Detection of sleep apnea from surface ECG based on features extracted by an autoregressive model
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Overview
abstract
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This study proposes an alternative evaluation of Obstructive Sleep Apnea (OSA) based on ECG signal during sleep time. OSA is a common sleep disorder produced by repetitive occlusions in the upper airways. This respiratory disturbance produces a specific pattern on ECG. Extraction of ECG characteristics, as Heart Rate Variability (HRV) and peak R area, offers alternative measures for a sleep apnea pre-diagnosis. 50 recordings coming from the apnea Physionet database were used in the analysis, this database is part of the 70 recordings used for the Computer in Cardiology challenge celebrated in 2000. A bivariate autoregressive model was used to evaluate beat-by-beat power spectral density of HRV and R peak area. K-Nearest Neighbor (KNN) supervised learning classifier was employed for categorizing apnea events from normal ones, on a minute-by-minute basis for each recording. Data were split into two sets, training and testing set, each one with 25 recordings. The classification results showed an accuracy higher than 85%25 in both training and testing. In addition it was possible to separate completely between Apnea and Normal subjects and almost completely among Apnea, Normal and Borderline subjects. © 2007 IEEE.
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Research
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Cardiology; Database systems; Electrocardiography; Feature extraction; Mathematical models; Power spectral density; Autoregressive models; Learning classifiers; Obstructive Sleep Apnea (OSA); Medical problems
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