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1.
Artigo em Inglês | MEDLINE | ID: mdl-23365819

RESUMO

Heart rate variability (HRV) is one of the promising directions for a simple and noninvasive way for obstructive sleep apnea syndrome detection (OSA). The interaction between the sympathetic and parasympathetic systems on the HRV recordings, gives rise to several non-stationary components added to the signal. Aiming to improve the classifier accuracy for obstructive sleep apnoea detection, the use of more appropriated techniques for leading with non-stationarity and mixed dynamics, are needed. This work aims at searching a convenient training strategy of combining the feature set to be further fed in to the classifier, which should take into consideration the different dynamics in the HRV signal. Therefore, a set of the short-time features, extracted from a given HRV time-varying decomposition, and selected by spectral splitting is considered. Additionally, three methods of projection are used: none, simple, and multivariate. Finally, the different approaches are tested and compared, using k-nn and support vector machines (SVM) classifiers. Attained results show that using continuous wavelet transform with short-time features and multivariate projection, followed by a SVM classifier, allow to obtain a suitable OSA detection.


Assuntos
Eletrocardiografia/métodos , Modelos Biológicos , Processamento de Sinais Assistido por Computador , Síndromes da Apneia do Sono/diagnóstico , Síndromes da Apneia do Sono/fisiopatologia , Feminino , Humanos , Masculino , Sistema Nervoso Parassimpático/fisiopatologia , Razão Sinal-Ruído , Sistema Nervoso Simpático/fisiopatologia
2.
Artigo em Inglês | MEDLINE | ID: mdl-22255726

RESUMO

Heart rate variability (HRV) is one of the promising directions for a simple and noninvasive way for obstructive sleep apnea syndrome detection. The time-frequency representations has been proposed before to investigate the non-stationary properties of the HRV during either transient physiological or pathological episodes. Within the framework of the filter-banked feature extraction, estimation of the spectral splitting for stochastic features extraction is an open issue. Usually, this splitting is fixed empirically without taking into account the actual informative distribution of time-frequency representations. In the present work, a relevance-based approach that aims to find a priori a boundaries in the frequency domain for the spectral splitting upon t-f planes is proposed. Results show that the approach is able to find the most informative frequency bands, achieving accuracy rate over 75%.


Assuntos
Algoritmos , Diagnóstico por Computador/métodos , Eletrocardiografia/métodos , Frequência Cardíaca , Apneia Obstrutiva do Sono/diagnóstico , Apneia Obstrutiva do Sono/fisiopatologia , Interpretação Estatística de Dados , Humanos , Reprodutibilidade dos Testes , Sensibilidade e Especificidade , Processos Estocásticos
3.
Artigo em Inglês | MEDLINE | ID: mdl-22254600

RESUMO

Photopletysmography signal has been developed for monitoring of Obstructive Sleep Apnoea, in particular, whenever an apneic episode occurs, that is reflected by decreases in the photopletysmography signal amplitude fluctuation. However, other physiological events such as artifacts and deep inspiratory gasp produce sympathetic activation, being unrelated to apnea. Thus, its high sensitivity can produce misdetections and overestimate apneic episodes. In this regard, a methodology for selecting a set of relevant non-stationary features to increase the specificity of the obstructive sleep apnea detector is discussed. A time-evolving version of the standard linear multivariate decomposition is discussed to perform stochastic dimensionality reduction. As a result, performed outcomes of accuracy bring enough evidence that if using a subset of cepstral-based dynamic features, then patient classification accuracy is 83.3%. Therefore, photoplethysmography--based detection provides an adequate scheme for obstructive sleep apnea diagnosis.


Assuntos
Algoritmos , Diagnóstico por Computador/métodos , Reconhecimento Automatizado de Padrão/métodos , Fotopletismografia/métodos , Polissonografia/métodos , Apneia Obstrutiva do Sono/diagnóstico , Pré-Escolar , Interpretação Estatística de Dados , Feminino , Humanos , Masculino , Reprodutibilidade dos Testes , Sensibilidade e Especificidade
4.
Artigo em Inglês | MEDLINE | ID: mdl-21097169

RESUMO

This paper presents a methodology for Obstructive Sleep Apnea (OSA) detection based on the HRV analysis, where as a measure of relevance PLS is used. Besides, two different combining approaches for the selection of the best set of contours are studied. Attained results can be oriented in research focused on finding alternative methods minimizing the HRV-derived parameters used for OSA diagnosing, with a diagnostic accuracy comparable to a polysomnogram. For two classes (normal, apnea) the results for PLS are: specificity 90%, sensibility 91% and accuracy 93.56%.


Assuntos
Algoritmos , Frequência Cardíaca/fisiologia , Processamento de Sinais Assistido por Computador , Apneia Obstrutiva do Sono/diagnóstico , Eletrocardiografia/métodos , Análise dos Mínimos Quadrados , Apneia Obstrutiva do Sono/fisiopatologia
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