生体医工学
Online ISSN : 1881-4379
Print ISSN : 1347-443X
ISSN-L : 1347-443X
一般演題(口演)
慢性心房細動患者の心電図情報を用いた睡眠時無呼吸症候群の検出法の検討
竹内 公一清野 健杉山 裕章白濱 龍太郎鈴木 康之野村 泰伸山本 義春
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2014 年 52 巻 Supplement 号 p. O-394-O-395

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Despite the adverse cardiovascular consequences of sleep apnea syndrome (SAS), the majority of patients remain undiagnosed. Recently, the ECG-based detection method for diagnosing sleep disordered breathing (SDB) was proposed, where SDB is evaluated by detection of cyclic variation of heart rate (CVHR) associated with sleep apnea/hypopnea. However, this method cannot apply to ECG for atrial fibrillation (AF). To test the possibility the ECG-based detection for SDB in AF patients, we study the method using R-peak amplitude and heart rate variability (HRV). We estimated the power spectrum of the R-peak amplitude and HRV time series in 24 patients with both AF and SAS, and then calculated very low frequency (VLF) powers associated with CVHR. To assess predictive accuracy regarding detection of severe SAS (AHI > 30 /h), AUC of ROC analysis was calculated. The fraction of VLF power of the R-peak amplitude time series showed the largest AUC (= 0.73).

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© 2014 社団法人日本生体医工学会
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