PTT variability for discrimination of sleep apnea related decreases in the amplitude fluctuations of PPG signal in children

IEEE Transactions on Biomedical Engineering

Volumn 57, Issue 5, 2010, Pages 1079-1088

  Gil, Eduardo ^a   Bailón, Raquel ^a   Vergara, José María ^a   Laguna, Pablo ^a  

^a UNIVERSITY OF ZARAGOZA   (Spain)

Author keywords

Children; Decreases in the amplitude fluctuations of pulse photoplethysmography signal (PPG) (DAP); PPG; Pulse transit time variability (PTTV); Sleep apnea; Time frequency

Indexed keywords

AMPLITUDE FLUCTUATIONS; PULSE PHOTOPLETHYSMOGRAPHY SIGNAL; PULSE TRANSIT TIME; SLEEP APNEA; TIME FREQUENCY;

DISCRIMINANT ANALYSIS;

SLEEP RESEARCH;

ARTICLE; CHILD; CLINICAL ARTICLE; DIAGNOSTIC ACCURACY; DIAGNOSTIC VALUE; DISCRIMINANT ANALYSIS; HEART RATE VARIABILITY; HUMAN; PARASYMPATHETIC TONE; PHOTOELECTRIC PLETHYSMOGRAPHY; PRESCHOOL CHILD; PULSE TRANSIT TIME VARIABILITY; SCREENING TEST; SENSITIVITY AND SPECIFICITY; SLEEP APNEA SYNDROME; SYMPATHETIC TONE;

ALGORITHMS; CHILD; CHILD, PRESCHOOL; DIAGNOSIS, COMPUTER-ASSISTED; FEMALE; HUMANS; MALE; PHOTOPLETHYSMOGRAPHY; POLYSOMNOGRAPHY; PULSE; REPRODUCIBILITY OF RESULTS; SENSITIVITY AND SPECIFICITY; SLEEP APNEA SYNDROMES;

EID: 77951292200     PISSN: 00189294     EISSN: None     Source Type: Journal    
DOI: 10.1109/TBME.2009.2037734     Document Type: Article

References (51)

