Detection of decreases in the amplitude fluctuation of pulse photoplethysmography signal as indication of obstructive sleep apnea syndrome in children

Biomedical Signal Processing and Control

Volumn 3, Issue 3, 2008, Pages 267-277

  Gil, Eduardo ^a   María Vergara, José ^b   Laguna, Pablo ^a  

^a UNIVERSITY OF ZARAGOZA   (Spain)

^b HOSPITAL UNIVERSITARIO MIGUEL SERVET   (Spain)

Author keywords

Children; Obstructive sleep apnea; Pulse photoplethysmography signal

Indexed keywords

PHOTOPLETHYSMOGRAPHY; SLEEP RESEARCH;

AMPLITUDE FLUCTUATIONS; AUTONOMIC NERVOUS SYSTEM; CHILDREN; CLINICAL EXPERIMENTS; OBSTRUCTIVE SLEEP APNEA; PHOTOPLETHYSMOGRAPHY (PPG); POSITIVE PREDICTIVE VALUES; PULSE PHOTOPLETHYSMOGRAPHY SIGNAL;

SIGNAL DETECTION;

AMPLITUDE MODULATION; ARTICLE; AUTOMATION; CHILD HEALTH; CLINICAL ARTICLE; CONTROLLED STUDY; CORRELATION ANALYSIS; DIAGNOSTIC ACCURACY; DIAGNOSTIC VALUE; DIFFERENTIAL DIAGNOSIS; FEMALE; HUMAN; MALE; PHOTOELECTRIC PLETHYSMOGRAPHY; POLYSOMNOGRAPHY; PRESCHOOL CHILD; PRIORITY JOURNAL; PULSE PHOTOPLETHYSMOGRAPHY; SIGNAL DETECTION; SLEEP APNEA SYNDROME;

EID: 52049090570     PISSN: 17468094     EISSN: None     Source Type: Journal    
DOI: 10.1016/j.bspc.2007.12.002     Document Type: Article

References (34)

