Discrimination of sleep-apnea-related decreases in the amplitude fluctuations of ppg signal in children by HRV analysis

IEEE Transactions on Biomedical Engineering

Volumn 56, Issue 4, 2009, Pages 1005-1014

  Gil, Eduardo ^a,b   Mendez, Martín ^c   Vergara, José María ^b,d   Cerutti, Sergio ^c   Bianchi, Anna Maria ^b,c   Laguna, Pablo ^a,b  

^a UNIVERSITY OF ZARAGOZA   (Spain)

^b BIOMATERIALES Y NANOMEDICINA CIBER BBN   (Spain)

^c POLITECNICO DI MILANO   (Italy)

^d HOSPITAL UNIVERSITARIO MIGUEL SERVET   (Spain)

Author keywords

Children; Decreases in the amplitude fluctuations of photopletysmography (PPG); Heart rate variability (HRV); Pulse PPG; Sleep apnea; Time frequency

Indexed keywords

CHILDREN; DECREASES IN THE AMPLITUDE FLUCTUATIONS OF PHOTOPLETYSMOGRAPHY (PPG); HEART RATE VARIABILITY (HRV); PULSE PPG; SLEEP APNEA; TIME-FREQUENCY;

DISCRIMINANT ANALYSIS; HEART VALVE PROSTHESES;

SLEEP RESEARCH;

ACCURACY; ARTICLE; CHILD; CLINICAL ARTICLE; CONTROLLED STUDY; DISCRIMINANT ANALYSIS; HEART RATE VARIABILITY; HUMAN; PHOTOELECTRIC PLETHYSMOGRAPHY; PRESCHOOL CHILD; SCHOOL CHILD; SCREENING; SENSITIVITY AND SPECIFICITY; SLEEP APNEA SYNDROME;

CHILD, PRESCHOOL; ELECTROCARDIOGRAPHY; HEART RATE; HUMANS; MODELS, CARDIOVASCULAR; PHOTOPLETHYSMOGRAPHY; POLYSOMNOGRAPHY; PULSE; ROC CURVE; SENSITIVITY AND SPECIFICITY; SIGNAL PROCESSING, COMPUTER-ASSISTED; SLEEP APNEA SYNDROMES;

EID: 67349161635     PISSN: 00189294     EISSN: None     Source Type: Journal    
DOI: 10.1109/TBME.2008.2009340     Document Type: Article

References (46)

