Investigating Sleep Fragmentation by Autonomic Arousals in Depressed Patients with Obstructive Sleep Apnea

Ahsan H. Khandoker, Taoufik Alsaadi, Seada Kassie, Leontios Hadjileontiadis

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

Abstract

The aim of this study is to look at if there is any difference of arousal patterns in polysomnography (PSG) and Pulse Transit Time (PTT) recordings in Obstructive Sleep Apnea (OSA) patients with Major Depressive Disorder (MDD) and without MDD subjects. Nine overnight PSG recordings (7∼ 8 hours) were acquired from OSA subjects (AHI: 15∼ 60; 36.68 ± 13.55 events/hour) with MDD diagnoses [OSAMDD](5 cases) and OSA subjects (AHI: 15∼ 60; 38.37 ± 19.61) without MDD [OSA](4 cases) from a local psychiatric clinic. Selection criteria include the age [39.5± 5 vs 41.4± 3.5 yrs; p > 0.05] and weight [120.2± 10 vs 118.6± 12 Kgs; p > 0.05] matched subjects. Diagnoses of MDD were made by the Mini-International Neuropsychiatric Interview with ICD-10 questionnaire. A PTT arousal (ArPTT) was defined as a decrease in PTT by at least 15 milliseconds of the baseline lasting at least 5 seconds. Expert scored EEG based cortical arousals (ArEEG) include respiratory, movement, periodic leg movement and spontaneous arousals. Mann-Whitney U test showed that ArPTT index (events per hour) of OSA+MDD was significantly (p < 0.05) higher than that of OSA groups [36.56± 5.6 vs 28.78± 4.6]. In contrast, ArEEG indices in both groups were not found significantly different [24.18± 6.7 vs 25.74± 8.3].

Original languageBritish English
Title of host publicationComputing in Cardiology Conference, CinC 2018
PublisherIEEE Computer Society
ISBN (Electronic)9781728109589
DOIs
StatePublished - Sep 2018
Event45th Computing in Cardiology Conference, CinC 2018 - Maastricht, Netherlands
Duration: 23 Sep 201826 Sep 2018

Publication series

NameComputing in Cardiology
Volume2018-September
ISSN (Print)2325-8861
ISSN (Electronic)2325-887X

Conference

Conference45th Computing in Cardiology Conference, CinC 2018
Country/TerritoryNetherlands
CityMaastricht
Period23/09/1826/09/18

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