scholarly journals Sleep Apnea Identification using HRV Features of ECG Signals

Author(s):  
Billy Sulistyo ◽  
Nico Surantha ◽  
Sani M. Isa

Sleep apnea is a common sleep disorder that interferes with the breathing of a person. During sleep, people can stop breathing for a moment that causes the body lack of oxygen that lasts for several seconds to minutes even until the range of hours. If it happens for a long period, it can result in more serious diseases, e.g. high blood pressure, heart failure, stroke, diabetes, etc. Sleep apnea can be prevented by identifying the indication of sleep apnea itself from ECG, EEG, or other signals to perform early prevention. The purpose of this study is to build a classification model to identify sleep disorders from the Heart Rate Variability (HRV) features that can be obtained with Electrocardiogram (ECG) signals. In this study, HRV features were processed using several classification methods, i.e. ANN, KNN, N-Bayes and SVM linear Methods. The classification is performed using subject-specific scheme and subject-independent scheme. The simulation results show that the SVM method achieves higher accuracy other than three other methods in identifying sleep apnea. While, time domain features shows the most dominant performance among the HRV features.

2020 ◽  
Vol 2020 ◽  
pp. 1-9 ◽  
Author(s):  
Ming Li ◽  
Wei Xiong ◽  
Yongjian Li

Smart clothing that can measure electrocardiogram (ECG) signals and monitor the health status of people meets the needs of our increasingly aging society. However, the conventional measurement of ECG signals is complicated and its electrodes can cause irritation to the skin, which makes the conventional measurement method unsuitable for applications in smart clothing. In this paper, a novel wearable measurement of ECG signals is proposed. There are only three ECG textile electrodes knitted into the fabric of smart clothing. The acquired ECG signals can be transmitted to a smartphone via Bluetooth, and they can also be sent out to a PC terminal by a smartphone via WiFi or Internet. To get more significant ECG signals, the ECG differential signal between two electrodes is calculated based on a spherical volume conductor model, and the best positions on the surface of a human body for two textile electrodes to measure ECG signals are simulated by using the body-surface potential mapping (BSPM) data. The results show that position 12 in the lower right and position 11 in the upper left of the human body are the best for the two electrodes to measure ECG signals, and the presented wearable measurement can obtain good performance when one person is under the conditions of sleeping and jogging.


2020 ◽  
Vol 10 (6) ◽  
pp. 1265-1273
Author(s):  
Lili Chen ◽  
Huoyao Xu

Sleep apnea (SA) is a common sleep disorders affecting the sleep quality. Therefore the automatic SA detection has far-reaching implications for patients and physicians. In this paper, a novel approach is developed based on deep neural network (DNN) for automatic diagnosis SA. To this end, five features are extracted from electrocardiogram (ECG) signals through wavelet decomposition and sample entropy. The deep neural network is constructed by two-layer stacked sparse autoencoder (SSAE) network and one softmax layer. The softmax layer is added at the top of the SSAE network for diagnosing SA. Afterwards, the SSAE network can get more effective high-level features from raw features. The experimental results reveal that the performance of deep neural network can accomplish an accuracy of 96.66%, a sensitivity of 96.25%, and a specificity of 97%. In addition, the performance of deep neural network outperforms the comparison models including support vector machine (SVM), random forest (RF), and extreme learning machine (ELM). Finally, the experimental results reveal that the proposed method can be valid applied to automatic SA event detection.


Author(s):  
JIAYU ZHANG ◽  
LI QIAN ◽  
XINGYU HOU ◽  
HONGLEI ZHU ◽  
XIAOMEI WU

Atrioventricular nodal reentrant tachycardia (AVNRT) and atrioventricular reentrant tachycardia (AVRT) are two common arrhythmias with high similarity. Automatic electrocardiogram (ECG) detection using machine learning and neural networks has replaced manual detection, but few studies distinguishing AVNRT from AVRT have been reported. This study proposed a classification algorithm using bottleneck attention module (BAM)-based deep residual network (ResNet) through two-lead ECG records. Specifically, ResNet possessed sufficient network depth to extract abundant features, and BAM was introduced to optimize weight assignment of feature maps by fusing together channel and spatial information. Seven types of ECG signals from four public databases were used to pretrain the proposed classification model, which was then fine-tuned using the experimental dataset. The AVNRT and AVRT detection precisions were 98.95% and 87.47%, sensitivities were 87.52% and 98.58%, and the [Formula: see text]1-scores were 92.82% and 92.68%, respectively. These findings showed that our proposed classification model achieved excellent inter-patient classification performance and can assist doctors in the diagnosis of AVNRT and AVRT.


