Multimodal detection of sleep apnoea using electrocardiogram and oximetry signals

Philosophical Transactions of the Royal Society A: Mathematical, Physical and Engineering Sciences

Volumn 367, Issue 1887, 2009, Pages 369-389

  De Chazal, Philip ^a   Heneghan, Conor ^a   Mcnicholas, Walter T ^b  

^a UNIVERSITY COLLEGE DUBLIN   (Ireland)

^b ST VINCENT S UNIVERSITY HOSPITAL   (Ireland)

Author keywords

Holter electrocardiogram; Home testing; Oximetry; Screening; Sleep apnoea

Indexed keywords

COMPUTER VISION; ELECTROCARDIOGRAPHY; ELECTROCHROMIC DEVICES; OXIMETERS; PATTERN RECOGNITION SYSTEMS; SIGNAL DETECTION;

BLOOD OXIMETRY; CONTROL SUBJECT; HOLTER ELECTROCARDIOGRAM; HOME ENVIRONMENT; HOME TESTING; LOW COSTS; MULTIMODAL DETECTION; OXIMETRY; RESPIRATION SIGNALS; SLEEP APNOEA; SLEEP-DISORDERED BREATHING; WAITING TIME;

SLEEP RESEARCH;

ADULT; ARTICLE; AUTOMATED PATTERN RECOGNITION; ELECTROCARDIOGRAPHY; FEMALE; HOME CARE; HUMAN; INFORMATION PROCESSING; MALE; METHODOLOGY; MIDDLE AGED; MONITORING; OXIMETRY; PATHOPHYSIOLOGY; PHYSIOLOGY; REPRODUCIBILITY; SIGNAL PROCESSING; SLEEP; SLEEP APNEA SYNDROME;

ADULT; AUTOMATIC DATA PROCESSING; ELECTROCARDIOGRAPHY; FEMALE; HOME CARE SERVICES; HUMANS; MALE; MIDDLE AGED; MONITORING, PHYSIOLOGIC; OXIMETRY; PATTERN RECOGNITION, AUTOMATED; REPRODUCIBILITY OF RESULTS; SIGNAL PROCESSING, COMPUTER-ASSISTED; SLEEP; SLEEP APNEA SYNDROMES;

EID: 65849201298     PISSN: 1364503X     EISSN: None     Source Type: Journal    
DOI: 10.1098/rsta.2008.0156     Document Type: Article

References (44)

