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Screening for sleep disordered breathing by Holter electrocardiograms

Research Project

Project/Area Number 23591055
Research Category

Grant-in-Aid for Scientific Research (C)

Allocation TypeMulti-year Fund
Section一般
Research Field Circulatory organs internal medicine
Research InstitutionNagoya City University

Principal Investigator

HAYANO Junichiro  名古屋市立大学, 医学(系)研究科(研究院), 教授 (90173054)

Project Period (FY) 2011-04-28 – 2015-03-31
Project Status Completed (Fiscal Year 2014)
Budget Amount *help
¥4,940,000 (Direct Cost: ¥3,800,000、Indirect Cost: ¥1,140,000)
Fiscal Year 2013: ¥1,820,000 (Direct Cost: ¥1,400,000、Indirect Cost: ¥420,000)
Fiscal Year 2012: ¥1,820,000 (Direct Cost: ¥1,400,000、Indirect Cost: ¥420,000)
Fiscal Year 2011: ¥1,300,000 (Direct Cost: ¥1,000,000、Indirect Cost: ¥300,000)
Keywords睡眠時無呼吸 / ホルター心電図 / 心拍変動 / コンピュータ / 死亡率 / うつ病 / 睡眠 / 心電図 / 心筋梗塞 / 予後予測 / 急性心筋梗塞 / 血液透析 / データベース
Outline of Final Research Achievements

Despite the adverse cardiovascular consequences of sleep disordered breathing (SDB), the majority of patients remain undiagnosed. To establish an effective ECG-based screening tool for SDB, we developed an automated algorithm (ACAT) that detects cyclic variation of heart rate accompanying SDB episodes. Among 862 patients undergoing polysomnographic examination, the ACAT detected moderate-to-severe SDB with 83% sensitivity and 88% specificity. The ACAT also detected SDB patients among 165 apparently healthy track drivers in a transportation company. Furthermore, we applied the ACAT algorithm to Holter ECG recordings in 716 patients after an acute myocardial infarction and found that depression and SDB are interactively associated with increased mortality risk during a median follow-up of 25 months.

Report

(5 results)
  • 2014 Annual Research Report   Final Research Report ( PDF )
  • 2013 Research-status Report
  • 2012 Research-status Report
  • 2011 Research-status Report
  • Research Products

    (15 results)

All 2015 2013 2012 2011

All Journal Article (12 results) (of which Peer Reviewed: 11 results) Presentation (2 results) Patent(Industrial Property Rights) (1 results)

  • [Journal Article] Central sleep apnoea and inflammation are independently associated with arrhythmia in patients with heart failure2013

    • Author(s)
      Sano K, Watanabe E, Hayano J, Mieno Y, Sobue Y, Yamamoto M, Ichikawa T, Sakakibara H, Imaizumi K, Ozaki Y
    • Journal Title

      Eur J Heart Fail

      Volume: 15 Issue: 9 Pages: 1003-1010

    • DOI

      10.1093/eurjhf/hft066

    • Related Report
      2013 Research-status Report
    • Peer Reviewed
  • [Journal Article] Heart rate variability biofeedback improves cardiorespiratory resting function during sleep2013

    • Author(s)
      Sakakibara M, Hayano J, Oikawa LO, Katsamanis M, Lehrer P
    • Journal Title

      Appl Psychophysiol Biofeedback

      Volume: 38 Pages: 265-271

    • Related Report
      2013 Research-status Report
    • Peer Reviewed
  • [Journal Article] Site-specific organ-selective effect of epifascial acupuncture on cardiac and gastric autonomic functions2013

    • Author(s)
      Minagawa M, Kurono Y, Ishigami T, Yamada A, Kakamu T, Akai R, Hayano J
    • Journal Title

      Auton Neurosci

      Volume: 179 Issue: 1-2 Pages: 151-154

    • DOI

      10.1016/j.autneu.2013.03.005

    • Related Report
      2013 Research-status Report
    • Peer Reviewed
  • [Journal Article] Multi-scale heart rate dynamics detected by phase-rectified signal averaging predicts mortality after acute myocardial infarction.2013

    • Author(s)
      Kisohara M, Stein PK, Yoshida Y, Suzuki M, Iizuka N, Carney RM, Watkins LL, Freedland KE, Blumenthal JA, Hayano J.
    • Journal Title

      Europace

      Volume: 15 Issue: 3 Pages: 437-443

    • DOI

      10.1093/europace/eus409

    • Related Report
      2013 Research-status Report 2012 Research-status Report
    • Peer Reviewed
  • [Journal Article] Accuracy of ECG-based screening for sleep-disordered breathing: a survey of all male workers in a transport company.2013