1. C. Guilleminault, A. Tilkian, and W. C. Dement, "The sleep apnea syndromes," Annu. Rev. Med., vol.27, pp. 465-484, 1976.
2. R. J. Kimoff, "Sleep fragmentation in obstructive sleep apnea," Sleep, vol.19, no.9, pp. 219-223, 1996.
3. 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. (Pubitemid 30207619)
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. 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. (Pubitemid 34227209)
6. 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 sleepdisordered breathing in 5-year-old children are associated with sleepiness and problem behaviors," Pediatrics, vol.112, pp. 870-877, 2003. (Pubitemid 37248695)
7. 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. (Pubitemid 34177508)
8. American Thoracic Society, "Cardiorespiratory sleep studies in children," Amer. J. Respir. Crit. Care Med., vol.160, pp. 1381-1387, 1999.
9. Standards of Practice Committee and American Sleep Disorders Association, "Portable recording in the assessment of obstructive sleep apnea," Sleep, vol.17, no.4, pp. 378-392, 1994.
10. A. B. Hertzman, "The blood supply of various skin areas as estimated by the photo-electric plethysmograph," Amer. J. Physiol, vol.124, pp. 328-340, 1938.
11. H. Schneider, C. D. Schaub, C. A. Chen, K. A. Andreoni, A. R. Schwartz, P. L. Smith, J. L. Robotham, and C. P. O'donnell, "Neural and local effects of hypoxia on cardiovascular responses to obstructive apnea," J. Appl. Physiol., vol.88, pp. 1093-1102, 2000. (Pubitemid 30154916)
12. U. A. Leuenberger, J. C. Hardy, M. D. Herr, K. S. Gray, and L. I. Sinoway, "Hypoxia augments apnea-induced peripheral vasoconstriction in humans," J. Appl. Physiol., vol.90, pp. 1516-1522, 2001.
13. A. Anand, S. Remsburg-Sailor, S. H. Launois, and J.W.Weiss, "Peripheral vascular resistance increases after termination of obstructive apneas," J. Appl. Physiol., vol.91, pp. 2359-2365, 2001. (Pubitemid 33015093)
14. 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.
15. V. A. Imadojemu, K. Gleeson, K. S. Gray, L. I. Sinoway, and U. A. Leuenberger, "Obstructive apnea during sleep is associated with peripheral vasoconstriction," Amer. J. Respir. Crit. Care Med., vol.165, pp. 61-66, 2002. (Pubitemid 34053358)
16. Y. Mendelson, "Pulse Oximetry: Theory and applications for noninvasive monitoring," Clin. Chem., vol.38, no.9, pp. 1601-1607, 1992.
17. 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. (Pubitemid 28098598)
18. 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. (Pubitemid 29526514)
19. A. Bar, G. Pillar, I. Dvir, J. Sheffy, R. P. Schnall, and P. Lavie, "Evaluation of a portable device based on peripheral arterial tone for unattended home sleep studies," Chest, vol.123, pp. 695-703, 2003. (Pubitemid 36315480)
20. C. P. O'Donnell, L. Allan, P. Atkinson, and A. R. Schwartz, "The effect of upper airway obstruction and arousal on peripheral arterial tonometry in obstructive sleep apnea," Amer. J. Respir. Crit. Care Med., vol.166, pp. 965-971, 2002. (Pubitemid 35193227)
21. 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, pp. 267-277, 2008.
22. E. Gil, M. O. Mendez, J. M. Vergara, S. Cerutti, A. M. Bianchi, and P. Laguna, "Discrimination of sleep apnea related decreases in the amplitude fluctuations of PPG signal in children by HRV analysis," IEEE Trans. Biomed. Eng., vol.56, no.4, pp. 1005-1014, 2009.
23. Task Force of The European Society of Cardiology and The North American Society of Pacing Electrophysiology, "Heart rate variability: Standards ofmeasurement, physiological interpretation, and clinical use," Eur. Heart J., vol.17, pp. 354-381, 1996. (Pubitemid 26131418)
24. J. E. Naschitz, S. Bezobchuk, R. Mussafia, 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 of the literature and personal experience," J. Clin. Monit. Comput., vol.18, pp. 333-342, 2004. (Pubitemid 40867418)
25. J. Y. A. Foo and C. S. Lim, "Pulse transit time as an indirect marker for variations in cardiovascular related reactivity," Technol. Health Care, vol.14, pp. 97-108, 2006. (Pubitemid 43748189)
26. D. J. Pitson, A. Sandell, R. van den Hout , and J. R. Stradling, "Use of the pulse time as a measure of inspiratoy effort in patients with obstructive sleep apnea," Eur. Respir. J., vol.8, pp. 1669-1674, 1995.
