Problem-Oriented Diagnosis of Sleep Disorders Using Computerized Methods
It has become increasingly recognized that sleep disorders and among them sleep-related breathing disorders (SRBD) are highly prevalent. As sleep influences many different physiological parameters, advanced methods to analyze the biological signals are required. Advances in technology and methodology during recent years provided clinicians with many new devices and techniques for recording and analyzing data. But all advances are only helpful in clinical routine if they are part of a diagnostic concept. A stepwise method for diagnosis and treatment control in patients with SRBD has been set up using technology developed in Marburg. The different steps are outlined here with reference to their technologies and methodologies.
KeywordsObstructive Sleep Apnea Sleep Apnea Sleep Disorder Sleep Laboratory Respiratory Disturbance Index
Unable to display preview. Download preview PDF.
- 1.Peter JH, Fuchs E, Hügens M, Köhler U, Meinzer K, Müller U, von Wichert P, Zahorka M (1987) An apnea-monitoring device based on variation of heart rate and snoring. In: Peter JH, Podszus T, von Wichert P (eds) Sleep related disorders and internal Diseases. Springer, Berlin Heidelberg New York Tokyo, pp 140–146CrossRefGoogle Scholar
- 2.Penzel T, Amend G, Meinzer K, Peter JH, von Wichert P (1990) MESAM: A heart rate and snoring recorder for detection of obstructive sleep apnea. Sleep 12: 13 (2): 176–182Google Scholar
- 3.Penzel T, Amend G, Peter JH, Podszus T, von Wichert P, Zahorka M (1988) Objective monitoring of therapeutical success in heavy snorers: a new technique. In: Chouard CH (ed) Chronic Rhonchopathy. Libbey, London, pp 273–278Google Scholar
- 5.Sadeh A, Alster J, Urbach D, Lavie P (1989) Actigraphically based automatic bedtime sleep -wake scoring: validity and clinical applications. J Amb Monit 2Google Scholar
- 6.Peter JH (1985) Holter monitoring technique in a comprehensive approach: ambulatory monitoring of sleep apnea. In: Hombach V, Hilger HH (eds) Holter monitoring technique. Schattauer, Stuttgart, pp 127–149Google Scholar
- 8.Podszus T (1990) Hemodynamics in Sleep Apnea. In: Surratt P, Remmers J (eds) Sleep and Respiration, Wiley-Liss, New York, pp 353–361Google Scholar
- 11.Hasan J (1983) Differentiation of normal and disturbed sleep by automatic analysis. Acta Physiol Scand [Suppl] 526: 1–103Google Scholar
- 12.Hanson K, Stockard JJ, Kalichman M, Bickford RG (1974) Compressed spectral somnogram-multiparameter spectral sleep display. Proc San Diego Biomed Symp 13: 545–548Google Scholar