Skip to main content

Sleep Apnea Detection by Means of Analyzing Electrocardiographic Signal

  • Chapter
Human-Computer Systems Interaction: Backgrounds and Applications 3

Part of the book series: Advances in Intelligent Systems and Computing ((AISC,volume 300))

Abstract

Obstructive sleep apnea (OSA) is a condition of cyclic, periodic obstruction (stenosis) of the upper respiratory tract. OSA could be associated with serious cardiovascular problems, such as hypertension, arrhythmias, hearth failure or peripheral vascular disease. Understanding the way of connection between OSA and cardiovascular diseases is important to choose proper treatment strategy. In this paper, we present a method for integrated measurements of biosignals for automatic OSA detection. The proposed method was implemented using a portable device with the application of the Support Vector Machine (SVM) classifier. The specific objective of this work is to analyze the minimum set of features for the ECG signal that could produce acceptable classification results. Those features can be further expanded using other biosignals, measured by the portable SleAp device. Additionally, the influence of the body movements and positions on measurement results with SleAp system are presented. The proposed system could help to determine the influence of OSA on the state of the cardiovascular system.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 84.99
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 109.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

References

  1. Almazaydeh, L., Elleithy, K., Faezipour, M.: Obstructive sleep apnea detection using SVM-based classification of ECG signal features. In: Engineering in Medicine and Biology Society, pp. 4938–4941 (2012)

    Google Scholar 

  2. Azhagusundari, B., Thanamani, A.S.: Feature selection based on information gain. International J. of Innovative Technology and Exploring Engineering 18, 2278–3075 (2013)

    Google Scholar 

  3. Cortes, C., Vapnik, V.: Support-vector networks. Machine Learning, 273–297 (1995)

    Google Scholar 

  4. Drager, L.F., Bortolotto, L.A., Figueiredo, A.C., Silva, B.C., Krieger, E.M., Lorenzi-Filho, G.: Obstructive sleep apnea, hypertension, and their interaction on arterial stiffness and heart remodeling. Chest 227, 1379–1386 (2007)

    Article  Google Scholar 

  5. Gupta, S., Cepeda-Valery, B., Romero-Corral, A., Shamsuzzaman, A., Somers, V.K., Pressman, G.S.: Association between QRS duration and obstructive sleep apnea. J. of Clinical Sleep Medicine, 649–654 (2012)

    Google Scholar 

  6. Jaimchariyatam, N., Dweik, R.A., Kaw, R., Aboussouan, L.S.: Polysomnographic determinants of nocturnal hypercapnia in patients with sleep apnea. Clinical Sleep Medicine 9(3), 209–215 (2013)

    Google Scholar 

  7. Lado, M.J., Vila, X.A., Rodriguez-Linares, L., Mendez, A.J., Olivieri, D.N., Felix, P.: Detecting sleep apnea by heart rate variability anaysis: assesing the validity of databases and algorithms. J. Med. Syst. 35(4), 473–481 (2011)

    Article  Google Scholar 

  8. McNames, J., Fraser, A., Rechtsteiner, A.: Sleep apnea classification based on frequency of heart-rate variability. Computers in Cardiolog, 749–752 (2000)

    Google Scholar 

  9. Otero, A., Vila, X., Palacios, F., Coves, F.J.: Detection of obstructive sleep apnea from the frequency analysis of heart rate variability. In: Proc. 3rd International Conference on Bio-inspired Systems and Signal Processing, Valencia, pp. 359–362 (2010)

    Google Scholar 

  10. Pan, J., Tompkins, W.J.: A real-time QRS detection algorithm. IEEE Trans. on Biomedical Engineering 32(3), 230–236 (1985)

    Article  Google Scholar 

  11. Pitzalis, M.V., Mastropasqua, F., Massari, F., Passantino, A., Colombo, R., Mannarini, A., Forleo, C., Rizzon, P.: Effect of respiratory rate on the relationships between RR interval and systolic blood pressure fluctuations: a frequency-dependent phenomenon. Cardiovascular Research 38(2), 332–339 (1998)

