Electrocardiogram derived respiration during sleep

The aim of this study was to quantify the ECG Derived Respiration (EDR) in order to extend the capabilities of ECG-based sleep analysis. We examined our results in normal subjects and in patients with Obstructive Sleep Apnea Syndrome (OSAS) or Central Sleep Apnea. Lead 2 ECG and three measures of respiration (thorax and abdominal effort, and oronasal flow signal) were recorded during sleep studies of 12 normal and 12 OSAS patients. Three parameters, the R-wave amplitude (RWA), R-wave duration (RWD), and QRS area, were extracted from the ECG signal, resulting in time series that displayed a behavior similar to that of the respiration signals. EDR frequency was correlated with directly measured respiratory frequency, and averaged over all subjects. The peak-to-peak value of the EDR signals during the apnea event was compared to the average peak-to-peak of the sleep stage, containing the apnea