Nonlinear measure of synchrony between blood oxygen saturation and heart rate from nocturnal pulse oximetry in obstructive sleep apnoea syndrome

Physiological Measurement

Volumn 30, Issue 9, 2009, Pages 967-982

  Alvarez D ^a   Hornero, R ^a   Abasolo D ^a   Del Campo, F ^b   Zamarron C ^c   Lopez M ^a  

^a UNIVERSITY OF VALLADOLID   (Spain)

^b HOSPITAL UNIVERSITARIO RÍO HORTEGA   (Spain)

^c Instituto de Salud Carlos III   (Spain)

Author keywords

Blood oxygen saturation; Cross approximate entropy; Heart rate; Magnitude squared coherence; Nocturnal pulse oximetry; Nonlinear analysis; Obstructive sleep apnoea; Synchrony

Indexed keywords

BLOOD; DIAGNOSIS; HEART; NONINVASIVE MEDICAL PROCEDURES; NONLINEAR ANALYSIS; OXIMETERS; OXYGEN; SLEEP RESEARCH; SPECTRUM ANALYSIS;

BLOOD OXYGEN SATURATION; CROSS-APPROXIMATE ENTROPY; HEART-RATE; MAGNITUDE SQUARED COHERENCES; NOCTURNAL PULSE OXIMETRY; NONLINEAR MEASURE; OBSTRUCTIVE SLEEP APNEA; PULSE OXIMETRY; PULSE-OXIMETRY; SYNCHRONY;

ENTROPY;

ADULT; AGED; ARTICLE; BLOOD OXYGEN TENSION; CONTROLLED STUDY; DIAGNOSTIC ACCURACY; FEMALE; FREQUENCY ANALYSIS; HEART RATE; HUMAN; MAJOR CLINICAL STUDY; MALE; PRIORITY JOURNAL; PULSE OXIMETRY; RECORDING; SENSITIVITY AND SPECIFICITY; SLEEP APNEA SYNDROME; ALGORITHM; BLOOD; ENTROPY; MIDDLE AGED; NONLINEAR SYSTEM; OXIMETRY; PATHOPHYSIOLOGY; PHYSIOLOGY; POLYSOMNOGRAPHY; REPRODUCIBILITY; ROC CURVE; STATISTICAL ANALYSIS;

OXYGEN;

ADULT; AGED; AGED, 80 AND OVER; ALGORITHMS; DATA INTERPRETATION, STATISTICAL; ENTROPY; FEMALE; HEART RATE; HUMANS; MALE; MIDDLE AGED; NONLINEAR DYNAMICS; OXIMETRY; OXYGEN; POLYSOMNOGRAPHY; REPRODUCIBILITY OF RESULTS; ROC CURVE; SLEEP APNEA, OBSTRUCTIVE; YOUNG ADULT;

EID: 70350460757     PISSN: 09673334     EISSN: 13616579     Source Type: Journal    
DOI: 10.1088/0967-3334/30/9/008     Document Type: Article

References (48)

