# Multimodal ECG and biometric data fusion for improved detection of obstructive sleep apnea hypopnea syndrome

**Authors:** Quanjing Zhu, Mingqing Liang, Xingxin Gong, Yong He, Chao Mao

PMC · DOI: 10.3389/fmed.2026.1762868 · 2026-01-23

## TL;DR

This paper introduces a new method using ECG and biometric data to detect sleep apnea more accurately and affordably than traditional methods.

## Contribution

A novel multimodal fusion framework combining LSTM and SVM for OSAHS detection with high accuracy.

## Key findings

- The LSTM–SVM fusion model achieved 97.1% accuracy in detecting OSAHS.
- The model showed 92% accuracy on a separate dataset, indicating strong generalization.
- The approach demonstrates potential for practical clinical use due to its high performance.

## Abstract

Obstructive Sleep Apnea Hypopnea Syndrome (OSAHS) can cause excessive daytime sleepiness and cognitive decline due to long-term nocturnal hypoxia. Without timely treatment, it may increase the risk of obesity, coronary heart disease, stroke, and other serious disorders. However, OSAHS is often underdiagnosed because the standard detection method, overnight polysomnography (PSG), is expensive and available only in limited medical facilities. This study aimed to develop a lower-cost and more accurate approach for detecting OSAHS using electrocardiogram (ECG) signals and biometric data.

We proposed a multimodal feature fusion framework that integrated ECG features extracted through a long short-term memory (LSTM) network with biometric features obtained via support vector machines (SVM). The fused features were classified through a fully connected layer to detect OSAHS. Two independent databases were used to evaluate the performance of the proposed method.

Experimental results showed that the LSTM–SVM fusion model achieved an accuracy of 97.1%, outperforming conventional classification models. In addition, it achieved 92% accuracy on a separate dataset, demonstrating strong generalization ability and potential for practical clinical application.

By combining LSTM-extracted ECG features with SVM-based biometric features, the proposed multimodal fusion method provided highly effective OSAHS detection. The findings suggest considerable potential for the use of this approach in real medical environments.

## Linked entities

- **Diseases:** coronary heart disease (MONDO:0005010), stroke (MONDO:0005098), obesity (MONDO:0011122)

## Full-text entities

- **Diseases:** cognitive decline (MESH:D003072), coronary heart disease (MESH:D003327), hypoxia (MESH:D000860), excessive daytime sleepiness (MESH:D006970), OSAHS (MESH:D020181), obesity (MESH:D009765), stroke (MESH:D020521)

## Figures

3 figures with captions in the complete paper: https://tomesphere.com/paper/PMC12892491/full.md

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Source: https://tomesphere.com/paper/PMC12892491