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Heart rate variability in pediatric obstructive sleep apnea.

Publication ,  Journal Article
Deng, Z-D; Poon, C-S; Arzeno, NM; Katz, ES
Published in: Conference proceedings : ... Annual International Conference of the IEEE Engineering in Medicine and Biology Society. IEEE Engineering in Medicine and Biology Society. Annual Conference
January 2006

Obstructive sleep apnea syndrome (OSAS) is observed in approximately 2% of children. Heart rate variability (HRV) is a potentially simple, non-invasive diagnostic screening tool for OSAS. In this study, we investigated the diagnostic potential of HRV using power spectral analysis, numerical titration, sample entropy, and detrended fluctuation analysis. Effects of sleep stages (REM and NREM sleep) are evaluated. The results show that the heart rate chaos intensity, as measured by the noise limit in numerical titration, is significantly higher during REM sleep than NREM sleep in all patient groups. By using the receiver-operating characteristic analysis, the detection of OSAS yielded a specificity of 72.2% and sensitivity of 81.3% using the numerical-titration technique. The findings suggest that sleep state and disordered breathing are important determinants of cardiac autonomic control. Nonlinear techniques such as numerical titration, when used in conjunction with spectral analysis of HRV could be an effective screening tool for pediatric OSAS.

Duke Scholars

Published In

Conference proceedings : ... Annual International Conference of the IEEE Engineering in Medicine and Biology Society. IEEE Engineering in Medicine and Biology Society. Annual Conference

DOI

ISSN

1557-170X

Publication Date

January 2006

Volume

2006

Start / End Page

3565 / 3568

Related Subject Headings

  • Wakefulness
  • Sleep, REM
  • Sleep Stages
  • Sleep Apnea, Obstructive
  • Incidence
  • Humans
  • Heart Rate
  • Child
 

Citation

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Deng, Z.-D., Poon, C.-S., Arzeno, N. M., & Katz, E. S. (2006). Heart rate variability in pediatric obstructive sleep apnea. Conference Proceedings : ... Annual International Conference of the IEEE Engineering in Medicine and Biology Society. IEEE Engineering in Medicine and Biology Society. Annual Conference, 2006, 3565–3568. https://doi.org/10.1109/iembs.2006.260139
Deng, Zhi-De, Chi-Sang Poon, Natalia M. Arzeno, and Eliot S. Katz. “Heart rate variability in pediatric obstructive sleep apnea.Conference Proceedings : ... Annual International Conference of the IEEE Engineering in Medicine and Biology Society. IEEE Engineering in Medicine and Biology Society. Annual Conference 2006 (January 2006): 3565–68. https://doi.org/10.1109/iembs.2006.260139.
Deng Z-D, Poon C-S, Arzeno NM, Katz ES. Heart rate variability in pediatric obstructive sleep apnea. Conference proceedings : . Annual International Conference of the IEEE Engineering in Medicine and Biology Society IEEE Engineering in Medicine and Biology Society Annual Conference. 2006 Jan;2006:3565–8.
Deng, Zhi-De, et al. “Heart rate variability in pediatric obstructive sleep apnea.Conference Proceedings : ... Annual International Conference of the IEEE Engineering in Medicine and Biology Society. IEEE Engineering in Medicine and Biology Society. Annual Conference, vol. 2006, Jan. 2006, pp. 3565–68. Epmc, doi:10.1109/iembs.2006.260139.
Deng Z-D, Poon C-S, Arzeno NM, Katz ES. Heart rate variability in pediatric obstructive sleep apnea. Conference proceedings : . Annual International Conference of the IEEE Engineering in Medicine and Biology Society IEEE Engineering in Medicine and Biology Society Annual Conference. 2006 Jan;2006:3565–3568.

Published In

Conference proceedings : ... Annual International Conference of the IEEE Engineering in Medicine and Biology Society. IEEE Engineering in Medicine and Biology Society. Annual Conference

DOI

ISSN

1557-170X

Publication Date

January 2006

Volume

2006

Start / End Page

3565 / 3568

Related Subject Headings

  • Wakefulness
  • Sleep, REM
  • Sleep Stages
  • Sleep Apnea, Obstructive
  • Incidence
  • Humans
  • Heart Rate
  • Child