2021 ◽  
Vol 38 (2) ◽  
pp. 431-436
Author(s):  
Vijayakumar Gurrala ◽  
Padmasai Yarlagadda ◽  
Padmaraju Koppireddi

Sleep is a basic need for a human being’s intellectual and physiological restoration and overlaying nearly one 1/3 length of a daytime. A first-rate and deep sleep is required for green regeneration of the body. Sleep disorders hamper the performance of an individual. Sleep Apnea is the one amongst the disorders that affect many. Most of Apnea related works consider Electrocardiogram (ECG) and respiratory signals /or combinations, instead of considering all Polysomnographic signals (PSG). It is evident that for the detection of Apnea related sleep disorders it is required to consider one or few signals rather considering all PSG signals. In this work, we advocate a way that might be carried out to perceive the information of sleep stages which might be crucial in diagnosing and treating sleep disorders. It differentiates sleep stages and derives new features from the sleep EEG that allows helping physicians with the analysis and treatment of associated sleep issues. This theory depends on exclusive EEG datasets from Physionet with the use of MIT-BIH polysomnographic database that have been received and described through scientists for the analysis and prognosis of sleep ranges. Experimental results on 18 records with 10197 epochs show that an Apnea detection accuracy of 95.9% obtained for Machine learning classifier with Ensemble Bagged Tree classifier.


The electrical activity which might be acquired by inserting the probes on the body exterior that is originated within the individual muscle cells of the heart and is summed to indicate an indication wave form referred to as the EKG (ECG). Cardiac Arrhythmia is an associate anomaly within the heart which may be diagnosed with the usage of signals generated by Electrocardiogram (ECG). For the classification of ECG signals a software application model was developed and has been investigated with the usage of the MIT-BIH database. The version is based on some existing algorithms from literature, entails the extraction of a few temporal features of an ECG signal and simulating it with a trained FFNN. The software version may be employed for the detection of coronary heart illnesses in patients. The neural network’s structure and weights are optimized using Particle Swarm Optimization (PSO). The FFNN trained with set of rules by PSO increase its accuracy. The overall accuracy and sensitivity of the algorithm is about 93.687 % and 92%.


Sensors ◽  
2022 ◽  
Vol 22 (2) ◽  
pp. 510
Author(s):  
Cheng-Yu Yeh ◽  
Hung-Yu Chang ◽  
Jiy-Yao Hu ◽  
Chun-Cheng Lin

A variety of feature extraction and classification approaches have been proposed using electrocardiogram (ECG) and ECG-derived signals for improving the performance of detecting apnea events and diagnosing patients with obstructive sleep apnea (OSA). The purpose of this study is to further evaluate whether the reduction of lower frequency P and T waves can increase the accuracy of the detection of apnea events. This study proposed filter bank decomposition to decompose the ECG signal into 15 subband signals, and a one-dimensional (1D) convolutional neural network (CNN) model independently cooperating with each subband to extract and classify the features of the given subband signal. One-minute ECG signals obtained from the MIT PhysioNet Apnea-ECG database were used to train the CNN models and test the accuracy of detecting apnea events for different subbands. The results show that the use of the newly selected subject-independent datasets can avoid the overestimation of the accuracy of the apnea event detection and can test the difference in the accuracy of different subbands. The frequency band of 31.25–37.5 Hz can achieve 100% per-recording accuracy with 85.8% per-minute accuracy using the newly selected subject-independent datasets and is recommended as a promising subband of ECG signals that can cooperate with the proposed 1D CNN model for the diagnosis of OSA.


2021 ◽  
Vol 4 (1) ◽  
Author(s):  
Elisa Mejía-Mejía ◽  
James M. May ◽  
Mohamed Elgendi ◽  
Panayiotis A. Kyriacou

AbstractHeart rate variability (HRV) utilizes the electrocardiogram (ECG) and has been widely studied as a non-invasive indicator of cardiac autonomic activity. Pulse rate variability (PRV) utilizes photoplethysmography (PPG) and recently has been used as a surrogate for HRV. Several studies have found that PRV is not entirely valid as an estimation of HRV and that several physiological factors, including the pulse transit time (PTT) and blood pressure (BP) changes, may affect PRV differently than HRV. This study aimed to assess the relationship between PRV and HRV under different BP states: hypotension, normotension, and hypertension. Using the MIMIC III database, 5 min segments of PPG and ECG signals were used to extract PRV and HRV, respectively. Several time-domain, frequency-domain, and nonlinear indices were obtained from these signals. Bland–Altman analysis, correlation analysis, and Friedman rank sum tests were used to compare HRV and PRV in each state, and PRV and HRV indices were compared among BP states using Kruskal–Wallis tests. The findings indicated that there were differences between PRV and HRV, especially in short-term and nonlinear indices, and although PRV and HRV were altered in a similar manner when there was a change in BP, PRV seemed to be more sensitive to these changes.