1. Aguirre L A, Barros V C and Souza A V P 1999 Nonlinear multivariable modeling and analysis of sleep apnea time series Comput. Biol. Med. 29 207-28
2. lvarez A, Hornero R, Absolo D, del Campo F and Zamarrón C 2006 Nonlinear characteristics of blood oxygen saturation from nocturnal oximetry for obstructive sleep apnoea detection Physiol. Meas. 27 399-412
3. lvarez D, Hornero R, García M, del Campo F and Zamarrón C 2007 Improving diagnostic ability of blood oxygen saturation from overnight pulse oximetry in obstructive sleep apnea detection by means of central tendency measure Artif. Intell. Med. 41 13-24
4. Carlile J and Carlile N 2008 Repeat study of 149 patients suspected of having sleep apnea but with an AHI<5 Sleep 31 A153
5. Carter G C 1987 Coherence and time delay estimation Proc. IEEE 75 236-55
6. Chediak A D, Acevedo-Crespo J C, Seiden D J, Kim H H and Kiel M H 1996 Nightly variability in the indices of sleep-disordered breathing in men being evaluated for impotence with consecutive night polysomnograms Sleep 19 589-92
7. Coetzee F M and Elghazzawi Z 2000 Noise-resistant pulse oximetry using a synthetic reference signal IEEE Trans. Biomed. Eng. 47 1018-26
8. Dean R J and Chaudhary B A 1992 Negative polysomnogram in patients with obstructive sleep apnea syndrome Chest 101 105-8
9. Del Campo F, Hornero R, Zamarrón C, Absolo D and lvarez D 2006 Oxygen saturation regularity analysis in the diagnosis of obstructive sleep apnea Artif. Intell. Med. 37 111-8
10. Findley L J, Farkas G A and Rochester D F 1985 Changes in heart rate during breathing interrupted by recurrent apneas in humans J. Appl. Physiol. 59 536-42
11. Flemons W W, Littner M R, Rowley J A, Gay P, Anderson W M, Hudgel D W, McEvoy R D and Loube D I 2003 Home diagnosis of sleep apnea: a systematic review of the literature Chest 124 1543-79
12. Gay P, Weaver T, Loube D and Iber C 2006 Evaluation of positive airway pressure treatment for sleep related breathing disorders in adults Sleep 29 381-401
13. Granelli A W et al 2008 Impact of pulse oximetry screening on the detection of duct dependent congenital heart disease: a Swedish prospective screening study in 39.821 newborns BMJ 338 a3037
14. Guilleminault C, Van Den Hoed J and Mitler M M 1978 Clinical overview of the sleep apnea syndromes Sleep Apnea Syndromes ed C Gilleminault and W C Dement (New York: Alan R Liss)
15. Hampson M H and Mallen E A H 2006 Coherence function analysis of the high-order aberrations of the human eye Opt. Lett. 31 184-6
16. Hornero R, lvarez D, Absolo D, del Campo F and Zamarrón C 2007 Utility of approximate entropy from overnight pulse oximetry data in the diagnosis of the obstructive sleep apnea syndrome IEEE Trans. Biomed. Eng. 54 107-13
17. Iyriboz Y, Powers S, Morrow J, Ayers D and Landry G 1991 Accuracy of pulse oximeters in estimating heart rate at rest and during exercise Br. J. Sports Med. 25 162-4
18. Keyl C, Lemberger P, Pfeifer M, Hochmuth K and Gesiler P 1997 Heart rate variability in patients with daytime sleepiness suspected of having sleep apnea syndrome: a receiver-operating characteristics analysis Clin. Sci. 92 335-43
19. Kirby R R, Taylor R W and Civetta J M 1997 Handbook of Critical Care 2nd edn (Philadelphia, PA: Lippincott-Raven)
20. Krahn A D, Yee R, Erickson M K, Markowitz T, Gula L J, Klein G J, Skanes A C, George C F P and Ferguson K A 2006 Physiologic pacing in patients with obstructive sleep apnea J. Am. Coll. Cardiol. 47 379-83
21. Levendowski D, Steward D, Woodson B T, Olmstead R, Popovic D and Westbrook P 2009 The impact of obstructive sleep apnea variability measured in-lab versus in-home on sample size calculations Int. Arch. Med. 2 1-8
22. Lévy P, Pépin J L, Deschaux-Blanc C, Paramelle B and Brambilla C 1996 Accuracy of oximetry for detection of respiratory disturbances in sleep apnea syndrome Chest 109 395-9
23. Lindberg E, Berne C, Elmasry A, Hedner J and Janson C 2006 CPAP treatment of a population-based sample-What are the benefits and the treatment compliance? Sleep Med. 7 553-60
24. Liu P Y, Pincus S M, Keenan D M, Roelfsema F and Veldhuis J D 2005 Analysis of bidirectional pattern synchrony of concentration-secretion pairs: implementation in the human testicular and adrenal axes Am. J. Physiol. Regul. Integr. Comp. Physiol. 288 R440-6
