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Evaluation of sleep quality and sleep disordered breathing based on cardiopulmonary coupling
专利权人:
デアコネス;インコーポレイテッド;ベス イスラエル デアコネス メディカル センター, インコーポレイテッド;イスラエル;ベス;センター,;メディカル
发明人:
ミエタス, ジョセフ イー.,ペン, チュン-カン,トーマス, ロバート ジェイ.,ゴールドバーガー, アリー エル.,ミエタス, ジョセフ イー.,ペン, チュン-カン,トーマス, ロバート ジェイ.,ゴールドバーガー, アリー エル.
申请号:
JP2008521475
公开号:
JP5005687B2
申请日:
2006.07.10
申请国别(地区):
JP
年份:
2012
代理人:
摘要:
An assessment of sleep quality and sleep disordered breathing is determined from cardiopulmonary coupling between two physiological data series. An R-R interval series is derived from an electrocardiogram (ECG) signal. The normal beats from the R-R interval series are extracted to produce a normal-to-normal interval series. The amplitude variations in the QRS complex are used to extract a surrogate respiration signal (i.e., ECG-derived respiration) associated with the NN interval series. The two series are corrected to remove outliers, and resampled. The cross-spectral power and coherence of the two resampled signals are calculated over a plurality of coherence windows. For each coherence window, the product of the coherence and cross-spectral power is used to calculate coherent cross-power. Using the appropriate thresholds for the coherent cross-power, the proportion of sleep spent in CAP, non-CAP, and wake and/or REM are determined. Coherent cross-power can be applied to differentiate obstructive from non-obstructive disease, and admixtures of the same.
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