Key result
Sleep apnea episodes (both obstructive and central) strongly diminished cardiopulmonary coherence in the 0.1-0.7 Hz frequency range and were associated with a slowly modulated coherence pattern in the 0.01-0.06 Hz range.
Why the study?
During sleep, automatic rhythmic organ interrelations are enhanced and provide insight into dysfunctions, but their origin remains difficult to determine, particularly in sleep disorders.
Observational (n=2,666)
Wavelet-based time-frequency analysis of polysomnographic signals reveals distinct alterations in cardiopulmonary and brain rhythm coherence during sleep apnea episodes.
May indicate disrupted cardiorespiratory coupling during apnea; hypothesis-generating for coherence biomarkers pending validation.
The crosstalk between organs plays a crucial role in physiological processes. This coupling is a dynamical process, it must cope with a huge variety of rhythms with frequencies ranging from milliseconds to hours, days, seasons. The brain is a central hub for this crosstalk. During sleep, automatic rhythmic interrelations are enhanced and provide a direct insight into organ dysfunctions, however their origin remains a difficult issue, in particular in sleep disorders. In this study, we focus on EEG, ECG, and airflow recordings from polysomnography databases. Because these signals are non-stationary, non-linear, noisy, and span wide spectral ranges, a time-frequency analysis, based on wavelet transforms, is more appropriate to handle this complexity. We design a wavelet-based extraction method to identify the characteristic rhythms of these different signals, and their temporal variability. These new constructs are combined in pairs to compute their wavelet-based time-frequency complex coherence. These time-frequency coherence maps highlight the occurrence of a slowly modulated coherence pattern in the frequency range [0.01–0.06] Hz, which appears in both obstructive and central apnea. A preliminary exploration of a large database from the National Sleep Research Resource with respiration disorders, such as apnea provides some clues on its relation with autonomic cardio-respiratory coupling and brain rhythms. We also observe that during sleep apnea episodes (either obstructive or central), the cardiopulmonary coherence (in particular respiratory sinus-arrhythmia) in the frequency range [0.1–0.7] Hz strongly diminishes, suggesting a modification of this coupling. Finally, comparing time-averaged coherence with heart rate variability spectra in different apnea episodes, we discuss their common trait and their differences.
No takes yet. Share an insight, caveat, or question.
Guillet et al. (2021) conducted an observational in Sleep apnea (n=2,666). Sleep apnea episodes vs. Normal sleep intervals was evaluated on Cardiopulmonary coherence in the frequency range [0.1-0.7] Hz. Sleep apnea episodes (both obstructive and central) strongly diminished cardiopulmonary coherence in the 0.1-0.7 Hz frequency range and were associated with a slowly modulated coherence pattern in the 0.01-0.06 Hz range.
Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context: