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Open AccessProceedings ArticleDOI

Instantaneous monitoring of sleep fragmentation by point process heart rate variability and respiratory dynamics

TLDR
A novel, automatic point-process approach that is able to provide continuous, instantaneous estimates of heart rate variability (HRV) and respiratory sinus arrhythmia (RSA) in long duration data recordings such as those during an entire night of sleep is presented.
Abstract
We present a novel, automatic point-process approach that is able to provide continuous, instantaneous estimates of heart rate variability (HRV) and respiratory sinus arrhythmia (RSA) in long duration data recordings such as those during an entire night of sleep. We analyze subjects with and without sleep apnea who underwent diagnostic polysomnography. The proposed algorithm is able to quantify multi-scale high time resolution autonomic signatures of sleep fragmentation, such as arousals and stage transitions, throughout an entire night. Results demonstrate the ability of our methods to track fast dynamic transitions from sleep to wake and between REM sleep and other sleep stages, providing resolution details not available in sleep scoring summaries. An automatic threshold-based procedure is further able to detect brief arousals, with the instantaneous indices characterizing specific arousal dynamic signatures.

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Citations
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Assessing sleep architecture and continuity measures through the analysis of heart rate and wrist movement recordings in healthy subjects: comparison with results based on polysomnography

TL;DR: The automatic analysis of heart rate and body movement during sleep allows for the evaluation of sleep architecture and continuity that is equivalent to those obtained by manual scoring of polysomnography.
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Artificial intelligence in sleep medicine: background and implications for clinicians.

TL;DR: None Polysomnography remains the cornerstone of objective testing in sleep medicine and results in massive amounts of electrophysiological data, which is well-suited for analysis with artificial intelligence (AI)-based tools.
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Role of cardiorespiratory synchronization and sleep physiology: effects on membrane potential in the restorative functions of sleep.

TL;DR: This paper attempts to unify the activities of various physiologic systems, namely the cardiac, respiratory, ANS and brain, during sleep into a consolidated picture with particular attention to the membrane potential of neurons.
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A novel adhesive biosensor system for detecting respiration, cardiac, and limb movement signals during sleep: validation with polysomnography.

TL;DR: It is demonstrated that BiostampRC® is a tolerable and accurate method for capturing respiration, ECG, and AT EMG time series signals during overnight sleep when compared with simultaneous PSG recordings.
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Big data in sleep medicine: prospects and pitfalls in phenotyping

TL;DR: Self-reported symptoms overlapped markedly between the two most common categories, insomnia and sleep apnea, with the majority reporting symptoms of both disorders, in adults who underwent overnight PSG.
References
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Journal ArticleDOI

Relation of sleepiness to respiratory disturbance index: the Sleep Heart Health Study.

TL;DR: It is concluded that SDB is associated with excess sleepiness in community-dwelling, middle-aged and older adults, not limited to those with clinically apparent sleep apnea.
Journal ArticleDOI

Comparison of detrended fluctuation analysis and spectral analysis for heart rate variability in sleep and sleep apnea

TL;DR: Investigation of the effect of sleep stages and sleep apnea on autonomic activity by analyzing heart rate variability concludes that changes in HRV are better quantified by scaling analysis than by spectral analysis.
Journal ArticleDOI

Clinical effects of sleep fragmentation versus sleep deprivation

TL;DR: The incidence of both fragmenting sleep disorders and chronic partial sleep deprivation is very high in the authors' society, and clinicians must be able to recognize and treat Insufficient Sleep Syndrome even when present with other sleep disorders.
Journal ArticleDOI

A point-process model of human heartbeat intervals: new definitions of heart rate and heart rate variability.

TL;DR: Analysis of human heartbeat intervals shows that a highly accurate description of these series at rest and in extreme physiological conditions may be given by an elementary, physiologically based, stochastic model.
Journal ArticleDOI

Cardiorespiratory-based sleep staging in subjects with obstructive sleep apnea

TL;DR: It is concluded that the cardiorespiratory signals provide moderate sleep-staging accuracy, however, features exhibit significant subject dependence which presents potential limits to the use of these signals in a general subject-independent sleep staging system.
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Results demonstrate the ability of our methods to track fast dynamic transitions from sleep to wake and between REM sleep and other sleep stages, providing resolution details not available in sleep scoring summaries.