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  • 그레인저 인과성 분석을 이용한 정상인과 수면무호흡증 환자의 수면 중 압수용기 반사 효과의 평가
  • Evaluation of Baroreflex Effectiveness in Normal Subject and Obstructive Sleep Apnea Patient during Sleep using Granger Causality Analysis
저자명
정다운,김상경,김고근,이유진,정도언,박광석,Jung. Da Woon,Kim. Sang Kyong,Kim. Ko Keun,Lee. Yu-Jin,Jeong. Do-Un,Park. Kwang Suk
간행물명
Journal of biomedical engineering research : the official journal of the Korean Society of Medical & Biological Engineering
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2014년|35권 4호|pp.95-98 (4 pages)
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이 논문은 한국과학기술정보연구원과 논문 연계를 통해 무료로 제공되는 원문입니다.
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기타언어초록

The baroreflex is one kind of homeostatic mechanisms to regulate acute blood pressure (BP) changes by controlling heartbeat interval (HBI). To quantify the effect of baroreflex, we suggested a new approach of analyzing Granger causality between systolic BP (SBP) and HBI. The index defined as baroreflex effectiveness (BRE) was generated by the hypothesis that more effectual baroreflex would be related to more effective Granger causal influence of SBP on HBI. Six obstructive sleep apnea (OSA) patients (apnea-hypopnea index, AHI ${geq}5$ events/hr) and six normal subjects participated in the study. Their SBP and HBI during nocturnal sleep were obtained from a non-invasive continuous BP measurement device. While the BRE ($mean{pm}SD$) of normal subjects was $47.0{pm}4.0%$, OSA patients exhibited the BRE of $34.0{pm}3.8%$. The impaired baroreflex function of OSA patients can be explained by the physiological mechanism associated with recurrent hypoxic episodes during sleep. Thus, the significantly lower BRE in OSA patients verified the availability of Granger causality analysis to evaluate baroreflex during sleep. Furthermore, the range of BRE obtained from normal subjects was not overlapped with that obtained from OSA patients. It suggests the potential of BRE as a new helpful tool for diagnosing OSA.