1. American Academy of Sleep Medicine Task Force 1999 Sleep-related breathing disorders in adults: recommendations for syndrome definition and measurement techniques in clinical research. Sleep 22, 667-689.
2. Armitage, P. 1987 Statistical methods in medical research, 2nd edn. Boston, MA: Blackwell Scientific Publications.
3. Bishop, C. M. 1995 Neural networks for pattern recognition. New York, NY: Oxford University Press. Bloch, I. 1996 Information combination operators for data fusion: a comparative review with classification. IEEE Trans. Syst. Man Cybernet. A 26, 52-67. (doi:10.1109/3468.477860)
4. Chiner, E., Signes-Costa, J., Arriero, J. M., Marco, J., Fuentes, I. and Sergado, A. 1999 Nocturnal oximetry for the diagnosis of the sleep apnoea hypopnoea syndrome: a method to reduce the number of polysomnographies? Thorax 54, 968-971.
5. Chobanian, A. V. et al. 2003 Seventh report of the joint national committee on prevention, detection, evaluation, and treatment of high blood pressure. Hypertension. 42, 1206-1252. (doi:10.1161/01. HYP.0000107251.49515.c2)
6. Dingli, K., Assimakopoulos, T., Wraith, P. K., Fietze, I., Witt, C. and Douglas, N. J. 2003 Spectral oscillations of RR intervals in sleep apnoea/hypopnoea syndrome patients. Eur. Respir. J. 22, 943-950. (doi:10.1183/09031936.03.00098002)
7. DeBoer, R. W., Karemaker, J. M. and Strackee, J. 1984 Comparing spectra of a series of point events particularly for heart rate variability data. IEEE Trans. Biomed. Eng. 31, 384-387. (doi:10.1109/TBME.1984. 325351)
8. de Chazal, P., Heneghan, C., Sheridan, E., Reilly, R., Nolan, P. and O'Malley, M. 2003 Automated processing of the single lead electrocardiogram for the detection of obstructive sleep apnoea. IEEE Trans. Biomed. Eng. 50, 686-696. (doi:10.1109/TBME.2003.812203)
9. de Chazal, P., Heneghan, C., Chua, C. P., Shouldice, R., Liam, D., Ryan, S. and McNicholas, W. T. 2007 Home-based assessment of sleep apnea using simultaneous electrocardiogram and oximtery signals. In Progress in sleep apnea research (ed. R. T. Ferber), pp. 115-139, Hauppauge, NY: Nova Science Publishers.
10. Doherty, L. S., Kiely, J. L., Swan, V. and McNicholas, W. T. 2005 Long-term effects of nasal continuous positive airway pressure therapy on cardiovascular outcomes in sleep apnea syndrome. Chest 127, 2076-2084. (doi:10.1378/chest.127.6.2076)
11. Flemons, W. W., Douglas, N. J., Kuna, S. T., Rodenstein, D. O. and Wheatley, J. 2004 Access to diagnosis and treatment of patients with suspected sleep apnea. Am. J. Respir. Crit. Care Med. 169, 668-672. (doi:10.1164/rccm.200308-1124PP)
12. Gislason, T. and Benediktsdottir, B. 1995 Snoring, apneic episodes, and nocturnal hypoxemia among children 6 months to 6 years old. An epidemiologic study of lower limit of prevalence. Chest 107, 963-966. (doi:10.1378/chest.107.4.963)
13. Golpe, R., Jimenez, A., Carpizo, R. and Cifrian, J. M. 1999 Utility of home oximetry as a screening test for patients with moderate to severe symptoms of obstructive sleep apnoea. Sleep 22, 932-937.
14. Guilleminault, C., Connolly, S. J., Winkle, R., Melvin, K. and Tilkian, A. 1984 Cyclical variation of the heart rate in sleep apnoea syndrome. Mechanisms and usefulness of 24h electrocardiography as a screening technique. Lancet 1, 126-131. (doi:10.1016/S0140-6736(84)90062-X)
15. Gyulay, S., Olson, L. G., Hensley, M. J., King, M. T., Allen, K. M. and Saunders, N. A. 1993 A comparison of clinical assessment and home oximetry in the diagnosis of obstructive sleep apnoea. Am. Rev. Respir. Dis. 147, 50-53.
16. Hilton, M. F., Bates, R. A., Godfrey, K. R., Chappell, M. J. and Cayton, R. M. 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. (doi:10.1007/BF02513379)
17. Johns, M. W. 1991 A new method for measuring data and sleepiness: Epworth sleepiness scale. Sleep 14, 540-545.
18. Kohavi, R. 1995 A study of cross validation and bootstrap for accuracy estimation and model selection. In Proc. 14th Int. Joint Conference on Artificial Intelligence, pp. 1137-1143.
19. Kushida, C. A. et al. 2005 Practice parameters for the indications for polysomnography and related procedures: an update for 2005. Sleep 28, 499-521.
20. Levy, P., Pepin, J. L., Deschaux-Blanc, C., Paramelle, B. and Brambilla, C. 1996 Accuracy of oximetry for detection of respiratory disturbances in sleep apnoea syndrome. Chest 109, 395-399. (doi:10. 1378/chest.109.2. 395)
21. Marin, J. M., Carrizo, S. J., Vicente, E. and Agusti, A. G. 2005 Long-term cardiovascular outcomes in men with obstructive sleep apnoea-hypopnoea with or without treatment with continuous positive airway pressure: an observational study. Lancet 365, 1046-1053.
