Pulse transit time and heart rate variability in sleep staging

Sobhan Salari Shahrbabaki, Beena Ahmed, Thomas Penzel, Dean Cvetkovic

Research output: Chapter in Book/Report/Conference proceedingConference contributionpeer-review

6 Citations (Scopus)

Abstract

This paper presents a new and robust algorithm for detection of sleep stages by using the lead I of the Electrocardiography (ECG) and a fingertip Photoplethysmography (PPG) sensor, validated using multiple overnight PSG recordings consisting of 20 human subjects (9 insomniac and 11 healthy). Heart Rate Variability (HRV) and Pulse Transit Time (PTT) biomarkers which were extracted from ECG and PPG biosignals then employed to extract features. Distance Weighted k-Nearest Neighbours (DWk-NN) was used as classifier to differentiate sleep epochs. The validation of the algorithm was evaluated by Leave-One-Out-Cross-Validation method. The average accuracy of 73.4% with standard deviation of 6.4 was achieved while the algorithm could distinguish stages 2, 3 of non-rapid eye movement sleep by average sensitivity of almost 80%. The lowest mean sensitivity of 53% was for stage 1. These results demonstrate that an algorithm based on PTT and HRV spectral analysis is able to classify and distinguish sleep stages with high accuracy and sensitivity. In addition the proposed algorithm is capable to be improved and implemented as a wearable, comfortable and cheap instrument for sleep screening.

Original languageEnglish
Title of host publication2016 38th Annual International Conference of the IEEE Engineering in Medicine and Biology Society, EMBC 2016
PublisherInstitute of Electrical and Electronics Engineers Inc.
Pages3469-3472
Number of pages4
DOIs
Publication statusPublished - 18 Oct 2016
Externally publishedYes
Event38th Annual International Conference of the IEEE Engineering in Medicine and Biology Society, EMBC 2016 - Orlando, United States
Duration: 16 Aug 201620 Aug 2016

Publication series

NameProceedings of the Annual International Conference of the IEEE Engineering in Medicine and Biology Society, EMBS
Volume2016-October
ISSN (Print)1557-170X

Conference

Conference38th Annual International Conference of the IEEE Engineering in Medicine and Biology Society, EMBC 2016
Country/TerritoryUnited States
CityOrlando
Period16/08/1620/08/16

Keywords

  • Sleep
  • Heart rate variability
  • Electrocardiography
  • Sensitivity
  • Classification algorithms
  • Algorithm design and analysis
  • Feature extraction

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