chappell MJ, Cayton RM (1999) Evaluation of frequency and time-frequency spectral analysis of heart rate variability as a diagnostic marker of the sleep apnoea syndrome. Med Biol Eng Comput 37:760-769
8. Roche F, Gaspoz JM, Court Fortune I, Minini P, Pichot V, Duverney D, Costes F, Lacour JR, Barthelemy JC (1999) Screening of obstructive sleep apnea syndrome by heart rate variability analysis. Circulation 100:1411-1415
9. Zamarron C, Gude F, Barcala J, Rodriguez JR, Romero PV (2003) Utility of oxygen saturation and heart rate spectral analysis obtained from pulse oximetric recordings in the diagnosis of sleep apnea syndrome. Chest 123:1567-1576
10. Netzer N, Eliasson AH, Netzer C, Kristo DA (2001) Overnight pulse oximetry for sleep-disordered breathing in adults: A review. Chest 120:625-633
11. Flemons WW, Littner MR, Rowley JA, Gay P, Anderson WM, Hudgel DW, McEvoy RD, Loube DI (2003) Home diagnosis of sleep apnea: A systematic review of the literature. An evidence review cosponsored by the American Academy of Sleep Medicine, the American College of Chest Physicians, and the American Thoracic Society. Chest 124:1543-1579
12. Zamarrón C, Romero PV, Gude F, Amaro A, Rodriguez JR (2001) Screening of obstructive sleep apnoea: Heart rate spectral analysis of nocturnal pulse oximetric recording. Respir Med 95:759-765
13. Pincus SM (1991) Approximate entropy as a measure of system complexity. Proc Natl Acad Sci U S A 88:2297-2301
14. Pincus SM, Cummins TR, Haddad GG (1993) Heart rate control in normal and aborted SIDS infants. Am J Physiol 264:R638-R646
15. Goldberger AL (1996) Non-linear dynamics for clinicians: Chaos theory, fractals, and complexity at the bedside. Lancet 347:1312-1314
16. Task Force of the European Society of Cardiology and the North American Society of Pacing and Electrophysiology (1996) Heart rate variability. Standards of measurement, physiological interpretation, and clinical use. Eur Heart J 17:354-381
17. Pincus S (1995) Approximate entropy (ApEn) as a complexity measure. Chaos 5:110-117
18. Pincus SM (2001) Assessing serial irregularity and its implications for health. Ann N Y Acad Sci 954:245-267
19. Pincus SM (1992) Approximating Markov chains. Proc Natl Acad Sci U S A 89:4432-4436
20. Pincus SM, Singer BH (1996) Randomness and degrees of irregularity. Proc Natl Acad Sci U S A 93:2083-2088
21. Pincus SM, Kalman R (1997) Not all (possibly) "random" sequences are created equal. Proc Natl Acad Sci U S A 94:3513-3518
22. Pincus SM, Goldberger L (1994) Physiological time series analysis: What does regularity quantify? Am J Physiol 266:H1643-H1656
23. Zhang XS, Roy RJ (2001) Derived fuzzy knowledge model for estimating the depth of anesthesia. IEEE Trans Biomed Eng 48:312-323
24. Pauwels RA, Buist AS, Calverley PM, Jenkins CR, Hurd SS; GOLD Scientific Committee (2001) Global strategy for the diagnosis, management, and prevention of chronic obstructive pulmonary disease. NHLBI/WHO Global Initiative for Chronic Obstructive Lung Disease (GOLD) workshop summary. Publication Number 2701. Am J Respir Crit Care Med 163(5):1256-1276
25. Guilleminault C, Connolly S, Winkle R, Melvin K (1984) Cyclical variation of the heart rate in sleep apnoea syndrome. Lancet 21:126-131
26. Andreas S, Hajak G, Von Breska B, Rüther E, Kreuzer H (1992) Changes in heart rate during obstructive sleep apnea. Eur Respir J 7:853-857