22. Mark, R. and Moody, G. 1997 MIT-BIH arrhythmia database. See http://ecg.mit.edu/dbinfo.html.
23. McNicholas, W. T., Bonsignore, M. R. and Management Committee of EU COST ACTION B26 2007 Sleep apnoea as an independent risk factor for cardiovascular disease: current evidence, basic mechanisms and research priorities. Eur. Respir. J. 29 156-178.
24. Moody, G. B., Mark, R. G., Zoccola, A. and Mantero, S. 1986 Clinical validation of the ECG-derived respiration (EDR) technique. In Computers in cardiology, vol. 13, pp. 507-510. Washington, DC: IEEE Computer Society Press.
25. Newman, A. B., Nieto, F. J., Guidry, U., Lind, B. K., Redline, S., Shahar, E., Pickering, T. G., Quan, S. F. and for the Sleep Heart Health Study Research Group 2001 Relation of sleep-disordered breathing to cardiovascular disease risk factors-the sleep heart health study. Am. J. Epidemiol. 154, 50-59.
26. Nieto, F. J. et al. 2000 Association of sleep-disordered breathing, sleep apnoea, and hypertension in a large community-based study. J. Am. Med. Assoc. 283, 1829-1836. (doi:10.1001/jama.283.14.1829)
27. Oeverland, B., Skatvedt, O., Kvaerner, K. J. and Akre, H. 2002 Pulse oximetry: sufficient to diagnose severe sleep apnoea. Sleep Med. 3, 133-138. (doi:10.1016/S1389-9457(01)00122-8)
28. Penzel, T. 2000 The apnoea-ECG database. In Computers in cardiology, vol. 27, pp. 255-258. Piscataway, NJ: IEEE Press.
29. Phillips, B. G. and Somers, V. K. 2002 Sleep disordered breathing and risk factors for cardiovascular disease. Curr. Opin. Pulm. Med. 8, 516-520. (doi:10.1097/00063198-200211000-00006)
30. Ripley, B. D. 1996 Pattern recognition and neural networks. Cambridge, UK: Cambridge University Press.
31. Roche, F., Gaspoz, J. M., Court-Fortune, I., Minini, P., Pichot, V., Duverney, D., Costes, F., Lacour, J. R. and Barthélémy, J. C. 1999 Screening of obstructive sleep apnoea syndrome by heart rate variability analysis. Circulation 100, 1411-1415.
32. Roche, F., Duverney, D., Court-Fortune, I., Pichot, V., Costes, F., Lacour, J. R., Antoniadis, A., Gaspoz, J. M. and Barthelemy, J. C. 2002 Cardiac interbeat interval increment for the identification of obstructive sleep apnoea. Pacing Clin. Electrophysiol. 25, 1192-1199. (doi:10.1046/j.1460- 9592. 2002.01192.x)
33. Roche, F., Pichot, V., Sforza, E., Court-Fortune, I., Duverney, D., Costes, F., Garet, M. and Barthelemy, J. C. 2003 Predicting sleep apnoea from heart period: a time-frequency wavelet analysis. Eur. Respir. J. 22, 937-942. (doi:10.1183/09031936.03.00104902)
34. Series, F. 2002 Interpretation of home oximetry tracings. Chest 121, 1006-1007. (doi:10.1378/chest. 121.3.1006-a)
35. Shamsuzzaman, A. S., Gersh, B. J. and Somers, V. K. 2003 Obstructive sleep apnoea: implications for cardiac and vascular disease. J. Am. Med. Assoc. 290, 1906-1914. (doi:10.1001/jama.290.14.1906)
36. Sjostrom, C., Lindberg, E., Elmasry, A., Hagg, A., Svardsudd, K. and Janson, C. 2002 Prevalence of sleep apnoea and snoring in hypertensive men: a population based study. Thorax 57, 602-607. (doi:10.1136/thorax. 57.7.602)
37. Stein, P. K., Duntley, S. P., Domitrovich, P. P., Nishith, P. and Carney, R. M. 2003 A simple method to identify sleep apnoea using Holter recordings. J. Cardiovasc. Electrophyiol. 14, 467-473. (doi:10. 1046/j.1540-8167.2003.02441.x)
38. 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, 354-382.
39. Teich, M. C., Lowen, S. B., Jost, B. M., Vibe-Rheymer, K. and Heneghan, C. 2000 Heart rate variability: measures and models. In Nonlinear biomedical signal processing, vol. II (ed. M. Akay), pp. 159-213. Piscataway, NJ: IEEE Press.
40. Travaglini, A., Lamberti, C., DeBie, J. and Ferri, M. 1998 Respiratory signal derived from eight-lead ECG. In Computers in cardiology, vol. 25, pp. 65-68. Piscataway, NJ: IEEE Press.
41. Yamashiro, Y. and Kryger, M. H. 1995 Nocturnal oximetry: is it a screening tool for sleep disorders? Sleep 18, 167-171.
42. Young, T., Palta, M., Dempsey, J., Skatrud, J., Weber, S. and Badr, S. 1993 The occurrence of sleepdisordered breathing among middle-aged adults. N. Engl. J. Med. 328, 1230-1235. (doi:10.1056/NEJM199304293281704)
43. Young, T., Evans, L., Finn, L. and Palta, M. 1997 Estimation of the clinically diagnosed proportion of sleep apnoea syndrome in middle-aged men and women. Sleep 20, 705-706.
44. Zamarron, C., Romero, P. V., Rodriguez, J. R. and Gude, F. 1999 Oximetry spectral analysis in the diagnosis of obstructive sleep apnoea. Clin. Sci. (Lond.) 97, 467-473.