2021 ◽  
Vol 11 (1) ◽  
Author(s):  
Yanfei Yang ◽  
Mingzhu Xu ◽  
Aimin Liang ◽  
Yan Yin ◽  
Xin Ma ◽  
...  

AbstractIn this study, a wearable multichannel human magnetocardiogram (MCG) system based on a spin exchange relaxation-free regime (SERF) magnetometer array is developed. The MCG system consists of a magnetically shielded device, a wearable SERF magnetometer array, and a computer for data acquisition and processing. Multichannel MCG signals from a healthy human are successfully recorded simultaneously. Independent component analysis (ICA) and empirical mode decomposition (EMD) are used to denoise MCG data. MCG imaging is realized to visualize the magnetic and current distribution around the heart. The validity of the MCG signals detected by the system is verified by electrocardiogram (ECG) signals obtained at the same position, and similar features and intervals of cardiac signal waveform appear on both MCG and ECG. Experiments show that our wearable MCG system is reliable for detecting MCG signals and can provide cardiac electromagnetic activity imaging.


Sensors ◽  
2021 ◽  
Vol 21 (11) ◽  
pp. 3668
Author(s):  
Chi-Chun Chen ◽  
Shu-Yu Lin ◽  
Wen-Ying Chang

This study presents a noncontact electrocardiogram (ECG) measurement system to replace conventional ECG electrode pads during ECG measurement. The proposed noncontact electrode design comprises a surface guard ring, the optimal input resistance, a ground guard ring, and an optimal voltage divider feedback. The surface and ground guard rings are used to reduce environmental noise. The optimal input resistor mitigates distortion caused by the input bias current, and the optimal voltage divider feedback increases the gain. Simulated gain analysis was subsequently performed to determine the most suitable parameters for the design, and the system was combined with a capacitive driven right leg circuit to reduce common-mode interference. The present study simulated actual environments in which interference is present in capacitive ECG signal measurement. Both in the case of environmental interference and motion artifact interference, relative to capacitive ECG electrodes, the proposed electrodes measured ECG signals with greater stability. In terms of R–R intervals, the measured ECG signals exhibited a 98.6% similarity to ECGs measured using contact ECG systems. The proposed noncontact ECG measurement system based on capacitive sensing is applicable for use in everyday life.


2021 ◽  
pp. 204589402199693
Author(s):  
Etienne-Marie Jutant ◽  
David Montani ◽  
Caroline Sattler ◽  
Sven Günther ◽  
Olivier Sitbon ◽  
...  

Introduction. Sleep-related breathing disorders, including sleep apnea and hypoxemia during sleep, are common in pulmonary arterial hypertension (PAH), but the underlying mechanisms remain unknown. Overnight fluid shift from the legs to the upper airway and to the lungs promotes obstructive and central sleep apnea, respectively, in fluid retaining states. The main objective was to evaluate if overnight rostral fluid shift from the legs to the upper part of the body is associated with sleep-related breathing disorders in PAH. Methods. In a prospective study, a group of stable patients with idiopathic, heritable, related to drugs, toxins, or treated congenital heart disease PAH underwent a polysomnography and overnight fluid shift measurement by bioelectrical impedance in the month preceding or following a one-day hospitalization according to regular PAH follow-up schedule with a right heart catheterization. Results. Among 15 patients with PAH (women: 87%; median [25th;75th percentiles] age: 40 [32;61] years; mean pulmonary arterial pressure 56 [46;68] mmHg; pulmonary vascular resistance 8.8 [6.4;10.1] Wood units), 2 patients had sleep apnea and 8 (53%) had hypoxemia during sleep without apnea. The overnight rostral fluid shift was 168 [118;263] mL per leg. Patients with hypoxemia during sleep had a greater fluid shift (221 [141; 361] mL) than those without hypoxemia (118 [44; 178] mL, p = 0.045). Conclusion. This pilot study suggests that hypoxemia during sleep is associated with overnight rostral fluid shift in PAH.


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