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This paper reports a preliminary investigation to evaluate the significance of various nonlinear dynamics approaches to analyze the heart rate variability (HRV) signal in children with sleep disordered breathing (SDB). Data collected from children in the age group of 1-17 years diagnosed with sleep apnea were used in this study. Both short term (5 minutes) and long term data from a full night polysomnography...
This paper reports a preliminary investigation to evaluate the significance of various nonlinear dynamics approaches to analyze the heart rate variability (HRV) signal in children with sleep disordered breathing (SDB). Data collected from children in the age group of 1-17 years diagnosed with sleep apnea were used in this study. Both short term (5 minutes) and long term data from a full night polysomnography...
Impulse oscillometry (IOS) is an innovative patient-friendly pulmonary testing technique which measures the respiratory system impedance (Z) by using the spectral components of pressure to flow ratio which yields resistance and reactance values at different frequencies. The high dimensionality of IOS measurement data makes the analysis of this information difficult. Artificial neural networks (ANNs)...
On the body surface the electric field generated by the cardiac muscles consists of electric potential maxima and minima that increase and decrease during each cardiac cycle. The recording of these electric potentials as a function of time is called electrocardiography, and the resulting signal is called the electrocardiogram (ECG). The ECG signal is used extensively as a low cost diagnostic tool...
Studies suggest that obstructive sleep apnea syndrome (OSAS) is causally related to abnormal cardiovascular autonomic control in adults, but this has not been established in pediatric OSAS. The goal of this study was to quantify autonomic system dysfunction, as manifested by cardiovascular response abnormalities, in children with OSAS. During wakefulness, we continuously measured the ECG, arterial...
Obstructive sleep apnea (OSA) is a common breathing disorder among children with a prevalence estimated at 2-4%. Electrocardiography (ECG) based signal processing, especially heart rate analysis, demonstrated its promising future as both an alternative to other expensive portable sleep study methods and additional approach to sleep cardio-respiratory autonomic interactions which the current clinical...
The electrocardiogram (ECG) signal is used extensively as a low cost diagnostic tool to provide information concerning the heart's state of health. Accurate determination of the QRS complex, in particular, reliable detection of the R wave peak, is essential in computer based ECG analysis. ECG data from Physionet's Sleep-Apnea database were used to develop, test, and validate a robust heart rate variability...
Obstructive sleep apnea syndrome (OSAS) in children is associated with a bradytachyarrhythmia during an obstructive event. Polysomnographic recordings were obtained from 15 children; 9 had OSAS (apnea/hypopnea index = 13.6 /spl plusmn/ 8.2/hr, mean /spl plusmn/ SD) and 6 normal controls. Heart rate variability was analyzed for the presence of chaotic dynamics. Using a 5-minute sliding window, chaos...
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