27. J. Argod, J. L. Ṕepin, R. P. Smith, and P. Ĺevy, "Comparison of esophageal pressure with pulse transit time as a measure of respiratory effort for scoring obstructive nonapneic respiratory events," Amer. J. Respir. Crit. Care Med., vol.162, pp. 87-93, 2000. (Pubitemid 30469803)
28. J. Pagani, M. P. Villa, G. Calcagnini, A. Alterio, R. Ambrosio, F. Censi, and R. Ronchetti, "Pulse transit time as a measure of inspiratory effort in children," Chest, vol.124, pp. 1487-1493, 2003. (Pubitemid 37290062)
29. 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. (Pubitemid 24267097)
30. D. Poyares, C. Guilleminault, A. Rosa, M. Ohayon, and U. Koester, "Arousal, EEG spectral power and pulse transit time in UARS and mild OSAS Subjects," Clin. Neurophysiol., vol.113, pp. 1598-1606, 2002. (Pubitemid 35283947)
31. E. S. Katz, J. Lutz, C. Black, and C. L. Marcus, "Pulse transit time as a measure of arousal and respiratory effort in children with sleep-disordered breathing," Pediatr. Res., vol.53, no.4, pp. 580-588, 2003. (Pubitemid 36406727)
32. J. Argod, J. L. Ṕepin, and P. Ĺevy, "Differentiating obstructive and central sleep respiratory events through pulse transit time," Amer. J. Respir. Crit Care Med., vol.158, pp. 1778-1783, 1998. (Pubitemid 29008814)
33. D. J. Pitson and J. R. Stradling, "Value of beat-to-beat blood pressure changes, detected by pulse transit time, in the management of the obstructive sleep apnoea/hypopnoea syndrome," Eur. Respir. J., vol.12, pp. 685-692, 1998.
34. J. L. Ṕepin, N. Delavie, I. Pin, C. Deschaux, J. Argod, M. Bost, and P. Ĺevy, "Pulse transit time improves detection of sleep respiratory events and microarousals in children," Chest, vol.127, pp. 722-730, 2005, DOI:10.1378/chest.127.3.722. (Pubitemid 40775498)
35. J. Y. A. Foo, S. J. Wilson, A. P. Bradleyand, G. R. Williams, M. A. Harris, and D. M. Cooper, "Use of pulse transit time to distinguish respiratory events from tidal breathing in sleeping children," Chest, vol.128, pp. 3013-3019, 2005. (Pubitemid 41507663)
36. A. C. Guyton and J. E. Hall, Textbook of Medical Physiology. New York: Elsevier, 2006, ch. 18, ser. ISBN 0-7216-0240-1.
37. E. Kandel, J. Schwartz, and T. Jessell, Principles of Neural Science. New York: McGraw-Hill, 2000, ch. 49, ser. ISBN 0-8385-7701-6.
38. American Thoracic Society, "Standards and indications for cardiopulmonary sleep studies in children," Amer. J. Respir. Crit. Care Med., vol.153, pp. 866-878, 1996. (Pubitemid 26051376)
39. 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. (Pubitemid 38375132)
40. M. O. Mendez, A. M. Bianchi, N. Montano, V. Patruno, E. Gil, C. Mantaras, S. Aiolfi, and S. Cerutti, "On arousal from sleep: Timefrequency analysis," Med. Biol. Eng. Comput., vol.46, pp. 341-351, 2008. DOI:10.1007/s11517-008-0309-z.
41. C. L. Marcus, "Sleep-disordered breathing in children," Amer. J. Respir. Crit. Care Med., vol.164, pp. 16-30, 2001.
42. T. Ma and Y. T. Zhang, "Spectral analysis of pulse transit time variability and its coherence with other cardiovascular variabilities," in Proc. 28th Annu. Int. Conf. IEEE EMBS, 2006, pp. 6442-6445.
43. J. Allen, "Photoplethysmography and its application in clinical physiological measurement," Physiol. Meas., vol.28, pp. R1-R39, 2007. DOI:10.1088/0967-3334/28/3/R01. (Pubitemid 46646334)
44. 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.
45. P. O. Bridevauxa, J.W. Fittinga, J.M. Fellratha, and J. D. Auberta, "Interobserver agreement on apnoea hypopnoea index using portable monitoring of respiratory parameters," Swiss Med. Weekly, vol.137, pp. 602-607, 2008.
46. M. S. Schechter, "Technical report: Diagnosis and management of childhood obstructive sleep apnea syndrome," Pediatrics, vol.109, pp. e69-e69, 2002.
47. 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. (Pubitemid 30078686)
48. 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, pp. 402-407, 2002. (Pubitemid 34982531)
49. 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. (Pubitemid 38823377)
50. 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. (Pubitemid 34506373)
51. American Academy of Pediatrics, "Clinical practice guideline: Diagnosis and management of childhood obstructive sleep apnea syndrome," Pediatrics, vol.109, pp. 704-712, 2002. (Pubitemid 34286308)