Multimodal detection of sleep apnoea using electrocardiogram and oximetry signals

P. de Chazal, C. Heneghan, W. T McNicholas
2009 Philosophical Transactions of the Royal Society A: Mathematical, Physical and Engineering Sciences  
A method for the detection of sleep apnoea, suitable for use in the home environment, is presented. The method automatically analyses night-time electrocardiogram (ECG) and oximetry recordings and identifies periods of normal and sleep-disordered breathing (SDB). The SDB is classified into one of six classes: obstructive, mixed and central apnoeas, and obstructive, mixed and central hypopnoeas. It also provides an estimated apnoea, hypopnoea and apnoea-hypopnoea index. The basis of the method
more » ... sis of the method is a pattern recognition system that identifies episodes of apnoea by analysing the heart variability, an ECG-derived respiration signal and blood oximetry values. The method has been tested on 183 subjects with a range of apnoea severities who have undergone a full overnight polysomnogram study. The results show that the method separates control subjects from subjects with clinically significant sleep apnoea with a specificity of 83 per cent and sensitivity of 95 per cent. These results demonstrate that home-based screening for sleep apnoea is a viable alternative to hospital-based tests with the added benefit of low cost and minimal waiting times.
doi:10.1098/rsta.2008.0156 pmid:18974035 fatcat:5jhm3ktqb5hefooj7pfm4ho3vu