27. Somers VK, Dyken ME, Clary MP, Abboud FM (1995) Sympathetic neural mechanisms in obstructive sleep apnea. J Clin Invest 96:1897-1904
28. Dingli K, Assimakopoulos T, Wraith PK, Fietze I, Witt C, Douglas NJ (2003) Spectral oscillations of RR intervals in sleep apnoea/hypopnoea syndrome. Eur Respir J 22:943-950
29. Jo JA, Blasi A, Valladares E, Juarez R, Baydur A, Khoo MC (2003) Model-based assessment of autonomic control in obstructive sleep apnea syndrome Am J Respir Crit Care Med 167:128-136
30. Palazzolo JA, Estafanous FG, Murray PA (1998) Entropy measures of heart rate variation in conscious dogs. Am J Physiol 274:H1099-H1105
31. Yeragani VK, Sobolewski E, Jampala VC, Kay J, Yeragani S, Igel G (1998) Fractal dimension and approximate entropy of heart period and heart rate: Awake versus sleep differences and methodological issues. Clin Sci (Lond) 95:295-301
32. Burioka N, Cornelissen G, Halberg F, Kapnan DT, Suyama H, Sako T, Shimizu E (2003) Approximate entropy of human respiratory movement during eye-closed waking and different sleep stages. Chest 123:80-86
33. Schwartz JB, Gibb WJ, Tran T (1991) Aging effects on heart rate variation. J Gerontol 46:99-106
34. Kuo TB, Lin T, Yang CC, Li CL, Chen CF, Chou P (1999) Effect of aging on gender differences in neural control of heart rate. Am J Physiol 277:H2233-H2239
35. Oida E, Kannagi T, Moritani T, Yamori Y (1999) Diabetic alteration of cardiac vago-sympathetic modulation assessed with tone-entropy analysis. Acta Physiol Scand 165:129-134
36. Karrakchou M, Vesin JM, Laberer S, Pruvot E (1992) Analysis of heart rate variability: Comparison between spectra obtained from ECG and finger blood pressure. Proc Annu Int Conf IEEE Eng Med Biol Soc 14:559-560
37. Van de Borne P, Montano N, Pagani M, Oren R, Somers VK (1997) Absence of low frequency variability of sympathetic nerve activity in severe heart failure. Circulation 95:1449-1454
38. Guilleminault C, Stoohs R, Clerk A, Cetel M, Maistros P (1993) A cause of excessive daytime sleepiness: The upper airway resistance syndrome. Chest 104:781-787
39. Fleisher LA, Pincus SM, Rosenbaum SH (1993) Approximate entropy of heart rate as a correlate of postoperative ventricular dysfunction. Anesthesiology 78:683-692
40. Fukuta H, Hayano J, Ishihara S, Sakata S, Ohte N, Takahashi H, Yokoya M, Toriyama T, Kawahara H, Yajima K, Kobayashi K, Kimura G (2003) Prognostic value of nonlinear heart rate dynamics in hemodialysis patients with coronary artery disease. Kidney Int 64:641-648
41. Yildiz BO, Suchard MA, Wong ML, McCann SM, Licinio J (2004) Alterations in the dynamics of circulating ghrelin, adiponectin, and leptin in human obesity. Proc Natl Acad Sci U S A 101:10434-10439
42. Misra M, Miller KK, Almazan C, Ramaswarny K, Lapcharoensap W, Worley M, Neubauer G, Herxog DB, Klibanski A (2004) Alterations in cortisol secretory dynamics in adolescent girls with anorexia nervosa and effects on bone metabolism. J Clin Endocrinol Metab 89:4972-4980
43. Koutkia P, Canavan B, Breu J, Johnson ML, Grinspoon SK (2004) Nocturnal ghrelin pulsatility and response to growth hormone secretagogues in healthy men. Am J Physiol Endocrinol Metab 287:E506-E512
44. Bruhn J, Bouillon TW, Radulescu L, Hoeft A, Bertaccini E, Shafer SL (2003) Correlation of approximate entropy, bispectral index, and spectral edge frequency 95 (SEF95) with clinical signs of "anesthetic depth" during coadministration of propofol and remifentanil. Anesthesiology 98:621-627