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通过自动心电图分析检测睡眠呼吸障碍

Detection of sleep disordered breathing by automated ECG analysis.

作者信息

Canisius Sebastian, Ploch Thomas, Gross Volker, Jerrentrup Andreas, Penzel Thomas, Kesper Karl

机构信息

Faculty of Medicine, Philipps-University Marburg, Marburg, Germany.

出版信息

Annu Int Conf IEEE Eng Med Biol Soc. 2008;2008:2602-5. doi: 10.1109/IEMBS.2008.4649733.

Abstract

Sleep related breathing disorders are a highly prevalent disease associated with increased risk of cardiovascular complications like chronic arterial hypertension, myocardial infarction or stroke. Gold standard diagnostics (polysomnography) are complex and expensive; the need for simplified diagnostics is therefore obvious. As the ECG can be easily conducted during the night, the detection of sleep related breathing disorders by ECG analysis provides an easy and cheap approach. Using a combination of well known biosignals processing algorithms, we trained the algorithm on 35 pre-scored overnight recordings. We then applied the algorithm on 35 control recordings, achieving a diagnostic accuracy of 77%. We believe that with further improvements in ECG analysis this algorithm can be used for screening diagnostics of obstructive sleep apnea.

摘要

睡眠相关呼吸障碍是一种高度流行的疾病,与慢性动脉高血压、心肌梗死或中风等心血管并发症风险增加相关。金标准诊断方法(多导睡眠图)复杂且昂贵;因此,简化诊断的需求显而易见。由于心电图可在夜间轻松进行,通过心电图分析检测睡眠相关呼吸障碍提供了一种简便且廉价的方法。我们使用多种知名生物信号处理算法的组合,在35份预先评分的夜间记录上对该算法进行了训练。然后,我们将该算法应用于35份对照记录,诊断准确率达到了77%。我们相信,随着心电图分析的进一步改进,该算法可用于阻塞性睡眠呼吸暂停的筛查诊断。

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