Support vector machines for automated recognition of obstructive sleep apnea syndrome from ECG recordings

IEEE Trans Inf Technol Biomed. 2009 Jan;13(1):37-48. doi: 10.1109/TITB.2008.2004495.

Abstract

Obstructive sleep apnea syndrome (OSAS) is associated with cardiovascular morbidity as well as excessive daytime sleepiness and poor quality of life. In this study, we apply a machine learning technique [support vector machines (SVMs)] for automated recognition of OSAS types from their nocturnal ECG recordings. A total of 125 sets of nocturnal ECG recordings acquired from normal subjects (OSAS - ) and subjects with OSAS (OSAS +), each of approximately 8 h in duration, were analyzed. Features extracted from successive wavelet coefficient levels after wavelet decomposition of signals due to heart rate variability (HRV) from RR intervals and ECG-derived respiration (EDR) from R waves of QRS amplitudes were used as inputs to the SVMs to recognize OSAS +/- subjects. Using leave-one-out technique, the maximum accuracy of classification for 83 training sets was found to be 100% for SVMs using a subset of selected combination of HRV and EDR features. Independent test results on 42 subjects showed that it correctly recognized 24 out of 26 OSAS + subjects and 15 out of 16 OSAS - subjects (accuracy = 92.85%; Cohen's kappa value of 0.85). For estimating the relative severity of OSAS, the posterior probabilities of SVM outputs were calculated and compared with respective apnea/hypopnea index. These results suggest superior performance of SVMs in OSAS recognition supported by wavelet-based features of ECG. The results demonstrate considerable potential in applying SVMs in an ECG-based screening device that can aid a sleep specialist in the initial assessment of patients with suspected OSAS.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adult
  • Aged
  • Algorithms
  • Artificial Intelligence*
  • Bayes Theorem
  • Diagnosis, Computer-Assisted / methods*
  • Diagnostic Errors
  • Electrocardiography / methods*
  • Electrocardiography, Ambulatory*
  • Female
  • Heart Rate
  • Humans
  • Male
  • Middle Aged
  • Pattern Recognition, Automated*
  • ROC Curve
  • Reproducibility of Results
  • Sensitivity and Specificity
  • Sleep Apnea, Obstructive / diagnosis*