An assessment of sleep quality and sleep disordered breathing is
determined from the cardiopulmonary coupling between two physiological
data series. In an embodiment, an R-R interval series is derived from an
electrocardiogram (ECG) signal. The normal beats from the R-R interval
series are extracted to produce a normal-to-normal (NN) interval series.
The amplitude variations in the QRS complex are used to extract to a
surrogate respiration signal (i.e., ECG-derived respiration (EDR)) that
is associated with the NN interval series. The two series are corrected
to remove outliers, and resampled. The cross-spectral power and coherence
of the two resampled signals are calculated over a plurality of coherence
windows. For each coherence window, the product of the coherence and
cross-spectral power is used to calculate coherent cross power. Using the
appropriate thresholds for the coherent cross power, the proportion of
sleep spent in CAP, non-CAP, and wake and/or REM are determined.