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/fisiopatologiaRESUMO
Detection of obstructive sleep apnea can be performed through heart rate variability analysis, since fluctuations of oxygen saturation in blood cause variations in the heart rate. Such variations in heart rate can be assessed by means of time-frequency analysis implemented with time-frequency distributions belonging to Cohen's class. In this work, dynamic features are extracted from time frequency distributions in order to detect obstructive sleep apnea from ECG signals recorded during sleep. Furthermore, it is applied a methodology to measure the relevance of each dynamic feature, before the implementation of k-nn classifier used to recognize the normal and pathologic signals. As a result, the proposed method can be applied as a simple diagnostic tool for OSA with a high accuracy (up to 92.67%) in one-minute intervals.