1. Guilleminault C., Tilkian A., and Dement W.C. The sleep apnea syndromes. Annu. Rev. Med. 27 (1976) 465-484
2. American Academy of Sleep Medicine Task Force. Sleep-related breathing disorders in adults: recommendations for syndrome definition and measurement techniques in clinical research. Sleep 22 5 (1999) 667-689
3. Young T., Palta M., Dempsey J., Skatrud J., Weber S., and Badr S. The occurrence of sleep-disordered breathing among middle-aged adults. N. Engl. J. Med. 328 (1993) 1230-1235
4. Kimoff R.J. Sleep fragmentation in obstructive sleep apnea. Sleep 19 9 (1996) 61-66
5. Nieto F.J., Young T.B., Lind B.K., Shahar E., Samet J.M., Redline S., D'Agostino R.B., Newman A.B., Lebowitz M.D., and Pickering T.G. Association of sleep-disordered breathing, sleep apnea, and hypertension in a large community-based study. JAMA 283 (2000) 1829-1836
6. Beebe D.W., and Gozal D. Obstructive sleep apnea and prefrontal cortex: towards a comprehensive model linking nocturnal upper airway obstruction to daytime cognitive and behavioral deficits. J. Sleep Res. 11 (2002) 1-16
7. Gottlieb D.J., Vezina R.M., Chase C., Lesko S.M., Heeren T.C., Weese-Mayer D.E., Auerbach S.H., and Corwin M.J. Symptoms of sleep-disordered breathing in 5-year-old children are associated with sleepiness and problem behaviors. Pediatrics 112 (2003) 870-877
8. Chervin R.D., Archbold K.H., Dillon J.E., Panahi P., Pituch K.J., Dahl R.E., and Guilleminault C. Inattention, hyperactivity, and symptoms of sleep-disordered breathing. Pediatrics 109 (2002) 449-456
9. American Academy of Pediatrics. Clinical practice guideline: diagnosis and management of childhood obstructive sleep apnea syndrome. Pediatrics 109 (2002) 704-712
10. Hardy J.C., Gray K., Whisler S., and Leuenberger U. Sympathetic and blood pressure responses to voluntary apnea are augmented by hypoxemia. J. Appl. Physiol. 77 (1994) 2360-2365
11. Leuenberger U., Jacob E., Sweer L., Waravdekar N., Zwillich C., and Sinoway L. Surges of muscle sympathetic nerve activity during obstructive apnea are linked to hypoxemia. J. Appl. Physiol. 79 (1995) 581-588
12. Schneider H., Schaub C.D., Chen C.A., Andreoni K.A., Schwartz A.R., Smith P.L., Robotham J.L., and O'donnell C.P. Neural and local effects of hypoxia on cardiovascular responses to obstructive apnea. J. Appl. Physiol. 88 (2000) 1093-1102
13. Leuenberger U.A., Hardy J.C., Herr M.D., Gray K.S., and Sinoway L.I. Hypoxia augments apnea-induced peripheral vasoconstriction in humans. J. Appl. Physiol. 90 (2001) 1516-1522
14. Anand A., Remsburg-Sailor S., Launois S.H., and Weiss J.W. Peripheral vascular resistance increases after termination of obstructive apneas. J. Appl. Physiol. 91 (2001) 2359-2365
15. Somers V.K., Dyken M.E., Clary M.P., and Abboud F.M. Sympathetic neural mechanisms in obstructive sleep apnea. J. Clin. Invest. 96 (1995) 1897-1904
16. Imadojemu V.A., Gleeson K., Gray K.S., Sinoway L.I., and Leuenberger U.A. Obstructive apnea during sleep is associated with peripheral vasoconstriction. Am. J. Respir. Crit. Care Med. 165 (2002) 61-66
17. Mendelson Y. Pulse oximetry: theory and applications for noninvasive monitoring. Clin. Chem. 38 9 (1992) 1601-1607
18. Nitzan M., Babchenko A., Khanokh B., and Landau D. The variability of the photoplethysmographic signal-a potential method for the evaluation of the autonomic nervous system. Physiol. Meas. 19 (1998) 93-102
19. Schnall R.P., Shlitner A., Sheffy J., Kedar R., and Lavie P. Periodic, profound peripheral vasoconstriction-a new marker of obstructive sleep apnea. Sleep 22 7 (1999) 939-946
20. Bar A., Pillar G., Dvir I., Sheffy J., Snall R.P., and Lavie P. Evaluation of a portable device based on peripheral arterial tone for unattended home sleep studies. Chest 123 (2003) 695-703
21. O'Donnell C.P., Allan L., Atkinson P., and Schwartz A.R. The effect of upper airway obstruction and arousal on peripheral arterial tonometry in obstructive sleep apnea. Am. J. Respir. Crit. Care Med. 166 (2002) 965-971
22. Nitzan M., Babchenko A., Faib I., and Davidson E. Assessment of changes in arterial compliance by photoplethysmography. Proceedings of the IEEE Convention of the Electrical and Electronic Engineers, Israel (2000) 351-354
23. Hertzman A. The blood supply of various skin areas as estimated by the photo-electric plethysmograph. Am. J. Physiol. 124 (1938) 328-340
24. A.L. Goldberger, L.A.N. Amaral, L. Glass, J.M. Hausdorff, P.C. Ivanov, R.G. Mark, J.E. Mietus, G.B. Moody, C.-K. Peng, H.E. Stanley, PhysioBank, PhysioToolkit, and PhysioNet: components of a new research resource for complex physiologic signals, Circulation 101 (23) (2000 (June 13)) e215-e220, circulation Electronic Pages: http://circ.ahajournals.org/cgi/content/full/101/23/e215.
25. American Thoracic Society. Standards and indications for cardiopulmonary sleep studies in children. Am. J. Respir. Crit. Care Med. 153 (1996) 866-878
26. A. Rechtschaffen, A. Kales, A Manual of Standardized Terminology, Techniques and Scoring System for Sleep Stages of Human Subjects, Public Health Service, US Government, UCLA.
27. Hjorth B. EEG analysis based on time domain properties. Electroencephal. Clin. Neurophysiol. (1970) 306-310
28. Hjorth B. The physical significance of time domain descriptors in EEG analysis. Electroencephal. Clin. Neurophysiol. 34 (1973) 321-325
29. L. Sörnmo, P. Laguna, Bioelectrical Signal Processing in Cardiac and Neurological Applications, Academic Press, Elsevier, 2005, ISBN: 0-12-437552-9.
30. Gil E., Monasterio V., Vergara J.M., and Laguna P. Pulse photoplethysmography amplitude decrease detector for sleep apnea evaluation in children. Proceedings of the 27th Annual International Conference of the IEEE Engineering in Medicine and Biology Society (2005)
31. Gil E., Vergara J.M., and Laguna P. Study of the relationship between pulse photoplethysmography amplitude decrease events and sleep apnea in children. Proceedings of the 28th Annual International Conference of the IEEE Engineering in Medicine and Biology Society (2006) 3887-3890
32. Marcus C.L. Sleep-disordered breathing in children. Am. J. Respir. Crit. Care Med. 164 (2001) 16-30
33. Guilleminault C., Winkle R., Connolly S., Melvin K., and Tilkian A. Cyclical variation of the heart rate in sleep apnoea syndrome: mechanisms, and usefulness of 24 h electrocardiography as a screening technique. Lancet 323 (1984) 126-131
34. Gil E., Mendez M.O., Villantieri O., Mateo J., Vergara J.M., Bianchi A.M., and Laguna P. Heart rate variability during pulse photoplethysmography decreased amplitude fluctuations and its correlation with apneic episodes. Comput. Cardiol. (2006) 165-168