1. American Thoracic Society, "Cardiorespiratory sleep studies in children,"Amer. J. Respir. Crit. Care Med., vol. 160, pp. 1381-1387, 1999.
2. D. P.White, "Sleep apnea," Proc. Amer. Thorac. Soc., vol. 3, pp. 124-128, 2006.
3. American Academy of Pediatrics, "Clinical practice guideline: Diagno-sis and management of childhood obstructive sleep apnea syndrome,"Pediatrics, vol. 109, pp. 704-712, 2002.
4. T. Young, P. E. Peppard, and D. J. Gottlieb, "Epidemiology of obstructive sleep apnea," Amer. J. Respir. Crit. Care Med., vol. 165, pp. 1217-1239, 2002.
5. F. J. Nieto, T. B. Young, B. K. Lind, E. Shahar, J. M. Samet, S. Redline, R. B. D'Agostino, A. B. Newman, M. D. Lebowitz, and T. G. Pickering, "Association of sleep-disordered breathing, sleep apnea, and hypertension in a large community-based study," JAMA, vol. 283,pp. 1829-1836, 2000.
6. C. Guilleminault, A. Tilkian, and W. C. Dement, "The sleep apnea syndromes," Annu. Rev. Med., vol. 27, pp. 465-484, 1976.
7. D. W. Beebe and D. Gozal, "Obstructive sleep apnea and prefrontal cortex: Towards a comprehensive model linking nocturnal upper airway obstruction to daytime cognitive and behavioral deficits," J. Sleep Res., vol. 11, pp. 1-16, 2002.
8. D. J. Gottlieb, R. M. Vezina, C. Chase, S. M. Lesko, T. C. Heeren, D. E. Weese-Mayer, S. H. Auerbach, and M. J. Corwin, "Symptoms of sleep- disordered breathing in 5-year-old children are associated with sleepiness and problem behaviors," Pediatrics, vol. 112, pp. 870-877, 2003.
9. R. D. Chervin, K. H. Archbold, J. E. Dillon, P. Panahi, K. J. Pituch, R. E. Dahl, and C. Guilleminault, "Inattention, hyperactivity, and symptoms of sleep-disordered breathing," Pediatrics, vol. 109, pp. 449-456, 2002.
10. W. W. Flemons, M. R. Littner, J. A. Rowley, P. Gay, W. M. Anderson, D. W. Hudgel, R. D. McEvoy, and D. I. Loube, "Home diagnosis of sleep apnea: A systematic review of the literature," Chest, vol. 124, pp. 1543-1579, 2003.
11. V. K. Somers, M. E. Dyken, M. P. Clary, and F. M. Abboud, "Sympathetic neural mechanisms in obstructive sleep apnea," J. Clin. Invest., vol. 96, pp. 1897-1904,1995.
12. V. A. Imadojemu, K. Gleeson, K. S. Gray, L. I. Sinoway, and U. A. Leuen- berger, "Obstructive apnea during sleep is associated with peripheral vaso- constriction," Amer. J. Respir. Crit. Care Med., vol. 165, pp. 61-66, 2002.
13. A. Malliani, "The pattern of sympathovagal balance explored in the frequency domain," News Physiol. Sci., vol. 14, pp. 111-117, 1999.
14. E. Gil, J. M. Vergara, and P. Laguna, "Detection of decreases in the amplitude fluctuation of pulse photoplethysmography signal as indication of obstructive sleep apnea syndrome in children," Biomed. Signal Process. Control, vol. 3, no. 3, pp. 267-277, Jul. 2008.
15. T. Penzel, J. McNames, P. de Chazal, B. Raymond, A. Murray, and G. Moody, "Systematic comparison of different algorithms for apnoea detection based on electrocardiogram recordings," Med. Biol. Eng. Comput., vol. 40, no. 4, pp. 402-407, 2002.
16. K. Dingli, T. Assimakopoulos, P. Wraith, I. Fietze, C. Witt, and N. Douglas, "Spectral oscillations of rr intervals in sleep apnoea/hypopnoea syndrome patients," Eur. Respir. J., vol. 22, pp. 943-950, 2003.
17. F. Roche, J. M. Gaspoz, I. C. Fortune, P. Minini, V. Pichot, D. Duverney, F. Costes, J. R. Lacour, and J. C. Barthelemy, "Screening of obstructive sleep apnea syndrome by heart rate variability analysis," Circulation, vol. 100, no. 13, pp. 1411-1415, 1999.
18. F. Roche, V. Pichot, E. Sforza, I. Court-Fortune, D. Duverney, F. Costes, M. Garet, and J. C. Barthelemy, "Predicting sleep apnoea syndrome from heart period: A time-frequency wavelet analysis," Eur. Respir. J., vol. 22, pp. 937-942, 2003.
19. M. Nitzan, A. Babchenko, B. Khanokh, and D. Landau, "The variability of the photoplethysmographic signal-A potential method for the evaluation of the autonomic nervous system," Physiol. Meas., vol. 19, pp. 93-102, 1998.
20. R. P. Schnall, A. Shlitner, J. Sheffy, R. Kedar, and P. Lavie, "Periodic, profound peripheral vasoconstriction-A new marker of obstructive sleep apnea," Sleep, vol. 22, no. 7, pp. 939-946, 1999.
21. J. Allen, "Photoplethysmography and its application in clinical physiological measurement," Physiol. Meas., vol. 28, no. 3, pp. R1-R39, 2007.
22. American Thoracic Society, "Standards and indications for cardiopul- monary sleep studies in children," Amer. J. Respir. Crit. Care Med., vol. 153, pp. 866-878, 1996.
23. Y. Mendelson, "Pulse oximetry: Theory and applications for noninvasive monitoring," Clin. Chem., vol. 38, no. 9, pp. 1601-1607, 1992.
24. L. Sornmo and P. Laguna, Bioelectrical Signal Processing in Cardiac and Neurological Applications.New York: Academic/Elsevier, 2005.
25. J. P. Martinez, R. Almeida, S. Olmos, A. P. Rocha, and P. Laguna, "A wavelet-based ECG delineator: Evaluation on standard databases," IEEE Trans. Biomed. Eng., vol. 51, no. 4, pp. 570-581, Apr. 2004.
26. L. Cohen, "Time-frequency distributions-A review," Proc. IEEE, vol. 77, no. 7, pp. 941-981, Jul. 1989.
27. W. Martin and P. Flandrin, "Wigner-ville spectral analysis ofnonstationary processes," Acoust., Speech, Signal Process., vol. 33, pp. 1461-1470, 1985.
28. M. O. Mendez, A. M. Bianchi, N. Montano, V. Patruno, E. Gil, C. Man-taras, S. Aiolfi, and S. Cerutti, "On arousal from sleep: Time-frequency analysis," Med. Biol. Eng. Comput., vol. 46, no. 4, pp. 341-351, 2008.
29. S. Pola, A. Macerata, M. Emdin, and C. Marchesi, "Estimation of the power spectral density in nonstationary cardiovascular time series: Assessing the role of the time-frequency representations (tfr)," IEEE Trans. Biomed. Eng., vol. 43, no. 1, pp. 46-59, Jan. 1996.
30. L. T. Mainardi, A. M. Bianchi, and S. Cerutti, "Time-frequency and time- varying analysis for assessing the dynamic response of cardiovascular control," Crit. Rev. Biomed. Eng., vol. 30, pp. 175-217, 2000.
31. C. L. Marcus, "Sleep-disordered breathing in children," Amer. J. Respir. Crit. Care Med., vol. 164, pp. 16-30, 2001.
32. D. Pitson, N. Chhina, S. Knijn, M. van Herwaaden, and J. Stradling, "Changes in pulse transit time and pulse rate as markers of arousal from sleep in normal subjects," Clin. Sci. (Lond.), vol. 87, pp. 269-273, 1994.
33. J. E. Naschitz, S. Bezobchuk, R. Mussafia-Priselac, S. Sundick, D. Dreyfuss, I. Khorshidi, A. Karidis, H. Manor, M. Nagar, E. R. Peck, S. Peck, S. Storch, I. Rosner, and L. Gaitini, "Pulse transit time by r-wave- gate infrared photoplethysmography: Review ofthe literature and personal experience," J. Clin. Monit. Comput., vol. 18, pp. 333-342, 2004.
34. D. Pitson, A. Sandell, R. van den Hout, and J. Stradling, "Use ofthe pulse time as a measure of inspiratoy effort in patients with obstructive sleep apnea," Eur. Respir. J., vol. 8, pp. 1669-1674, 1995.
35. J. L. Pepin, N. Delavie, I. Pin, C. Deschaux, J. Argod, M. Bost, and P. Levy, "Pulse transit time improves detection of sleep respiratory events and microarousals in children," Chest, vol. 127, pp. 722-730, 2005.
36. M. J. Drinnan, J. Allen, and A. Murray, "Relation between heart rate and pulse transit time during paced respiration," Physiol. Meas., vol. 22, pp. 425-432, 2001.
37. J. Allen and A. Murray, "Age-related changes in peripheral pulse timing characteristics at the ears, thumbs and toes," J. Hum. Hypertens., vol. 16, pp. 711-717, 2002.
38. A. M. Bianchi, L. T. Mainardi, E. Petrucci, M. G. Signorini, and S. Cerutti, "Time-variant power spectrum analysis for the detection of transient episodes in HVR signal," IEEE Trans. Biomed. Eng., vol. 40, no. 2, pp. 136-144, Feb. 1993.
39. S. Mallat, A Wavelet Tour of Signal Processing, 2nd ed. New York: Academic, 1999.
40. R. G. Norman, I. Pal, C. Stewart, J. A. Walsleben, and M. D. Rapoport, "Interobserver agreement among sleep scorers from different centers in a large dataset," Sleep, vol. 23, pp. 901-908, 2000.
41. P. O. Bridevauxa, J. W. Fittinga, J. M. Fellratha, and J. D. Auberta, "Inter- observer agreement on apnoea hypopnoea index using portable monitoring of respiratory parameters," Swiss Med. Weekly, vol. 137, pp. 602-607, 2008.
42. Standards of Practice Committee American Sleep Disorders Association, "Portable recording in the assessment of obstructive sleep apnea," Sleep, vol. 17, no. 4, pp. 378-392, 1994.
43. M. S. Schechter, "Technical report: Diagnosis and management of childhood obstructive sleep apnea syndrome," Pediatrics, vol. 109, no. 4, pp. e69-e69, Apr. 2002.
44. R. T. Brouillette, A. Morielli, A. Leimanis, K. A. Waters, R. Luciano, and F. M. Ducharme, "Nocturnal pulse oximetry as an abbreviated testing modality for pediatric obstructive sleep apnea," Pediatrics, vol. 105, pp. 405-412, 2000.
45. R. B. Shouldice, L. M. O'Brien, C. O'Brien, P. Chazal, D. Gozal, and C. Heneghan, "Detection of obstructive sleep apnea in pediatric subjects using surface lead electrocardiogram features," Sleep, vol. 27, no. 4, pp. 784-791,2004.
46. G. M. Nixon and R. T. Brouillette, "Diagnostic techniques for obstructive sleep apnoea: Is polysomnography necessary?," Paediatr. Respir. Rev., vol. 3, pp. 18-24, 2002.