    Article  Google Scholar 

  12. Punjabi, N.M.: The epidemiology of adult obstructive sleep apnea. American Thoracic Society 5(2), 136–143 (2008)

    Article  Google Scholar 

  13. Penzel, T., Moody, G.B., Mark, R.G.: The apnea-ECG database. Computers in Cardiology, 255–258 (2000)

    Google Scholar 

  14. Physionet (2013), http://www.physionet.org (accessed August 15, 2013)

  15. Przystup, P., Bujnowski, A., Ruminski, J., Wtorek, J.: A multisensor detector of a sleep apnea for using at home. IEEE Xplore Digital Library, pp. 513–517 (2013)

    Google Scholar 

  16. Rendon, D.B., Rojas, J.L., Ojeda, F., Crespo, L.F., Morillo, D.S., Fernández, M.A.: Mapping the human body for vibrations using an accelerometer. In: Eng. in Med. and Biol. Society, pp. 1671–1674 (2007)

    Google Scholar 

  17. Shahar, E., Whitney, C.W., Redline, S., Lee, E.T., Newman, A.B., Nieto, F.J., O’Connor, G.T., Boland, L.L., Schwartz, J.E., Samet, J.: Sleep-disordered breathing and cardiovascular disease: cross-sectional results of the sleep heart health study. American J. of Respiratory and Critical Care Medicine 163(1), 19–25 (2011)

    Article  Google Scholar 

  18. Shrader, M., Zywietz, C., von Einem, V., Widiger, B., Joseph, G.: Detection of sleep apnea in single channel ECGs from the PhysioNet data base. Computers in Cardiology, 263–266 (2000)

    Google Scholar 

  19. Siebert, J., Wtorek, J., Rogowski, J.: Stroke volume variability - cardiovascular response to orthostatic maneuver in patients with coronary artery diseases. Annals of the New York Academy of Science 873, 182–190 (1999)

    Article  Google Scholar 

  20. de Silva, S., Abeyratne, U.R., Hukins, C.: Impact of gender on snore-based obstructive sleep apnea screening. Physiol. Meas. 33(4), 587–601 (2012)

    Article  Google Scholar 

  21. Song, M.K., Ha, J.H., Ryu, S.H., Yu, J., Park, D.H.: The effect of aging and severity of sleep apnea on heart rate variability indices in obstructive sleep apnea syndrome. Psychiatry Investigation, 65–72 (2012)

    Google Scholar 

  22. Vanschoenwinkel, B., Manderick, B.: Appropriate Kernel Functions for Support Vector Machine Learning with Sequences of Symbolic Data. In: Winkler, J.R., Niranjan, M., Lawrence, N.D. (eds.) Machine Learning Workshop. LNCS (LNAI), vol. 3635, pp. 256–280. Springer, Heidelberg (2005)

    Chapter  Google Scholar 

  23. Varon, C.: Sleep apnea classification using least-squares support vector machines on single lead ECG. In: Engineering in Medicine and Biology Society, pp. 5029–5032 (2013)

    Google Scholar 

  24. Widjaja, D., Taelman, J., Vandeput, S., Braeken, M.A.K.A., Otte, R.A., Van den Bergh, B.R.H., Van Huffel, S.: ECG-derived respiration: comparison and new measures for respiratory. Computing in Cardiology 37, 149–152 (2010)

    Google Scholar 

  25. Wtorek, J.: Electrical impedance technique in medicine. Series of Momographs-43. Publishing Office of Gdansk University of Technology (2003) (in Polish)

    Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to P. Przystup .

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2014 Springer International Publishing Switzerland

About this chapter

Cite this chapter

Przystup, P., Bujnowski, A., Poliński, A., Rumiński, J., Wtorek, J. (2014). Sleep Apnea Detection by Means of Analyzing Electrocardiographic Signal. In: Hippe, Z., Kulikowski, J., Mroczek, T., Wtorek, J. (eds) Human-Computer Systems Interaction: Backgrounds and Applications 3. Advances in Intelligent Systems and Computing, vol 300. Springer, Cham. https://doi.org/10.1007/978-3-319-08491-6_15

Download citation

  • DOI: https://doi.org/10.1007/978-3-319-08491-6_15

  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-08490-9

  • Online ISBN: 978-3-319-08491-6

  • eBook Packages: EngineeringEngineering (R0)

Publish with us

Policies and ethics