An Electrocardiogram-based analysis evaluating sleep quality in patients with obstructive sleep apnea

Reference:
Harrington J, Schramm P, Davies C, Lee-Chiong T Jr. An electrocardiogram-based analysis evaluating sleep quality in patients with obstructive sleep apnea. Sleep Breath 2013; 17(3): 1071-78 DOI: 10.1007/s11325-013-0804-9

Objectives:
To compare polysomnography (PSG) and cardiopulmonary coupling (CPC) sleep quality variables in patients with (1) obstructive sleep apnea (OSA) and (2) successful and unsuccessful continuous positive airway pressure (CPAP) response.

Conclusions:
Tests differentiated no and moderate to severe OSA groups by REM %, HFC, VLFC, and LFC/HFC ratio variables. The successful CPAP therapy group had more HFC, less LFC, and e-LFCBB compared to the unsuccessful CPAP therapy group. HFC ≥ 50 % showed high sensitivity (77.8 %) and specificity (88.9 %) in identifying successful CPAP therapy.

Practical Significance:
The results support the use of the SleepImage system to investigate and objectively measure sleep quality in patients complaining of a sleep disorder.

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An Electrocardiogram-based analysis evaluating sleep quality in patients with obstructive sleep apnea