    • Author(s)
      Hayano J, Tsukahara T, Watanabe E, Sasaki F, Kawai K, Sakakibara H, Kodama I, Nomiyama T, Fujimoto K.
    • Journal Title

      Sleep Breath

      Volume: 17 Issue: 1 Pages: 243-251

    • DOI

      10.1007/s11325-012-0681-7

    • Related Report
      2012 Research-status Report
    • Peer Reviewed
  • [Journal Article] Effect of obstructive sleep apnea on response to cognitive behavior therapy for depression after an acute myocardial infarction.2012

    • Author(s)
      Freedland KE, Carney RM, Hayano J, Steinmeyer BC, Reese RL, Roest AM
    • Journal Title

      J Psychosom Res

      Volume: 72 Issue: 4 Pages: 276-281

    • DOI

      10.1016/j.jpsychores.2011.12.012

    • Related Report
      2012 Research-status Report
    • Peer Reviewed
  • [Journal Article] Nonlinear measures of heart rate variability and mortality risk in hemodialysis patients.2012

    • Author(s)
      Suzuki M, Hiroshi T, Aoyama T, Tanaka M, Ishii H, Kisohara M, Iizuka N, Murohara T, Hayano J.
    • Journal Title

      Clin J Am Soc Nephrol

      Volume: 7 Issue: 9 Pages: 1454-1460

    • DOI

      10.2215/cjn.09430911

    • Related Report
      2012 Research-status Report
    • Peer Reviewed
  • [Journal Article] Accuracy of ECG-based screening for sleep-disordered breathing: a survey of all male workers in a transport company2012

    • Author(s)
      Junichiro Hayano
    • Journal Title

      Sleep Breath

      Volume: Mar 20

    • Related Report
      2011 Research-status Report
    • Peer Reviewed
  • [Journal Article] Effect of obstructive sleep apnea on response to cognitive behavior therapy for depression after an acute myocardial infarction2012

    • Author(s)
      Keneth E. Freedland
    • Journal Title

      J Psychosom Res

      Volume: 72 Pages: 276-281

    • Related Report
      2011 Research-status Report
    • Peer Reviewed
  • [Journal Article] Non-gaussianity of low frequency heart rate variability and sympathetic activation: lack of increases in multiple system atrophy and Parkinson disease.2012

    • Author(s)
      Ken Kiyono
    • Journal Title

      Front Physiol

      Volume: 3 Pages: 34-34

    • Related Report
      2011 Research-status Report
    • Peer Reviewed
  • [Journal Article] Diagnosis of sleep apnea by the analysis of heart rate variation: a mini review2011

    • Author(s)
      Junichiro Hayano
    • Journal Title

      Conf Proc IEEE Eng Med Biol Soc

      Volume: 2011 Pages: 7731-7734

    • Related Report
      2011 Research-status Report
  • [Journal Article] Increased non-gaussianity of heart rate variability predicts cardiac mortality after an acute myocardial infarction2011

    • Author(s)
      Junichiro Hayano
    • Journal Title

      Front Physiol

      Volume: 2 Pages: 65-65

    • Related Report
      2011 Research-status Report
    • Peer Reviewed
  • [Presentation] Increased Mortality Risk in Patients with Blunted Cyclic Variation of Heart Rate in Nighttime ECG2015

    • Author(s)
      Junichiro Hayano, Fumihiko Yasuma, Robert M. Carney, Phyllis K. Stein, James A. Blumenthal, Petros Arsenos, Konstantinos A. Gatzoulis, Hiroshi Takahashi, Hideki Ishii, Eiichi Watanabe
    • Organizer
      Congress of the International Society for Holter and Noninvasive Electrocardiology
    • Place of Presentation
      Lyon, France
    • Year and Date
      2015-06-04 – 2015-06-06
    • Related Report
      2014 Annual Research Report
  • [Presentation] Long-time-scale heart rate dynamics detected by phase-rectified signal averaging predicts mortality after acute myocardial infarction2012

    • Author(s)
      Kisohara Masaya
    • Organizer
      American College of Cardiology
    • Place of Presentation
      シカゴ、米国
    • Related Report
      2011 Research-status Report
  • [Patent(Industrial Property Rights)] CVHR形状測定装置2015

    • Inventor(s)
      早野順一郎
    • Industrial Property Rights Holder
      早野順一郎
    • Industrial Property Rights Type
      特許
    • Industrial Property Number
      2015-049863
    • Filing Date
      2015-03-12
    • Related Report
      2014 Annual Research Report

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Published: 2011-08-05   Modified: 2019-07-29  

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