25. Magalang U J, Dmochowski J, Veeramachaneni S, Draw A, Mador M J, El-Solh A and Grant B J B 2003 Prediction of the apnea-hypopnea index from overnight pulse oximetry Chest 124 1694-701
26. Marshall N S, Barnes M, Travier N, Campbell A J, Pierce R J, McEvoy R D, Neill A M and Gander P H 2006 Continuous positive airway pressure reduces daytime sleepiness in mild to moderate sleep apnoea: a meta-analysis Thorax 61 430-4
27. Netzer N, Eliasson A H, Netzer C and Kristo D A 2001 Overnight pulse oximetry for sleep-disordered breathing in adults Chest 120 625-33
28. Noda A, Ito R, Okada T, Yasuma F, Nakashima N and Yokota M 1998 Twenty four ambulatory oxygen desaturation and electrocardiographic recording in obstructive sleep apnea syndrome Clin. Cardiol. 21 506-10
29. Penzel T, McNames J, de Chazal P, Raymond B, Murray A and Moody G 2002 Systematic comparison of different algorithms for apnoea detection based on electrocardiogram recordings Med. Biol. Eng. Comput. 40 402-7
30. Peppard P E, Young T, Palta M and Skatrud J 2000 Prospective study of the association between sleep-disordered breathing and hypertension N. Engl. J. Med. 342 1378-84 (Pubitemid 30262394)
31. Pincus S M 2000 Irregularity and asynchrony in biologic network signals Methods Enzymol. 321 149-82
32. Pincus S M 2001 Assessing serial irregularity and its implications for health Ann. N. Y. Acad. Sci. 954 245-67
33. Pincus S M and Goldberger A L 1994 Physiological time-series analysis: what does regularity quantify? Am. J. Physiol. 266 H1643-56
34. Pincus S M and Singer B H 1996 Randomness and degrees of irregularity Proc. Natl Acad. Sci. USA 93 2083-8
35. Rechtschaffen A and Kales A 1968 A Manual of Standardized Terminology, Techniques and Scoring System for Sleep Stages of Human Subjects (Washington, DC: US Government Printing Office, Public Health Service)
36. Richman J S and Moorman J R 2000 Physiological time series analysis using approximate entropy and sample entropy Am. J. Physiol. Heart Circ. Physiol. 278 H2039-49
37. Sériès F and Marc I 1999 Nasal pressure recording in the diagnosis of sleep apnoea hypopnea syndrome Thorax 54 506-10
38. Shiomi T, Guilleminault C, Sasanabe R, Hirota I, Maekawa M and Kobayashi T 1996 Augmented very low frequency component of the heart rate variability during obstructive sleep apnea Sleep 19 370-7
39. Stam C J and van Dijk B W 2002 Synchronization likelihood: an unbiased measure of generalized synchronization in multivariate data sets Physica D 163 236-51
40. Veldhuis J D, Pincus S M, García-Rudaz M C, Ropelato M G, Escobar M E and Barontini M 2001 Disruption of the joint synchrony of luteinizing hormone, testosterone, and androstenedione secretion in adolescents with polycystic ovarian syndrome J. Clin. Endocrinol. Metab. 86 72-9
41. Warley A R, Mitchell J H and Stradling J R 1987 Evaluation of the Ohmeda 3700 pulse oximeter Thorax 42 892-6
42. Welch P D 1967 The use fast Fourier transform of the estimation of power spectra: a method based on time averaging over short, modified periodograms IEEE Trans. Audio Electroacoust. AU-15 70-3
43. Whitelaw W A, Brant R F and Flemons W W 2005 Clinical usefulness of home oximetry compared with polysomnography for assessment of sleep apnea Am. J. Respir. Crit. Care Med. 171 188-93
44. Wiltshire N, Kendrick A and Catterall J 2001 Home oximetry studies for diagnosis of sleep apnea/hypopnea syndrome: limitation of memory storage capabilities Chest 120 384-9
45. Young T, Peppard P E and Gottlieb D J 2002 Epidemiology of obstructive sleep apnea Am. J. Resp. Crit. Care Med. 165 1217-39
46. Zamarrón C, Gude F, Barcala J, Rodríguez J R and Romero P V 2003 Utility of oxygen saturation and heart rate spectral analysis obtained from pulse oximetric recordings in the diagnosis of sleep apnea syndrome Chest 123 1567-76
47. Zamarrón C, Hornero R, del Campo F, Absolo D and lvarez D 2006 Heart rate regularity analysis obtained from pulse oximetric recordings in the diagnosis of obstructive sleep apnea Sleep Breath. 10 83-9
48. Zamarrón C, Pichel F and Romero P V 2005 Coherence between oxygen saturation and heart rate obtained from pulse oximetric recordings in obstructive sleep apnoea Physiol. Meas. 26 799-810