Sleep-wake classification via quantifying heart rate variability by convolutional neural network

TL;DR

This study develops a CNN-based method to classify sleep and wake states using heart rate variability from ECG and PPG data, achieving high accuracy and robustness across diverse datasets.

Contribution

It introduces a novel CNN approach for sleep-wake classification based on instantaneous heart rate series, validated on multiple datasets including public and private ones.

Findings

Accuracy of 83.1% on private data

Comparable performance with PPG data

Robust results across different datasets

Abstract

Fluctuations in heart rate are intimately tied to changes in the physiological state of the organism. We examine and exploit this relationship by classifying a human subject's wake/sleep status using his instantaneous heart rate (IHR) series. We use a convolutional neural network (CNN) to build features from the IHR series extracted from a whole-night electrocardiogram (ECG) and predict every 30 seconds whether the subject is awake or asleep. Our training database consists of 56 normal subjects, and we consider three different databases for validation; one is private, and two are public with different races and apnea severities. On our private database of 27 subjects, our accuracy, sensitivity, specificity, and AUC values for predicting the wake stage are 83.1%, 52.4%, 89.4%, and 0.83, respectively. Validation performance is similar on our two public databases. When we use the photoplethysmography instead of the ECG to obtain the IHR series, the performance is also comparable. A robustness check is carried out to confirm the obtained performance statistics. This result advocates for an effective and scalable method for recognizing changes in physiological state using non-invasive heart rate monitoring. The CNN model adaptively quantifies IHR fluctuation as well as its location in time and is suitable for differentiating between the wake and sleep stages.