Session S83.5

Detection Of Obstructive Sleep Apnea From Cardiac Interbeat Interval Time Series

J.E. Mietus, C.-K. Peng, A.L. Goldberger

Beth Israel Deaconess Medical Center
Boston, MA, USA

We present a new automated method to diagnose and quantify high density obstructive sleep apnea from single lead electrocardiograms. This approach is based on the detection of the periodic oscillations (typically in the range of 0.01 - 0.04 Hz.) in cardiac interbeat intervals that are often associated with prolonged cycles of sleep apnea. Our technique employs bandpass filtering and the Hilbert transformation of the sinus interbeat interval time series to derive the instantaneous frequencies and amplitudes of the time series. We then apply a thresholding technique to the average values and standard deviations of these frequencies and amplitudes (calculated over a moving 5-minute window) and detect continuous 15-minute sequences of those windows that lie within threshold values. This method was developed using polysomnographic and normal sinus rhythm databases together with the Computers in Cardiology (CinC) sleep apnea training dataset (all available at When applied to the CinC test dataset data, our algorithm correctly classified 27 out of 30 cases (90%), including both sleep apnea and normal subjects. Further, our algorithm correctly identified the presence or absence of sleep apnea in 14271 out of a total 17268 minutes (82.6%) of data from the test set. This method may be useful in screening for severe sleep apnea and for monitoring response to therapies.
Entry 20000427.145502 : score 27/30
Entry 20000427.145520 : score 14271/17268.